Calcified nuchal bursa

Cowpony

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I'm posting this in case anybody else needs information, because it's a very rare condition and I couldn't find anything about it when my pony was diagnosed.

When I bought her about 2 years ago she had a big lump behind her left ear (not picked up during vetting, but it was less obvious when she was relaxed and had her head down). It was about 3 inches in diameter and was hard. There was just about room to fit the bridle headpiece between her ear and the lump. She didn't seem at all bothered by it, and when I asked my vet (not the one who did the vetting) what it was, he was a bit baffled but thought it could be a fibroid from an old injury.

Last autumn she hit her head again, the whole area swelled up and was very sore. The vet did x-rays and scans, and what appeared was a cauliflower-shaped lump. The vet said this was an old injury which had calcified, in the same way that splints arise.

After 6 weeks off work it seemed to have settled down, so we started riding her again, only for it to flare up even worse than before. This time the vet said the only treatment if I wanted to be able to ride her was surgery. So, around New Year she had the surgery, which was successful. Apparently the lump was stuck very firmly to the bone, so it must have been causing her a lot of pain and explains a lot about her way of going (grabbing the right rein, not bending laterally, falling through the shoulder).

She has a scar about 5 inches long, which has healed very well, was on box rest until the staples and stitches came out, then was out in the field for about 3 weeks. We then started lunging her, and a week ago we put a bridle on her with a neoprene cover on the headpiece to make it more comfortable, and have been riding for 20 minutes in walk each day. She doesn't seem at all bothered about the bridle (although I haven't taken too strong a contact yet) and is much softer and more flexible than ever before.

Today the vet came to check her and was very pleased with how things have gone. We're going to do some physio under sedation because when she was in pain she was holding her neck and back very tightly, and the treatment will loosen off those muscles. But he's happy for us to crack on and bring her back into full work once she's gone through a fittening programme.

So a successful outcome and based on my experience I can recommend surgery for this type of problem (we were lucky and had no infection or any other complications the vets warned us about). Fingers crossed it carries on like this!
 
I know this is an old topic, but I have been looking for someone with experience on this kind of injury for weeks! My horse has the exact same thing. Swollen bursa with calcifications visible on x-ray and ultrasound. She has been injected with anti-inflammatories a week ago, but I don't have a lot of confidence that this will work. The calcifications are there and will stay there unless the bursa are removed...

How old was your horse at the time? Did you feel a significant improvement in behavior after the surgery?
 
My horse has calcification of the nuchal ligament, it doesn't seem to affect him (no pain or discomfort), however, he does find it more difficult to flex to the right. He's 17 this year and we just hack now. If I could work out how to upload a photo of the xray I would!
 
Thank you for all the advice. Unfortunately my mare is only 8 years old. I am very anxious that this calcification might only be getting worse and worse. However, she does not seem to be in much discomfort at the moment. She doesn't bend very well in the upper part of her neck, but you only notice this if you look very closely. She runs around like a young foal, eats from the ground without any issue, etc. I tried to insert an image here:
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My horse has calcification of the nuchal ligament, it doesn't seem to affect him (no pain or discomfort), however, he does find it more difficult to flex to the right. He's 17 this year and we just hack now. If I could work out how to upload a photo of the xray I would!

Can you also really see the 'lump' behind his ears when he lifts his head?
 
Not sure if you can see the x-ray?
Before any one makes any comments, my horse is absolutely fine. You put a bridle on him without any issues, you can palpate his poll and neck, he works very nicely into a contact when asked. He can't flex as well to right as he can to left, but it's fractional. He has regular vet, physio & mctimoney treatments. This happened long before I owned him, I've owned him 6 years and until the xrays, you wouldn't have known there was an issue. Only reason for xraying him from poll to hoof, was because I felt there was an intermittent loss of performance about 4 years ago, turns out he had a bit of DJD in his hocks. The poll xray was a total shock. He's very fit and well and lives a life of luxury.
 
I saw the xray, thank you for sharing it. It is very comforting for me to learn that there are indeed cases where the horse is not hindered by this. My horse is showing soms stress when I try to touch her poll, but she is a very sensitive mare and has always been very difficult around her head/ears. So it is really hard to tell how much she is suffering from this. I am hoping to get her comfortable again just with injections and regular physiotherapy. Apparently when they really start suffering from this, they have difficulties stretching their neck out to the ground. I am still considering having surgery on the long term, but I am hopeful to be successful with more conservative techniques for now.
 
After the X-rays were taken I had my horses poll injected with steroids. I wanted to find out if the poll was causing an issue and to settle it down in case he had a headache from it. Tbh it didn't make any difference.
I have had his neck manipulated under sedation a few times, this helps release any tightness/tension.
I do regular carrot stretches with him daily to ensure he stays as supple thro the neck as possible. I find it very beneficial to alternate every 6 or 7 weeks between a physio and a mctimoney treatment so he stays on top form.
I no longer compete him, but he is currently super fit and is like a 5 year old out hacking at the moment!
If you have any other questions, please don't hesitate to ask. I remember how shocked and upset I was when I first saw his X-rays.
 
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