Can i pick the Lami experts brains please

rema

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It is going to be a long one so i apologise now...background info...

My 13 year old 17hh IDx who was on his holidays and was fat but not obese went very slightly lame at the end of June,at first i thought it was a stone bruise as my field was very stony,He also pointed his near fore alot.No heat and no pulse and no reaction to hoof testers.Two days later his fat pads came up and his crest thickened.He was taken off the grass (restricted grazing paddock) straight away and stabled on a deep bed,with only soaked hay and small amount of Happy Hoof for Vits and Mag Oxide.Vet was called the same day and came out and xrays were done on all four feet.Bloods were also taken for Cushings.The Xrays showed slight rotation in near fore but the other three feet were fine.Farrier came out next day and fitted pads (abit like perspex with a frog built in) with Equi-thane silicone underneath and he was re-shod.He was given 2ml of Sedalin and one Bute twice a day to chill him out and help with blood flow.The bloods came back negative for Cushings..The vet said that it was pretty obvious he had some metabolic problems due to fat pads and crest..
For the next 4 weeks he did really well and lost alot of weight,crest and fat pads now gone the vet came out twice more just to check him over..and was really pleased with his progress.The vet said to drop his Bute down to one then if still doing well to stop them after a week..Which i did as he was nearly sound and when i mean sound he was on a straight line but still sore on a turn.After two week of being almost sound the vet and farrier came out and he was slightly lame on his off fore,the farrier thought it was possible an abscess brewing and had a dig around but could not find anything and i was told to keep an eye out for it and his pads and Equi-thane was removed and his feet seem to have stabilised he was then shod with normal shoes and i was told he could go out in a bare paddock which i have been grazing to the dust with my other horse.Two weeks later and he is still out and still only on soaked hay and he is now getting Fast Fibre for vits and mins.Here is my question..Since he came home the abscess has never materialised and he is still ever so slightly lame now and again and still pointing his off fore now and again and slightly slow on the turn.The digital pulse is not throbbing and sometimes is hardly detectable and the same with the heat sometimes is is warm but more often or not is isn't.There is no grass in his paddock (30ft x 50ft) just dust and he cannot get to any as electric fenced.

When my vet come back off holiday tomorrow i will be getting her back out..I guess my main thoughts are am i not giving it enough time (been ten weeks from start)..And can the signature foot change after all these week without there being a trigger??.Thank you for taking the time to read this and i'm sorry if it makes no sense to any of you.

I'm sorry but i forgot to add but might be important.On Xray it showed he had early stages of Ringbone on both front Pasterns.
 
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There seem to be 2 or 3 issues here, so I don't think it is possible to speculate. Best to be guided by your vet when she returns. More x.rays will probably show what is going on.

Good luck.
 
In terms of the laminitis/metabolic problems - now the initial laminitic incidence is over I would ask about whether it would be relevant to test for insulin resistance. Then can see if need medication for this & long term management

Hope it goes well
 
My mare has had a couple of laminitic attacks. While each time she wasn't crippled with it, it did take a long time for her to come right. I don't think 10 weeks is a long time to recover from a laminitic attack. It took about 7 months the first time and about 4 months the second time before she was back in work. I too got to the stage where she was ok on the straight but footy on the turn and she got stuck at this stage for a while but did eventually improve. You just need to be patient. Get her as slim as you can though as this definitely helps prevent further attacks.
 
Thank you for your replies..

He was completely sound before the Lami and the vet said the Ringbone is very early stages so i don't think that is an issue at the moment..(thank god.)

The vet is pretty sure he has EMS by the signs and said that weight loss and diet should keep that in check for now but if not then he will be tested.He has lost about 50kg's going by the weight tape and his crest and fat pads have all gone now.

Thank you Vannessa..He does seem to stuck at that stage of only footy on the turn..He has only been like this (on his foot with no rotation) for three weeks.Hence the vet and farrier thinking it was an abscess brewing.The foot with rotation is getting better by the day.He is happy in himself and has no problems in fooling around.

I'm just impatient i guess and i need to take a step back and let nature take it's course..
 
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