Cellulitis or tendonitis??

redandblue

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Hi, my girl has been on field rest following an injection into her navicular bursa (front left) at the beginning of the month. I checked her last Thursday evening (she was fine in the morning) and she could not weight bear on her front right. Her leg was swollen from her fetlock to her elbow and needless to say the vet was called. She was running a temperature of 38.6 and was in considerable discomfort. Vet diagnosed cellulitis inflamation and precribed antibiotics and bute and frequent cold hosing but to turn her out so that she could move about.

By the next day the swelling had begun to subside and she was putting weight on her poorly leg but was still uncomfortable on hard surfaces. Every day since there has been an improvement and her temperature is normal again, however, the worst of the remaining swelling is located in her fetlock and just above on the back of her leg (up to mid cannon bone). I have also noticed that she is over extending her fetlock when weight bearing on it. Hard surfaces are still uncomfortable for her but she is getting around in her small flat paddock much more comfortably now. There is still a little heat in this area despite meds and cold hosing.

She has yet to complete her course of oral antibiotics and I'm not sure if I am being paranoid about the swelling/inflamation that is left. I saw a picture of a horse with tendonitis and it is very similar to how she is presenting now.

I suppose my question is, could the initial onset of tendonitis present like cellulitis with whole-leg swelling and an increased temperature or am I just being premature? My mare has already been out of action for 6 months with her front left and the thought of another 6-12 months off fills me with dread.

Thank you for reading my rather long post but any words of wisdom/experience would be greatly appreciated.
 
I don't know but if it where me I would be terrified that the injection had introduced with the injection .

I think that Gs means that the infection may have been caused by the injection, something to get onto the vet about as if it is in the bursa it may require some more intensive treatment than it is currently getting.
 
I only mentioned the injection to the bursa as a cause of her field rest (and to suggest that she wasn't in work or doing anything stenuous to have sustained an obvious injury). It was in the opposite leg to the inflammation. The problem is now in her 'good' leg :(
 
So, back to the original question - could the initial onset of tendonitis present like cellulitis with whole-leg swelling and an increased temperature - anyone?
 
Wish my girl luck - Vet's coming back this afternoon as she's not happy with where we're at. Antibiotics finish today, swelling still evident and she is still uncomfortable. She continues to over-extend her fetlock and Vet is now worried it may be suspensory :(
 
So vet came back last Thursday and shared my concerns. The tendon 'looked' bowed but there was too much swelling in to really feel anything (although the suspensory ligaments were all intact)and there was substantial dropping of her feltlock. Box rest, cold hosing and bute. Needless to say I have been fearing the worst.

Today the vet returned to perform an ultrasound and the news was... sort of...good. There is no visible tears or holes in either tendon. DDFT looks fab and but the SFDT looks a bit 'strange'. By strange the vet explained that you would expect to see the tendon taught and straight. Instead in my mare, it has been 'pushed' out to one side presumably by the inflamation and swelling. The area is still filled with fluid and the vet wants this to go down a bit before re-scanning in 2 weeks. A further two weeks box-rest and bute & cold hosing. So, certainly not as bad as it could have been, and not quite out of the woods but the tendon has not sustained an obvious injury or tear and resting has definitely helped. It's odd that this all started with an infection.
 
How weird. Happy for you that it's probably better news than you were bracing yourself for though.

If you have access to anyone with an ArcEquine unit you could borrow, it might be worth a try. I think they hire them out now too. I really think it has helped reduce the inflammation for my mare ("mushy" check ligament) and has an incredible effect on her windgalls too, unexpected side effect! Won't know until our next scan what the healing is looking like, but my vet is really happy with her progress and I've been relieved to be able to keep the swelling down. Good luck :)
 
For completeness I suppose, I feel the need (more for myself than anyone else) to update this thread :-(

My beautiful girlie is getting worse. After making an encouraging improvement I found her last week even more uncomfortable and with increased swelling. She was allowed out in a postage stamp sized paddock as she was becoming bored in her stable. She is always keen to have a lie down especially when the sun is shining but this has been the undoing of her. It would appear that the effort and strain needed to hoist herself up from lying has totally mashed her tendon. It took me over 10 minutes to tempt her to her feet and when she did - she looked like she was in terrible pain. I think I saw the exact moment when her SDFT ruptured.
Vet has rescanned and confirmed it's gone. She has since been on box rest - confinement even - as I can't even walk her out yet to hose her down. She is being ice bandaged and there is heat and swelling - a little more each day. She is on bute twice a day but she's an ID - a thick set mare and the vet said not to bandage as it will make no difference and will heat the leg.
I noticed this morning that her opposing fetlock has now started to fill and this worries me greatly as she has received all manner of treatments in that leg (CJ, Navicular bursa injections etc) - if that one goes now it will be the end of the road. Bilateral tendon damage on a 17yr old ID seems insurmountable.
We're not there yet but I know I cant see her in any more pain. On the plus side she has taken to box rest very calmly and is such a happy person it is so difficult to imagine life without her. Six months in a 12x12 box is a different story though.
Sorry for this pretty pointless post but explaining things on this forum is far more preferable than talking to my friends at the yard - as I have a tendancy to get upset. :-((
 
I'm so sorry to hear this, sounds like you're both going through a lot. Healing vibes to her that she turns a corner soon and you don't have to make that difficult decision. Xx
 
I'm so sorry to hear this, sounds like you're both going through a lot. Healing vibes to her that she turns a corner soon and you don't have to make that difficult decision. Xx

Thank you - all vibes most welcome. It's so difficult - I feel like I'm waiting for the inevitable when I should be trying to stay positive. x
 
:( :( so sorry to hear this. I was just thinking about your horse this morning. Don't have anything useful to say but I do hope she makes a recovery. Sounds like the pair of you have been through the mill x
 
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