Chronic sacro iliac dyfsunction - experience

We are nine months down the road, after injections and following strict rehab.

Just been referred to Sven Kold to make sure nothing else is going on which is causing the problem.

So for me as yet no positive outcome. Pony only happy in walk and trot, Each time vet thinks its okay to re-introduce canter he still bucks and disunites.
 
Mystified said:
We are nine months down the road, after injections and following strict rehab.

Just been referred to Sven Kold to make sure nothing else is going on which is causing the problem.

So for me as yet no positive outcome. Pony only happy in walk and trot, Each time vet thinks its okay to re-introduce canter he still bucks and disunites.
Click to expand...

Thanks for that - have you used a physio or a chiro or any other therapy along with your rehab work? Also did your pony show a hot spot on the scintigraphy in the scariliac area? Ours interestingly did not. Thanks
 
I haven't been down the scintigraphy root as I wasn't entirely convinced of the purpose of them as you still need to x-ray and it only shows up bony changes not soft tissue, tendon or ligament damage.

Spoke to Sven Kold and he only uses this as a last result prefers x-rays, ultrasound and nerve blocks.

Vet initially diagnosed through examination and palpatation of the sacroiliac area and nerve blocks. However, it has been going on for so long now I have asked for referral to Sven to make sure that something else is not going on anywhere that is causing the strain.

Used physio when first noticed he had sore back and for 3 months she was telling me it was down to the saddles and it turns out it was nothing to do with the saddle. I will only use physio/Chiro if vet actually advises me too but at the moment rehabing under guidance of vet and instructor.
 
Last edited:
Mystified said:
I haven't been down the scintigraphy root as I wasn't entirely convinced of the purpose of them as you still need to x-ray and it only shows up bony changes not soft tissue, tendon or ligament damage.

Spoke to Sven Kold and he only uses this as a last result prefers x-rays, ultrasound and nerve blocks.

Vet initially diagnosed through examination and palpatation of the sacroiliac area and nerve blocks. However, it has been going on for so long now I have asked for referral to Sven to make sure that something else is not going on anywhere that is causing the strain.

Used physio when first noticed he had sore back and for 3 months she was telling me it was down to the saddles and it turns out it was nothing to do with the saddle. I will only use physio/Chiro if vet actually advises me too but at the moment rehabing under guidance of vet and instructor.
Click to expand...

Thanks for that Mystified. Yes the scintigraphy really showed nothing other than 2 mind hot spots on the lame side - hock and stifle presumably due to strain on them through the scaro pain. Mine was nerve blocked but why he wasn't just simply nerve blocked on that side I do not rightly know, especailly as it is all so expensive.
Vet has recommended physio for my boy. Good luck!
 
YasandCrystal said:
Thanks for that - have you used a physio or a chiro or any other therapy along with your rehab work? Also did your pony show a hot spot on the scintigraphy in the scariliac area? Ours interestingly did not. Thanks
Click to expand...

Our equine hospital told me AFTER I said that my insurance wouldnt cover extensive diagnostics AND scintigraphy that a bone scan would be inconclusive for sacroiliac injuries anyway as the structures are too deep! Feel they would have merrily spent my money if I had not mentioned it ..
 
Out of Interest did Sue Dyson at the AHT give you any indication whether there was a good prognosis if you followed her rehab advice and how long she felt it would take. Are you having injections into the sacroiliac area and how many?

Only I have spoken to an instructor locally who does rehab livery just in case we need it next week and he has advised that when I go up to Sven that I ask quite clearly what the long term prognosis is as in his opinion chronic sacro injuries do not have a good prognosis and potentially we could be putting a lot of time, money and effort in to our pony who may never be able to event again. Basically if we are only able to hack him now and after treatment he is only going to be able to hack then its not worth having treatment.
 
Mystified said:
Out of Interest did Sue Dyson at the AHT give you any indication whether there was a good prognosis if you followed her rehab advice and how long she felt it would take. Are you having injections into the sacroiliac area and how many?

Only I have spoken to an instructor locally who does rehab livery just in case we need it next week and he has advised that when I go up to Sven that I ask quite clearly what the long term prognosis is as in his opinion chronic sacro injuries do not have a good prognosis and potentially we could be putting a lot of time, money and effort in to our pony who may never be able to event again. Basically if we are only able to hack him now and after treatment he is only going to be able to hack then its not worth having treatment.
Click to expand...

Unfortunately generally the prognosis is not good you may be interested in this article Sue Dyson wrote for H&H veterinary feature sometime ago http://www.horseandhound.co.uk/horsecare/1370/55632.html
 
Sue Dyson's prognosis is not good. That said many owners have their horses pts.

I have researched and spoken with some McTimmoney therapist who have had very good results with SI problems via realignment and then muscle build, even chronic cases. So trying to stay positive! Vets don't always get the prognosis right.
 
My horse was diagnosed at the end of march, he was treated at the vets and then came home on box rest and controlled exercise. After 3 weeks he went away for 5 days of rehab on a hydro treadmill, after that I was given a rehab programme from the vets which included ridden work but only in straight lines in walk. He went for a second 5 days and once home I introduced trot. He has since been again for some rehab and I have now started to increase the work. I am starting to lunge him gently and begin school work with him. My vet was very optimistic that I would be able to event him. They have treated a number of horses with similar issues and they seem to think it may be caused by the horse doing too much too young before they had enough muscle. (before I bought him) I am hopeful that my horse will come out of this and be able to be ridden.
 
My horse has just been diagnosed with this problem, but (thankfully), it doesn't seem to be as chronic as the first post.

At the moment, a brilliant McTimoney practioner is working with him and confident, she can alleviate/help a lot in this area. Early days, made difficult as my horse is not easy to treat in the first place having been quite badly mistreated before he came to me. We may have to go down the route of injections, but seeing how the physio helps first.

Really interested in any experiences you have in this area :confused:
 
Really interesting mll and solly3066. It seems that there is little know in the area of SI. Speaking to a couple of McTimoney therapist - they are really optimistic, but others are more cautious stressing that even if my horse can be ridden this will always be a weakness and he must be kept fit and muscled to support the SI. I have been told of 2 horses with SI problems written off by vets who went back into full competition - so there is hope.

I can empathise with you solly3066 as my horse has had temperamental issues due to former abuse - he was worked too young also mll at 3 years old expected to carry a man who expected too much of him.

I am expecting a Bowen therapist/energy worker out this morning so I will report on their findings/suggestions. I have a physio out on Monday and pessoa work commences next week. I am lucky that my grazing is on a gentle hill so this will help with the muscle build.

Thank-you for your replies
 
Thanks :)

My McTimoney is a huge support so I'm hopefull a lot of it can be helped. Have been reading up everything and anything I can find on it now, does make interesting reading!

Would love to know how you get on (fingers and hooves crossed for you!)

S x
 
Right the Bowen lady came on Friday - my boy was not that receptive to being touched, but she worked on him. She was great and very helpful with supplements and diet advice also.
I had a physio out on Monday and he was far more receptive to her. This could be from the foundation laid down by the Bowen therapist.
The physio measured his muscles and suspects that he had a rotational fall (backward or forward) as the wither and shoulder are also affected on the opposite side. She did some lifts with him, which abducts the hind and shunts the weight over to the opposite hind. He found this easy on the poor side and hard on the good side as to be expected as the bad side was taking the weight. She believes it is crucial to get the nerves to the hind muscles working again via neuro stimulation and we are booked for 3 sessions of this the first 2 a week apart. Especially important for the recovery of a chronic injury. We have pole exercises to do in hand every other day to get him to lift his feet over 1 raised pole.
She was very positive; it will likely take months of daily routine physio on our part, but we shall do it and try and repair the muscle wastage. Our land is on a slight hill, which will be very beneficial to build his muscle. We will lunge with a pessoa every other day also.
We are keeping a daily diary of his prgress and a weekly picture diary.
 
Last edited:
Really pleased its looking more positive for you! :) Have our next session tomorrow so fingers crossed here!

Keep posting as it's really helpful - and good to share how its going etc!

Kind regards

Solly x
 
You must log in or register to reply here.
Top