Fetlock pain and lameness

Hormonal Filly

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Sorry for the long post - thank you in advance if you read it all!

My 14.2 9yr cob gelding I've owned for 4 years has had reduced performance for a couple of weeks now. (Bought unbacked at 5, we have done some 80cm ODE's, lots of hunter trials 80/95cm and placed every time, had lots of fun specially cross country up to 1.10m as he has the jump of a stag) I first noticed a couple of weeks ago he couldn’t work in an outline in canter so I had saddle and all tack checked, all fine. I then thought it was his new bit, so swapped to his old one and no difference. I rode him in the open field and he didn't feel right behind, cantering was impossible even a straight line so I got off there and then. From that moment I knew something was clearly physically uncomfortable and it wasn't him just being fruity.


I tried him on the lunge so I could see what was going on. Walk and trot he looked okay, worked onto the contact nicely but a bit choppy. The worrying part was he couldn't canter at all on the left rein and was able to canter a few strides on the right. He goes to the voice so for him to just trot faster or want to stop is very unlike him.


Trotted him up and he didn't look 'right' behind but couldn't tell which leg as not majorly obviously lame. A livery is a vet nurse and tried some flexion tests. First on hocks, no lameness. Flexion test on his right fetlock, no lameness.. flexion test on left fetlock, lame. When feeling the right fetlock joint its rather puffy and doesn't like palpation of it.


I said I'd give him some time off for a couple of weeks and see if it improves. My old mare after 6 months of ownership at only 8 was put to sleep after she had £6,000 spent on her with no luck, arthritis in every nearly joint, kissing spine, ulcers which were secondary issues to the kissing spine. The first vet told me she was just mareish and it took 3 vets before she was diagnosed as I had a feeling she had some serious issues, it has made me overly paranoid since owning her.


To add, in 2016 my gelding had gradually stopped wanting to box and had a hard bony lump on his left hind leg (on his hock) which he had since the day of ownership which seemed like had grown. Got the vet, she decided to x-ray the area to see what it was, she also done flexion tests and the x-rays showed it was just a hard bony lump and he had excellent hocks and no lameness. The vet also x-rayed his entire back and fetlock up (not his fetlock) to keep my mind at rest, all was fine. She came back 6 months later and redone same x-rays which showed no issues. During this time he has had physio treatments, he gets a tight back which is apparently normal for a horse in work, but that’s it.


I no longer insure him for vet fees. I claimed for the hard lump on his leg and because there is no 'name' for the lump the insurers paid out part of the money, I had to pay £400 and they excluded it after. Therefore moneys tight and I'd need to save some money before going down the x-ray/injection route as it isn't cheap but I WILL get the vet out if it doesn't improve.


He has always had poles with his hind legs and struggled to maintain an outline in a canter but I've always been told oh hes just green and doesn't respect show jumps as much. When I bought him as a unbacked 5yr old and started leading out, he started wearing his hinds hoofs down but diagonally and my farrier had to shoe his hinds a certain way, this has now corrected itself after 4 years but he does have a funny confirmation and puts majority of the weight on the inside of his hoofs if not shod. He has also always stood funny and rested his fetlock in a funny position (specially that right fetlock) but vet has always said not to worry, it's just comfortable for him and he has over extending joints (apparently) so it is no bother to him.


Does anyone have any experience of fetlock lameness/soreness around that area?


Hes that bargain one in a million pony that would do anything and not show he hurts. I hope its just a field injury but just have that 'feeling' I had before when my last mare was diagnosed. After reading online supensory ligament branch desmitis sounds very similar to his symptoms.
 
I don’t think you can do anything until he’s seen by a Vet for a diagnosis. If you opt not to insure for vets fees you really need savings or a 0% credit card available.
 
I don’t think you can do anything until he’s seen by a Vet for a diagnosis. If you opt not to insure for vets fees you really need savings or a 0% credit card available.

Thanks for your comment. I do have savings, but they're for a mortgage in the future so don't want to use them unless I have too. I also have a credit card if need be. I thought someone may have a idea or be able to give some advice based on the situation, i'll give him rest and if no better i'll call my vets.
 
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I think you just have to bite the bullet and get a lameness work up done as it could be any number of things, speak to your vet say his not insured so you want costs kept down hopefully you can get to the bottom of it without spending thousands.


thing is with horse symptoms just because they are the same as one horse it doesn't mean they are suffering from the same things, they are all different so they will display and act differently due to being individual that's what makes it so hard to diagnose whats wrong with them without all the necessary things the vets do.
 
It’s pretty hard to say without knowing what is involved. I’ve known a couple with fetlock arthritis at a relatively young age and they couldn’t be kept comfortable. But if it’s soft tissue related it could be entirely different.
 
You'll have to bite the bullet and take him to the vets tbh.

Sounds like soft tissue damage in the fetlock which is impacting further up (or could be an issue further up that has caused imbalance and loading of that leg). I would want scans and nerve blocks to say the least, they may want an MRI and even a bone scan too. My gut says desimitis of some sort too I'm afraid.

Mine aren't insured. I've spent close to £5k at vets over summer. I'm glad I did as got the answers I needed/wanted to be able to remedy and move forward. Eye watering but wages and working hard with over time and teaching has helped me cover it.
 
I would do exactly what you have done, give him a few weeks, up to a month, off, so long as he doesn't get any worse. Obviously if the problem hasn't resolved then, get the vet but I do think that, because of insurance companies and their time limits, we have all forgotten what a positive effect rest can have.
 
I would do exactly what you have done, give him a few weeks, up to a month, off, so long as he doesn't get any worse. Obviously if the problem hasn't resolved then, get the vet but I do think that, because of insurance companies and their time limits, we have all forgotten what a positive effect rest can have.

Thanks all, appreciate the replies. I will get the vet but am going to rest it first for a couple of weeks first which I wouldn't think would make it any worse

Thats what I thought Pearlsasinger. If no better in 2 weeks, i'll give it a month and see how it is.
Before my mare was diagnosed 6 years ago the vet said to try rest first approx 3-4 weeks, then a bute trial for a week and then the scans, x-rays, lameness work up etc. Some vets these days don't give any rest at all and go straight to MRI's/scans.

We'll see how it goes.
 
I have to say I don't know any vets who go straight to MRIs, while I agree that rest is sensible it does rather depend on your horse, and my preference would be to get a veterinary opinion first as to whether field rest is a safe option. Ultrasounding last time we had an issue was pretty cheap to know that yes it was the result of chronic not acute damage and as such field rest was fine.

But that also comes from knowing we had a suspensory issue that should have been scanned earlier than it was to have had a better chance of healing properly. So I won't ever delay that again.
 
My horse had a puffy fetlock behind, didn’t go down after 3/4 days field rest so I got the vet out. Long story short he’d injured his sesamoidian ligament and that had affected his annular ligament too. He had op to cut the AL and PRP in the sesamoidian ligament. Vets gave a good prognosis as we’d caught it early. That was 3yrs ago, he has made a full return to work (low level Eventing) and he’s not insured either.
From what you’ve said, it sounds like soft tissue. Personally I’d just get the vet and get it scanned, if it is soft tissue more damage could be done the longer you leave it.
 
My horse had a puffy fetlock behind, didn’t go down after 3/4 days field rest so I got the vet out. Long story short he’d injured his sesamoidian ligament and that had affected his annular ligament too. He had op to cut the AL and PRP in the sesamoidian ligament. Vets gave a good prognosis as we’d caught it early. That was 3yrs ago, he has made a full return to work (low level Eventing) and he’s not insured either.
From what you’ve said, it sounds like soft tissue. Personally I’d just get the vet and get it scanned, if it is soft tissue more damage could be done the longer you leave it.

Thank you for the reply!
How much did all that cost? Sounds expensive.

The vet is calling me back today as I know this vets do x-rays/scans cheaper for cash so going to try that instead of using my usual expensive vet. This morning after 3 days field rest its still very puffy and sore, doesn't look sound on it but definitely not right. The other fetlock is fine so something isn't right.
 
Do keep us posted :).

I just re read the OP and saw the bit about hyper-extending joints, sometimes this can be nothing, sometimes it can generate problems. I've always found ultrasounding and xrays to be sometimes surprisingly affordable and hopefully it will give you a better picture so you can then discuss options.
 
Thank you for the reply!
How much did all that cost? Sounds expensive.

The vet is calling me back today as I know this vets do x-rays/scans cheaper for cash so going to try that instead of using my usual expensive vet. This morning after 3 days field rest its still very puffy and sore, doesn't look sound on it but definitely not right. The other fetlock is fine so something isn't right.

It was about £4k in the end, including diagnostic scans, op, PRP, 3 days at vets and after care/follow up scans.
 
UPDATE.

Gave him some time off, as mentioned. Trotted up, looked sound now. I lunged him and he looked better, he can walk, trot and canter but canter is difficult and he wants to have head sky high to be comfortable and he didn't want to canter at all or wanted to rush. I couldn't settle my mind and kept worrying about him.

Decided to get the vet out 10 days ago and explained the entire issue to the vet. Vet arrived, literally felt all down his back, fine and then right in the middle of his bum he flinched. I explained he had some heat on his fetlock previously but vet didn't even bother touching that or feeling the area, mind there is now no heat there would of been nice for him to have a look. Trotted him up, he said sound and I watched him trot up, yes he was sound I agreed. Flexion tested him, sound 100% vet said. Lunged him, I thought he looked off on his hind but vet said no hes sound, and hes getting the correct leg each time so isn't struggling with the canter (BUT every time I lunged prior to this he kept getting the wrong leg) he done flexion tests again after lunging and he was again sound not even 1/10th lame.

I explained to the vet and he basically said that horse isn't lame crack on riding him and see what happens, if he isn't right he'll need tons of nerve blocking as they have no idea what area it would be and it will be expensive. He said no point x-raying as he doubts it will show anything. Kind of made me feel a bit crap with this vet as I did keep saying he may not look sound but he doesn't feel right ridden. Cost me over £70 for the pleasure of 20 minutes of vet time, nice.

Ok, so I thought i'll try it and follow their advice for a short period and see if it was me being paranoid. I lunged him and then slowly started riding him, just walking around the fields a few times with some trot, hes always very well behaved and don't think he'd ever do anything even if he was in pain. I decided to take him in the school for 10 minutes yesterday. He is still very reluctant to work from behind or even accept any contact at all. Usually I ask, he does.. but I had to actually gave him a tap as he was so behind and not 'off' the leg.

If I ask for canter he'll occasionally grunt and wants his head sky high. If I ask for a contact he seems to fight, panic and either trots or canters so slowly it just doesn't feel 'right' from behind and he seems to crunch up and feels really short in the back/neck. If i give him the rein he'll canter around really fast but feels much better from behind with his head up and he is definitely worse is cantering around a bend. I called a lady over from the yard as thought he felt 'off' and she said he doesn't look lame at all but then again she doesn't know him that well so hard for her to pass judgement.

Hes done a few ODE's and got average scores during the dressage, during my last lesson a good few months ago now. The instructor actually said he was 'well schooled' so it isn't like he doesn't know whats being asked. When I bought him over 4 years ago I backed him and he did use to always power from the front and try and fight a contact but lots of work and effort he finally started going nicely on the flat so just feels like something isn't 'right' with him. I still suspect suspensory or something higher up on his back end.

A friend said to try a thermal imaging camera, apparently a local lady has one?

Asked for previous back and hind leg x-rays from vet, awaiting them sending them over.

What would you do? I do have savings but my 4X4 has now gone wrong and will be a expensive fix, great. Luckily my vet have said I can put any bills on a monthly plan which is a option I'll take if need to.
 
So my thoughts would be - see if someone has a lameness locator near you for a second opinion.

I'd consider scoping

I'd consider pulling bloods pre and post exercise to check for muscle myopathy given his type.
 
So my thoughts would be - see if someone has a lameness locator near you for a second opinion.

I'd consider scoping

I'd consider pulling bloods pre and post exercise to check for muscle myopathy given his type.

Thanks Ester. Lameness locator.. sorry, do you mean another vet? I had my previous mare scoped cost over £600 plus treatment which was thousands in the end, she had chronic ulcers and showed tons of symptoms but he holds weight extremely well and looks well really don't want to go down that route yet as it feels more like suspensory area to me. He had bloods done previously all were fine, but is worth doing again. Thanks
 
No, I mean a bit of kit called a lameness locator https://equinosis.com/ there is a search on the site for people that have them.

were bloods tested for muscle enzymes I forget what most people do as standard!

Amazing, thank you i'll look into that. I'll email and enquire. No I don't think so.. i'll look into that too, my vets don't have a lameness locator and problem is if I change vets they usually make you pay in full upfront for the first 3 times before going onto account and I have to pay monthly really. I may email the closest vets who have a lamness locator though, enquire about costs etc. Thank you.
 
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