Finally, finally i have the answer...

Supanova

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I haven't posted on here for a while but as some of you may remember I was having some performance issues with my mare - refusing SJ, but probably more fundamentally a lack of willingness to go forward and a general dislike of work. I posted a video on here where people commented that I needed to get her more forward and in front of the leg, which i totally agreed with but could never seem to achieve no matter how hard i tried and how many lessons I had. Some also felt that she didn't look quite right but it was difficult to identify exactly what was wrong. Over the past few years, I have been to the vets more times than I can remember for lameness work ups, ovaries scanned, scoped for ulcers etc and we have picked up various small niggles that I have thought at the time may be the cause of the poor performance, but we never progressed. She has had physios, osteopaths, acupuncture, behaviourists. Reputable vets and physios have both declared her to be one of the soundest horses they have ever seen..............so for periods I have tried to crack on, before returning to the vets a few months later for some more investigations.

One of the things that has been in the back of my mind for a little while is PSSM after i read about it somewhere. She shows none of the major signs, i.e she has never tied up, nor does she have muscle wastage, but I did wonder if she showed some of the more subtle signs. My dressage instructer has always said " I don't think there is anything physically wrong with this horse", that was until she got on her about a month ago - having ridden her she could feel why i was concerned!! She used to be a nurse and she suggested that maybe it was something metabolic so I immediately jumped on the fact that I had wondered about PSSM!! So encouraged by the support of my instructer i phoned the vet and to cut a very long story short, iwe did a special muscle enzyme test where you take blood pre, post and 4 hrs after exercise. This came back with abnormally raised CK levels 4 hrs after exercise. So we decided to do a muscle biopsy and at this stage i was convinced she had PSSM. Anyway it turns out she hasn't got PSSM but the biopsy does show muscle damage indicative of Recurrent Exertional Rhamdolyosis (RER). This has probably been making her muscles feel very sore!! The professor who interpretated the biopsy states "in my opinion this could well be the cause of this horse's performance issues"!

The management of this condition is based on changing the feed to very low starch, low sugar, high fat diet. It is also recommended that I add something called L-Carnitine. She has been on this diet for 2 weeks and i am slowly bringing her back into work, but I know already that there is a massive improvement. She no longer spooks at the terrifying corner in the arena, she is much happier to be tacked up and groomed and she walks forward with much more purpose.

I feel so relieved to have finally got to the bottom of my poor horse's problems. Half of me feels that i have always tried my best for her but the other half feels guilty and knows that I should have trusted my instincts more and pushed the vets harder sooner. I just feel like we were always looking for the wrong cause i.e. lameness, back etc. I also believe that the vet had begun to think i was something of a hypochondriac and whilst they tried to accommodate my requests they didn't fundamentally think there was anything wrong with her!!

I am really looking forward to bringing her back into full work and hopefully posting some competition reports on here in the near future!

If anyone has any stories to share about RER horses I would be really interested to hear!
 

Firewell

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Yep my old horse had exactly the same thing, he actually tied up several times.
Long warm ups helped, never riding straight from the stable (ie turnout for an hr first to leg stretch), consistent work and if he had a few days off do a really light session first day, slightly more the 2nd day and so on.
Routine, as much turnout as poss, kept his muscles warm, never rode without a blanket in winter. Feed was high fibre nuts, non mollassed chaff, oil and salt. Very simple.
If I remember anything else I'll let you know :).
 

Firewell

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Oh ERS pellets he could have when in harder work (these pellets were designed for comp horses that get exertional rhabdamolisis (sp) ).
The absolute worst thing for my horse was being kept stabled 24/7 with limited turnout coupled with build up
mix! That caused his terrible attacks where he couldn't even move after 5 mins of exercise poor boy :(.
 

checkmate1

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That must be the most fab feeling- well done you :) My horse is insulin resistant and I feed her on the PSSM 'diet' ALCAR, whey protein etc.. you will find you become quite obsessed with their diet (My mare is no longer allowed apples and carrots/ has soaked hay and is muzzled for turnout).. but her performace is amazing- she is like a new horse! Enjoy watching the progress you both make now! :)
 

Supanova

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Ah thank you all for your kind words! I am really excited to see the changes in her already! I can see myself already being obsessed with her diet! She's just on Speedi beet at the moment but she won't eat her supplements with it as she is very fussy, so may need a rethink!
 

Supanova

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What is PSSM please?

It is Polysaccharide Storage Myopathy (also known as EPSM in draft horses) which is basically a muscle disease caused by abnormal accumulation of glycogen in the muscles. The more severe signs are: tying up, muscle weakness and atrophy of the muscles and a shifting abnormal lameness. However, the signs can be more subtle such as muscle soreness and reluctance to engage the hindquarters.

I think PSSM is probably one of the most researched areas of exertional rhamdolyosis (and there is a specific muscle biopsy test which is conclusive). Anything which causes the same syptoms on a recurring basis, but isn't caused by glycogen is classed as RER. This is believed to be caused by abnormal calcium function within the muscles (no definitive test) rather than glycogen, but from speaking to my vets it is less well researched and there may well be other causes i.e. my mare shows signs of lipid accumulation which could be the cause of RER rather than calcium.

The treatment of all the above is through low starch, low sugar, high fat diet and regular turn out and exercise.
 

Prince33Sp4rkle

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we suspect CS has EPSM/PSSM.

he eats saracen re leve, linseed, alfa a oil and havens slobbermash. he gets the Alcar supp too.

his armadillo magnetic rug really helps keep his muscles loose and soft.
 

showjump

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YEY!! So pleased you have found the answer, i know you have tried all things under the sun to help your mare. I also know the feeling all too well of 'something' just not being quite right, but you cannot put your finger on what.

Hope its on wards and upwards for you both, and see you out competing soon.
 

Supanova

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Thank you all!

PS - thanks for sharing your diet. I have heard good things about re-leve, my only concern is that it still has mollasses in it and is 7.5% starch. I know that is low and that re-leve is recommended for these problems, but i still worry! Did you really notice a difference when you changed to re-leve?
 

Prince33Sp4rkle

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massively, he was on winergy condition before and felt really lumpy and clumpy, much much more forward on the re leve.

the havens stuff is actually crazy starch (38.6%) but they say the steam extrusion makes it easy to digest and have to say its not affected his muscles, feet, or ulcers, where as other sugary and starchy things DO, eg equitop myoplast really upset him, as does sugar beet.
 

Supanova

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I buy L-Carnitine from Equimins or you can just get it from health food shops. I know that there is some research that ALCAR is better than L-Carnitine, but the professor that read my biopsy report said it didn't really matter. I also understand that its not as easy to feed oil with ALCAR as it is with L-Carnitine, don't know why! It has been recommended that i feed 80ml per day of L-Carnitine because of her lipid issue (which is unusal apparently) - it going to cost a fortune!
 
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