Front right foot lameness not responding to anything - is there any chance he might come right at this point?

jkitten

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7 year old heavyweight cob x ID with a lot of sidebone (vet says he hardly has any cartilage left) and 'mild' arthritis in both front feet. Lame on the front right 2/10 in a circle on the left rein, better on the right and in a straight line but still lame. Blocks out in coffin joint.

I got him in December 2023 and in spring 2024 he started going intermittently 'footy' but it was very mild and inconsistent. His front feet were long so initially vet suggested remedial farriery. Lameness became more consistently front right and pronounced (2/10) as described above as the summer came on and x-rays showed significant sidebone (vet says he has hardly cartilage left) and minor arthritic changes, which according to the vet 'shouldn't' cause him to be lame. As we were investigating this he suddenly went 5/10 lame overnight in August and MRI showed a very small fracture in the sidebone on the front right.

Cue bar shoes and very restricted turnout until January where lameness had gone back down to 2/10 as it was before the break and the MRI showed the fracture healed. Vet felt that even though the arthritis 'shouldn't' be bothering him something obviously was, so he has steroid injections and raised heels (still with bar shoes). This improved things for a couple of weeks but then he went lame again. He then had an Arthramid injection in February and his shoes were changed to spiderweb with full pads (no raised heels), which made absolutely no difference whatsoever. The vet says that even after all that he has far too much fluid in his coffin joint and said fluid is of very watery consistency. He said he would have expected at least some improvement after an injection.

We are now trying him without shoes (vet and farrier both agree he is a good candidate and it's worth a shot) and a course of Sungate injections but frankly it's a hail Mary. I just don't know what it do. It's doubly upsetting because the lameness is so mild and yet nothing seems to touch it. Has anyone had a horse come back from something like this? I just want to hack, do basic schooling and maybe go out for xc a couple of times a year. He is a wonderful horse and my first (effectively, the first one I bought only lasted two months which is another long and depressing story) and I just feel so said and despairing about the whole situation.
 
Just wanted to send you a hug as I’ve no direct experience of this, my mare is trying the Sungate injections for her hind leg lameness and my vet is confident she ll come right enough to not be a field ornament but she is 13 not 7. I guess you have to rely on the expertise of the professionals..I’d be tempted to turn away for the summer and see if that makes any difference.
 
Thank you both! @Equi can I ask how long your friend's horse was turned away for before she came sound? I am leaning towards that if this next round of injections don't work. Thank you!

Edit to add I would also be very interested in hearing about any supplemental therapies which might help!
 
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Several months. they feed a supplement but I can’t tell you what it is but it just have green lipped muscle because the stank of fish nearly made me gag if I was doing her feeds.
 
Thanks! I've put my boy on Science Supplements Flexability Pro, which does have green-lipped mussel extract but doesn't smell of fish (I think they flavour it as it has a rather sweet and appetising smell even to me!).
 
Thanks! I've put my boy on Science Supplements Flexability Pro, which does have green-lipped mussel extract but doesn't smell of fish (I think they flavour it as it has a rather sweet and appetising smell even to me!).
It’s vanilla extract. It’s brilliant stuff, I had my old lad on it and vet noticed a massive difference. I would use it again if I had to.
 
We had one of these. 10k of investigations including MRI and this was a few years ago so you could probably add another 50% to that number.

Nothing really got her back to full soundness so we retired her into the field as a companion horse. At the 6mth mark she started to become a field terrorist, then started jumping out of the field at the 9mth mark. At 12mths I was so fed up with apologising to neighbours and paying for damage to gardens that I got the vet back.

Arthritis, side bone still very much present but now sound. No idea why. We then put her in composite wide webbed shoes on veterinary advice. Remained sound for the next 10 years, back competing.

Unsound again at aged 22. Retired completely on joint supplements and now 25 and field sound.

If you can, maybe turn horse out for 6-12mths and then reassess?
 
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