Headshaking - workup at Langford

Clare85

Well-Known Member
Joined
28 May 2011
Messages
1,909
Location
West Sussex
Visit site
I have just returned from Langford today after our cob had her headshaking workup with Veronica Roberts yesterday.

Esme started headshaking in September/October 2016. We tried nose net, face mask, upping salt intake, mag ox, shakeaze nose guard, removing from clover, etc). My vet came out and conducted investigations (teeth, eyes, ears, back, x-rays, scope, bute trial, steroid trial) which threw nothing up. He then referred her to Langford. Prior to our appointment, Veronica has spoken at length to me on the phone and is an absolute font of information, as well as being lovely and very generous with her time. She is very passionate about her research and is determined to find a cause and effective treatment for headshakers.

Yesterday, Esme was assessed on the lunge and under saddle, where it was determined she was not a candidate for nerve blocking. She then had a CT scan, a scope (including guttural pouches), teeth exam and eye exam. The upshot of Esme's workup yesterday is that Veronica feels 90% sure that she is trigeminal mediated. However, she needs further video evidence before she is comfortable confirming the diagnosis 100%. We will send her further videos this week and then Esme will likely be referred to Liphook for the Equi-PENS therapy.

Veronica has explained to us that 50% of horses do not respond at all to the PENS, 25% will respond short term (e.g. days/weeks) and 25% respond long term. Each patient will need a minimum of 3 treatments. At this point, all we can do is hope that Esme falls into that golden 25%, but there is no way to know. The treatment is still so new (only 3 years or so) and they don't know why some horses respond and some don't.

It really is the worst thing I have dealt with in more than 20 years of caring for horses. I wouldn't wish it on my worst enemy. I will post updates about Esme's treatment here as hopefully it will prove useful to anyone considering the Equi-PENS therapy for their headshaker.
 
I feel for you, it's absolutely heartbreaking...
I'll keep everything crossed for Esme - hopefully she'll respond really well to PENS.

Thank you for your kind thoughts on my PENS thread - I'll be relieved when today is over :(
 
I feel for you, it's absolutely heartbreaking...
I'll keep everything crossed for Esme - hopefully she'll respond really well to PENS.

Thank you for your kind thoughts on my PENS thread - I'll be relieved when today is over :(

Thank you, we're keeping everything crossed.

I will be thinking of you today. A tear shed here for your boy today, and all the others we have lost to this awful condition xx
 
Just a quick update: following the further video evidence we have obtained of Esme since returning from Langford, we now have a full diagnosis of trigeminal mediated headshaking. Esme will be referred to Liphook for the EquiPENS therapy. Keeping everything crossed we can get our girl to come right.

Here is some video of Esme headshaking, on case it is of interest to anyone:

https://youtu.be/NzhPp622icg

https://youtu.be/mKDQImFXsis
 
Quick update: I took Esme to Liphook this morning for her first EquiPENS session. It went smoothly and she's now back home in the field, enjoying the sunshine :)

We were there for a couple of hours in total. They treated each side of her face separately, each side took 25 minutes. She took it all in her stride and was not upset or distressed in any way.

Now to keep fingers crossed that it works for her. She's booked in for her second session next week.
 
My sister rode Esme last night with almost zero headshaking in walk and trot. She also stood completely still to have her bridle put on, when she would normally fidget and try to evade and she was more forward off the leg than she has been since the headshaking started. We are trying hard not to get our hopes up too high as it's extremely early days but good signs thus far. Fingers, toes and everything else firmly crossed :)
 
My sister rode Esme last night with almost zero headshaking in walk and trot. She also stood completely still to have her bridle put on, when she would normally fidget and try to evade and she was more forward off the leg than she has been since the headshaking started. We are trying hard not to get our hopes up too high as it's extremely early days but good signs thus far. Fingers, toes and everything else firmly crossed :)

Great news! Keeping everything crossed. Currently going through good days and bad days with my boys tick while eating, got another 3 weeks of the cavalesse and then i think it'll be time for the vet again!
 
Great news! Keeping everything crossed. Currently going through good days and bad days with my boys tick while eating, got another 3 weeks of the cavalesse and then i think it'll be time for the vet again!

Thank you :) will keep fingers crossed you can get to the bottom of your boy's issue x
 
Update: Esme began headshaking again 3 days after her first EquiPENS session and had her second session a week ago. She reacted more when the electric pulses were switched on this time, but settled quickly and stood quietly.

She hasn't shown any signs of headshaking since. She has been ridden in the school for short periods and my sister took her out for a short hack on Sunday. She came back bawling her eyes out with happiness as we haven't been able to hack her for months.

We have been to told to wait for signs of headshaking before booking her third session of treatment, so it's a waiting game now.

Fingers, toes and everything firmly crossed that we can get our girl to come right for good. I'm so pleased we tried this route :)
 
Positive update :)

It does make you appreciate the things that others just take for granted - I still have everything crossed for you!
 
I hope she continues to improve you can definitely see a change in the second video, one of my horses has been snatching his head down and he rubs his face on his legs when hacking he is no where near as bad as your horse but I might having it looked into, my main worry is nerve damage as he has a had gutteral pouch problems which could have caused it.
 
Oooh that's lovely to hear!
Porkchop is right, even things like leading a horse to the field without it head shaking becomes a novelty!
All things crossed for continued good results for Esme.
 
Update: Esme had her third EquiPENS session two weeks ago. Since then we have seen no improvement, in fact she seems to be worse :( The vets did say that this may happen for a few weeks so we are just waiting again to see what happens.

This is probably the last chance saloon for our girl. We don't want to keep putting her through the treatment as the most recent one was quite unpleasant for her. Watching her being so uncomfortable over the last couple of weeks has been heart breaking and we can't realistically keep her going like this. Also, her weight is ballooning frighteningly, despite our absolute best efforts. She really does need to be exercised properly to manage her weight, which is just not possible with this horrendous condition.

Time will tell. I'm not convinced we will reach the conclusion we've been hoping for :(
 
Thank you D'n'c :)

Oddly enough, Esme has not shaken her head since the day after my last update. She has been out for 3 short hacks since Saturday and is currently normal.

This roller coaster of emotions is hard to take, I have to say. Too scared to feel pleased at the moment as we're just waiting for her to start again.

We shall see what happens.
 
Thank you D'n'c :)

Oddly enough, Esme has not shaken her head since the day after my last update. She has been out for 3 short hacks since Saturday and is currently normal.

This roller coaster of emotions is hard to take, I have to say. Too scared to feel pleased at the moment as we're just waiting for her to start again.

We shall see what happens.

that's good perhaps it will be a bit up and down to start with, the vet recommended a cranial therapist for my horse his had 2 treatments and I think he is slightly better, might be something to try they are not expensive and won't do any harm my horse loves it and it looks very relaxing.
 
that's good perhaps it will be a bit up and down to start with, the vet recommended a cranial therapist for my horse his had 2 treatments and I think he is slightly better, might be something to try they are not expensive and won't do any harm my horse loves it and it looks very relaxing.

Thank you :) I will look into that.
 
I am wondering how things have gone with your Esme since we last heard. I DO hope it is all good for you all.

Hi Packhorse1

Thanks for thinking of us. After her third treatment, Esme's headshaking got considerably worse. I was on the verge of calling the vet to put her out of her misery. However, after 3 weeks she suddenly stopped headshaking and we were able to begin working her and starting to build up her fitness.

Unfortunately, the headshaking has returned this week and she is once again unrideable. We are feeling very disheartened and are currently trying to decide on a way forward.

Jamie at Liphook suggested that it would be worth trying a fourth treatment but we're not sure if we want to put her through it again as she did react quite violently to the third one. If it had kept her headshaking free for a few months then it might be different but it's only been a few weeks.
 
Oh no, was so hoping it was a super positive update.

I am of no help, and have nothing useful to suggest, but sending you a massive hug x
 
Top