high suspensory desmitis looking for reassurance

jessieblue

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Hi everyone. I am so confused and worried and was hoping that someone may have some experience or advice concrning this issue. The story so far is ....

My beautiful 9 yr old hanovarian/TB event horse was diagnosed with PSD both hind limbs right worse than left in march this year. He was not lame but eventually was slightly short on hinds. Main symptom was sore back, irritability, spookiness. This seemed to show itself after a period of more intense schooling, which he was showing huge potential with.

Anyway after many people seeing him, back people, dentists, saddlers and 3 vets, two of who said he was fine my current vet diagnosed high suspensory desmitis. He blocked out sound and scans showed damage to both but worse on right. No bony involvement and no lesions or tears. I was advised neurectomy plus rehab and return to normal work including eventing was the prognosis.

So in may he was operated on. This went well and he was sent to a facility for rehab. 3 weeks box rest followed by, according to vet 6 weeks or walking and then progressive trot work after that. On first review by the vet after 6 weeks post op he trotted up sound and was negative flexion to left hind but 2/10 positive on right hind, but considering still on box rest just doing in hand walking and coming out cold this seemed good. Scan showed left ligament had improved but right hind suspensory still showed some damage but had improved a little although not as much as would have been ideal.

Anyway 6 weeks of walking became 5 months of walking as the rehab centre felt he should get up to 1 and 1/2 hours of walk in hand a day before beginning trot. 5 months post op I brought him home to my yard and started trot with him. He also had turnout in a small paddock during the day as I felt he was in desperate need of some quality of life. My vet had been urging me to move forward with his trot although the rehab owner felt he needed to continue walking.

My worry is that since being home we have had a few dramas. We are now trotting 10 mins a day and have been trotting for 3 weeks starting with 2 mins. He has had a couple of barnies around the field as he escaped from his paddock and ran around with other horses! I am petrified he has done some damage to himself as he is still just working in trot and not ready for canter.

Will this have ruined his chances of recovery? Does anyone have any experience of rehab following neurectomy for hind suspensory injury? Is 5 months too soon for him to be turned out and having a run around? My vet said i could turn him out in small paddock, but obviously didnt forsee his field buddies breaking into his compound and letting him out!! I have spent a fortune on this horse and he is such an angel, I dont even want to call my vet to review him as I am afraid of bad news! He appears sounbd though, but i guess he would after the neurectomy.

Any words of advice or reassurance very welcome!
 
Hi, My pony had the operation4 years ago now; I box rested him for two weeks after then turned him out ( he was a nightmare on box rest and would not behave walking in hand! ) I left him out for 6 months before bringing him back into work ( ridden work ); Started off 10 mins of walking a day for a week then added on 10 mins a day until I was walking for an hour for a few weeks then started short trots. By three months we were back to a normal three hour hack/pleasure ride with lots of trotting and cantering.

He went back to his old owner 6 months later ( nothing to do with the op, I couldn't physically handle him! although a pleasure to ride, he was very strong on the ground and had terrible maners! ) I've kept in touch and he is still going strong, even jumping :)

I would let him out tbh, no life being in and after so long he really should be fine now.
 
Hi and thanks for your reply. I do feel better hearing this story. I have heard so many different rehasb regimes but none that involved 5 months box rest with an hour and half walk in hand a day. Maybe it would have been best for his longterm outlook, but I felt i had to get him some quality of life back as he looked brain dead and literally had to be dragged around the barn 3 times a day for his walks. It broke my heart to see him looking so poor, so I made the decision to pull him out and come home and follow my vets instructions. I am hoping things go well for him. Thanks so much for taking time to reply. xxx
 
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