Hoof abscess

ALO

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Hi all, sorry this is long. I have a 22year old gelding who has had quite a lot of hoof issues over the years. When he was 13 he was diagnosed with navicular, I took his shoes off and he did come sound but was usually booted when ridden far or tricky ground. He has always had a slight medio lateral inbalance in that foot also.
A few years later he started suffering from numerous abscesses (in different feet)culminating in one 3 years ago that finally blew through the coronet band (the original dodgy foot) , it damaged the coronet band and he has a visible defect in the hoof wall. We them tested him for Cushings which was positive, he’s been on prascend and so far so good til now.
Started off lame in navicular foot, abscess assumed, farrier locates and dug a small hole and it drained a small amount, 2 days later it blew out through the heel bulb. Pus was green like snot and eventually a bit lumpy which I’ve never seen before. Called vet who said to start antibiotics and he would X-ray the following week, horse came sound prior to appointment, vet check and was happy, this was 2 days after finishing antibiotics.
5 days later horse is lame again, vet called out who xrayed this time and said things didn’t look good. He could see the abscess tract coming down but more worryingly said there was bone remodelling on the pedal bone that side which he though was probably historic and related to the long period of the medio lateral imbalance. He believes the infection stems from this as opposed to anything else. I’ve never heard of this happening? Plan is to do 5 weeks antibiotics and repeat X-rays, if things don’t look better it’s bad news ☹️ I asked about surgery although not sure I would blput him through that and vet said it wouldn’t make much of a difference as there is too much affected.
I’m just a bit confused as he was doing so well and in full work until now, do you think it’s possible if we can get the infection cleared up he’ll be field sound and the pedal bone remodelling is just an incidental finding? Thoughts and opinions appreciated.
 

ycbm

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I have heard of horses sound to ride with significant amounts of the pedal bone missing. So if you are willing to finance the operation and only hoping for field sound, I would ask for a second opinion.
.
 

ALO

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Thanks for your reply. I’ve asked for the X-rays and have farrier coming out soon so going to ask his thoughts also.
 

holeymoley

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I think it depends. Normally, as you probably know, the pedal bone remodels itself through periods of trauma. I’m more familiar with the remodelling after rotation due to laminitis. My own horse had severe rotation with very slight remodelling of the tip of the pedal bone, plus he had a medio lateral imbalance throughout the years prior to laminitis. He was thankfully corrected by remedial shoeing and trimming but I got told to expect more abscesses than normal. He never had an abscess in his life and he’s still *touch wood* never had once since.

Are your guy’s feet properly balanced now?
 

doodle

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I lost Soli with a pedal bone infection. Different cause, he got caught in a fence and ripped his foot off. We tried the op but 1/3 of the bone was removed. Initially we thought we had sorted it but infection came back. He was in the vet hospital the whole time and it caused him a lot of pain. I think if he had had to have less bone removed it may have been more hopeful.
 

soloequestrian

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A few years ago my mare, who was also in her early 20s, managed to get a pedal bone infection. She had surgery and she did recover but in hindsight I wouldn't do it again. It was extremely stressful for her and the recovery was long (and included laminitis, I suspect brought on by stress). She did come totally sound for a year or so but then started to have other health issues that lead to her being PTS in her mid-20s. I was never offered the antibiotics route - I would have tried that but I think if it failed I would call it a day. She hadn't had any previous issues with her feet - one of the reasons I did go down the route of intensive treatment was because it was so unusual for her to be poorly - I'd had her since she was newly broken so knew her full history.
 
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