Hoof lameness and no diagnosis after a month

Amy_86

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I will try and make this as short as possible but to understand the issues I am having with my mare I need to start from the beginning.

I had my tb x wb mare when she was 10 months old (just turned 4 now), she was hardly handled and had never seen a farrier but surprisingly her feet looked in ok condition. It took me a couple of months to get her used to the farrier but it wasn't long before she was having regular trims every 8 weeks with no problems.

After a few months I noticed she wasn't sound in the field and was slightly lame so I called the vet. The vet came out, suspected an abscess did all the usual- hoof tests and had a dig around but she she was not sensitive to any of this and there was nothing obvious so we thought maybe she had pulled something and she was prescribed bute. Three days later she was crippled lame, the vet came back out and this time she was sensitive to the hoof tests. The vet had a dig around and she had multiple abscesses in 3 of her hooves although 3 days before she was not even slightly sensitive. Anyway we did the usual, wet poultice then dry poultice and box rest. The vet suggested from front shoes for some extra protection as she had extremely soft feet.

The shoes went on and she was sound for about 8 months until she came in slightly lame and was refusing to walk through mud or on any gravel. I had the vet out and lameness was diagnosed in 3 out of 4 feet. We discovered that she had OCD lesions in her hind hocks and she had the operation to remove these which was a success. At this point the vet was still struggling to find the issue with her front feet.

We knew the lameness was in her feet because when her feet were nerved blocked she went sound. The lameness kept shifting from one foot to the other, sometimes on a daily basis. She had several x-rays to try and determine the problem but the only thing they could come up with was that she had typical tb's feet and because she is very flat footed they thought this was the issue and suggested remedial shoeing. We tried going barefoot as well as hoof boots and several kinds of shoes- egg bar, heart bar, extra light titanium along with a couple of different farriers. She went almost sound every time and then after a few weeks she would come in crippled again, vet would come back say it was bruising or a corn, take the shoe off and try another one.

Basically this went on for about 6 months and she was going crazy being on box rest so I decided to turn her out. After a couple of weeks she twisted a shoe in the mud so i had to take it off myself. I kept turning her out and less than a week she was crippled again. The vet came out and this time managed to find a really big deep abscess and dug it out. I believe she had this abscess all along and it was only because her shoe was off that it finally burst.

The vet suggested that as a precaution I started using their farrier and to try a different kind of remedial shoeing yet again which i was very dubious about but basically they were right. I take her to their farrier every 6-8 weeks and he is doing an amazing job- they look like a different set of feet! She now has special extra wide feet on all four feet and has them cut back short and this has been working great for over a year until about a month ago.

I waited to have her broken in until she had done a year 100% sound and I sent her to be professionally broken in April. She was going great but the last couple of days she she threw one shoe and twisted another so she came back to me with only backs on and this was the last week in May. I turned her out with her boots on for 3 days until she had her shoes back on but her feet were still getting very muddy in the boots and if I am honest I have been expecting an abscess ever since.

She went lame the beginning of July, called the vet but it was like the very first time- not sensitive to hoof test but there was a slight pulse in her foot. We took the shoe off, had a dig around and the only thing we could find was a tiny bit of a nail broken off inside the hoof wall and thought it could be this. We poulticed the hoof for a week just to be on the safe side but the vet came back and the lameness had shifted from the left to the right foot. The right foot had cracked with all the dry weather but again she was not sensitive to hoof tests.

Shoes went back on and she went sound again. I gave her 2 off to make sure she was sound and now were back to square one again. She is only slightly lame again particularly on the right rein and she is getting foot sore again on gravel and I really don't know what to do!

My instinct is telling me it could be another abscess and that I should take the shoes off and let it work its way out but then if its not taking her shoes off will just cause more discomfort to her and because of her poor conformation I am worried she will not have the support and she will get severe bruising again even with hoof boots.

I dont want to keep calling the vet because she is now void on her feet so the insurance won't pay and I wouldn't mind paying it myself if they can diagnose her but i just feel its like throwing money down the drain and last time this happened my bill was £1000's.

I spend £100's on her feet monthly between her shoes, foot supplements, hoof hardener, hoof moist, water protection etc. Her weight is great, she isn't currently on a hard feed but she is I put her pretty much on a lamentics diet- very high in fibre as well as soaking her hay, I dont know what else I can do!

Has anybody got any suggestions other than turning her away for a few months to see if it rectifies itself?
 
If this was my horse, my first port of call would be to contact Rockley Farm and try to get her on the waiting list to go there for rehab.
I believe that you need a referral from your Vet.
 
You need to find out why she is suffering from exceptional problems with recurrent for abscesses. I would be testing this horse for EMS, EPSM and Cushings, no matter how young it is and no matter what the vet says. There has to be some metabolic reason for the quality of her feet. What do you feed her, and how fat is she?

As a start, I would put her on a very low sugar and high fibre diet immediately of she is not already on one, and the Forageplus winter balancer, and think about mineral testing your grass.
 
Thanks for the replies guys.

I have thought about Rockley Farm but it's quite a long way from us, were in Birmingham and I don't want to put her through anymore stress if it is just another deep abscess like I suspect. The problem is she has had that many issues that she hates vets / farriers and pretty much anybody messing with her and becomes quite a handful and will turn nasty with them. I don't want to put her through all thy stress if it is just another abscess waiting to burst.

Cyptrayes she isn't currently on hard feed at the moment because she doesn't need it, when she is she is usually high-fi lite and spillets high fiber cubes along with her hay being soaked. Her weight is perfect, I can't remember her exact weight but it is perfect for this time of year ( I will try and upload some pics later)

We have done over a year sound and completely sound to the point she moves like a dressage horse when she wants to lol! She looks sound in the field and it's only when you get her in the school and she is slightly off.

Surely if there was some underlying problem then we wouldn't have had soundness for the last year??? And That's why I am reluctant to put her through it all again if it's a case of she threw a shoe and then because she had no protection an abscess has formed and it's just going to take a while to work it's way out?

She's happy and sound in the field so should I just turn her out for a couple of months before I let them start messing again???

I really don't know what to do :(
 
It is very abnormal to shoe a yearling and exceptionally unusual to abscess in three feet at the same time. I'm disappointed for you that your vet went straight for shoes at less than two years old instead of trying to find out what was causing her problems. Flat feet and soft feet are not simply something that happens with TB type feet, that is a myth supported by what happens to racing tbs fed to much starch and shod before their feet have fully developed. I suspect this won't be her last abscess by a long chalk. I think you need to get to the bottom of why she needed shoeing so young just to stand on her own four feet that she was born without steel nailed to.

My worry would be that of you don't do this, that you'll have a diagnosis of navicular area ligament or tendon damage caused by weak heels and broken hoof/pattern axis before she is too many years older.

I'm sorry to sound scare mongering, and perhaps if we saw photos I might be less unhappy at the scene you have painted in words. If you do decide to take some, please make sure you have the camera on the ground for the side and front shots.
 
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Cptrayes I completely agree with you about the shoes, if I could turn the clocks back I would never have had shoes on her and I would have tried to manage her issues in other ways but unfortunately I trusted my vet and now she needs them for support! I will take some pictures later so you can take a look but to be honest they look like pretty good with her shoes on, it's only when they are off that you can see how poor her confirmation is. They have improved so much over the last year and I cant understand what's gone wrong!

We've had all the tests done in the past and she's had X-ray after x-ray with several vets and farriers examining them and nothing can be found other than the fact she is flat footed but last time it looks likes like the abscess probably caused all the issues and I'm just hoping that's what it is again.

I think I'm going to give it a couple more weeks and if she's still not right feet the vet back out. At least then I've given it time if it is the start of an abscess. In the meantime if she goes lame in the field I'll call them back out.
 
I agree with what CPT says and I really think that you should follow her advice (get the horse tested for metabolic issues etc...). I still think that it would be wise to at least contact Nic at Rockley.

ETA - it's not just an abscess though is it? It really sounds like this horse has something fundamentally wrong with her hooves and being part bred TB isn't it.
 
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I would suggest that her diet is very short of vitamins and minerals. this would take a while to work but I would feed a full dose of vitamins and minerals and additional magnesium oxide and di calcium phosphate ( limestone flour) for a 600kg horse I use 15mg of extra magnesium and 30mg of additional calcium. We live in a very dry area which is also sopping wet in the winter, this causes problems as you describe. have been doing this a year and yesterday my blacksmith said that most other horses feet in the area are crumbling, breaking bruising etc and mine have tough good feet. we also use kevin bacon on the nail holes. Soaking hay depletes a large quantity of vitamins and minerals, more the longer you soak it. grazing that has been used for horses for years is also depleted. may be worth a try.
 
OP...it is perfectly possible and sounds necessary, to sort out your horses flat feet. Tb's do not need to have flat feet. If you've read the ROckley blog you'll see what a difference it can make.
My tb came to me with flat feet and simple changes made a huge difference. Just restricting his grazing in the summer months and removing all molasses from his diet ...changing from hi fi lite to hi fi molasses free and adding a good supplement made a big difference. Your hrse may be getting abbesses due to having a stretched white line and may even be having bouts of laminitis.
I agree with cptrayes in that you could benefit from having him tested for Cushings...it's free right now I believe so nothing really to lose.
 
It sounds like something must be going on with her feet. There will also have been damage done by shoeing her at such a young age.

If your spending hundreds every month on her feet issues, I'd bite the bullet, get some blood tests run and then either rehab her or send her to Rockley, finances dependant.

What are you feeding her? Diet has made a phenomenal difference to my horse, literally unbelievable difference. Sometimes it just takes a couple of small tweaks to get it right.

If you can post photos on here there are people who are incredibly knowledgeable who will advise you.
 
She has magnesium oxide in the winter too. I soak her hay because I thought I was doing the right thing by following the diet of a lamenetic? This was advise I had of the vet, farrier and when I posted on here last time.

HP she is void on her feet now so any vets bill I have to pay myself so I want to be sure were going down the right track this time. The bill last time cost £1000's which the insurance paid but I was still left paying about £1000 in excess and extras and I am not in a position to do that again. I understand I am going to have to pay vets bills and that's fine but they really do not have a clue what the issue is and I don't want them to keep guessing, trying different tests and me ending up with a ridiculous vets bills and still no answers and a lame horse.
 
Thanks for the replies guys.

I have thought about Rockley Farm but it's quite a long way from us, were in Birmingham and I don't want to put her through anymore stress if it is just another deep abscess like I suspect. The problem is she has had that many issues that she hates vets / farriers and pretty much anybody messing with her and becomes quite a handful and will turn nasty with them. I don't want to put her through all thy stress if it is just another abscess waiting to burst.

Cyptrayes she isn't currently on hard feed at the moment because she doesn't need it, when she is she is usually high-fi lite and spillets high fiber cubes along with her hay being soaked. Her weight is perfect, I can't remember her exact weight but it is perfect for this time of year ( I will try and upload some pics later)

We have done over a year sound and completely sound to the point she moves like a dressage horse when she wants to lol! She looks sound in the field and it's only when you get her in the school and she is slightly off.

Surely if there was some underlying problem then we wouldn't have had soundness for the last year??? And That's why I am reluctant to put her through it all again if it's a case of she threw a shoe and then because she had no protection an abscess has formed and it's just going to take a while to work it's way out?

Yes but with her history of developing numerous abscesses I'd be cautious of getting into that cycle again as for the most part horses with healthy feet do not get them so there is other stuff going on in there and abscesses may just be the obvious bit that you notice more and secondary.


Cptrayes I completely agree with you about the shoes, if I could turn the clocks back I would never have had shoes on her and I would have tried to manage her issues in other ways but unfortunately I trusted my vet and now she needs them for support! I will take some pictures later so you can take a look but to be honest they look like pretty good with her shoes on, it's only when they are off that you can see how poor her confirmation is. They have improved so much over the last year and I cant understand what's gone wrong!

If they don't look good with shoes off, they aren't good. I always think low/underun heels show up just how bad they are with shoes off.

With such a young horse with so many hoof based issues that hasn't even had the opportunity to start work properly I would certainly be trying to send her to rockley to try and give her the best start to her working life as I'm not sure any of the tried shoeing methods are going to work long term - and as you have found you make a change, it works for a bit and then it stops working but you will run out of things to try I think. At the very least I think it is worth sending an email/talking to Nic (and probably more cost effective long term too!)

ETA - I would also strongly consider testing for metabolic issues too.
 
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I totally sympathise with you p, and am sorry to think that you have been given the wrong vet advice, and over such along period of time.
If it were me, I would remove shoes, feed pro hoof and micronised linseed [or similar], feed a high fibre diet some salt. Turnout siimilar to Rockley if available, walk in hand on a tarmac road as much as you both can manage, even if it takes two hours per day, you can try long reining if you get fed up, anyone would be fed up with this.
I would ask Nic about painkillers, is it going to be harmful.
Things have to be changed.
 
I would agree with the advice above - my experience with a horse who abscessed frequently and whose feet never seemed to perform the way they should was eventually resolved by looking at the mineral profile of our grazing (which was rather a shocking journey!). I think the lady whose horse is featured in the article below is a member here - she may well be worth speaking to :)
http://forageplustalk.co.uk/teddy-two-shoes-beats-his-abscesses/
 
Having recently had a horse diagnosed with severe hind gut issues that for the first 3 years of his life only displayed feet issues....(injury to DDFT, navicular and repeated abscessing)...well worth looking at the rest of the horse.
 
Pay particular attention to copper, zinc and iron levels. If you have high iron in your grazing, which is common in the UK, you will probably have a functional deficiency of copper and zinc, which has been implicated in the formation of multiple abscesses. I would give a good mineral supplement, Pro hoof or forage plus as already suggested, and be prepared to wait for quite a while to see results, it takes a long time to grow a good, strong hoof capsule..
 
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