I had a full lameness work up on Patches today!

Patches

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Decided I just had to satisfy my curiosity and see if I could find some answers on why Patches drags her back toes.

Got to the vet's yard and she was walked up and trotted up. He said she was moving nicely from being shod yesterday and he could see that she has more of an anomaly on the right hind than the left. Didn't surprise me as it has always been harder to pick the right foot up compared to the left.

Flexion tested her....no difference. Lunged her on a hard surface, which I expected to make her very lame in front on the left rein and she was SOUND!!!!!!

He decided that whatever makes her do this is a bilateral problem, so he picked the right leg to block as it's slightly worse, expecting to see more of an improvement. So, right hind foot blocked.....no change.

Right hind hock blocked and she showed a slight improvement in her hock flexion which helped to lift toes clear of the ground. He said he didn't think she was lame, just stiff.

X-rays of the hocks of both legs followed, plus x-rays of all four feet to compare front to hind and the fronts to the x-rays I had last year with the old vet (which I've still got and took with me).

Soooooo the results....

He said her x-rays were largely fine. Nothing alarming at all. If he was being very picky there is a slight furring around one of the joints in her right hock. He said it's not the reason she drags the toe at all, but is an early sign of some arthritis in that hock. He then reasoned that most rising 9 cobs will have similar x-rays as cobs are very hard wearing on their hocks.

He also said if he was picky again there is some slight signs of ringbone in both front feet as the bone isn't as smooth as it is in the hinds. However, on comparing the new x-rays to this one taken last year, the bone is still showing the same changes now. Not gotten worse at all. The vet doesn't want to do anything with it as he says he new farriery (she's shod according to the pink lines on this one now) is clearly working well for her as she's sound in front.

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He strongly suspects that the toe dragging and gait is a result of a difficult foaling. He thinks she was probably born with this problem and will of course die with it, but not from it! He told me that in his veterinary opinion after working her up today that she's not lame, not at all. She's just stiff through the hocks. Also said alot of horses are.

He does however want to inject into both hocks with steroids. He thinks this would hopefully help to free up the joint that little bit which would enable her to clear the ground easier with the toe. He suspects the slight arthritic changes may be (but not necessarily) caused by jarring of the joint during toe tapping. It's only a possibility, but he'd like to help prevent further degeneration.

Soo, she's going to have the hocks injected towards the end of next week. He couldn't do it today obviously as she's had the local in their for blocking. She will then need three days off, lightly ridden for four days following that.

From then on I have to get on and get her doing as much as I can. More work, not less is going to be the key!!!

I'm very relieved I went and I feel that whilst I didn't get complete answers, my mind has infact been put at rest to some degree. Not sure if I should be worrying about the front feet much from looking at x-rays, but she's sound and that's all that matters.
 

Patches

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Thank you Tia! Really appreciate it.

The vet was adamant that her x-rays were not unlike what you'd expect to see from any horse of her type and age, showing lameness or not.

She's been on a joint supplement for 6 weeks now, which he said was a great idea. (It's one that his colleague put her on). It's all preventative really in trying to help slow down the inevitable degeneration that all horses in work suffer to their joints.
 
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lilym

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good news! just wanted to sat that my old girl dragged her hind toes too as a result of lots of jumping (BSJA stuff 1m plus) plus hunting, i took her on as a hack and had many years of pleasure from her, her toe dragging, or tapping more like caused her no probs apart from excessive wear at the front of her hind shoes, which my farrier remidied a little by rolling the toe to help the breakover, i just give her a joint supplement to keep her more mobile.........she is retired now due to......................going blind! how ironic!
 

ruscara

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You have been worried about this for so long, that it must be a real relief to be told there's so little wrong, and that she is 'normal'.
Marius had steriod injections in his hocks several years ago and hasn't had any problems at all since; so I can confirm that they are well worth doing.
I am so glad you can now just enjoy her without worrying that you are doing harm.
smile.gif
 

siennamum

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Hooray for you and lovely Patches. How nice to have that peace of mind.
grin.gif

If you have any good hills nearby get her up and down those a few times
tongue.gif
 

Patches

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Our hacking here is very hilly anyway which has already improved her action no end. I have 230 acres too, lots of hilly fields to canter up!
 

Patches

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Thanks for sharing that with me. The vet feels that the steroid injections into her hocks will help to free up her action slightly as well as stop any further deterioration. He did tell me that we'd caught it very early and it is in no way a cause for her toe scuffing when riding.

I'm thrilled! Can you do everything with Marius then? I never asked him if there was anything I shouldn't do with her now.
 

S_N

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Oh that's wonderful news!! Really am made up for you hunny!!! I've said it before, and I'll say it again - She's a lucky horse to have you!!!!!
 

Patches

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I don't think she'd have agreed with that sentiment yesterday! She hates lungeing and was repeatedly lunged yesterday. Bless her, she kept trying to circle wider towards the open haylage bale!
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There is of course all the injections she had too.........not nice! The vet did see first hand the "if she doesn't want to do it, she'll let you know" mentality of Patches when she struck out with front foot and side swiped into him at great speed as he lightly sedated her for the x-rays! Told him if she was in pain to be ridden, she'd not go forwards.....he believed me! LMAO!
 

Patches

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I'm going to ask the vet if he can put all of yesterday's x-rays onto a cd as he uses a digital x-ray plate straight to his laptop.

I'll have more for you if he does it for me!
 

Gingernags

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She's behind you... heh heh heh!!!
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I think I set a speed record getting from your PM to here!!!!

Pleased its OK for you, at least this way you've finally got to the bottom of it and set your mind at rest. Best get your backside and Patches in general fit enough for these endurance rides now.

An if I can try my hand at dressage, no reason why you can't get togged up and have a go!!!

Hugs for you and huuuuge carrots for Patches
 

Patches

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Thanks alot Janine.

I was going to ask you though, moral dilema now. Does the steroid jab and the joint supplement now mean I can't really claim any points on a card in any rides I do? I don't mind doing rides for pleasure, just don't know where I stand on the "performance enhancer" side of it.
 

Gingernags

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She's behind you... heh heh heh!!!
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Ooooh, interesting question!

Not sure... will do some digging... I think if you are only doing the pleasure and training rides there will be no problem. Will see what I can find but would injected steroids show up?

Will let you know what i can find out...
 

Patches

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I've no idea if cortisone jabs in the hocks would show up or even how long they'd be in the system if they do.

I'll ask the vet on Thursday as he runs an eventing yard anyway. He'll know, I'd think.

The problem with the joint supplement he's prescribed her though is that it contains white willow which I since found out in the banned substance list. Eeeek!
 

pootler

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Glad to hear you've go to the bottom of it. If you were worried about possible laminitis from the steroid injection, it might be worth asking your vet about a hyonate jab instead.
 

Patches

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Oooo...I hadn't thought about that!!!!! I must say, I'm assuming he meant Steroids/cortisone but in all honesty he said "treat the hocks" and I can't remember if he actually said Steroids or not.....how can I not remember, it was only yesterday!!!! GAH!

I will check what it is he intends to use.
 

Tia

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A lot of the hock injections these days are hyaluronic acid although she may be given cortisone injections, which are steroids. There is always the slim chance of lami from cortisone.

You are wise to be cautious afterwards though - injections into the hocks is classed as invasive so you do have the risk of infection.
 

Theresa_F

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Fleur had these hock injections - she had slight signs of problems - apart from getting the bloody things done - enough dope to floor and elephant and 5 people to restrain her, they did seem to help. Had stopped further changes happening when she was xrayed 2 years later.

Another thing I have found good for the joints - Mr C is stiff in the hocks and has low ringbone in the front legs is instant linseed - Mr C is far improved and has this along with corta-flx which I get from the US as it is much cheaper.

Cheap and also gives a great coat. You can get it from Simple Systems or Gold Label.

Great that she is ok, now get out and do your endurance rides.
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