January Laminitis? Mystery case... kinda

4Hoofed

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I will start with a little history, 16.2 TB Gelding, 10 yo, Ex-racehorse, whose done very little work in the last 18 months, history of navicular, suspensory ligament damage, and kissing spines. So sounder then we ever hoped after rehab for the suspensory ligaments, no dropped fetlocks.

Started coming in every night 2nd week of December as he was starting to look a bit poor. And when he stays in a fairly generous amount of haylage (about as much as he can each in 12 hours), which doesn't seem to be too sweet as my other horse is fine, and he goes off to la la land with too much sugar! He was on maybe a loose scoop of alfa a (the unmollassed version), half a scoop of fibrebeet, twice a day, topspec comp, biotin, gloucosime, at the recommended rates, and a cupful of conditioning cubes split between the two (Fairly high oil/Fibre, can't remember the starch/sugar levels, but I think it can't be too bad as I try and avoid them as a matter of course...)

Tuesday, around 7pm I go to get the boys in. Long story short, 2 1/2 hours later, one muddy owner, one upset 17.3 6yo, two unhorsey muddy family members, and our lovely painkiller providing vet we're dragging him out of the top of the 20 field absolutely hopping in front, mainly the off fore. Refusing to move, and then going with a very lame gait at speed when forced.

No obvious injury, heat, swelling. Warm feet, and strong pulses all round, so vet tentatively says Lami. However even she seemed sceptical. He is not a horse in fat condition. Maybe a 3 out of 9? You can see his ribs through his winter coat, defined wither, complete with scrawny neck, hip bones. Not unhealthy, shiny coat, happy in himself, spends all day playing with his herd mates and mooching about. By the end of the field he was rocking onto and off his toes, clapping his lips (he does this when he's stressed...) and shaking. Vet gave IV painkillers, said go as if lami. One bute am and pm,

So 4 days on he briefly seemed to start getting better, then back to how he was this morning. He's on very straw like hay soaked for 12 hours, and a handful of unmollassed chaff to get the bute in. Deep bed to the door, hay off the floor, all around the door to for his convenience. However, his feet seem to be quite cool for the last few days, he has trouble turning, and is striking his off leg out when he stands, BUT is often bending it and resting toe to the ground when he eats the scraps off the floor, or from a feed bucket? Bright in himself, but clearly in pain when he puts weight through it.

Is this sort of typical for lami? Just with him being kinda scrawny, in good health (apart from KS which vet doesn't think hurts him unless in work...), fine coat, no hard ground.. there is a little part of my brain screaming it's something else obvious! Vet is out on Monday to assess, but I can't stop picking over it! At around 4-5 pm he was happily picking at the little grass and interacting with his GF at the other side of 20 acre field, can lami kick in this hard and fast? Just wanted to see if anyone had experience this sort of thing before, I've never had a lami horse before. If it is Lami what else can I do to improve things for him?

Many thanks (and oreos and shortbread for any who made it this far!)
 
Sounds more like a abscess than laminitis. They are usually very reluctant to move,stand back on their heels and very pottery with laminitis.
Have you thought of getting farrier to have a look.
 
Hopefully he is coming out Monday too! I've been checking round the clock but so far no joy (well puss) Thanks guys, glad to know I'm not mad thinking it doesn't sound typical!
 
Late Laminitis in a horse that doesnt appear overweight can be a sign of Cushings.
Strong pulses all round would have me think lami rather than access.
Low grade Laminitis can be hard to detect if you're not looking and if its in all four feet, even harder. Lami can appear to come on very suddenly.
Has your vet taken any bloods? And xrays? I would ask for both of these if not......any rotation can be very painful and needs correcting ASAP.
You can help him by supporting his feet as per the link below
For some good, upto date information on Laminitis and Cushing's have a look on this site

http://www.thelaminitissite.org/laminitis.html

My friends horse has just been diagnosed with Cushing's following a very similar incident ....she's now on medication and all is well
 
Vet is coming to re-examine and blood test, if she thinks its a strong case for lami I will ask to xray straight away! Thanks for the advice! He's in a very deep bed, everything is in easy reach, and I'm keeping his feet clean and checking for any changes, only issue is I'm a touch useless at digital pulses. (We can't be good at everything lol) Give me a jaw and I'll get you at heart rate, but I don't seem to have the knack for digital pulses! Any tips HP, or anyone else?

I've been bringing his brother in because he won't lie down unless he is nearby, so he's staying next door overnight (Any longer and he'll be in through the wall to see him..) Today he doesn't seem bad touch wood, but no real heat in his feet again, but a very hungry boy. Giving him Ad-Lib soaked hay won't make it worse will it? I'm just worried as he was very poor when I bought him, and if he gets too hungry he windsucks/weaves/cribbs and stops eating then for stress which I'm imagining won't help!
 
As he is not overweight I would give him adlib soaked hay, stressing will make matters worse if it is laminitis so keep the stress levels down by any means possible.
I am surprised it kicked in so quickly and so seriously unless there is an underlying reason, could he have eaten something toxic that set it off? I think I would xray as it may show an abscess somewhere deep inside as well as any changes to the pedal bone, it may be that there is something else going on and the pain has caused laminitic symptoms rather than laminitis being the primary issue.
 
That is an interesting point! The field has no real grazing in it, and I've seen others munching the hedge. When I bought him he didn't really get grazing, so maybe he hasn't avoided something the others have? Will ask the vet to run for toxins, and also liver and kidney functions maybe? Was going to get my other horse blood tested at the end of feb before we start really going on outings again for the year, but may bump that up a bit just in case! (And I will be having a nosey round the hedges later...) Thank you Be Positive!
 
Id get xrays asap too as at the moment its not clear what is happening.
consider cushings, my boy got lami first clinical presentation a few weeks ago. Blood test shows cushings. I suspect some overly good hay of tipping the balance for him along with reduced daylight.
With strong digital pulses all around id suspect lami....
 
I would definitely consider laminitis as a strong possibility, simply because I've got two that suffer, and in both it can come on in a day - in fact overnight over xmas for one of them. The weather is so mild they are not burning up so many calories for a start.

Both of mine have been diagnosed with Equine Metabolic Syndrome, and a small overload of sugar can tip them over. I have to be careful with ad lib haylage for that reason - it may not be that high in sugar, but eaten in enough quantity the sugar can mount up = insulin high = inflammation = intense pain.

Interestingly both of mine were previously very trim, one is an ex eventer and the other a rescue case - although most vets will tell you that it tends to be obese horses that get EMS, I think horses that were previously thin and fit (ie ex racer & ex eventer) are just as prone as their metabolism is perhaps more efficient - just my guess though!

So keep treating as for laminitis until you find out otherwise - nets of well soaked hay are fine, but try to split up into lots of smaller nets with gaps in between where that is possible. I double layer my nets when mine get lami just to slow down the sugar intake.
 
I would also say laminitis if you had strong digital pulses. It's been so mild this winter I have head of a few cases because the grass is still growing. Just a point to note, glucosamine is pretty high in sugar so I would take that out of the equation. Soaked hay is fine and if possible keep off grass completely but allow movement- an arena if possible. There are some good vids on YouTube for taking pulses if you need pointers.
 
Thank you everyone for all the helpful advice I will let you know how it all goes. So far no word from the vet about if she can come out today, or farrier so it may be Wednesday :? He's currently just getting a handful unmollassed chaff with a half handful of balancer to hide the but in! He's only getting that bit of balancer because he stopped eating the plain chaff by itself!
 
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