Lameness... I feel between a rock and a hard place

dany

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I apologise now if my explanation rambles a bit, im starting to find things a little frustrating!!

Solo became noticeably lame on Christmas Eve, he hadn’t been turned out due to the ice but had spooked while having the farrier, so we assumed the lameness to his off rear leg was caused by the concussion created on landing. On viewing the lameness that evening, I bandaged and buted.

Believe it or not, my farrier came back out Christmas morning to double check his work and after re-applying the shoe palpated the tendons above the fetlock and had a big reaction.

3 days later my vet came out to do an initial evaluation. She too agreed that it was either the suspensory branch or superficial. He isn’t a good loader, so we agreed to use the mobile scanner in a couple of weeks to assess the damage, as she thought that it was more likely to be a repetitive strain culminating with the concussion, so box rest would be the only answer for the moment.

The scan showed absolutely nothing, no enlargements or shadows, so the injury was put down to a tweak. At this point he'd had 3 weeks box rest, so walking was allowed. Unfortunately he then proceeded to be a complete hooligan, but was sound! So after a quick chat with the vet he was allowed to be brought back into work slowly.

He only lasted sound for 4 days. Stupidly, the yard owners decided to replace the fence next to the school while we were in there and the noise of the post being hammered by a tractor was all too much. Potty was an understatement.

We had already booked a physio to help with bring back into work, so I was looking forward to getting her view, but this has only made me more confused on what to do next. She couldn’t find anything higher up so is convinced it’s below the hock. The only strange thing is a slight bump at the rear, about 3 inches above the fetlock, which she is 95% sure is an enlarged vein. The question being, why is it enlarged?

So where do I go from here?

He is too sound to nerve block; she doesn’t think x-rays will show anything. The scan came back clear and there is no reaction at all to the palpation. But he is still finding tight circles a little tricky and is still 1/10 lame on a trot up.

Could it be in the foot?
 
My mare is recovering from a tear in her DDFT and this was only able to be found by having an MRI scan . We couldnt get to the bottom of her lameness and it was clear to see on the screen. Her tear is deep within her foot and shes had remedial wedge shoes and is now in egg bars. Shes just had a 2nd MRI at the end of jan and though its healed well, its not gone and we have been advised to bring her back into ridden work, only on roads. Shes been on box rest since last April for various reasons, the lameness being the primary cause. No amount of scans or xrays could find anything and when it happened again in the field I requested an MRI. So glad I did as we had an answer at last. NFU paid half of the fee and I the other. Well worth it though and shes now on the road to recovery. Good luck.
 
Firstly if a horse is 1/10th lame then it is lame enough to nerve block. Many vets won't but how glad am I my vet does. You should be able to see an improvement.
Does sound like soft tissue and if there is no heat or swelling and nothing showing on scans it does hint towards it being deep within the foot, so DDFT, collateral etc. Personally I'd try and encourage your vet to nerve block and go from there. If the horse nerve blocks sound to the foot then as izzwizz says MRI is really the only way.
 
I've just been through all this with my mare. She's now on 8 weeks box rest with a inflammed collateral ligament of her coffin joint in her foot.
We had nerve blocks and she came sound so she had 3 weeks off work and then returned back to work was only sound for 2 weeks. back to the vets again, this was after the dentist farrier and physio and then also having my saddle reflocked!!!! It was more obvious when ridden so I rode her at the vets, then they nerve blocked and I rode again but she was still off.

Vet recommended an MRI scan so off we went to Leahurst.They diagnosed the ligament damage. Thankfully the insurance paid for the scan. The total bill was £1,150
shocked.gif

Just glad we know what were dealing with now. The vet said its good enough news as she's only got mild lameness so only a small improvement needed to put her right.

Hope you get a diagnosis.
 
Agree with other posts.... MRI Scan
You will save a great deal of time and confusion by having an MRI scan. Low grade ongoing lameness is the worst king and is usually due to soft tissue damage.
I know from experience.
 
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