Video Lameness investigations, what would you do (slo-mo video)

BBP

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I thought I would do a little update here as its always helpful when you are trawling vet related threads if there is some sort of answer to the question posed.

So to all those who said suspensories, ding ding ding, you are the winner!

Typical for BBP, he went to the vets fit as a fiddle and full of himself. Trotted up beautifully, not even a toe drag really on the concrete (perhaps wearing hind hoof boots the last few weeks has encouraged more lift behind?). Slight positive flexion to right hind fetlock but not enough to nerve block anywhere, so that answered that quandry (him not being good to block). Palpated sore over his back, especially over last rib origins, but not particularly over his sacroiliac.

Lunged beautifully on the soft, moving really really well for him, even cantered really well, but the toe drag and fetlock drop was a bit easier to see. They let him off to have a roll so they could see him getting up, and of course he got up pretty easily too. As I say, typical BBP.

They ran the neurological tests and he was absolutely fine - in fact vet nurse said he gave the best rein back response she has ever had :) , they didn't x-ray neck as they said they have no suspicion at all of it being a nerve compression issue.

We scanned hind suspensories anyway and sure enough, right hind has chronic PSD. We think the back pain is all soft tissue postural from the sore hind end. We did x-ray it just to be sure and the vet said his x-rays were beautiful, enough space to drive a car between the spinous processes! The left hind fetlock is dropping more as he is shifting more weight across to it. No sign of damage to the left ligament, but perhaps a conformational weakness and element of hyper-mobility that is at the core of his reoccurring problems.

Many of you will have far more PSD experience than I do, and will be aware that chronic PSD does not have a good prognosis, but the plan to date is to see what we can do to minimise any pain (shock wave, mesotherapy for back pain, boswellia and a good joint supplement), get his posture improved (use of hoof boots to encourage heel and deep digital cushion development, massage and osteopathic treatment, classical in hand straightness work.) And just see how we get on. I have no goal for him to be a ridden horse again but will give him every chance to be a happy herd member until he is a bonkers old man. So that's his story to date. Still waiting for blood test results for muscle enzymes, vitamin e, selenium and liver.

Thanks very much for all the input previously.
 

Regandal

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My ISH has had psd in the past, had the n & f before I got him. His back feet were appalling, actually all 4 were, but the back crushed heels and no digital cushion were doing him no favours. Took him barefoot and walked out, his hind heels are now roughly an inch higher than they were. Regular bodywork keeps him able to be a happy hacker with light schooling! There is hope.
 
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Meowy Catkin

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I'm so glad that you have a diagnosis, it's just awful not knowing what's going on and now you can move forwards, even if it is just keeping him comfortable for a wondeful retirement. :) I hope the test results that you are waiting for come back OK.
 

Silver Clouds

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It sounds like a big relief to have found out what it is, but I'm sorry that it isn't something with a better prognosis. That said, I hope he defies expectations and improves substantially now that you know what needs treating! He is a lucky horse to have an owner prepared to take such care finding out the source of the problem, and that you are going to work with treatments to make him as comfortable as possible rather than just chucking him out for retirement without a second thought. I hope you start to see an improvement soon.
 

BBP

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My ISH has had psd in the past, had the n & f before I got him. His back feet were appalling, actually all 4 were, but the back crushed heels and no digital cushion were doing him no favours. Took him barefoot and walked out, his hind heels are now roughly an inch higher than they were. Regular bodywork keeps him able to be a happy hacker with light schooling! There is hope.
This is what I’m thinking. I’m not massively despondent just yet, I had told myself it would be DSLD and sacroiliac or neck, so this is almost better than I had thought. And he is so much brighter and more cheerful in himself over the last few weeks, much more cheeky again, just with adding boots and pads that I feel optimistic that there are avenues to improve before I even think about giving up.
 

SEL

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I do think BBP and my Appy have a gene in common somewhere with their problematic medical history.

Relieved you've tracked down what the problem is, whilst obviously wishing it was something with an easy fix.

I'm using the Arc Equine on the Appy for her suspensory and navicular problems and she does seem to be responding. I would obviously prefer her to be walking calmly in the paddock but today she actually had a little canter on the right lead and didn't change legs going around the corner - so she must be feeling better.
 
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BBP

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I do think BBP and my Appy have a gene in common somewhere with their problematic medical history.

Relieved you've tracked down what the problem is, whilst obviously wishing it was something with an easy fix.

I'm using the Arc Equine on the Appy for her suspensory and navicular problems and she does seem to be responding. I would obviously prefer her to be walking calmly in the paddock but today she actually had a little canter on the right lead and didn't change legs going around the corner - so she must be feeling better.
First thing BBP did after I turned him out yesterday was canter off up part of the track (I hadn’t clocked that gate to track was open). He says he feels just fine!
I do have access to an ArcEquine. For some reason I’ve always been dubious about them but not sure why. I need to look into them more. It’s trying to keep it on consistently for 3 hour periods that’s a problem, as I’m not always up there that long and don’t like the idea of leaving him unattended with it and for more than 3 hours. Plus his legs are so tiny that I’m not sure the straps would fit!
 

ForeverBroke_

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I am super late to this but I was reading through and was also in the PSD camp. Mine was struggling to get up from rolling and consequently getting cast in his stable presumably for stumbling like your boy. He's also had his SI medicated, and the lack of engine/push that you described in canter is typical of it. Mine had shockwave and an Arc Equine / PRP and has come sound so far, fingers crossed! I put mine on under a boot. I hope your boy has a similar prognosis and well done you for sticking with your gut and pushing for a diagnosis. What a lucky horse. xx
 

BBP

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be careful with the arc if you go for it, one of mine got scarred and there's an old HHOer whose horse ended up hospitalised from one.
I’ve been reading through old threads and I’m definitely a bit wary of it. He’s a very fine coated and sensitive horse and it would be just my luck that he would react. My sister uses it on her Connie with no issues at all but my gut tells me not to.
 

BBP

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I am super late to this but I was reading through and was also in the PSD camp. Mine was struggling to get up from rolling and consequently getting cast in his stable presumably for stumbling like your boy. He's also had his SI medicated, and the lack of engine/push that you described in canter is typical of it. Mine had shockwave and an Arc Equine / PRP and has come sound so far, fingers crossed! I put mine on under a boot. I hope your boy has a similar prognosis and well done you for sticking with your gut and pushing for a diagnosis. What a lucky horse. xx
Glad to hear yours is doing well. Do I dare ask what shockwave costs? I have to use a different vets as mine don’t have a portable unit, and I forgot to call today. Someone on an old thread said £500 a go...I nearly cried!
 

BBP

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Ahhh BBP glad to find you got to the bottom of it. He's a lucky horse to have you.
Ah cheers! I’m happy to have some sort of answer so I can start helping him feel better. I know there are no certainties but I’ll do my best and see how he does. Fortunately for the pony vet said he can be turned out, no box rest, so he’s happy. Less happy that it’s on the all weather area, No grass for a few days as he had steroid injected into it (i thought that was only for joints so learned something new).
 

ForeverBroke_

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Glad to hear yours is doing well. Do I dare ask what shockwave costs? I have to use a different vets as mine don’t have a portable unit, and I forgot to call today. Someone on an old thread said £500 a go...I nearly cried!

I don't remember I'm afraid. I don't have the faintest idea. I ran mine through the insurance company so must admit I didn't pay much attention.
 

mavandkaz

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Glad to hear, it's not too hideous and you have a plan of action.
When reading your posts I had also thought PSD or possible DSLD.
If you search on here you will find my posts about my boy, he has chronic issues with all four suspensories (plus some bone issues such as c6/c7).
Vets are also sure my boy doesn't have DSLD either, thank god.
I used an arc equine on him last summer. I'm lucky in that I could turn it on and the ym would take it off. I had no issues but know it does cause problems for others where it gets hot. Laser therapy was another option for him. Shock wave was discounted.
Hope you find some options that work for you
 

Lex2009

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I am geld to hear that you now know what the problem is. I starting that road with my mare she is mildly lame but I need find out what causing it. I personally think it arthritis because she has been like that for awhile.
 

milliepops

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can't remember exactly, but I know there were some threads where it was mentioned, iirc it was a bad reaction where the electrode/pads were attached and the horse's leg blew up . i believe AE paid the bills for that one. It's not the only one I've heard of, though obviously lots of people must have no issues at all. I used mine on myself and it was fine, but my horse is still scarred from it.
 

blodwyn1

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This is my 22yr old Welsh d mare. Hardly done any work in her life really and both hind suspensories have dropped. She is comfortable on bute and walks around to graze which is all she needs to do!
 

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IrishMilo

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Glad to hear yours is doing well. Do I dare ask what shockwave costs? I have to use a different vets as mine don’t have a portable unit, and I forgot to call today. Someone on an old thread said £500 a go...I nearly cried!

Mine had shockwave for his SI a few months back. IIRC it was £141 and I'm with an expensive practice in an expensive bit of the country!
 
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