Lymphangitis or tendon injury again???

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We have a 16hh ex racer gelding called Alfie who has, whilst with us, 'tweaked' a hind tendon twice due to pratting about in the field; both times he has recovered well with box rest, bute, and cold hosing, although he is also mud fever prone and the two consequently tend to coincide due to the hosing!

Came up last night and something obviously wasn't right - normally he comes cantering over when I yell but only walked, very slowly, and was obviously stiff behind. Then noticed his right hind fetlock was swollen to twice normal size, he was duly trotted up and found to be not outright lame but stiff and reluctant to move forwards and lacking his usual floating flamboyant paces. Leg was then hosed for about half an hour and he was turned back out with his boyfriend because stabling was not a possibility, due to us having (a bit stupidly) no bedding to put down!!

Swelling seemed to have reduced somewhat this morning but he was hosed again and the mud fever (which is on the OTHER fetlock) was afterwards dried, had the scabs removed, and sudocrem applied - it's healing nicely :)

I have been thinking however - surely if it was a tendon he'd be more lame? Is lymphangitis a possibility? It would make sense surely as it said (on wikipedia admittedly) 'lymphangitis is commonly associated with a wound' and he has had mud fever (though only on the other leg)(we think)?

Basically help!? Hopefully I am just being paranoid but...! (I will put up pics of swollen leg later). Side note: trust this to happen when he's finally ready to come back into work after the winter. :mad:
 
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Lymphangitis is a vet emergency - prompt treatment (IV antibiotics and IV steroids in my experiance) is essential to prevent it becoming a chronic problem. The swelling would usually be pretty extensive and whne my mare had it she was very, very lame - reluctant to put weight on the leg etc. Conversley when she did her tendon (a 50% tear) she was barely lame at all.
Given he has significant swelling and is sore he needs to be seen by a vert to work out exactly whats going on
 
Can't speak for Lymphangitis, but when we took my mare to the RVC with an acute tear to her DDFT and splitting of the SDFT they concluded she was only 1/10 lame after an extensive lameness work up and deemed her "surprisingly sound for a seriously broken horse" so I wouldn't assume there's no tendon damage just because he doesn't seem that lame. I'd definitely get the vet to take a look given the swelling.
 
Could he have twisted his fetlock. Some years ago I went to get a horse in and she was absolutely crippled lame but by tie the vet arrived about 45 minutes later she was nearly sound. Turns out she had badly torn her sfdt

If he were my horse I would certainly be getting the vet out.
 
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