Nerve blocks of the sacroilliac- are they difficult?

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seabiscuit

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In your experience/if you have experienced this-Have you found that the sacroilliac joint is difficult to nerve block ? Because it is such a large area of ligaments/bone- (?) it is therefore not easy to pinpoint the sacroilliac as a source of lameness because a nerve block in this area wont cover the whole area?

Sorry- this is hard to explain- what I am trying to say is, if you know of a horse that has had lameness due to trouble with the sacroliliac, and in the initial lameness work up, it was nerve blocked there- did the horse imediately come 100% sound after the blocking, or, was only a minor improvement shown( due to the nerve block supposedly not being able to reach the whole area).

Apologies for such a confuddled post, I hope someone can comprehend this and help! and if anyone can elaborate any further about sacrolilac problems I'd be v. gratefull
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Hi,

In my experience they are incredibly difficult. My vet suspects sacroiliac probs but as you say the blocks just don't make much difference at all.

The first time it took about 40 mins to show some improvement & when he went back for the ridden assessment, they didn't really make much difference.

He is therefore off to Rossdales next week for a bone scan, so hopefully will be able to tell you if it is sacroiliac for definate.

What problems are you having??
 
My horse had this and yes it was difficult but she had a positive response - suddenly started swing the leg out and forward alarmingly as she could move it without pain...to the point she overreached with every stride.

Unfortunately she also had the most common side effect of this block, where the local migrates into the spinal column and causes staggers. I spent the next three hours holding her up because she'd lost all coordination in her back legs.

A bone scan later confirmed sacroiliac disease
 
[ QUOTE ]
My horse had this and yes it was difficult but she had a positive response - suddenly started swing the leg out and forward alarmingly as she could move it without pain...to the point she overreached with every stride.

Unfortunately she also had the most common side effect of this block, where the local migrates into the spinal column and causes staggers. I spent the next three hours holding her up because she'd lost all coordination in her back legs.

A bone scan later confirmed sacroiliac disease

[/ QUOTE ]

When my lad went in for his lameness workup the vet called me to ask permission to block sacroiliac area as she warned that it could migrate into the spinal column, luckily it didn't as it sounds awful, you and your horse must have been really scared.
 
It is a difficult thing but having had a horse that had previously been written off as unrideable with SI problems and returned to jumping, soundness etc. When he was unable to canter I knew straight away he'd damaged SI again, no lameness to flexions in trot and my vet thought I was being a drama queen. However asked to canter on the lunge and forget it. We nerve blocked the SI and the improvement was profound
 
My daughters dressage pony is just having physio for the condition.

He just didnt want to sit on his hocks and at the BD champs was just sooooo unhappy he went to Rossdales for a work up and bone scan.

He has had 16 weeks walk, trot and canter in straight lines. Physio every two weeks and is on Synequin.

The physio is happy and we dont want to go down the medicating the joint as he has had laminitis in the past.

Good luck and it isnt the end of the world!

Nicky
 
Thank god for some rays of hope so many of these treads sound horrendous my horse is very margianlly lame on left hind and only on one rein, my vet did nerve block and was very clearly improved. Thoughts where to medicate and then physio he has only recently become different to ride he backs of which is very unlike him as he is a very forward horse. I am hoping that perhaps it is not to bad in his case, we are going to use cortizione intially and then see if it improves before we go down more diagnostic testing routes. He has only been like it for about two or three weeks, but he does display many symptoms of sacroiliac pain in his everyday life although not to the point where we thought it was a problem. He is only doing novice dressage at the moment but i really hoped he would go further than that is there any hope?:confused::confused::confused:
 
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