Not lame, not right… opinions?

littlemare_

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Looking for advice and opinions please… sorry this will be rather long!!


I have a 17 year old mare who has started struggling with straightness on the right rein. She is trailing her hindquarters to the inside - mostly in trot and worse with a contact; she’s pretty good in in canter. She is also showing reluctance to go bend into the corners and will push to cut them off, sometimes brings her head up. Mare knows her lateral work but is again trailing her hindquarters when asked to leg yield to the left (off the right rein) and is very unwilling to move over. She finds left rein canter more difficult and this has weakened in the sense she is less willing to soften over back and is rushing. She can lean on the left rein sometimes.
Having looked back at photos she does tend to stand with her right hind toe slightly pointing to the outside and more under her.

I will say that when I got her she was very tense and unbalanced/incorrect in her way of going generally, terrible saddle/teeth etc and has hugely improved and was still improving. I have weekly lessons and my instructor also picked up on the changes so we tried to work through them in the school, but haven’t seen an improvement so I called the vet. He is a lameness specialist and highly reccomended in the area. He palpitated her back which was fine but with some soreness in the SI area. He assessed her before and after flexions (which showed no change) and on the lunge. He then watched me ridden and could see the issues I felt. He said he wouldnt describe her as lame but understood what I meant and agreed she was ‘off’.

He said that she also moves her right hind slightly unusually - instead of bringing it forward straight she rotates it inward slightly, but it lands where it should and she is forward and tracking up. He felt there was something going on in the right hind and that any SI soreness was likely secondary because of this.

His initial thought was probably the start of mild hock arthritis so nerve blocked her right hock. The fluid came out clear which he said is a sign of inflammation (should be yellow?) but that the needle was easy to inject so no sign of fusing. Unfortunately this didn’t make any difference her when worked.

We then ran out of time/daylight so he is booked to come out again next Friday to carry on the work up. He would like to block the suspensory and stifle next.

I’m really looking for any opinions/experiences about what these symptoms might be, and advice on if this seems to be the right diagnostic route or if I should be pushing for something else. I do wonder if there is inflammation in the hock it could still be a hock issue, but improvement wasn’t seen because of her soreness in the SI. Vet doesn’t seem to think so, thinks it would be secondary and says SI is very difficult to diagnose.

She is my one in a million and I just want her to come right!

Many thanks for any thoughts ☺️
 
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little_critter

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No experience I’m afraid. But I’d agree, the way she’s swinging her leg instead of folding the joints sounds like a leg joint issue somewhere.
I hope you get answers and a solution soon.
 

Ambers Echo

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I’m really looking for any opinions/experiences about what these symptoms might be, and advice on if this seems to be the right diagnostic route or if I should be pushing for something else.

I'm very sorry you are facing the uncertainty of NQRness. It's stressful distressing and I understand the wish for new/different solutions.

But in all honestly I'd trust your vet. Or if you don't, find a vet you do trust. Lameness specialists have decades of specialist expertise that forum members don't have, and more importanly, he has seen your horse. So trying to tell him to look for x,y,z instead of a,b,c, or requesting 2nd opinions on what else it could be from non experts, who have not even seen the horse, is not likely to be very helpful.

Hope you find answers and solutions. x
 

Widgeon

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It sounds like your vet is checking the obvious things first, which is a logical approach to the problem - I'd leave him to carry out his plan and see whether it shows anything up. Once that's done you'll both have more information to go on and then you can discuss next steps with the vet.

That's what I'd do anyway!
 

Pinkvboots

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When Arabi was diagnosed with hock arthritis and he had a bit of wear to the suspensories it was all treated but his canter still wasn't great so my vet put steroid in the si joint, quite often if there is issues lower in the hind limbs it makes the si sore it really made a difference and he immediately looked better.

If you do find out what's going on behind it might be worth just medicating the si joint when everything else is treated.
 

Widgeon

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When Arabi was diagnosed with hock arthritis and he had a bit of wear to the suspensories it was all treated but his canter still wasn't great so my vet put steroid in the si joint, quite often if there is issues lower in the hind limbs it makes the si sore it really made a difference and he immediately looked better.

If you do find out what's going on behind it might be worth just medicating the si joint when everything else is treated.
Good point, mine was the same - when the hock arthritis was first treated vet did the SI too, because it was sore. Now we're on top of the hock the SI doesn't get the chance to become a problem.
 

Asha

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one of my mares moved both her hind legs like you are saying, this was after foaling. She would rotate both hinds inwards as she moved almost like plaiting. Once her foal was weaned, the physio suggested she was weak from giving birth and suggested some light inhand exercises for her. We basically longlined her with the equiband system over poles. This did the job and she moves normally now. I would recommend a vet physio have a look at her
 

littlemare_

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Thanks all. I do of course trust my vet and will listen and be guided by him. It’s just that this is my first work up experience and as the symptoms are, in the vets words, very mild they therefore trickier to pinpoint.

He gave me several sugestions of what he could do and in what order… which is why I thought I would see if anyone had experienced similar issues, particularly the quarters in, to help me make informed considerations/decisions when those options are given to me. Ultimately the investigations do cost money and so the quicker the issue can be found the better!

Vet does reccomend a specific vet physio but said to see what the next appointment reveals before he refers us to her.
 

Squeak

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I agree with the others to say trust your vet but just wanted to add my experience of hind gut issues causing mild, right hind issues. Horse was also worse on right rein, wouldn't bend through body properly, struggled to be straight with the quarters trailing in, didn't stand properly - either a bit camped under or with the right hind stuck out in a resting position, also would rest a leg rather than standing even when not resting/ sleeping and would often switch which leg was resting. There are so many things it could be though but if you're struggling to find something it could be worth a thought.

Some information from Tom Beach about it:

 

angel7

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Dont waste precious funds on multiple home visits and workups. Ask to be referred to a large equine hospital and get everything done at one go. Cheaper and more likely to find the issue. They can scan, block, scope, xray and inject, get physio involved, farrier work if need all within a few hours.
 

nikkimariet

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Sounds like hock issue but with some possible compensation further up. Would go for the additional investigations. If you end up having any injections done please allow plenty of time for them to work. If the horse has coped for ages then been NQR chances are they need a bit of time (had this with 2 and know plenty more personally that have been the same).
 
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