PSD and KS... What would you do?

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loverly

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Just come back from the vets and results aren't good to say the least.

They found he has Proximal Suspensory Desmitis in his near hind (to what degree we're not sure of yet as couldn't do the scan due to the nerve blocks) but there is only minimal lameness after flex test - 1/8ths lame.

He also has a spinal process touching another with clear signs its is inflammed.

What would you do?


(Please don't be afraid to be brutally honest!)
 
Well mine is recovering (hopefully!) from PSD atm also in the near hind - he was lame after flexion, but otherwise has never been that lame. He also has close together spine bones, but these aren't presenting as KS - they are just close together.

I think it depends on what you are prepared to pay for/are covered for. Horse can recover completely from both issues. Mine now has hind shoes with flares on, and had 3 shockwave treatments. I am having a lesson in a few weeks time (after 12 weeks of being back in work - working up from 15 mins walk) top make sure that he is moving in the right way, so that his (our!) lazy way of going does not bring on the PSD again.

I think you could deal with both problems with no surgery, but that depends on the extent of the KS. There are many of us on here with horses with PSD and KS! I am hoping to have mine back in work next year, but won't be jumping again I don't think until 2013, unless everything is back to normal again.

What is the horse used for? I would try with some rehab tbh, as I would find it hard to pts if rehab was feasible.
 
Mine is recovering from PSD surgery he had in August, was given ok to be turned out for short periods injured fetlock joint so back on box rest, long-term prognosis unknown. I did loads of research prior to op and decided with advice of vet and second opinion vet that only surgery has long-term success with this, don't regret going for surgery, but I think if I had kissing spines thrown into the pot as well I wouldn't have gone for it as I think I would be more concerned about the long-term prognosis for that, which on the whole is generally not good. To be honest if it was me and he was only 1/10th lame, I would probably opt for injections into the spine to treat the kissings and possibly consider acupuncture and non-invasive non-expensive treatments for the PSD. Apparently acupuncture can also help with mild kissings. Hope it all works out for you.
 
Mine has PSD and spinal arthiritis and several other problems too! The arthritis was diagnosised 18mths ago and the PSD (done shockwave and got special shoes on) 6mths ago in both hinds. she is currently my field pet and will remind so till April when i will see how sound she is if she is sound i will hack her over the summer if she is not then she will either be a broodmare or continue being a field pet. But I am lucky that i have another horse that i keep at work with minimal costs. so i think it depends on your situation, the prgnosis of your horse and what you want your horse for. Many people have asked me why i dont just have her PTS but i can keep her as a pet i have another one to ride and most importanly she is happy but if she was not happy then that would be different.
 
Thanks for your pm horsedreams.

The KS is involved one vertebrae rubbing against the other (just where the back of the saddle lies). Although the vet reckons this can be helped by pessoa rehab as it isn't too bad.

I am just baffled by the PSD. He went into the vets for the back and slight lameness on his near hind and he came sound when the nerve block was put in below the hock. Physio was present at the vets and did seem to think the lameness has got better from when she last saw him 2/3 weeks ago without the nerve block.

I have just been bombarded with surgery, surgery, surgery but I don't want to go down this route if I don't need to. He's on box rest for the time being, with bute for 10 days. Is it possible for the suspensory to recover without treatment?

Horse is used for low-level allround competitions, but mainly dressage.
 
hi
i do believe they can recover without surgery given plenty of time

when are they scanning the suspensory as you need to know how severe it is first before thinking of surgery

my mare as just been rescanned from when they were done in july(her right hind was quite bad) before her KS op(3 removed) and the vets are very pleased with the way things are going so we are not going to operate thankfully
 
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