PSSM peeps - need some ideas/advice/hand-holding... anything

Casey76

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OK chaps, I need to off load a bit; I need some outside eyes (as it were) and I need some ideas, advice, hand holding/pats on the back whatever.

Background (for those who don't know ;) )

I bought Tartine as a very (very) green 6 yo in 2013. At the time she couldn't canter in the school, which I really didn't pay much attention to as I thought it was a schooling issue. She passed a full PPE with flying colours, and I spent an extra 300€ on xrays to make sure her feet, fetlocks and hocks were clean. She was incredibly sharp and spooky for a Mérens once I moved her to my yard at the time. After a month I knew it wasn't working and a space finally became available at my current yard so I moved her, and she settled very quickly.

She remained incredibly green, was sharp and spooky hacking, so I left that to other people to ride, while I pootled around in the school. Despite hours and hours of lessons, with me, with other riders, with at least 3 different instructors her canter remained awful, though we were making very, very slow progress. By May last year we could canter 20m circles (just), had started work on counter canter, done some walk to canter, leg yield to canter (all of which was part of trying to train the correct right canter lead). Then everything fell apart.

She came in with a small cut on her shoulder which needed to be stapled, combined with various holidays, she wasn't ridden for almost three weeks, and afterwards she had no canter at all. She was always disunited at the back, especially bad on the right rein, didn't matter who rode her, me or my instructor. Then she cut the inside of her right thigh, which also needed staples and more time off. Despite the rest she was still not able to canter. By July/August I got my osteopath to take a look at her, and she was blocked from just behind her withers to her tail. The osteo said he had never seen anything quite so bad. Despite the manipulation she didn't get any better, so in September I got the vet out to do a "performance not as expected" exam. My vet agreed that she didn't look right at all (lunged on a circle, w/t/c, left and right rein). Started with an ovarian scan, which was abnormal, but nothing drastic. On the advice of FW on here, I asked the vet to test for PSSM just to rule it out really. But even with the results of the standard blood screen, her muscle enzymes were way above normal; a week later I got the confirmation she was n/P1.

As she was already on a low sugar and starch diet (as she was on a weight loss diet), I didn't really have to change much in that respect. Since Sep last year I have run the gamut of supplements and combinations but still she has been out of work more than in work.

Important stuff starts here:

Her last "episode" was almost 4 weeks ago, not a full tie up, but she kind of ran into a brick wall 45 mins into a walking hack and became stiffer and stiffer. Unfortunately where we were there was no faster route to get home than the one we were on, and it took another 20 mins or so to get back. Since then, she has had a period of about 3 days of acute lameness with some swelling just behind her left shoulder, which came and went before the vet could get to see it; Last Wednesday she had her feet done, and for the first time ever had issues with holding her back legs up both out behind and brought forward. Last Thursday she had a mild chiropractic adjustment, where it was noted she had a major blockage of the right SI and hip, she also had an hour of Shiatsu massage. Despite this treatment she has been too stiff/lame to exercise (without me feeling horrendous!) since, and at the moment she is a pasture puff.

I have pared her diet right back to nothing, removing all non-essential supplements.

Her current routine consists of 12 hours turnout on an overgrazed 20x40m paddock with a muzzle.
Morning feed is approx. 100g St Hippolyt Glyx Weise Palatin muesli (https://st-hippolyt.de/England/images/Downloads/england/Palatin_Glyx-Wiese_Müsli_UK.pdf)
Dinner is the 200g of the same with 50ml (10k IU) Pro Earth Natural Vit E powder and 10ml ALCAR.
She gets 6kg hay which is soaked for 1hr (it's now too hot to soak for 12 hours)

Over the past week we have lost voluntary trot in the field.

The senior partner at the vet isn't overly happy she is on grass, but if I put her in a hard standing pen, she doesn't move at all, and she actually gains weight as I'm having to double up on the amount of hay she gets.

I'm at a loss of what to do.

I've started her back on ALCAR this week, though it didn't seem to make any difference the first time I tried it (for 6 weeks). I've stopped everything, including her hoof-minerals, just in case there is something in there which is affecting her.

Do I bute her to start exercising (though buting to exercise has never sat well with me)
Is there anything else I can do with her diet?

I hate seeing her stiff and sore all of the time.
 
I am no use to you here but there is a thread on PSSM on the second page of this forum and it has a lot of stories and experiences which might shed a bit of light for you
 
Can you ask your vet for robaxin? I used it "off prescription" (ie without my vet's support) & it really worked.

It wasn't entirely without medical input because the equine hospital at Liverpool had used it on a non responsive type 1 and I got the dosages.

It worked. For 3 days my horse was in a dosage that practically put her to sleep, but her muscles softened, her eyes brightened and finally she was able to offer up a trot (in hand) without me bullying a lame horse. Bute helped but not to the same extent.
 
That muesli wouldn't be on my list of suitable foods looking at the ingredients.

If she was mine I would put her on the concrete and exercise her in walk as often as you can through out the day. Do it for a week. If she improves you know it's the grass. If she doesn't you know there's something else wrong with her.

I'd stop everything except the hay as well. For a week it won't hurt her and it might give you a starting point.
 
Btw - the first time my mare 'froze' & i brought her back without drugs it was 3 weeks of walking in hand and introducing trot in hand up the lane outside the yard. She couldn't trot in the school - it was awful. Looked lame all round. Drugs made the process quicker and a lot easier on her.
 
Btw - the first time my mare 'froze' & i brought her back without drugs it was 3 weeks of walking in hand and introducing trot in hand up the lane outside the yard. She couldn't trot in the school - it was awful. Looked lame all round. Drugs made the process quicker and a lot easier on her.

I agree with this - when mine was ill last year, it took a good few weeks before he felt back to normal. I think (and I can't remember 100% if this is right) but he was hand walked for 3 weeks and then walked for another 3 under saddle and he felt awful. I cried quite a few times when riding him because it was so dreadful.

I didn't use any drugs except bute. What I think had kept mine going all the time I had him before he was ill was that he was kept free range in the yard so always walking about - I was actually doing the right thing for him without realising. I didn't realise that the Pro Hoof was making him worse but you live and learn!!
 
Can you ask your vet for robaxin? I used it "off prescription" (ie without my vet's support) & it really worked.

It wasn't entirely without medical input because the equine hospital at Liverpool had used it on a non responsive type 1 and I got the dosages.

It worked. For 3 days my horse was in a dosage that practically put her to sleep, but her muscles softened, her eyes brightened and finally she was able to offer up a trot (in hand) without me bullying a lame horse. Bute helped but not to the same extent.

I can try to ask the vet about Robaxin. It isn't approved in France (for humans or animals), but it is approved in Germany for humans as far as I can make out (my German is abysmal!) Unfortunately it is very difficult to get the use of medicines "off label" here, and the use of prescription drugs is very tightly controlled, only minimal amounts will be given, even things like bute.

That muesli wouldn't be on my list of suitable foods looking at the ingredients.

If she was mine I would put her on the concrete and exercise her in walk as often as you can through out the day. Do it for a week. If she improves you know it's the grass. If she doesn't you know there's something else wrong with her.

I'd stop everything except the hay as well. For a week it won't hurt her and it might give you a starting point.

I understand about the muesli; unfortunately I need something other than chaff to put the supplements in otherwise it goes uneaten. I could go back to the Agrobs, but both the mash and the muesli are over 12.5% S&S and she isn't eating the haycobs (fussy madam) whether I make them wetter or dryer :mad3:

I could, at a push, walk her three times a day. My work is at least 20 mins from the yard without traffic so it's difficult to get there and back within my lunch time. I'd be more concerned though, about the hay situation if she is off grass all together. Even with a slow feeder net, she will eat 5kgs of hay in about 4 hours. That then leaves 8 hours (or there abouts) in which she isn't eating. Of course, if I give her 5kgs of hay to eat during the day, that then leaves only 2kg of forage for her to eat overnight. :/

The whole thing is driving me nuts. I don't know what to do for the best :(
 
I can try to ask the vet about Robaxin. It isn't approved in France (for humans or animals), but it is approved in Germany for humans as far as I can make out (my German is abysmal!) Unfortunately it is very difficult to get the use of medicines "off label" here, and the use of prescription drugs is very tightly controlled, only minimal amounts will be given, even things like bute.



I understand about the muesli; unfortunately I need something other than chaff to put the supplements in otherwise it goes uneaten. I could go back to the Agrobs, but both the mash and the muesli are over 12.5% S&S and she isn't eating the haycobs (fussy madam) whether I make them wetter or dryer :mad3:

I could, at a push, walk her three times a day. My work is at least 20 mins from the yard without traffic so it's difficult to get there and back within my lunch time. I'd be more concerned though, about the hay situation if she is off grass all together. Even with a slow feeder net, she will eat 5kgs of hay in about 4 hours. That then leaves 8 hours (or there abouts) in which she isn't eating. Of course, if I give her 5kgs of hay to eat during the day, that then leaves only 2kg of forage for her to eat overnight. :/

The whole thing is driving me nuts. I don't know what to do for the best :(

Is there any way you could split the hay ration up into tiny portions given throughout? Even if you can't get there is there someone who might be able to put some in to her throughout the day? I guess you have to weigh the benefits and disadvantages of less hay for the weight vs risk of ulcers.

Could you possibly ask for a longer lunch at work and work slightly later to make up for it, just while you need to walk her in hand?
 
Stupid question maybe, but why is it too hot to soak the hay for longer?

Can you feed straw instead?
 
Give her more forage. A week's trial of this regime is not going to kill her weight wise and will help with regards to the next move.

As I said I think you need to stop all the supplements and food other than hay to help eliminate things as a cause. Again she's not going to die of a deficiency in that time. If this makes no difference you will know it's either the hay or that she has something else going on.

Also she has to move. If you are confident she's not laminitic or something else, a PSSM horse not moving is going to get worse daily even if everything else is perfect. However your diet is not perfect so definitely attack from both angles and see where that takes you.
 
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Give her more forage. A week's trial of this regime is not going to kill her weight wise and will help with regards to the next move.

As I said I think you need to stop all the supplements and food other than hay to help eliminate things as a cause. Again she's not going to die of a deficiency in that time. If this makes no difference you will know it's either the hay or that she has something else going on.

Also she has to move. If you are confident she's not laminitic or something else, a PSSM horse not moving is going to get worse daily even if everything else is perfect. However your diet is not perfect so definitely attack from both angles and see where that takes you.

This - up the hay, drop the feed and grass and get her moving. Not forever, but for a week or two
 
The temps are over 30C at the moment, and soaked hay starts to ferment *really* quickly.


Mine often ferments in because I soak haylage, drain it and don't always use it immediately. It's fine as long as I shake it loose, which stops the fermentation. Worth a test maybe, if you get desperate?
 
Someone posted on here very recently about bacterial growth on soaked hay. On my phone so can't find it now but it was fairly sobering, I'd stick with what you're doing soaking-wise Casey
 
not scientific, but i have found that with my fatty horse, not using new hay, but 2 year old hay, say now would be summer of 2015 hay, he can get the bulk/fibre without the highs of newer hay, and my hay producer only makes for racehorses and barn dries most of it.

my horse actually controls weight on this hay, yet works well and can eat loads, i never feed dry hay, at 10.0 am i put in large dustbins and pour on 3 buckets of water into each bin,at 630pm turn upside down and let run through the hay for 20 minutes then feed at 7.pm.

i feel the quality of hay is not too rich, the water eliminates most dust risk, the water aids digestion but without taking out all the nutrition, the horse looks well, works well, controls weight and moves around quite a lot.

could you not try just soaking for 1/2 hour in the evening then turning over the bin to run the water through and cut out unnecessary supplements, and find some older hay.

hope some improvement comes soon.
 
Give her more forage. A week's trial of this regime is not going to kill her weight wise and will help with regards to the next move.

As I said I think you need to stop all the supplements and food other than hay to help eliminate things as a cause. Again she's not going to die of a deficiency in that time. If this makes no difference you will know it's either the hay or that she has something else going on.

Also she has to move. If you are confident she's not laminitic or something else, a PSSM horse not moving is going to get worse daily even if everything else is perfect. However your diet is not perfect so definitely attack from both angles and see where that takes you.

I know, I know *sigh*... I'll have to see which meetings I can move around to try and get more free time around lunchtime to see if I can take her for a quick walk around the block. We're moving onto night time turn out today (about two weeks late!), so that is going to completely mess up my routine for a couple of weeks until I get into the new rhythm. I'll feel less guilty about putting her in a pen overnight as there is no shade, rather than letting her bake :/

If you could get someone to put 1/2kg of hay in every couple of hours she would have something to pick at without being able to binge eat it

Sorry, but there is no chance of that happening; there is no one on the yard between 10 and 5 most days. The best I could do is to hang 3-4 hay nets around the edge of the pen, though I think the electric tape is on the inside. I'll have to check tonight.

Thanks everyone for your thoughts and ideas. I am taking everything on board, honest ;) It's just incredibly frustrating trying to work around the French livery yard system, the free time I have and the financial constraints. Though, tbh, if I was on any other yard in my area I wouldn't stand a chance.
 
I understand your frustration - I am currently moving yard to accommodate my mare's issues! If that doesn't get her well then I'm a bit stuck as to next steps (it gets her off the rich grass).

Keep us posted.
 
Oh it's so hard when your management is restricted by where you are.
I have to say that buying the midget mare was the best money I ever spent to help with my boy's PSSM. She has the same needs as him (plentiful non rich forage), as she colics on rich grass, and keeps him constantly on the move because she has ants in her pants. Is there a hyperactive field mate that you can borrow for her maybe?
 
Quick update here:

For a week T has been on a "bare necessities" diet - 1hr soaked hay, a bucket of Baileys Light Chaff (I'm trying to get hold of some Agrobs Gruenhafer) and 12 hours turnout muzzled. No supplements at all (well, apart from 75ml unrefined sea salt as it has been so hot)

On Wednesday I took her for a walk, 20 mins or so, in hand, and although we started out brilliantly, with a lovely big overtrack; again we just hit that wall half way home, and by the time we got back to the stables she could barely lift up her back feet for me to pick them out.

The next plan is to take her off grass altogether, though I'm going to feel really mean, as the pens are only about 10m2 with nothing comfy to lie on if she wants a snooze (we're now on night time turn out)

If there is still no improvement in a week, I'll have to talk to the vet again, and pick her brains - perhaps ask for a Robaxin trial, though that could get complicated due to licensing laws and the fact that my vet is in Germany, though my horses are in France.

Of course the one thing which does keep going through my mind is that she is bedded on straw, and she does love a good ferret around in it. Could she possibly be finding enough wheat seeds to tip her over? Changing the bedding is something I can't bear to think of. I'm barely covering all of my costs as it is.

I'm feeling particularly useless at the moment :/
 
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