severe hind limb lameness

dee999

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we have a 16.3hh belgian warmblood 15 yr old gelding. he was diagnosed with having back and pelvis problems by an orthopaedic equine veterinary consultant 6 weeks after we purchased him 8 years ago, we were advised that he would be unsuitable for riding purposes again and he was retired.He lives himself at our farm.
Last week prior to being turned out he was noticed to be completely non weight bearing on his near hind and his knee was swollen and hot.
The vet queried a muscle strain and prescribed danalon sachets- within 4 hrs of having 2 sachets he was completely weight bearing and virtually back to normal- he was kept on a gradually reducing dose of the sachets and turned out himself in his small paddock and in at night.
All was fine until monday afternoon when he came walking inside and was non weigh-bearing again on the same limb (the knee swelling had gone but his extensor tendon was swollen), we contacted the vet again and agreed to increase his painkillers again.
Tuesday morning his whole leg was swollen and he would not weight bear at all and seemed to have spasm-like episodes where he would extend his leg out behind and wince in pain, so we called vet out again and his leg was clipped and inspected for wounds...there was a small mud fever scab on his heel that didnt seem to cause any discomfort but he was commenced on injectable antibiotics and oral painkillers were continued and he was box rested in case it was an infection.
Yesterday he was much worse, completely depressed and in obvious pain- he was now refusing to eat his feed or hay and would not or could not mobilise at all.He wouldnt even take a polo, so obviously in severe pain.
The knee was swollen again and we also noticed a large hard swelling running down his flank which hadnt been noticed previously. His temperature was normal but his resp rate was elevated.
The vet was called in again and she re-examined him, but could still not pin point the cause of the pain. He was given Finadyne IV for the pain overnight, but after 4 hrs there wasnt much improvement. He would drink water if you held the bucket under his nose but then started puddling with it-still wouldnt touch any feed or treats.
This morning he had passed dung and urinated but still hodging on and off the sore leg, managed to get him to eat horse hage but still wouldnt touch feed or treats, taking interest in his surroundings looking out his stable but the swelling is still present.
Second opinion this afternoon from different vet from the practice, but have advised them we do not want him suffering. He isnt insured, but the cost is not a concern, i just do not want him to be a guinea pig for weeks and the outcome is still the same.
There is no way we can transport him to have xrays done at specialist equine hospitals as he cant weight bear.
Just wondering if anyone else had any opinions or experiences like this as i have had 30 years of owning horses and never seen this before.
We are wondering if he has a fracture somewhere due to ?trauma
 
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Sorry I can't shead much light on it but didn't want to read and go. It does sound as though he may have a fracture. We had a mare here that it turned out had fractured the head of her femur and her lameness came and went. She suffered far too long. It was misdiagnosed by the vets. By the time she was PTS she had to have all food and water brought to her, but she still was eating. Horses will still eat when they are in a great degree of pain, which makes me think that your horse has an infection. Have bloods been taken? It should be a first port of call for any vet when presented with this kind of thing.
 
It does sound like a fracture. We had a similar problem with our old fella a few years back. He wis misdiagnosed with a bruised shin that turned into a spiral fracture of his cannon bone. We transported him to the horspital on 3 legs because we had to. It wasnt pleasant but we reversed the lorry right up to the stable door way and did the same at the other end. He had a Robert Jones holding his leg together and he survived against all odds.

He shook from pain for 3 days. Refused to eat or drink and literally dropped all of his condition in the first week. He looked awful.

Can you not get a second opinion ? I think I would want someone to come and have another look.
 
just had 2nd opinion from more experienced vet from the practice and she took one look at him and immediately suspects he has a fractured knee!
The flank swelling is due to his muscles being contracted with the pain.
did think about just having him put down, but felt we would rather know what was wrong before making that decision.
he is being xrayed by equine vet tomorrow, but i suspect the outcome will be the same, but at least we will know that we did everything for him the 7.5yrs that we have had him he has at least had a lovely retirement.
He has had more IV pain relief to last the night until he has his xray.
More annoyed that my horse has more than likely had a fractured leg for a week!
 
Poor horse. You have done a lot for him already. Fingers crossed it is not bad news, but if it is, he has probably had over 7 years of life that he wouldn't otherwise have had.
 
you said it was severe hind limb lameness, this is prob not the problem, but has the vet checked the foot? the reason i say this is that my horse came in from the field crippled and holding her hind leg out to the side....i called the vet immediately and it was an absyss at the toe. as soon as the pus was found she was immediately more comfortable...it came on so suddenly i was sure she had broken something , she was ok within 2 days.....hope this helps and good luck with your boy, sounds like he fell on his feet when he found you and has had a good quality of life so whatever the outcome this time, he is a very lucky boy...
 
thanks for the kind feedback...long story but we bought him to replace our ISH that died after having steroids for laminitis...this one is the most expensive horse we have ever bought...4 weeks after buying him he started showing symptoms of chronic back pain (he had a 5 stage vetting prior to purchase but the then owner asked us to refrain from having bloods taken as he had a needle phobia...i stupidly agreed to this and it would now appear that the horse had probably been sedated during the vetting to mask any chronic conditions it obviously already had!)...he was seen by local vet who diagnosed back spasm and referred him for physiotherapy...he was treated by the physio for 3 months with no improvement and she referred him to an equine orthopaedic consultant.
i contacted the seller who obviously denied the horse having any back or hip problems whilst she had him...surprise surprise!
We transported him to the vet and were told within a short space of time that our horse would never be rideable again as he had possibly been involved in a major traumatic event which had resulted in his spine being damaged, his pelvis severely misaligned and his stifles were also chronically damaged!
we were devastated especially as we had spent a lot of money purchasing him and buying a new trailer to convey him to shows.
We asked the consultant to put him down if he was suffering, but were advised that the horse was not actually suffering in a way that would require euthanasia...so we were left with the decision as to what to do with him.
We decided since we have a farm, we would just keep him as a pet, as he is not a sociable animal he has been the only horse on the property, but has the company of cattle and sheep in adjoining fields.
Some people who we spoke to told us that we should just trade him in to a dealer, but we just couldnt do that to someone else...and that would be 8 years ago!
yes he has been checked for foot abscesses but everything came back as normal.
 
I am so sad to read about your poor lame horse, but whatever you decide to do, I would just like to write that it sounds like you have given him the most wonderful life possible for the years you have had him. He was very lucky that you came along and bought him off his previous unscrupulous (?) owner.

Best wishes for you and your family at what sounds like an awful time.
 
the equine vet came out this afternoon and xrayed him...she phoned a few hours later and broke the bad news that he had a very bad fracture to his hock she had never seen such a severe break on a horse that hadnt been kicked...but since he is in a field with no other horses that couldnt be possible....he was PTS an hour ago and we are just thankful he is no longer suffering...more upset that he has had a fracture for 9 days! :(
 
the equine vet came out this afternoon and xrayed him...she phoned a few hours later and broke the bad news that he had a very bad fracture to his hock she had never seen such a severe break on a horse that hadnt been kicked...but since he is in a field with no other horses that couldnt be possible....he was PTS an hour ago and we are just thankful he is no longer suffering...more upset that he has had a fracture for 9 days! :(

So very sorry to hear your news. :(
 
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