Severe Navicular / pedal osteitis in a 6 yr old...

jules9203

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I have a homebred WB x TB who earlier this summer was diagnosed with the above. She has a good confirmation and has not been pushed hard in anyway shape or form. Both her sire and dam were sound before taking the decision to breed. She injured her right hind leg 18 months ago but seemed to come back into work ok. We started low level (70cms) jumping last winter, which she enjoyed, but by January she was very crooked in right canter (1/4s in). She has had regular physio/teeth/saddle checks.
We had Indiba treatment, from Jan - April, over her SI joint and that made her a lot more comfortable. In May we tried a 12 mins session on a water treadmill. After that the right canter deteriorated rapidly over a week. So I got the vet involved. She is not lame unless lunging on hard ground. She passes all flexion tests. So we went for a bone scan.
It turns out she has inflammed pedal bones and advanced navicular, also her right nav. bone is distorted. this was a complete surprise to me and the vet.
She has had steroid injections, wedges, pads and natural balance shoes, a 4 week walk programme and there is no difference in the way she moves or the lameness. Her walk feels amazing but always has. However she really doesn't want to take a steady contact, always chewing and I generally feel she is "tense" despite no one seeing her ridden will describe that.
I've obviously not cantered her, since the treatment, as ground too hard and school too deep!
I could have her MRI'd (not insured). If it shows tears in her tendons etc then I would turn her away for a year. that would mean she was a year further along with the navicular. Also if she has tears in her tendons/ligaments she is only 6 and very low mileage, so how much work will she be able to cope with?
At the moment I am looking at the heart breaking decision to PTS but putting this post out there in case anyone has some experience that could help????
 

ycbm

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It would be very helpful to see her foot conformation. Could you possibly give us some photos, taken with the camera down on the floor, of the feet from the side and from the front and some of the sole?

Navicular is frequently/usually described as progressive, but there are plenty of examples of barefoot rehabs now that show that isn't necessarily true.

There no getting away from it though, you've got a pretty bad diagnosis for a low mileage 6 year old. I'm sorry you're struggling with this, especially in a homebred.
.
 

Highmileagecob

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Read everything you can about hoof rehabilitation, good information from Pete Ramey, Rockley Farm, Jamie Jackson, Dr Robert Bowker etc.. The navicular is something that can be vastly improved/resolved, the bone inflammation is a different kettle of fish. Are you confident in your veterinary practice or would a referral to a specialist help?
 

sbloom

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How upsetting :(. I would agree with the hoof rehab, but also look up thoracic sling on here, and podcasts by Celeste Leilani Lazaris.

SI issues and front feet issues can both be linked, in many many cases, to TS dysfunction, and improved a huge amount by rehabbing for that ie to improve posture. We have an epidemic of suspensories, hock issues, SI, KS and front feet problems and so many seem to be at least exacerbated by postural issues, if not actually caused by them (which I think is more likely).

TS dysfunction has a TON of different causes, even going back to birth trauma so don't worry about blame, or worrying about how that happened, but it's a good idea to assess it in all horses, and give babies more help with posture before we ride them, now we're starting to understand this in a more modern way. The classical guys knew it but then we started breeding horses for more elasticity...training them for huge paces, swing, overtrack etc etc...
 
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