Shoulder Lameness

redandblue

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Hi, sorry this is a long post. My mare injured herself several weeks ago now after a major spook in the field - came straight through a bungee gate (may have tried to jump it??) followed by a gallop up the hard track to her friends where she was found puffing and blowing. She started to display signs of unsoundness in the school on circles and bends but nothing you could quite put your finger on. I rested her for a few days and gave her some bute (thinking it was her (mild) arthritis playing up). However, on examining her, we discovered a sore area on her shoulder to which she was quite reactive. Vet was consulted and came, first to xray coffin joints (where she has mild arthritis) and secondly to treat the injury to her shoulder which seemed to be getting worse. She advised bute and rest for 10 days and then a follow up. There was some improvement after the bute/rest 3/10th to 1/10th lame and vet advised turning her out as she was quite a stressy mare in the stable. She then proceeded to gallop and career around the field like a 2 yr old (she's 16). One step forward two steps back. Vet came to reassess and not alot has changed. It is most definitely soft tissue localised to her shoulder. Physio then came, located the muscle (the one that attaches the soulder to the body (kind of behind the shoulder blade) and started to treat her - she was quite demonstrative when receiving treatment throwing head around and up, ears back and moving around the stable a lot, so it's quite obviously causing her a lot of discomfort - especially being prodded and poked. Since then she has started to walk much better and she is really striding out but when the physio came again, she is still 1/10th lame in trot and uncomfortable on a turn. More treatment given to release the big knot in her muscle and the same pain reaction - head tossing and anxious. Physio says she is still in pain but it's much softer in that area now and her reaction to the pain seems disproportionate to the injury, also thinks its unusual that this type of problem would result in persistent lameness but as she keeps reacting feels it must be the cause. Btw, she has no pain, heat or swelling anywhere else, her foot balance is spot on thanks to the xrays, which incidentally showed no boney changes or any significant signs of the arthritis. Also, pain is too high up to be associated with spinal or neurological injury. So, now we're looking at possible trying a few more shorter physio sessions and maybe some acupuncture to the area (could be an issue as my girl is petrified of needles!). Not sure what else to try. I thought about thermal imaging to see if any other 'hot spots' could be identified but bothe the vet and the Physio (who I trust implicitly) feel that as a diagnostic its great, but we have already identified the problem area and it would probably just confirm that.Anyway, I'm just at a bit of a loss as to what to do now. It's coming up to 5 weeks now and I know soft tissue can take months (and constant setbacks like hooleying around like a two year old!), but has anyone experienced anything similar? Could something else be going on that we're all missing? She is a 15'3 ID x and a beautiful girl. Incidentally, she is covered under a veterans policy with NFU and as such has only limited cover.
 
Yep, got virtually the same scenario right at this very moment. Has turned out to be a tiny abnormality in the suspensory of that leg. Right behind the knee where it attached to the bone. All resulting from doing a minor front end "splits" in the field whilst being daft.

Exactly the same symptoms as yours. No heat or swelling anywhere on the legs so we assumed it was just a knock.



We tried turning away for 2 weeks thinking it was just a bang but it didnt improve. Started box rest yesterday. Its going to be along month !!
 
Thank you for replying mrussell. I wonder if you can advise how the suspensory abnormality was detected? Did yours also present with shoulder problems to start with? I have a niggle in the back of my mind that there is something else going on with mine:(
 
Did 2 little lame steps out hacking and then consistantly lame left fore, 1/10th.

Thought/hoped just his foot as had been shod a few days before. Vet came 2 days later for routine innocs and trotted him up. Couldnt feel anything and so blocked foot. No change. Blocked behind knee. No change. Advised no jumping or fast work for 2 weeks.

1 week later, trotted sound on road but 1/10th lame on surface.

Turned away for another week. No change.

Called physio who was gobsmacked at his reaction to having his shoulder touched. He treated him but said it may be pain from compensating.

Turned out next day after trotting up sound.

Vet came out Monday as 2 weeks since original lameness and decided to scan tendons. Spotted slight strain.

He cannot say for sure whether thats the cause but the treatment is the same whether its a strain in the lower limb or a strain in the shoulder.

Hes now in for 6 weeks. Walking to start straight away. Vet to reasses in 4 weeks.
 
Thank you that is really helpful and it does sound incredibly similar (except my girl has yet to trot up sound after 5 weeks). I would be interested to hear how the follow up goes.
 
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