Strange lameness - sorry bit long!

cookster1975

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Hi all, I'm new here and am also a member of NR (don't shoot me)! I am trying to get all opinions/advice I can prior to my visit to vets Tues. I'll try and keep it short (ahem).

At the end of June I had Helen Jacks-Hewitt out to do 6 monthly check on my boy. (9 year old TBxWBxArab - happy hacker, low mileage, only backed at 6). She found slightly sore and thought it was saddle so advised rest then lungeing for a few weeks. Had saddler out and bought new saddle. 20th July I arranged for my vet to visit, just to check no serious prob with back and make sure ok to bring back into work. We trotted him up, straight line and circle and he was lame, right rein, hard ground only.

She thought it was left fore for some reason, so this was x rayed at Bushy Equine and all was clear. As still lame right rein I had a different vet for second opinion. He diagnosed 3/10 lame right fore. Did hoof testers etc, nothing obvious at all there. He advised I carry on riding - light work and see what happened. (this was beg Aug). He has since had another back specialist visit who thinks he's lame both front feet (Arrgghh). He said his back is sore as a result of the lameness. He is very disunited and not hopping lame (sound in straight line) but definitely not right.

Just to add to problems when I claimed on insurance with KBIS for first lot x rays, I discovered he was only insured for accidental injuries (my fault for not reading the policy properly) so is not covered for any of this. Bills exceed 1000 pounds so far.

So Tues he's going for lameness work up at Bushy, nerve blocks, x rays etc. I have told them he is not insured and I don't have an unlimited amount of money to spend. Vet said if nothing shows on right fore x rays he may try injections into coffin joints both feet, in case it's soft tissue damage and see if that works.

Has anybody been in a similar situation? I have never known anything like it and really don't have a clue what it could be. I only paid 1500 for him and my bills are starting to look like they could amount to more than he cost me! I am at my wits end. Can anyone advise what I should ask the vets for to keep the cost down? Just x ray? or nerve block and x ray? What about ultrasound? How useful would that be do you think?

My god, if you read to the end of that, you are a star - thank you!
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Can't help too much but my immediate thought (I have the same problem in that I don't insure for vet cover at all) would be if there's no obvious seat of pain then I would be turning him away completely until the spring and see if natural rest helps at all. Many horses come right if you give them time and sometimes the expensive tests just line the vets pockets when the treatment of turning away is recommended anyway.
Hope you get it sorted, it's very frustrating not knowing where the pain stems from.
 
If it is bilateral fore lameness then he will probably have a bad back as the vet says. Bilateral lameness can be really hard to spot.

If you can possibly afford it I would suggest an MRI of both fronts - it is the only way you can see soft tissue damage.
At least then you would have a full diagnosis and may in the long run stop you spending money on stuff that might not work....

If you cannot afford this then I would seriously look as previously suggested at a prolonged period of box rest/field rest - up to a year for soft tissue damage. If he does have soft tissue injuries in his feet then I am afraid it can be a long hard job and the prognosis is not that good in the long term.

Sorry to sound so negative - been there done that and got the t-shirt I am afraid
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Thanks for your replies. Sam Smith, who was the second back specialist to see him said he has bilateral front limb lameness.

I really can't afford MRI scans as they are £1200 per leg
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Which is a shame as I know this would give me the diagnosis I need.

I think we'll x ray the right fore just to be sure there's nothing glaringly obvious. If not turn him away for six months and see what he's like in the spring. Nightmare as he gets so bored and absolutely hates being stuck in the field with nothing to do. I couldn't box rest him, he's a bit nuts as it is!
 
Well good luck anyway x

I do know that that is a very expensive quote for MRI - mine was approx a thousand pounds for both feet - still loads of money but much much less than your quote - that was approx 18 months ago at Liphook Vet Hospital...

I hope you have a happy ending - someone needs to!
 
Bi-lateral lameness?- possibly navicular. Don't panic as if so then it's very often manageable these days. The nerve blocks will tell you more. Good luck with him. One of ours has been off work since March and I know how frustrating it is. He is also mental with nothing to do...
 
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