update suspensory ligament scan

[Birker2020]

Vet came out this morning, watched the video we took on Sunday: http://www.youtube.com/watch?v=9U93TkaYep0 and said slight improvement, pain on palpatation, trotted up sound, flexion tested unsound, ultrasound scanned and calcification gone down, ligament looks good, fibrosis still there. He thinks that's as good as it will get so now we are walk and trot for a month in the school and up the slope of the field and take it from there. He also wants my physio friend to ultrasound daily for one week every month.

My farriers due out on Thursday and my vet is very pleased with farrier.

He says he might need a bute a day for life but is consulting with a specialist about PRP (like IRAP) but doesn't think it will be beneficial in my horses case.

He says the problem with Bails is the spavin, and the coffin joint, and they are just bouncing off each other, so the horse holds himself differently putting weight onto the coffin joint and over compensating which isn't doing the ligament healing any good.

~He's coming out in a month to rescan so I will bring him back into work up to trot very carefully. Obviously hacking same as before but no trotting on roads but I don't anyway.

So basically some improvement but not as much as would like.

 

[SpanishNeddy]

I have just noticed your post.

I have just made a post about PSD as well, as my horse just been diagnosed with it in his hind right (both hinds though but mainly right).

They did the ultrasound scan this morning to back up nerve blocking. His is chronic. See my posts for full picture!!

I am not keen on surgery and shock wave I dont think is worth the only 40% success rate. So im probably doing the equidronate (tildren) or cortosone jab. Probably equidronate.

What did you go for? how far down the line is it etc....?

Sam xx

 

[Birker2020]

I have just noticed your post.


I am not keen on surgery and shock wave I dont think is worth the only 40% success rate. So im probably doing the equidronate (tildren) or cortosone jab. Probably equidronate.

What did you go for? how far down the line is it etc....?

Sam xx

Got this off a website about PSD http://www.naturalhealingsolutions...._philosophy_proximal_suspensory_desmitis.html
The conventional recommended treatment options offer conservative treatment with a "large proportion of horses" having persistent or recurrent lameness, shock wave therapy with approximately 40% of horses returning to full athletic function or surgical treatment by neurectomy (cut the nerve) of the deep branch of the lateral plantar nerve and plantar fasciotomy (cut the soft tissue around the ligament to free it up) with approximately 70% of horses supposedly being able to return to full athletic function.

I wasn't aware you could use tildren for this kind of problem. My vet had a lot to do with Tildren, I think he researched it or something and he knows all about it. I asked him today if it would be of any use for Bails suspensory ligament injury and he said no it was mainly used for hock (spavin cases) and sometimes navicular disease.

My horse has only a slight sprain of the lateral branch of the suspensory ligament. We've shockwaved three times (which has helped break up a small amount of calcification) and he has had pulsed magnotherapy and LW ultrasound on it daily for a month. Notwithstanding the fact that its not really healed that well we are now progressing to trot work. The vets words were something like 'this is about as good as its going to get'.

Which is fine by me if that is all we are given to work with.

We have a full eight months with which to plough everything into sorting it out before the claim runs out I guess.