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Discussion on How long before painful neuroma?
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Member: Buddil
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Posted on Sunday, Jun 22, 2003 - 9:42 pm:
Dr. O., I was curious as to how long it takes for a neuroma to form on a horse that had a neurectomy. The reason I ask is that my gelding had this procedure done this past week and the surgeon said that neuroma's form on all neurectomies, but some are painful. What causes the pain and how long does this take to happen, if it does? Keeping my fingers crossed that I won't find this out through my boy! Thanks in advance, Cathy
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Moderator: DrO
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Posted on Monday, Jun 23, 2003 - 9:00 am:
Why some nerves become painful following surgery in not really known as far as I know. Perhaps the new nerve growth following severing is mechanically impinged on by some structure as it healed or it may be a structural problem with the nerve itself resulting in hyperexcitability. There is no particular time frame stated in the literature but usually this happens in the first year. DrO
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Member: Buddil
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Posted on Monday, Jun 23, 2003 - 12:42 pm:
Thanks for your response, Dr. O. I was under the impression that painful neuroma's formed within the first few weeks and that is the reason for the hand walking, even for a few weeks after stitches are removed. My guess for the continued hand walking would then be so they can learn to negotiate with the new sensation (or lack of) in their legs? I am fortunate that my gelding is pastured in a flat 10 acre grass pasture with wood fencing so negotiating around things is not a problem. Thanks again, Cathy
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Moderator: DrO
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Posted on Friday, Jun 27, 2003 - 8:28 am:
The hand walking is to just give the horse some exercise and has no effect on neuroma formation that I am aware of. I do think it helps the horse get use to the lack of sensation distally also. DrO
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Member: Buddil
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Posted on Friday, Jun 27, 2003 - 11:16 am:
Thank you so much. I am looking forward to having him go back to his normal turnout-he misses his friends! He was ridden when blocked so I am hoping that he will perform the same way with being nerved now. He had no problem with finding his balance and feet then. Cathy
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