|
|
Discussion on Second opinion please
|
| Author |
Message |
New Member:
Lisapony
|
Posted on Tuesday, Oct 19, 2004 - 10:34 pm:
This is the RF of my horse that suffered acute Laminitis on July 3. He was doing quite well (sound on softer ground) and sound with Boa boots over shoes on cement until 12 days ago. In fact he was feeling VERY VERY good and I believe ran around a bunch in the sand pen and caused a relapse. At the time he was shod with bar shoes and a flat pad. This xray is 12 days old and was not much diffent then the one taken 42 days ago. But the farrier took off a bunch of toe and shod him with a heart bar and a pour in pad for the heal to the frog. My vet now thinks we should try a rail shoe. Any comments.
This film was taken after the vet pulled the shoe. The horse is NEG to hoof testers.
I have photos of his foot as well, including front side and bottom views.
BTW...the other foot is fine. He has been tested for Cushings and Tyroid and is neg. on both. He is 10 years old.
|
Moderator:
DrO
|
Posted on Wednesday, Oct 20, 2004 - 6:18 am:
Hmmm...the farrier was exactly right to remove the toe. Though difficult to see without my reading glasses you can just make out the line of the contrast material that runs down the front of the foot. It shows a remarkable flare at te toe that should be removed, back to the white line if necessary to reduce break over in the foot.
Since we are not able to diagnose the cause of the lameness from here we really cannot help with specific therapy Lisa. Certainly first on my list as a complication is an abscess but that should be locatable with the hoof testors.
Assuming the lameness problem is recurrence of the founder, if you will look at our article on Founder Overview it gives you our recommendations on treating founder.
|
Member:
Lisapony
|
Posted on Wednesday, Oct 20, 2004 - 9:30 am:
Thank you Doctor Oglesby,
We are pretty sure he just did to much and was not quite ready for the amount of playing he was doing. What is your opinion on rail shoes? Here is a photo of his foot, side view (I have more views if needed)
Thanks!
|
Moderator:
DrO
|
Posted on Wednesday, Oct 20, 2004 - 10:42 am:
I don't use them Lisa, so therefore do not have a experienced opinion. I avoid covering up the sole on horses with ongoing laminitis and the soft bedding and bare feet allows the horse to find the most comfortable position for his feet. I think it might also keep the horse from overdoing work too early. I attended a seminar last year by Dr Redden that included the application of the rocker-rail shoe and quite frankly do not see the advantages over the recommendations we make with the possible exception of when solar pressure by the tip of the coffin bone is causing pain. Dr Redden swears by them for selected cases.
DrO
|
Member:
Miamoo
|
Posted on Wednesday, Oct 20, 2004 - 1:58 pm:
Just a question to remove the cobwebs in my brain regarding corrective shoeing.
The toe in this picture is removed. I understand the purpose for that, but the shoe extends forward where the toe would have been anyway. Doesn't that remove the breakover benefit of having taken the toe off to start with? I may just be confused.
Ella 
|
Member:
Bluesman
|
Posted on Wednesday, Oct 20, 2004 - 5:21 pm:
Hi Ella, My mares shoes have been set further back then the above photo. She has pads under from heel to the tip of frog and her toe is dumped back like above but a slight overhang of the front of the hoof is still eveident. By slight I mean a tiny amount. This does create a lesser break over point for her and is very comfortable. She is due a new shoeing next friday. This is done every 5 weeks as she has terrific hoof growth at present. Another good sign I have been told. Her story is under Chronic laminitus abcess if you havent been reading it. We seem to be progressing well with lots of constant caring. But even after 5 months from the initial onset she is still on total box rest. She has also been sound for over a month now having gotten rid of the dreadful abcess that we had to deal with.
Heres hoping Jan
|
Member:
Lisapony
|
Posted on Wednesday, Oct 20, 2004 - 6:24 pm:
Jan, Dr. Oglesby
Should my horse be on 100% stall rest with no turnout or handwalking? I read many opinions on this. My concern is that with stall rest he wont get any circulation in his foot.
Also, I am having a differnt shoer look at him for a second opinion. The point about the over hang does worry me. His breakover is not really changed as mentioned.
Thanks again!
|
Moderator:
DrO
|
Posted on Thursday, Oct 21, 2004 - 7:15 am:
Yes, stall rest is indicated while painful, we cover this and how to bring these horses back in the article on founder.
Ella, an excellent observation, you have the principle right but there is a little more to it. The front of the shoe should be where you want the hoof to grow to which is a significant improvement over the breakover in the radiograph above. I cannot be sure he has attained this in the photo and a radiograph projecting the normal line of the front of the toe down to the shoe would answer this question. At this point to move breakover further back the toe should be rockered as far back as possible. The shoeing above appears to have a small rocker, I think it could be a little more aggressively done but the angle makes it hard to judge. This is gone over, with pictures, in the article Equine Diseases » Lameness » Diseases of the Hoof » Founder & Laminitis » Rehabilitation and Derotation of Foundered Horses.
DrO
|
Member:
Lisapony
|
Posted on Saturday, Oct 23, 2004 - 7:58 pm:
Hi,
I just found that my horse had all his fall shots 5 days before the relapse. He had a full round including flu/rhino. They used the nasal spray versions I believe. Could this have set him off?
|
Moderator:
DrO
|
Posted on Sunday, Oct 24, 2004 - 11:19 am:
If there was no local or systemic immune reaction to the vaccinations I think it very unlikely. On the other hand I do not vaccinate horses until they are well recovered from founder for two reasons:
1) The possibility of a severe reaction to the vaccine might secondarily reactivate the founder.
2) Even a mild reaction like a sore neck can be confused with founder.
DrO
|
|
|
