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Discussion on Hind limb Proximal Suspensory Desmitis- rider induced?
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Member:
teddyj1
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Posted on Monday, Nov 5, 2007 - 2:21 pm:
Just wanted to know how much a rider may contribute to Upper Hind limb PSD ?
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Member:
stevens
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Posted on Monday, Nov 5, 2007 - 3:03 pm:
Do you mean just the act of riding or the weight of a rider? I'm not quite sure what you're asking.
I imagine that a rider pushing a horse beyond its limits could contribute.
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Member:
teddyj1
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Posted on Monday, Nov 5, 2007 - 7:26 pm:
Hi Chris, I was thinking the act of riding. Certainly pushing too hard would be the rider's fault, but I was generally thinking how unbalanced, crooked, or Green a rider might be to create a strain on the PSD. Does that make more sense?
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Moderator:
DrO
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Posted on Tuesday, Nov 6, 2007 - 6:50 am:
Hello TOD,
While simple traumatic hindlimb PSD may be effected by riding it is interesting to note the disease is associated with upper level performance where one would assume expert riders are present. Most cases of this problem appear to have a degenerative component that may not be related to work and in some cases appears genetic in origin. These cases have little to do with riding.
DrO
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Member:
teddyj1
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Posted on Tuesday, Nov 6, 2007 - 9:52 am:
Thanks Dr. O' that's makes complete sense, just a discussion that came up at the barn, and we were all complexed and concerned, as you might imagine.
OK, so I have to ask, if a horse has clean xrays of stifles, hocks, and spine, but has that feeling of "not always right behind" some days, not really using the hind end, would an ultra sound of the hind suspensory ligaments be in order, or full bone scan?
Regards,
TOD
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Member:
stevens
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Posted on Tuesday, Nov 6, 2007 - 8:02 pm:
TOD,
Why not start with a lameness exam including flexions?
That said, my horse came up lame on the left hind about a month ago complete with some swelling and a little heat. After a lameness exam he was referred for a bone scan. After that and several ultrasounds and radiographs and 2 shockwave therapy treatments and now close to 4 weeks of hand walking he's much improved (grade 1 lameness compared to grade 3-4 at the start) but we still don't know what the cause is so he got an MRI this am. Hopefully, there will be a luke-warm gun identified in the next day or two.
I'm able to do all of this because I have major medical insurance on this horse. So if you have insurance, or the money and like me can't stand not knowing, I say go for it. The only caveat is that once you make a claim on your insurance you can bet that you'll have a big fat exclusion next year.
If the horse is "not always right behind" maybe 1-3 days a month, I'd probably back off on training and see if that made a difference. Not every horse can do every job. If he's "not right" more often and you don't think the level of training an issue, then I'd pursue it further.
Just for giggles, how old is this horse?
Good Luck!
Chris
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Moderator:
DrO
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Posted on Wednesday, Nov 7, 2007 - 7:04 am:
Chris has it exactly right TOD, you begin with a simple lameness exam and the results guides your actions. For a logical plan for localizing then diagnosing lameness see Diseases of Horses » Lameness » Localizing Lameness in the Horse.
DrO
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Member:
dres
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Posted on Sunday, Nov 11, 2007 - 6:00 pm:
Chris, not to hijack this thread, and i don't have your email.. what did the scan show?
On the first day God created horses, on the second day he painted them with spots..
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Member:
stevens
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Posted on Monday, Nov 12, 2007 - 7:19 am:
Hi Ann,
I started another thread titled "effectivity of ultrasound in diagnosis of suspensory problems" or something like that.
Long story relatively short; he has a tear in his ddf. Had surgery last week with bone marrow injection and looked really good when I DrOve up to Alamo Pintado to visit him on Saturday. Should come home early this week.
Chris
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Member:
teddyj1
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Posted on Monday, Nov 12, 2007 - 9:34 am:
Great to hear the good news Chris. I'll be sending the good vibes for both of you 
TOD
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Member:
teddyj1
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Posted on Monday, Nov 19, 2007 - 4:09 pm:
Chris, my horse had another exam by the farms usual Vet. She didn't feel an Ultra Sound was in order, as she wanted to "Block" him first, even though she didn't think he would "block" either??
At any rate, she was not convinced there was any involvement of the hind suspensory, as the "block" made no difference in his way of going, even though, she didn't think it would??? I really pushed her to tell me she did not feel PSD was an issue, so I guess I should be happy. She strongly felt that due to his extremely high Lyme Titer, that Lyme was in fact the real issue.
She put the catheter in today, and he's started on his course of OxyTetracycline.
I guess what ever the outcome in the end, I'm just going to accept that this horse can have "good days, bad days", unless something terribly obvious presents itself.
How are things on your end?
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Member:
stevens
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Posted on Monday, Nov 19, 2007 - 5:50 pm:
Hey TOD,
I hate to complicate things, but my horse didn't block sound either and still had tendon damage. If you know your horse has Lyme disease, then maybe that's enough to worry about right now.
Not much new to report on my end, I plan on posting updates as we transition to the next phase of rehab (every 30 days) or something else actually happens.
Hang in there.
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