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Discussion on Time off for new windpuffs?
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Member: 36541
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Posted on Wednesday, Jun 16, 2010 - 8:20 am:
Good morning Dr. O. I have a 7yo Connemara in regular work, both flat and jumping, who has new bilateral windpuffs above her right front fetlock today. She had a long cantering session 2 days ago, and at one point I felt her right front slip forward 1-2 feet, but she finished the session sound and was sound yesterday and is today as well. She is turned out with a group on acreage, and they do quite a bit of playing around, so I'm not sure of the connection to the exercise(but feel guilty nonetheless). There is no heat or sensitivity to palpation, and the distal tendon is unchanged. I'm thinking a period of rest and activity restriction is prudent, but am unsure of how to judge the timing or the return to work given that she is sound - trotted in pretty lively this morning as usual! Thank you, Stacy
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Moderator: DrO
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Posted on Wednesday, Jun 16, 2010 - 3:13 pm:
With acute swellings I recommend rest and possibly NSAIDs until they go down then give them 3 more days before work begins in ernest. Do you think this is the volar pouches of the fetlock or the tendon sheath? We have diagrams at HorseAdvice.com » Diseases of Horses » Skin Diseases, Wounds, and Swellings » Swellings / Localized Infection / Abscesses » Diagnosing and Assessing Swellings in Horses that show the difference. DrO
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Member: 36541
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Posted on Wednesday, Jun 16, 2010 - 10:41 pm:
Well after looking at your diagram and taking another look at the leg clipped down, it appears the tendon sheath is involved. She remains sound and the area in cool and nontender. I worry that she is too stoic for her own good, and might not be showing lameness where another horse might. Do the pictures change her time on the injured reserve list? Seen posteriorly after clipping her down, the swellings I thought I had identified as windpuffs flow into the V-shaped ridge seen in the last picture. Also, give bute even if sound? Thanks, Stacy
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Moderator: DrO
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Posted on Thursday, Jun 17, 2010 - 6:09 am:
Stacey, without examining your horse I cannot make any specific recommendations about your horse. My recommendations above are general and based on simple acute synovial swellings without lameness. I am uncertain that your flexor tendons are not also enlarged and appears more like a chronic process rather than acute. I would consider having the leg examined by a veterinarian with a careful palpation for a diagnosis. DrO
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