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Discussion on 16 month old with ocd
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New Member:
Leslie1
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Posted on Sunday, Sep 3, 2006 - 12:15 am:
Hi DrO,
I have a 16 month old filly with an OCD lesion - 3mm medial femoral condyle. Would that be considered a large lesion? Since Ive had her ( 3 months)she has never been worked. She has joint effusion but no noticeable lameness. My vet told me she needs arthroscopic surgery. Would she be a candidate for conservative treatment as well? I cant get the surgery for 6-8 months due to financial considerations. In the mean time Im not supposed to give her joint supplements/ anti- inflammatory because my vet said he's afraid she will start feeling good and then hurt it worse.
What are your thoughts on this?
Thx leslie
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Moderator:
DrO
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Posted on Sunday, Sep 3, 2006 - 8:29 am:
It is not a matter of whether this is "large" or not leslie, the question is, "is this significant?". Or in other words, is this going to cause lameness?
Unfortunately the radiograph does not always answer this question as their can be significant OCD in the stifle yet it not be radiographically evident. The effusion is a better indicator than than the radiographs that this might become significant.
I have mixed feelings about the anti-inflammatory recommendations: if the horse is not lame how is the anti-inflammatory supposed to increase the work on the leg while the joint remains inflamed osteoarthritis (chronic arthritis) is developing.
DrO
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New Member:
Leslie1
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Posted on Monday, Sep 4, 2006 - 2:05 am:
Thanks Dr O. I really appreciate your advice. What kind of anti inflammatory and where would I find it? (please dont say my vets office! LOL)
This OCD thing is sorta overwhelming.
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Moderator:
DrO
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Posted on Monday, Sep 4, 2006 - 9:14 am:
Leslie, I recommend you discuss this with your veterinarian for many reasons the most important being there may be issues here he/she are concerned about that I am unaware of. I put forth the above opinion as a point to consider with your veterinarian. I am afraid bute or Banamine are both prescription drugs but if you would like to consider other medications see the overview article at Treatments and Medications for Horses ยป Anti-inflammatories (NSAID's, Steroids, Arthritis Rx).
DrO
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