In my experience, horse people are notoriously cagey and secretive when it comes to broadcasting specific details relating to unsoundness in horses. Probably for good reasons, if we’re being honest. But. Good choices aren’t always my specialty. SO. Let’s get into it lol.
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obsessed with the greenery |
We’ve gone through a litany of theories on potential external causes — a deep slow-healing bruise! poor saddle fit! cracked heels!! — and an initial lameness work up a few weeks ago showed a basically sound horse who flexed negatively, kinda reinforcing our hypotheses about external factors.
I’m a firm believer that the simplest solution is often the correct one. Occam’s Razor etc. And I appreciate that my vet has a well established methodology for measured, conservative and incremental interventions. Sometimes “wait and see” is the correct first choice.
Quick note here, guys: While I am committed to documentation and don’t mind transparency, please don’t confuse that with an invitation to provide unpaid / unsolicited counsel. Unless I’ve remitted payment to you for services provided in the last 12 months, I am not your client.
Our hope was that the mare would jog sound after blocking the foot. Which… she did not. Except about 10min later, after the block had likely diffused farther up the tissue planes of the leg — then the mare jogged sound. So. That is not explicitly conclusive, tho it tells us that probably our source is somewhere in the neighborhood of the fetlock and down.
Anyway, the fetlock had more signs of irregularity than the coffin, and since she still jogged lame after the initial nerve block and didn’t come sound until it had enough time to diffuse (presumably up the tissue planes to the fetlock), we decided to start there with a steroid injection.
We also concluded from the rads that while Doozy’s feet look marvelous and the farrier is doing good things for her heels etc, we may have room to explore options with pads and/or wedges. And adding hind shoes — which was actually already in the plans — was confirmed as a good incremental step for continuing to work the margins.
It’s disheartening to be in this position, not gonna lie. Tho there’s a certain clarity that comes with hardship. Realizing that we may be dealing with something more serious got me thinking bigger picture about the horse, myself and the future.
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omfg RUDE BISCUIT leave that poor pony alone >:( |
But we’ve waited, and we’ve seen, and now we have the information that the intermittent nature of this NQR-ness persists even with (some) rest. So the next step was to find a way to get the vet and Doozy into the same space at the same time the mare was presenting with lameness, which we accomplished last week.
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Sass Level 5000 |
Plenty of folks had plenty to say about their internet diagnoses for Charlie, as well as my and my vet’s presumed failings at addressing those diagnoses. You were basically all wrong, and all assholes. Those comments did nothing to benefit Charlie, and presumably the satisfaction for telling me that I suck as a horse owner was short lived anyway. So let’s just like. Not, yes?
The main benefit of getting the horse and vet in a room together when the horse is actively presenting as lame is that we can do nerve blocks, which basically allow you to isolate areas of the limb incrementally to see at what point the horse goes from jogging lame to jogging sound. Starting from the bottom up, it’s a neat way to zero in on pain sources.
Doozy, naturally, was not the most compliant critter for this. It was hard to tell when the block took effect bc she reacts to being poked on sight. As in, I actually had to cover her literal eyeballs with my hands while my vet crouched on the wrong side, reaching under the mare’s belly to poke the blocked foot to confirm numbness. Ridiculous sensitive creature!
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From that information, we next moved to getting rads of the coffin and fetlock joints. I should also add — we did another set of lower limb flexions before the nerve block too, all of which were negative. As in, Doozy trotted away after each hyper-flexion the same as before.
So I guess for those of you who, like myself, are wondering if this dilemma could have been avoided by a pre-purchase exam… I’m honestly not certain. The mare last year was sound. She still today flexes fine. And then we took rads and… Nothing super obvious there either. No chips or anything beyond the wear and tear that is common in racehorses. I doubt I’d have even done x-rays of the fetlocks based on how the horse flexed anyway.
I bought Doozy for $1,500. This appointment with x-rays and an injection cost $1,200, and we only took pictures of one limb. PPE economics continue to be questionable for cheap horses.
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stalkerish barn cats being stalkerish |
Yes. Injecting a not-quite-7yo horse’s fetlock feels… Not great to me. I don’t like it, not gonna lie. And I’m not totally sure it’s going to do the trick, either. Tho - if it does, and becomes a point of future management, my vet indicated it would be a good candidate for non-steroidal orthobiologics like IRAP. We’ll cross that bridge when we get there, tho.
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pls just be |
With a horse as sensitive as Doozy, she could be a marginal case anyway, ya know? It could be that a few little tweaks can make a big difference. Or at least. I am happy to hope. Regardless. Hind shoes are officially on. Fetlock injection will take time to settle in. So we’ll wait and see what impact these adjustments have, and assess from there.
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she’s come so far in the last year and a half, it would be a fucking tragedy to pivot |
A clear next step was learning how/if Doozy could return to the adoption facility… An awareness that was **instantly** drowned by a gut-deep, visceral “But I Don’t Wanna!”
Guys. I really like this horse. I straight up love the shit out of her. She is the full package. Challenging sure. But in all the right ways, and I can so clearly see a future for us.
But. Obviously. She has to be sound. And if we can’t get her sound… Well. That doesn’t bode well, right? If we can get her sound, tho… Well, there are questions there too. Particularly around the long term sustainability of that soundness with respect to fairness to the animal. It’s on my mind, have no fear.
My deepest hope is that we are able to get the mare sound with a realistic management plan that feels acceptable. I don’t want to worry that running around novice level eventing would destroy my horse’s prospects for a comfortable life. And I also don’t want to worry about what happens to this silly sensitive creature if she goes back into the OTTB resale pipeline.
So. We wait and see. And hope.
Oh Emma. No judgement or treatment plans from me. Just FUCK. Stupid universe. Fingers crossed it all works out.
ReplyDeleteCrap! Sorry, Emma. :( Here's hoping for an easy recovery and a simple maintenance plan! <3
ReplyDeleteI have mixed emotions on PPEs. I kind of look at them more as a "this is where we're starting at" as opposed to necessarily providing a clear yes or no, unless you find something clearly bad.
ReplyDeleteWhich I truly don't believe would have been the case with Doozy, even if you had done all the things for all the dollars. Fingers and toes crossed that this is a weird blip and she's magically sound again!
I felt deeply conflicted that my not quite 7 year old gelding needed his hocks done. So much so that I waited far too long to get them done. When I did get them done and he was immediately so much more comfortable, it really changed my opinion on it. This was a horse that had been brought along slowly and thoughtfully, with very age appropriate work and very limited jumping. Sometimes they just need what they need! Here's hoping you get Miss Dooz feeling better so that you can go back to doing all the things!
ReplyDeleteHere to offer all the moral support. You have always done right by your horses as shown through your blog and your caring words - if people feel otherwise, they can stuff it. Your transparency and candor into the inner workings of our crazy equestrian brains is entirely relatable and I always appreciate your thought process. In full agreement and support of your plan (not that you need some internet person's approval) and I'm crossing all my fingers and toes that this is just 'one of those things' that is short-term frustrating and long-term no big deal with maintenance. <3
ReplyDeleteUghhhhhh Emma, I am so sorry you're dealing with this. And have zero judgement about exploring all your options. I hope this does the trick for Doozy and continues to keep her sound. I do appreciate you sharing because I am always interested in the workup and interpretation.
ReplyDeleteOof I feel for you Emma. No judgement here for seeing what your options are and working on finding the right plan for Miss Doozy. My fingers are crossed for you both <3
ReplyDeleteI'm way less against injections on younger horses these days, especially as they've come out with some great, non-steroid options. We did Arthramid in Grayson's hocks because of his history of laminitis, and I've been SUPER happy with the results (even if my pocket book wasn't super happy with the cost).
ReplyDeleteBut have you tried walking her up and down hills? I've heard it's great for soundness 🙈
ReplyDeleteI appreciate how honest and open you always are. It's a choice and one I appreciate. It's refreshing as a reader/follower to hear the nitty gritty details. If I could go back in time I would have done injections sooner, I was dumb to hold out just on the principle I felt like my mare was too young for them. Echoing Carly re: the hills (JUST KIDDING). Fingers crossed you see some positive improvement in Doozy soon.
ReplyDeleteFor what it's worth, I think you've always done right by your horses. And you're still doing that. I hope this injection does the trick and all of your Doozy dreams can still come true. I'm rooting for you guys!
ReplyDeleteBuhhhh, I can only imagine how disheartening it is to STILL be trying to get her comfy. Sending hugs and offers to shank anyone who gives you grief (kidding!... sorta!). I appreciate learning from your experiences as you share the good and the bad, and it sounds like your vet is doing an awesome job taking a methodical, "less is more" approach. A lot of progress has been made in non-steroidal options, so if that joint IS the culprit, hopefully she'll be a candidate for one of those that makes you feel more confident pursuing running and jumping together. Also, the GIFs! And "chaotically waiting" is so relatable, lol.
ReplyDeleteThat is difficult news, Emma. For what it is worth, I am virtually waiting and hoping right along with you, Emma, for a positive outcome.
ReplyDeleteI feel this post so hard! I'm 100% one of those cagey people re my ponies on the internet but we've been running through a similar / parallel(?) type exercise over the last few months. If you want to commiserate more (or straight up complain), send me an email! ryen3 at hotmail dot com
ReplyDeleteSucky is the right word for this. Fingers crossed that the steroids kick in and resolve the oroblem fir a good while. The podcast "Straight From the Horse Doctor's Mouth" just did an episode on joint injection options if you are wanting to learn more about the different types of thing that can be done - not that you will need options for a long time because this is going to work! (Think positive!)
ReplyDeleteFirst of all, I'm so sorry she's NQR. This is so frustrating and I hope you are able to find a diagnosis and management plan that works for you both. Long term. You clearly love her and this is so hard to see.
ReplyDeleteAlso:
"Unless I’ve remitted payment to you for services provided in the last 12 months, I am not your client. "
I'm going to borrow this. Did I ask for your advice? No? Please see yourself out. Thanks.