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Digital cushion photos
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chebert16
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 Posted: Sun Nov 3rd, 2013 04:10 pm
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Hi Dr. Deb, first off, was wondering if this photo was a good example of a poor footed horse lacking digital cushion. To me it seems the DDFT is smashed in this photo, and it got me wondering about my own mare who had torn her DDFT beneath the coffin bone. I am also supplying photos of her latest X-Rays.

Attachment: digital cushion.jpg (Downloaded 299 times)

chebert16
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 Posted: Sun Nov 3rd, 2013 04:17 pm
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And here are the latest X-Ray pics- her right foot is the healthier one, she tore the DDFT in the left one two years ago. To resolve this issue, we have done corrective shoeing, (pads and wedges) but nothing has helped stimulate growth to her left heel. In my mind, wedges isn't going to help this problem. She is the one I told you about at the dissection class whom I have just recently pulled her shoes and turned her out- in hopes mother nature can help what a variety of vets could not.
Disappointing to me, the vet who did these last X-Rays said she was "looking good." I don't believe him- not only because her coffin bone is flat with her sole, but I also have no idea why he would think that the rear views are acceptable? She is pigeon-toed, so if anything I would almost expect her column alignment to be tilted the opposite direction- but then, I don't know, I'm not a shoer nor a vet, so I am at their mercy. (sort of).

Attachment: left front 1.jpg (Downloaded 296 times)

chebert16
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 Posted: Sun Nov 3rd, 2013 04:17 pm
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left front, as the one before it is. She's in a 2 degree wedge. I don't know why the vets don't want to pull shoes before they access and give their recommendations to the corrective shoer?

Attachment: left ftont lateral 1.jpg (Downloaded 293 times)

Last edited on Sun Nov 3rd, 2013 04:39 pm by chebert16

chebert16
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 Posted: Sun Nov 3rd, 2013 04:19 pm
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right front

Attachment: right front lateral.jpg (Downloaded 292 times)

chebert16
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 Posted: Sun Nov 3rd, 2013 04:19 pm
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right front

Attachment: right front 1.jpg (Downloaded 292 times)

chebert16
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 Posted: Sun Nov 3rd, 2013 04:57 pm
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I feel inclined to add, that I don't entirely blame the "shoer" for my mares foot troubles. After finally absorbing (I'm a bit slow) what you were telling us in lecture last week, I know I am also responsible because I am the one who allowed her to travel on the forehand her whole life- I raised her and trained her and so I accept a good portion of the blame.
But what do I do now? She's only 9.

DrDeb
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 Posted: Mon Nov 4th, 2013 01:53 am
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Cindy, several questions to begin with:

(1) Where did you get the color pictures of the bisected forefeet in the first post? i.e. did you scan them out of some book, or did you or someone else take the pictures? If the latter, where did you take them or whose specimens were you shooting?

(2) Are the XRays of the horse that you said was currently competing at the racetrack? If so is it a Quarter Horse or a Thoroughbred? And how old is it?

(3) When you stand in front of this horse and look at her forelimbs, is she pigeon-toed? -- Dr. Deb

chebert16
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 Posted: Mon Nov 4th, 2013 02:42 am
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I found the bissected limb pic on the internet- have no idea where it came from, just thought it was an amazing photo and have studied it regularly. The horse is mine, a 9-year old barrel racing mare, and yes, she is pigeon-toed and quarter horse. I raised her from birth and know alot of her kin- they are all good footed.

Last edited on Mon Nov 4th, 2013 02:44 am by chebert16

DrDeb
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 Posted: Mon Nov 4th, 2013 04:04 am
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Would you be able to post photos of the horse? A side view, in standard conformation pose, and a front view showing the animal from at least mid-neck down all the way to the ground in front of the toes would be very helpful. I need the latter particularly, in order to interpret the XRays properly. -- Dr. Deb

chebert16
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 Posted: Mon Nov 4th, 2013 01:02 pm
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Yes i will get pics of her today- thank you!

chebert16
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 Posted: Tue Nov 5th, 2013 01:11 am
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I took a few- it was hard to get good ones since she is so dark and there were alot of shadows this afternoon.

Attachment: stevie front 2.jpg (Downloaded 239 times)

chebert16
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 Posted: Tue Nov 5th, 2013 01:12 am
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front view 2-

Attachment: stevie front view 1.jpg (Downloaded 241 times)

Last edited on Tue Nov 5th, 2013 01:14 am by chebert16

chebert16
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 Posted: Tue Nov 5th, 2013 01:17 am
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side view 1

Attachment: Stevie side view 1.jpg (Downloaded 241 times)

chebert16
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 Posted: Tue Nov 5th, 2013 01:19 am
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right side

Attachment: Stevie side view 3.jpg (Downloaded 239 times)

chebert16
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 Posted: Fri Nov 8th, 2013 01:14 pm
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Yes Dr .Deb, Here is a pic of how I think it may have began. this was July 2011. Despite this shoe job, Stevie ran great for me the rest of the season, into October. It was only then, after I would give her a break, that I would notice she would come back stiff, but then seemed to walk out of it. When November came, I pulled her shoes and turned her out in our 40 acre pasture with some others. Once in awhile I noticed she seemed tender footed out there, but I thought she was just getting used to her barefootedness. In December I left to Arizona for the winter with some other horses, and left Stevie, thinking she would enjoy the 4 months off with her buddies. When I came back in the spring I noticed she was definitely off when I started slowly getting her back in shape. I took her to vets, hoof testers were negative, nothing clearly blocked out, X-Rays were normal- it was only after MRI they found the tear- this is the exact wording: I'll add that this MRI was done in July of 2012, I had not ridden her more than 3 times since the fall before.
RIGHT FORELIMB:
There is mild increased STIR signal within the navicular bone. There is a mild increase in the size of the synovial invaginations with a moderately enlarged synovial invagination present in the lateral aspect of the navicular bone. The distal border of the navicular bone is mildly irregular. There is mild effusion of the navicular bursa and a very mild amount of increased tissue within the navicular bursa. The dorsal border of the deep digital flexor tendon is very mildly irregular at the proximal recess of the navicular bursa. There is mild effusion of the digital sheath.
LEFT FORELIMB:
There is mild increased STIR signal within the medullary cavity of the navicular bone, There is a mild dorsal margin irregularity of the deep digital flexor tendon with a slight focal dorsal marginal tear of the medial lobe, at the level of the proximal recess of the navicular bursa. There is very mild proliferative tissue within the navicular bursa. When a navicular burial distention was performed, there was no evidence of adhesion formation. There is a mild, focal, increased signal within the lateral aspect of the deep flexor tendon, just prior to the insertion. Mild osseous remodeling is present on the palmar aspect of the third phalanx, at the level of the insertion of the impar ligament. The impar ligament is normal in size and signal intensity.
1. Bilateral mild increased signal within the navicular bones on STIR sequences indicates increased fluid, which may be associated with edema, contusion or hemorrhage.
2. Dilation of the synovial invaginations of the right fore navicular none can indicate mild degenerative changes.
3. Slight focal dorsal margin tear of the left fore deep digital flexor tendon.
4. Bilateral mild proliferative tissue in the navicular bursa with no evidence of adhesions.
5. Mild navicular bursal effusion of the right forelimb.
6. Mild insertional tendinitis of the left forelimb.
7. Very mild osseous remodeling of the insertion of the impar ligament on the left forelimb of likely minimal clinical significance.

So she was given 3 treatments of Tildren, each 1 week apart, and has been in "corrective" shoeing ever since. I have not ran her much, to me she still leans too heavily on the left front, and I still feel that odd stiffness, and sometimes even a noticeable, yet mild, head bob at a trot. I've been told there are lots of ways to mask her pain and run her anyway- but I won't run her unless she is sound. My last resort now is to turn her out barefoot again and let mother nature do her work- I don't know what else to do. I can't find any vet who will just tell me that she will never be sound again, it's always more treatment, more corrective shoeing, injections, antiinflammatories, etc, etc. At this point, I would love to get her sound enough to be able to teach her real collection and see what difference it can make.
Thanks again for your time! I'll also post a pic of latest "corrective" shoeing last June, which was the last time I ran her.
Attached Image (viewed 74 times):

Stevie front feet July 2011.jpg

Attachment: Stevie front feet July 2011.jpg (Downloaded 192 times)


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