Lavinia? how long to keep Lacey in wedge plates & wedge pads?


Kate Triplett
 

Hope this is not too much of an imposition, but I need to have some guidance from other than my (very young) vet.

 

I have had Lacey shod per vets instructions to the vet practice's contracted farrier. Farrier is frankly quite good, but he's strictly following doctors orders. I am questioning if we need to stay in the wedge package for long term, or can (in another cycle or two) go with a normal plate, still set back and still buffing down toe from the top as things grow down.

My gut tells me that another two cycles (likely five weeks per cycle at current growth rates) may do it, and then go with  flat plate, wedge PAD, with DIP support, and then perhaps two more cycles before going to flat plate and pads with DIM.

Photos of two sets of rads plus before and after shoeing are in Lacey's files.
FWIW, this is the first time this mare has EVER been shod - her sire never wore a shoe in his long life as an eventer, too. Just very sound feet in this line of horses.

Both vet and his farrier are of the opinion that the laminitis episode that triggered the rotation is related to her sudden weight gain upon maternal recognition  after she was gotten in foal! We did have a huge grass growth even at that time, as well - other pregnant mare put on a hundred pounds and her bloodwork came back with high ACTH, but her feet so far (knock wood!) are holding up.

Thank you in advance for your time and experience!
--
Kate and Bunny (Irish Draught broodmare PPID) and Lacey (Irish Draught Sporthorse broodmare IR laminitis
Homesick Angels Farm, WA USA
Joined August 2019
https://ecir.groups.io/g/CaseHistory/files/Kate%20and%20Bunny
https://ecir.groups.io/g/CaseHistory/files/Kate%20and%20Lacey/Lacey%20Case%20History%20Form.pdf
Lacey feet https://ecir.groups.io/g/CaseHistory/album?id=95212


Lavinia Fiscaletti
 

Hi Kate,

Thank-you for creating case histories for both of your girls - it helps us hugely. Because both of your girls are IR, and Lacey is also PPID, you should keep all discussions about them - including feet - on the main group.

I wouldn't recommend shoeing at all, esp. in a horse that has never had them before. Laminitis is much more easily managed with boots and pads (if needed) as you can then do the necessary trim adjustments quickly and easily. Thinning the entire dorsal wall isn't the answer - bringing the toes back and setting the breakover in the correct place on the foot itself is the answer. If you put a shoe on a less-than-optimal trim it's like putting a cast on a broken arm without setting the bones first. Weight gain doesn't cause laminitis - underlying issues do. Those underlying issues may also drive weight gain or just plain over feeding will too.

I took a quick look at the photo album earlier but that was before the rads were added. Let me take a look at them then I'll comment on the main group. It would be helpful if you could also take and add a full set of hoof photos to her album. Here's what's needed:

https://ecir.groups.io/g/main/wiki/Hoof-Related-Photo-Instructions

--
Lavinia

Moderator/ECIR Support


Lavinia Fiscaletti
 

Hi Kate,

It would be really helpful if you would condense all the photos/rads for Lacey into one album - no need to have separate ones. If you want input for Bunny, you can create a separate album for her photos.

In the case histories, just create one main folder for all your horse then upload all the individual case history documents to that one folder rather than having separate ones for everything. If I make those changes for you, you won't be able to make changes in the future as you won't "own" the folder.

Thanks for your help with this.

--
Lavinia

Moderator/ECIR Support


Lavinia Fiscaletti
 

Kate - quick question regarding the radiographs: were the ones taken on 2019-08-07 after the farrier trimmed or before?

--
Lavinia

Moderator/ECIR Support


Kate Triplett
 

Lavinia, thanks! The rads dated 2019-08-07 were before the shoes were set on 2019-08-25, vet pulled rads three weeks after initial findings of rotation on 2019-07-22.

Actually with the restricted diet change (I used the ECIS emergency diet, to get started, as need to have hay tested etc) she immediately began returning to soundness, AND lost weight (blubber) and is now at what I consider a good weight for her. She had been sound to walk on the concrete aisleway barefoot at the time of second set of rads, though I was keeping her in the cloud boots to support that P3 as feet grow down.

Vet's initial thought was to go to glue-ons, which I was not too excited about. I'll be bold and say that I have about thirty years more "under a horse" than my young vet does :)

Farrier (contracted by the vet hospital and he is VERY good) went with the aluminum Triumph wedges and wedge (leather) pads to get the angle the vet wanted? I am not convinced that the heel height is actually NEEDED. Given that the mare is now pretty sound (even before shoeing) my gut is to keep her supported with the DIM under pad and shoe for another few months. It took her a solid week to get used to the higher heels and the altered breakover, but she's now pretty comfy on the "new feet". My regular farrier is very capable of replicating the setback and trim, and I have ordered in two more sets of same package for his use going forward.
--
Kate and Bunny (Irish Draught broodmare PPID) and Lacey (Irish Draught Sporthorse broodmare IR laminitis)
Homesick Angels Farm, WA USA
Joined August 2019
https://ecir.groups.io/g/CaseHistory/files/Kate%20and%20Bunny
https://ecir.groups.io/g/CaseHistory/files/Kate%20and%20Lacey
Lacey feet image files https://ecir.groups.io/g/CaseHistory/album?id=95212


Kate Triplett
 

I have condensed all photos into one file with rads, and edited the folder title to reflect that. I deleted the extra folder.
--
Kate and Bunny (Irish Draught broodmare PPID) and Lacey (Irish Draught Sporthorse broodmare IR laminitis)
Homesick Angels Farm, WA USA
Joined August 2019
https://ecir.groups.io/g/CaseHistory/files/Kate%20and%20Bunny
https://ecir.groups.io/g/CaseHistory/files/Kate%20and%20Lacey
Lacey feet image files https://ecir.groups.io/g/CaseHistory/album?id=95212