Re: DP Xray & hoof photo added NOW: New radiographs added

Eleanor Kellon, VMD

The diagnosis can't be made from radiographs alone but he has considerable bone loss and findings consistent with osteomyelitis - bone infection.  If that is the case, you could try regional limb perfusion with antibiotics. The alternative is surgery to biopsy and culture the bone, possibly sterile maggot therapy or implantation of antibiotic beads (or both).  You could see what your vet thinks about the possibility of osteomyelitis or getting a second opinion even if just by a reading of the radiographs and history.  You can see how much of the reluctance to put his foot down is pain vs contracture with nerve blocks.
Eleanor in PA 

EC Owner 2001

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