Collaeyn & Monty - looking for assistance with Monty's Laminitis
Hi,
It is wonderful that you have this group to help those of us who are worried about our horses. I had sent a long post the other day, and I think I now have Monty's case history in the correct place and his photos/xrays in the correct place.
I'm hoping someone can tell me what happens next...Monty's feet were a mess when I got him, it looked like he'd had laminitis at some point. Long story short, I had xrays done last fall and his sole depth wasn't great. He was in scoot boots since then for riding and pasture, and comfortable in them. He was off lately (better description in case history file), new xrays show his sole depth is MUCH worse.
Around April I also started putting him and my other TB out in a pasture with "better" grass...
Since June 9th when the vet was here, I've taken him off pasture, and now I'm also switching his hay to an older cut from last year as I'm suspecting the new hay may be too high in sugar, as the horses are vacuuming it down. I do have samples of all 3 hays that we have, I'm going to try to mail them out today to get analyzed.
I have probably a zillion questions but right now:
1) How do I help him grow more sole depth?
2) Should I leave his scoot boots on, or take them off? He is definitely more sensitive with them off (of course) but is leaving them off important for his soles to touch actual ground and toughen up? Or will the sole depth improve even with them on?
3) do you think lack of adequate vitamins/minerals caused the sole loss, and/or the over-abundance of grass he was getting in the spring (there is more about this in his case file).
4) Current diet is Standlee Timothy pellets, California Trace Plus (they showed up today), Omega-E (showed up today).
I was also giving him
Platinum Performance's Refresh (he had anhydrosis last year just during the very hottest/humid weeks),
Platimum Skin and Alergy for sneezing/head tossing when i was riding),
Animed Biotin and started him on
Remission on June 9th.
I appreciate any help and any insight into how long it takes for sole to regenerate and what I can do to help my heart horse get better.
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Collaeyn Hazen
Sewell, NJ
Joined 6/17/2020
https://ecir.groups.io/g/CaseHistory/files/Collaeyn%20and%20Monty
https://ecir.groups.io/g/CaseHistory/album?id=248978
Sherry and Scutch (and Scarlet over the bridge)
EC Primary Response
PA 2014
https://ecir.groups.io/g/CaseHistory/files/Sherry%20and%20Scutch_Scarlet
https://ecir.groups.io/g/CaseHistory/album?id=78891
The good news is his radiographs do not show any evidence of current or past laminitis. He has distal descent/flat feet being perpetuated by long toes, underrun heels and poor hoof quality/connections that likely has a strong nutritional component but genetics may also play role. Because of the weak connections the hoof is dished and flared at the toe - probably quarters as well. He doesn't have sole loss per se. He has loss of ground clearance/depth because his hoof wall connections are not holding the bone in place and the underrun heel/long toe are stressing them.
I would be very surprised if he has an insulin problem. It's critically important to get hay analysis to make sure his mineral and protein intakes are correct. It's also possible he is being trimmed too short. He needs a set up trim as described here http://hoofrehab.com/DistalDescent.htm, at no longer than 3 week intervals, and personally I'd put him in casts for two cycles.
You also need to get insulin tested ASAP since the restrictive/poor diet isn't doing him any good. If he does turn out to have EMS you can keep his history here but otherwise it needs to move to Hoof.
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Eleanor in PA
www.drkellon.com
EC Owner 2001
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Eleanor in PA
www.drkellon.com
EC Owner 2001
Thanks for putting together the case history and adding some photos. Having the radiographs from last Oct and now are also very helpful.
As Sherry mentioned, a 7yo TB is unlikely to be IR and/or PPID but getting blood work done would provide the answers. Even if it's negative, it gives you a baseline for future reference. His hoof issues look like they are mechanical - trim just isn't physiologically correct so it's making him sore. All the problems are fairly common and fixable. You are correct that his diet needs to be mineral balanced - every horse needs that, even when they appear to be perfectly fine.
The horses may be vacuuming down the new hay because it is fresher, making it more appealing than the older hay. It isn't always about the sugar content. Getting it analyzed is the only way to tell for sure what is in it, so your plan to ship off samples for analysis is a good one.
1). Getting his trim correct will go a long way toward allowing sole depth to increase. The other thing is that the farrier needs to leave the soles completely alone - DO NOT remove anything from them for any reason, probably for the rest of Monty's life. Once the soles have been too thin, they virtually never need to be trimmed again, esp. as he is barefoot.
His radiographs show toes that are too long horizontally, thin soles, underrun heels, possibly a bit of sinking. RF has ground parallel coffin bone with accompanying broken back HPA while the LF has a fairly good HPA. There is no bony column rotation in either set, although there is slight capsular rotation, which is a mechanical issue due to the toes being left too long. His thins soles are in large part due to the long toes combined with trimming that maintains the current incorrect palmer angle.
2). Definitely leave his Scoot boots on at any time he isn't 100% comfortable otherwise he will tend to compensate by toe-first landings and shortened strides that just compound the problems. Boots also protect his soles from being further abraded and also from bruising. He should have pads in the boots so if the Scoots won't allow for that, you may need to get another type of boot until he has added more depth. Once he has adequate sole depth, he can then start going totally bare to add calloused sole.
3). A correctly mineral balanced diet is important for every horse and not having that will impact them at the cellular level in every part of their body. How that manifests depends on what the situation was when you got him. The older a horse gets, the more it struggles to overcome deficiencies/excesses that accumulate over time. Every horse is going to pay a price but when and how are as individual as their diets and genetics and occupations. In this case, I don't think the diet is the major cause of the hoof problems, I think the trim is the major component.
4). I'm assuming that the diet you listed is in addition to the free-choice hay he is receiving, with the timothy pellets the carrier for the supplements, correct? Until you have the hay analyses back, the CA Trace Plus is fine. Omega E is just ground flax with vit E added. Because the vit E is not actually in contact with oil, it isn't absorbed as well. Once you finish the current package, plain stabilized ground flax and vit E gelcaps are a more economical way to achieve the same result. There is vit E in the CA Trace Plus as well so you are currently providing more than enough to cover his needs.
You don't need additional Biotin as it's already in the CA Trace plus.
You may or may not need additional magnesium - which is the only additional thing the Remission provides - but that will depend on the hay analysis. It's likely the PP Skin and Allergy is a waste of your money as you are already providing the omega 3's thru the flax and zinc in the CA Trace Plus.
His anhydrosis could be from simple lack of salt - he should be receiving 1-2 oz of plain white table salt in his feed daily to meet his bare minimum sodium requirement (that's not exercising). Should stop the Himalayan and sea salts as both are just "dirty salt", with unknown levels of anything - no point in paying for dirt.
If you would like some specific guidelines for getting the trim corrected, I'll need a full set of hoof photos:
https://ecir.groups.io/g/main/wiki/1472
His feet look totally fixable, and if the trim is corrected, you should see results very quickly. If he is comfortable and landing heel first in his boots, no reason not to ride him.
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Lavinia, George Too, Calvin (PPID) and Dinky (PPID/IR)
Nappi, George and Dante Over the Bridge
Jan 05, RI
Moderator ECIR
My farrier never touches the sole, which is one reason I was wondering why he's lost so much depth.
I'll put his scoots back on NOW. Question - is filing his toes back something I could work on gradually, myself? None of the ECIR farriers are anywhere close to where I live. Cindy Valoura (ISNHCP instructor) is close enough to come here but for at least 8 weeks is out of work with a broken leg.
I'll look up timothy you suggest!
I did forget to mention that he gets all-you-can eat orchard grass hay, and I just switched yesterday back to the hay we got last year, as I think the first cutting we got may be really high in sugar.
It is such a relief to have someone to ask about this. You have no idea how grateful I am.
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Collaeyn Hazen
Sewell, NJ
Joined 6/17/2020
https://ecir.groups.io/g/CaseHistory/files/Collaeyn%20and%20Monty
https://ecir.groups.io/g/CaseHistory/album?id=248978
Do you know any farriers close to South Jersey that do casts?
Oh and I did forget to mention he gets all-you-can eat orchard grass hay. Per what I have read over the past week, my new hay may be high in sugar so I switched him back to the 2nd cutting I had leftover from last fall.
Vet coming for bloodwork on Thursday.
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Collaeyn Hazen
Sewell, NJ
Joined 6/17/2020
https://ecir.groups.io/g/CaseHistory/files/Collaeyn%20and%20Monty
https://ecir.groups.io/g/CaseHistory/album?id=248978
I want to cry from happiness that you think his feet are fixable. I will follow all of the suggestions above. I may need a different farrier to help. My lady is sweet, older though, she has a hard time with Monty because he's never (since I got him) been able to stand on one foot for very long, so you get about 20 seconds and you have to let him put it down. It makes for slow going. She never touches the soles, and is very patient with him. Is working on the toes something that could start ASAP? or does he need more hoof wall growth first?
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Collaeyn Hazen
Sewell, NJ
Joined 6/17/2020
https://ecir.groups.io/g/CaseHistory/files/Collaeyn%20and%20Monty
https://ecir.groups.io/g/CaseHistory/album?id=248978
she has a hard time with Monty because he's never (since I got him) been able to stand on one foot for very long, so you get about 20 seconds and you have to let him put it down.Hi, Collaeyn. Sorry I misspelled your name earlier!
Do you have trouble picking out Monty's hooves? Is this problem fores, hinds, or just one hoof?
I've had the problem of horses being unable or unwilling to hold up a hoof for long. If the hoof you aren't handling is sore, supporting extra weight on that sore foot can make your horse too uncomfortable to stand on three legs for long. When that happens, I put a padded hoof boot on hoof B while I work on hoof A. You can experiment yourself to see if it helps. My horses are trimmed on thick rubber mats over a concrete pad, and even so, when the off hoof is really sore, the padded boot helps.
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Cass, Sonoma Co., CA 2012
ECIR Group Moderator
Cayuse and Diamond Case History Folder
Cayuse Photos Diamond Photos
Sorry I forgot to respond to you.
Actually I do keep his scoot boots on and we do one foot at a time. I don't have mats in the barn but I am going to suggest to my farrier that we do him outside in the grass. Maybe I should put his cloud boots on for trims, those are even softer.
I'm waiting for Lavinia to suggest how to trim him, hopefuly he can start growing some sole depth. I'm really horrified that he LOST depth in the past 8 months between now and his last x-rays. The main changes are that he's been out of shoes and living in scoot boots 24x7 and then the mistake I made in not providing minerals from end of Dec-April when I had taken him off concentrated feed. I'm not sure which (or both) of these is the biggest problem, or if it is the trim (regardless of boots) that is the problem. It seems he had more sole when he was wearing shoes, but shoes honestly are complete torture for him to have put on. I can't even go there. It left us both traumatized every time.
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Collaeyn Hazen
Sewell, NJ
Joined 6/17/2020
https://ecir.groups.io/g/CaseHistory/files/Collaeyn%20and%20Monty
https://ecir.groups.io/g/CaseHistory/album?id=248978
You can work on his toes without lifting his feet to get them shortened horizontally. Put him on a clean level surface, like a rubber mat or sheet of plywood, or put his hoof on a 2"x12" block, then run the file horizontally. You'll still have to lift them to bevel the bottom and check on how much you've removed but you won't need to hold his hoof up as long. I had the same problem when I first started trimming Shaku, he just could not hold his feet up for long, especially his right front, for the first few months. So I trimmed off as much excess toe and flare as I could from the ground.
Also, Scoot boots are great but even with pads I have a hard time believing they offer much comfort to sore hooves. Put him in your Clouds, with thick pads, or stand him on antifatique mats like you can buy for shop floors, play rooms, or the deluxe ones that grocery store clerks get. Outside on grass helps too.
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Kirsten and Shaku (IR) - 2019
Kitimat, BC, Canada
ECIR Group Moderator
Shaku's Photo Album
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ECIR Group Primary Response
Martha and Logo
Definitely keep the feet not being trimmed in padded boots or stand him on a cushy pad. You can also just tape a pad to each foot temporarily if you don't have thickly padded boots for all the feet - just need one or two pieces of duct tape to hold it in place.
Which boots you use on him really depends on fit and on how he moves in them. If you put the Scoot boots on and he moves out comfortable, with heel-first landings, then they are fine. If not, then you'll need to experiment to find what works for him now. Be prepared for his needs to change as his feet change.
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Lavinia, George Too, Calvin (PPID) and Dinky (PPID/IR)
Nappi, George and Dante Over the Bridge
Jan 05, RI
Moderator ECIR
I don't know if you saw but I did put the additonal pictures you needed for a trim evaluation in Monty's photo album. I'll have my farrier out (or try it on own) as soon as you get a chance to send me your suggestions.
Thank goodness he's good about his back feet. I did start bringing back his front toes a bit myself sitting on a stool next to him and letting him put his foot down as often as he needed. My little radius rasp takes a long time to make much impact though. I don't want to do too much until I hear back from you.
Thanks!
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Collaeyn Hazen
Sewell, NJ
Joined 6/17/2020
https://ecir.groups.io/g/CaseHistory/files/Collaeyn%20and%20Monty
https://ecir.groups.io/g/CaseHistory/album?id=248978
Yes, you can work on backing the toes yourself. The idea is to shorten the horizontal length at ground level so that the breakover point is moved closer to the tip of the frog. I think you will find that using a radius rasp will make for a lot of work for a very small return, however. On the plus side, that means you can small adjustments on a weekly basis so that he can get accustomed to them in those small increments.
When is Monty due for another trim?
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Lavinia, George Too, Calvin (PPID) and Dinky (PPID/IR)
Nappi, George and Dante Over the Bridge
Jan 05, RI
Moderator ECIR
She was here June 5th, and is scheduled for 5 weeks at July 10th. But she will come earlier if I need her to.
I had a slight panic when I started working on his toes that maybe I shouldn't have done anything, so glad that was OK. I wasn't sure how much of the wall I can really take off though, bringing it back toward his sole. How close is too close? I also worked a bit on the side flare. I will not touch anything now until I have good direction, I promise!
He seems content in his scoots with Equine Fusion pads in them. I did order Easyboot trails that should be here in a couple of days, although with his feet being wider than long and dished, they do tend to spin (he was in these when I first took his shoes off last summer, because that was all I had at the time). I had to order a larger size than his last ones though, but maybe once the flare is gone it will be a different story.
I don't understand how to fix his heels so that they aren't under-run. I really would like to learn to do my own trimming!
Thank you!
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Collaeyn Hazen
Sewell, NJ
Joined 6/17/2020
https://ecir.groups.io/g/CaseHistory/files/Collaeyn%20and%20Monty
https://ecir.groups.io/g/CaseHistory/album?id=248978
The dishing is one red flag that his toes are further out in front of him than they should be. It's not just about the wall - everything is stretched forward further than it should be. Sounds like you did all the right things, so kudos to you.
Thanks for the approximate date for the next appointment so I know when you need to have mark-ups by.
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Lavinia, George Too, Calvin (PPID) and Dinky (PPID/IR)
Nappi, George and Dante Over the Bridge
Jan 05, RI
Moderator ECIR
I then ordered Soft Ride Boots and added the laminitis dual density purple/turquoise orthotic gel inserts and they work GREAT.
If you go there, follow their advice online on how to measure the foot and call them to order the correct boot size. They are great to work with
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Kim R, Lafayette, CA 2019
https://ecir.groups.io/g/CaseHistory/files/Kim%20and%20Shomee
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Collaeyn Hazen
Sewell, NJ
Joined 6/17/2020
https://ecir.groups.io/g/CaseHistory/files/Collaeyn%20and%20Monty
https://ecir.groups.io/g/CaseHistory/album?id=248978
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Collaeyn Hazen
Sewell, NJ
Joined 6/17/2020
https://ecir.groups.io/g/CaseHistory/files/Collaeyn%20and%20Monty
https://ecir.groups.io/g/CaseHistory/album?id=248978