Date
1 - 12 of 12
Lavinia - Request for mark-ups
Mikaela Tapuska
Good morning Lavinia,
Zahr's photos for mark-up have been uploaded to his album.
I've only included front feet as those have been the problematic ones. However, I do have hind images as well if they are needed for an overall evaluation of him and I can get some body shots today at the barn to upload too.
Thank you so much!
--
Mikaela Tapuska in Calgary AB, 2021
Case History: https://ecir.groups.io/g/CaseHistory/files/Mikaela%20and%20Zahr
Photo Album : https://ecir.groups.io/g/CaseHistory/album?id=274255
Zahr's photos for mark-up have been uploaded to his album.
I've only included front feet as those have been the problematic ones. However, I do have hind images as well if they are needed for an overall evaluation of him and I can get some body shots today at the barn to upload too.
Thank you so much!
--
Mikaela Tapuska in Calgary AB, 2021
Case History: https://ecir.groups.io/g/CaseHistory/files/Mikaela%20and%20Zahr
Photo Album : https://ecir.groups.io/g/CaseHistory/album?id=274255
Sherry Morse
Hi Mikaela,
There are usually some trim issues all the way around so including the back feet would be helpful. Same image series as the fronts. Body shots would also be helpful.
Thanks,
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
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
Mikaela Tapuska
Good to know and his hind shots are up in his album now. I'll get the body shots uploaded tonight!
Thank you!
--
Mikaela Tapuska in Calgary AB, 2021
Case History: https://ecir.groups.io/g/CaseHistory/files/Mikaela%20and%20Zahr
Photo Album : https://ecir.groups.io/g/CaseHistory/album?id=274255
Thank you!
--
Mikaela Tapuska in Calgary AB, 2021
Case History: https://ecir.groups.io/g/CaseHistory/files/Mikaela%20and%20Zahr
Photo Album : https://ecir.groups.io/g/CaseHistory/album?id=274255
Hi Mikaela,
The Aug 1 photos are labelled correctly for markups, but when you have time please go back and redo all the older photo labels. Your newest pictures actually show up 3 pages in to your photo album because the naming scheme isn't consistent. Please start each photo NAME with YYY-MM-DD.
Thanks in advance!
--
Kirsten and Shaku (IR + PPID) - 2019
Kitimat, BC, Canada
ECIR Group Moderator
Shaku's Case History
Shaku's Photo Album
The Aug 1 photos are labelled correctly for markups, but when you have time please go back and redo all the older photo labels. Your newest pictures actually show up 3 pages in to your photo album because the naming scheme isn't consistent. Please start each photo NAME with YYY-MM-DD.
Thanks in advance!
--
Kirsten and Shaku (IR + PPID) - 2019
Kitimat, BC, Canada
ECIR Group Moderator
Shaku's Photo Album
Mikaela Tapuska
Oh shoot! Thanks for catching that Kirsten, they are all fixed now. His body shots from tonight are uploaded, too.
--
Mikaela Tapuska in Calgary AB, 2021
Case History: https://ecir.groups.io/g/CaseHistory/files/Mikaela%20and%20Zahr
Photo Album : https://ecir.groups.io/g/CaseHistory/album?id=274255
--
Mikaela Tapuska in Calgary AB, 2021
Case History: https://ecir.groups.io/g/CaseHistory/files/Mikaela%20and%20Zahr
Photo Album : https://ecir.groups.io/g/CaseHistory/album?id=274255
Mikaela Tapuska
Hi there, I just found out that my farrier had to change her scheduled day to come out and will be out this Sunday (the 7th). Is there any chance of getting the mark-ups back before then?
I'm so sorry for the last minute request, and completely understand if that isn't possible.
--
Mikaela Tapuska in Calgary AB, 2021
Case History: https://ecir.groups.io/g/CaseHistory/files/Mikaela%20and%20Zahr
Photo Album : https://ecir.groups.io/g/CaseHistory/album?id=274255
I'm so sorry for the last minute request, and completely understand if that isn't possible.
--
Mikaela Tapuska in Calgary AB, 2021
Case History: https://ecir.groups.io/g/CaseHistory/files/Mikaela%20and%20Zahr
Photo Album : https://ecir.groups.io/g/CaseHistory/album?id=274255
Lavinia Fiscaletti
Hi Mikaela,
I've added mark-ups to Zahr's album:
https://ecir.groups.io/g/CaseHistory/album?id=274255&p=Created%2C%2C%2C20%2C2%2C0%2C0
Thanks for the really nice job on the photos - very helpful.
Although the last radiographs were done in April, I still used them to show what was happening then as many of the issues that were found at that time are still present. There were some good changes made to the trim in April after the rads: the toes were back up and the heels also appeared to have moved back but unfortunately, those positives have again been lost. Generally, the toes are much too far out ahead of where they need to be, with the heels running further under. The run forward heels are pulling the heel bulbs don and forward as well, so that the entire foot is squeezing out ahead rather than being centered under the leg. Walls are flaring and are being left longer than the sole plane, which is putting pressure on them to remain detached.
The rads showed that Zahr's soles were thin, likely due to material being removed from the bottom of the feet rather than backing the toe horizontally . HPAs were broken back, meaning the coffin bones are sitting flatter than they should be. There is mild, bilateral side bone on both fronts, as well as some arthritic changes along the pasterns - RF more advanced. Both coffin bones showed demineralization at the tips, which was present in earlier rads. There was NO bony column rotation, only a worsening of the capsular rotation due to the toes being allowed to get too far out ahead of where they belong - that is a trim issue. Sinking remained about the same as in the previous rads.
The trims need to focus on backing up the toes at ground level so that the breakover moves back to where the bony column needs it to be. Heels need to be finessed back to encourage the entire foot to stand up straighter and further back under the leg. Need to preserve the vertical height in the back half of each foot while doing this so as not to make the HPA situation inadvertently worse. Soles, frogs, bars need to be left alone other than to judiciously remove only the stray flaps or tags, without trying to make the entire bottom of the foot look "neat and pretty". Walls need to be lowered to sole plane, not beyond, as they are detached so not capable of being load bearing at this time.
Here are couple of links to more in-depth discussions on what needs to happen:
https://www.hoofrehab.com/Breakover.html
https://www.hoofrehab.com/HeelHeight.html
https://www.hoofrehab.com/HorsesSole.html
https://www.hoofrehab.com/FrogTrim.html
https://www.hoofrehab.com/DistalDescent.htm
https://www.hoofrehab.com/Coronet.html
LF dorsal: Green lines follow the angle of the new growth down toward the ground. Blue areas are the flaring material that needs to be removed.
LF lateral composite: On the rad side, pink line shows how the bony column should be lining up and ends where the breakover should be. There should be no hoof in ground contact beyond this point. Purple line follows the actual alignment - note how it dips back away from the pink line. This is a broken back HPA. Green line follows the angle of the new growth of the dorsal wall coming in under the coronary band. This is NOT a trim line, just a visual to show where the dorsal wall would be located if the laminar connections were tight and there wasn't a large laminar wedge present. Orange line shows where the heels should be lining up if they were back under the horse. note that the green and orange lines run parallel to the pink one.Blue line is where to back the toe to, with the blue X being the excess horizontal toe length. Red line shows where the bottom of the foot should be if the sole was thick enough- because the sole isn't that deep, nothing comes off the bottom behind the blue line. Yellow line #1 runs thru the coronary band,while #2 points to the extensor process. They should be overlapping or close together - the distance between them denotes the amount of distal descent, aka sinking.
On the photo side, the pink, green and orange lines correspond to the ones on the rad. The blue area corresponds to the blue X on the rad = the excess toe. The yellow line follows the coronary band from front to back. Note the arched configuration and the way it hooks down as it reaches the heels. that hooking is due to the heels pulling it down and forward as they have run forward. Once the heels stand back and up again, that arch will level out.
LF sole plane: Solid blue line on the buttresses is where to bevel the wall in the heels out of ground contact to allow them to relax down and back into a more upright stance (see figure 2, 3 and 4 in the Heel Height article) . The curved blue lines along the walls are a reminder to lower those to the level of the sole plane. Orange hashes across the backs of the buttresses indicate to rocker the backs of the heels to help ease landings and to encourage the heels to relax into a more upright posture.
LF sole: Solid blue line is where the outer perimeter of the foot should be, with everything outside of it being beveled out of ground contact. Bring the toe back to the solid blue line, with the blue hashed areas being the excess horizontal toe length. Orange hashes are where to add rockers to the backs of the buttresses to ease landings while preserving the vertical height. No frog, bar or sole trimming inside the solid blue line.
RF dorsal: Green lines again follow the angle of the new growth down to the ground. Blue areas are the flared material that needs to be removed.
RF lateral rad: The lime circle shows that cloudy material at the tip of the coffin bone that could be some demineralized bone or some trapped secretions that needed to drain away. The lime arrow points to the arthritic calcification along the joint of P2 and P3. The broken back HPA is contributing to this as well as jamming the navicular bone up into the back of P2.
RF lateral composite: On the rad side, same general discussion as for the LF. The pink line shows how the bony column should be lining up and ends where the breakover should be located. Purple line follows the actual bony alignment, which is again broken back. Green follows the angle of the new growth down toward the ground. Orange shows where the heels should be located once they stand up straighter and and the entire hoof capsule moves back under the leg. Blue line is where to back the toe to, with the blue X being the excess horizontal length. Red line shows where the sole should extend to, so nothing off the bottom of the foot as the sole is already too thin. Yellow line #1 runs thru the coronary band, #2 points to the extensor process and the distance between them = the amount of sinking.
On the photo side, the pink, green and orange lines correspond to the ones on the rad. The red line indicates nothing off the bottom of the foot behind the breakover point. Yellow line follows the coronary band, showing the arch, dip and forward curl you move from front to back. Once the heels shift back, it will relax into a more even configuration.
RF sole plane: As in the LF, take the walls out of load-bearing int the heels, allowing the bars to brace up the area so that the horn tubules can relax down into a more upright configuration without losing necessary vertical height at this time. Orange hashes are where to rocker the backs of the buttresses to help ease landings so that there isn't as much force shoving the entire foot forward each time the heels connect with the ground.
RF sole: Same idea as the LF: solid blue line is where the perimeter of the healthy foot should be. Blue hashed areas are the damaged walls that should be taken out of ground contact until they have had time to grow back in well attached. Back the toe to the solid line, nothing off the bottom of the foot inside the blue line - frogs, bars, sole. Orange hashes are where to add rockers to the backs of the buttresses.
LH dorsal: As on the fronts, blue areas are the flared walls that need to be brought inward to allow them to grow in well attached.
LH lateral: Same as the fronts. Blue area is where to back the toe to shift the breakover closer to the tip of the frog. Note that this is as square as he can currently stand on his hinds as the underrun heels and excess horizontal toe length are tilting his feet up at the toes. If he were to stand with his legs actually squared up, with the cannon bones vertical, he'd need to be standing on a wedge to be able to balance.
LH sole plane: Same as the fronts: bring the walls down to sole plane level and bevel them to help them grow in more firmly attached. Bevel the wall in the heels out of ground contact and rocker the backs of the buttresses. Pink hashes are along spots of frog that are loose tags, which can be removed. Leave the rest of the frog alone.
LH sole: Nothing outside the solid blue line should be in ground contact. Back the toe; bevel the flared walls; add rockers to the backs of the buttresses. Lightly clean up the leading edges of the bars along the lime hashes as they appear to be raised and starting to crumble.
RH dorsal: As with the other three, control the flaring in the blue areas.
RH lateral: Same as the other three, back the toe in the blue area. The other lines are visual markers.
RH sole: Again, tighten up the entire hoof capsule by bringing the toe back and flaring walls inward while preserving the vertical height in the heels.
Boot and pad as needed to achieve heel-first landings at all gaits faster than a walk. Flat landings are acceptable at walk, while toe-first landings are never acceptable. Experiment with the padding to find what Zahr likes the most and be prepared to reassess as his needs change. Make sure his boots have aggressive bevels added to the treads at both the toes and across the backs of the heels to facilitate easier break-overs and landings.
--
Lavinia, George Too, Calvin (PPID) and Dinky (PPID/IR)
Nappi, George and Dante Over the Bridge
Jan 05, RI
Moderator ECIR
I've added mark-ups to Zahr's album:
https://ecir.groups.io/g/CaseHistory/album?id=274255&p=Created%2C%2C%2C20%2C2%2C0%2C0
Thanks for the really nice job on the photos - very helpful.
Although the last radiographs were done in April, I still used them to show what was happening then as many of the issues that were found at that time are still present. There were some good changes made to the trim in April after the rads: the toes were back up and the heels also appeared to have moved back but unfortunately, those positives have again been lost. Generally, the toes are much too far out ahead of where they need to be, with the heels running further under. The run forward heels are pulling the heel bulbs don and forward as well, so that the entire foot is squeezing out ahead rather than being centered under the leg. Walls are flaring and are being left longer than the sole plane, which is putting pressure on them to remain detached.
The rads showed that Zahr's soles were thin, likely due to material being removed from the bottom of the feet rather than backing the toe horizontally . HPAs were broken back, meaning the coffin bones are sitting flatter than they should be. There is mild, bilateral side bone on both fronts, as well as some arthritic changes along the pasterns - RF more advanced. Both coffin bones showed demineralization at the tips, which was present in earlier rads. There was NO bony column rotation, only a worsening of the capsular rotation due to the toes being allowed to get too far out ahead of where they belong - that is a trim issue. Sinking remained about the same as in the previous rads.
The trims need to focus on backing up the toes at ground level so that the breakover moves back to where the bony column needs it to be. Heels need to be finessed back to encourage the entire foot to stand up straighter and further back under the leg. Need to preserve the vertical height in the back half of each foot while doing this so as not to make the HPA situation inadvertently worse. Soles, frogs, bars need to be left alone other than to judiciously remove only the stray flaps or tags, without trying to make the entire bottom of the foot look "neat and pretty". Walls need to be lowered to sole plane, not beyond, as they are detached so not capable of being load bearing at this time.
Here are couple of links to more in-depth discussions on what needs to happen:
https://www.hoofrehab.com/Breakover.html
https://www.hoofrehab.com/HeelHeight.html
https://www.hoofrehab.com/HorsesSole.html
https://www.hoofrehab.com/FrogTrim.html
https://www.hoofrehab.com/DistalDescent.htm
https://www.hoofrehab.com/Coronet.html
LF dorsal: Green lines follow the angle of the new growth down toward the ground. Blue areas are the flaring material that needs to be removed.
LF lateral composite: On the rad side, pink line shows how the bony column should be lining up and ends where the breakover should be. There should be no hoof in ground contact beyond this point. Purple line follows the actual alignment - note how it dips back away from the pink line. This is a broken back HPA. Green line follows the angle of the new growth of the dorsal wall coming in under the coronary band. This is NOT a trim line, just a visual to show where the dorsal wall would be located if the laminar connections were tight and there wasn't a large laminar wedge present. Orange line shows where the heels should be lining up if they were back under the horse. note that the green and orange lines run parallel to the pink one.Blue line is where to back the toe to, with the blue X being the excess horizontal toe length. Red line shows where the bottom of the foot should be if the sole was thick enough- because the sole isn't that deep, nothing comes off the bottom behind the blue line. Yellow line #1 runs thru the coronary band,while #2 points to the extensor process. They should be overlapping or close together - the distance between them denotes the amount of distal descent, aka sinking.
On the photo side, the pink, green and orange lines correspond to the ones on the rad. The blue area corresponds to the blue X on the rad = the excess toe. The yellow line follows the coronary band from front to back. Note the arched configuration and the way it hooks down as it reaches the heels. that hooking is due to the heels pulling it down and forward as they have run forward. Once the heels stand back and up again, that arch will level out.
LF sole plane: Solid blue line on the buttresses is where to bevel the wall in the heels out of ground contact to allow them to relax down and back into a more upright stance (see figure 2, 3 and 4 in the Heel Height article) . The curved blue lines along the walls are a reminder to lower those to the level of the sole plane. Orange hashes across the backs of the buttresses indicate to rocker the backs of the heels to help ease landings and to encourage the heels to relax into a more upright posture.
LF sole: Solid blue line is where the outer perimeter of the foot should be, with everything outside of it being beveled out of ground contact. Bring the toe back to the solid blue line, with the blue hashed areas being the excess horizontal toe length. Orange hashes are where to add rockers to the backs of the buttresses to ease landings while preserving the vertical height. No frog, bar or sole trimming inside the solid blue line.
RF dorsal: Green lines again follow the angle of the new growth down to the ground. Blue areas are the flared material that needs to be removed.
RF lateral rad: The lime circle shows that cloudy material at the tip of the coffin bone that could be some demineralized bone or some trapped secretions that needed to drain away. The lime arrow points to the arthritic calcification along the joint of P2 and P3. The broken back HPA is contributing to this as well as jamming the navicular bone up into the back of P2.
RF lateral composite: On the rad side, same general discussion as for the LF. The pink line shows how the bony column should be lining up and ends where the breakover should be located. Purple line follows the actual bony alignment, which is again broken back. Green follows the angle of the new growth down toward the ground. Orange shows where the heels should be located once they stand up straighter and and the entire hoof capsule moves back under the leg. Blue line is where to back the toe to, with the blue X being the excess horizontal length. Red line shows where the sole should extend to, so nothing off the bottom of the foot as the sole is already too thin. Yellow line #1 runs thru the coronary band, #2 points to the extensor process and the distance between them = the amount of sinking.
On the photo side, the pink, green and orange lines correspond to the ones on the rad. The red line indicates nothing off the bottom of the foot behind the breakover point. Yellow line follows the coronary band, showing the arch, dip and forward curl you move from front to back. Once the heels shift back, it will relax into a more even configuration.
RF sole plane: As in the LF, take the walls out of load-bearing int the heels, allowing the bars to brace up the area so that the horn tubules can relax down into a more upright configuration without losing necessary vertical height at this time. Orange hashes are where to rocker the backs of the buttresses to help ease landings so that there isn't as much force shoving the entire foot forward each time the heels connect with the ground.
RF sole: Same idea as the LF: solid blue line is where the perimeter of the healthy foot should be. Blue hashed areas are the damaged walls that should be taken out of ground contact until they have had time to grow back in well attached. Back the toe to the solid line, nothing off the bottom of the foot inside the blue line - frogs, bars, sole. Orange hashes are where to add rockers to the backs of the buttresses.
LH dorsal: As on the fronts, blue areas are the flared walls that need to be brought inward to allow them to grow in well attached.
LH lateral: Same as the fronts. Blue area is where to back the toe to shift the breakover closer to the tip of the frog. Note that this is as square as he can currently stand on his hinds as the underrun heels and excess horizontal toe length are tilting his feet up at the toes. If he were to stand with his legs actually squared up, with the cannon bones vertical, he'd need to be standing on a wedge to be able to balance.
LH sole plane: Same as the fronts: bring the walls down to sole plane level and bevel them to help them grow in more firmly attached. Bevel the wall in the heels out of ground contact and rocker the backs of the buttresses. Pink hashes are along spots of frog that are loose tags, which can be removed. Leave the rest of the frog alone.
LH sole: Nothing outside the solid blue line should be in ground contact. Back the toe; bevel the flared walls; add rockers to the backs of the buttresses. Lightly clean up the leading edges of the bars along the lime hashes as they appear to be raised and starting to crumble.
RH dorsal: As with the other three, control the flaring in the blue areas.
RH lateral: Same as the other three, back the toe in the blue area. The other lines are visual markers.
RH sole: Again, tighten up the entire hoof capsule by bringing the toe back and flaring walls inward while preserving the vertical height in the heels.
Boot and pad as needed to achieve heel-first landings at all gaits faster than a walk. Flat landings are acceptable at walk, while toe-first landings are never acceptable. Experiment with the padding to find what Zahr likes the most and be prepared to reassess as his needs change. Make sure his boots have aggressive bevels added to the treads at both the toes and across the backs of the heels to facilitate easier break-overs and landings.
--
Lavinia, George Too, Calvin (PPID) and Dinky (PPID/IR)
Nappi, George and Dante Over the Bridge
Jan 05, RI
Moderator ECIR
Mikaela Tapuska
Good morning,
Thank you again Lavinia for getting those posted so quickly!
I've uploaded Zahr's post-trim photos to his album, same series of photos as last time if the group has any feedback on his trim. Our farrier followed the mark-up guidelines for all 4 feet and did as much as she was comfortable with for the first trim, as neither of us were sure how he would respond (and even though I know this is what he needs, it is a bit of a mind game to change his feet drastically when he's been so sensitive). She'll be back out for his next appointment in ~3 weeks.
Zahr responded well right away, there was a lot of licking and chewing during the trim and he almost dozed off at one point (he doesn't do that when he is hurting). He took a couple of funny steps initially when he first walked out but I think mainly because he was re-figuring out his feet - he moved out completely fine after those first few steps.
His posture when he stands has improved as well very quickly (comparing the before and after near-angle shots) and he is still moving very well. Last night he led ME into the barn, so I take that as a positive sign! The only thing I noticed is that although the shifting was minimal on Sunday after his trim and almost entirely absent on Monday, yesterday he was shifting more frequently again. Could this be due to the different trim changing the neurological feedback he is now receiving from his feet? I don't know if that is a stretch, but I would imagine that his feet will go through some sensory changes as they go back to a more functional shape.
Thank you!
--
Mikaela Tapuska in Calgary AB, 2021
Case History: https://ecir.groups.io/g/CaseHistory/files/Mikaela%20and%20Zahr
Photo Album : https://ecir.groups.io/g/CaseHistory/album?id=274255
Thank you again Lavinia for getting those posted so quickly!
I've uploaded Zahr's post-trim photos to his album, same series of photos as last time if the group has any feedback on his trim. Our farrier followed the mark-up guidelines for all 4 feet and did as much as she was comfortable with for the first trim, as neither of us were sure how he would respond (and even though I know this is what he needs, it is a bit of a mind game to change his feet drastically when he's been so sensitive). She'll be back out for his next appointment in ~3 weeks.
Zahr responded well right away, there was a lot of licking and chewing during the trim and he almost dozed off at one point (he doesn't do that when he is hurting). He took a couple of funny steps initially when he first walked out but I think mainly because he was re-figuring out his feet - he moved out completely fine after those first few steps.
His posture when he stands has improved as well very quickly (comparing the before and after near-angle shots) and he is still moving very well. Last night he led ME into the barn, so I take that as a positive sign! The only thing I noticed is that although the shifting was minimal on Sunday after his trim and almost entirely absent on Monday, yesterday he was shifting more frequently again. Could this be due to the different trim changing the neurological feedback he is now receiving from his feet? I don't know if that is a stretch, but I would imagine that his feet will go through some sensory changes as they go back to a more functional shape.
Thank you!
--
Mikaela Tapuska in Calgary AB, 2021
Case History: https://ecir.groups.io/g/CaseHistory/files/Mikaela%20and%20Zahr
Photo Album : https://ecir.groups.io/g/CaseHistory/album?id=274255
That's great to hear! I can see the improvement, and it makes sense to spread the changes out a bit because a big change in hoof mechanics can definitely make them sore. Just don't get into the trap of maintaining without actually advancing and reaching the final trim goal, which can happen if there's too much time between trims or too little is removed each time. Soreness a few days later could be from overdoing things on his new trim, or even abscesses mobilizing. My only concern with the trim is it appears sole on the bottom of the hoof was rasped off, but perhaps Lavinia can comment on whether or not that was ok.
--
Kirsten and Shaku (IR + PPID) - 2019
Kitimat, BC, Canada
ECIR Group Moderator
Shaku's Case History
Shaku's Photo Album
--
Kirsten and Shaku (IR + PPID) - 2019
Kitimat, BC, Canada
ECIR Group Moderator
Shaku's Photo Album
Mikaela Tapuska
Re: some of the sole being rasped off I wonder if that was done to avoid a pressure point from developing in those areas (not sure if that could happen in response to a substantial bevel?). When he had the 4-point trim, his foot behind the toe bevel was quite flat when his quarters were being left for support. I can ask the farrier about it next time she's out, as I am curious!
Thank you for your feedback on his after photos :) It certainly has been a nice couple of days seeing him move comfortably again! My fingers are crossed that he continues on this trajectory as he gets used to his new trim.
--
Mikaela Tapuska in Calgary AB, 2021
Case History: https://ecir.groups.io/g/CaseHistory/files/Mikaela%20and%20Zahr
Photo Album : https://ecir.groups.io/g/CaseHistory/album?id=274255
Thank you for your feedback on his after photos :) It certainly has been a nice couple of days seeing him move comfortably again! My fingers are crossed that he continues on this trajectory as he gets used to his new trim.
--
Mikaela Tapuska in Calgary AB, 2021
Case History: https://ecir.groups.io/g/CaseHistory/files/Mikaela%20and%20Zahr
Photo Album : https://ecir.groups.io/g/CaseHistory/album?id=274255
Lavinia Fiscaletti
Hi Mikaela,
Wonderful that Zahr responded so well.
Yes, the shifting could be due to new neuro input. It could also be that the rest of his body is a bit sore/tired as he is now using everything differently than he was before. Even tho it's more in line with how he should be using things, it's still new work for all the muscles involved. Another possibility is that the improved mechanics and better movement are mobilizing any trapped collections within the feet, which could result in abscesses to move it out. If you notice any heat or real lameness, esp. in one foot more seriously than the others, abscess would be a reasonable thought. Soaking in epsom salt+water, then poulticing with Numotizine can bring those to a head more quickly. Avoid any NSAID as that would slow down the maturation process and extend the time it takes to clear it out.
Definitely need to continue backing the toes more, RF being the worst. Heels will also need to move back a lot more but it can't be done by just rasping them back as that will negatively impact the HPAs.
--
Lavinia, George Too, Calvin (PPID) and Dinky (PPID/IR)
Nappi, George and Dante Over the Bridge
Jan 05, RI
Moderator ECIR
Wonderful that Zahr responded so well.
Yes, the shifting could be due to new neuro input. It could also be that the rest of his body is a bit sore/tired as he is now using everything differently than he was before. Even tho it's more in line with how he should be using things, it's still new work for all the muscles involved. Another possibility is that the improved mechanics and better movement are mobilizing any trapped collections within the feet, which could result in abscesses to move it out. If you notice any heat or real lameness, esp. in one foot more seriously than the others, abscess would be a reasonable thought. Soaking in epsom salt+water, then poulticing with Numotizine can bring those to a head more quickly. Avoid any NSAID as that would slow down the maturation process and extend the time it takes to clear it out.
Definitely need to continue backing the toes more, RF being the worst. Heels will also need to move back a lot more but it can't be done by just rasping them back as that will negatively impact the HPAs.
--
Lavinia, George Too, Calvin (PPID) and Dinky (PPID/IR)
Nappi, George and Dante Over the Bridge
Jan 05, RI
Moderator ECIR
Mikaela Tapuska
Thank you Lavinia, it makes sense that it is a whole body process for him especially with all the compensations he's had to make in the last year and a half. I'll definitely keep an eye out for any indicators of abscesses, as you said. The pronounced limping on his RF that popped up two weeks ago makes me suspicious that something of that nature may be going on in there, even with him walking evenly now.
For his heels do you mean that they can't be moved back only by rasping all in one go, but will continue to come back as his whole hoof is adjusted accordingly? Or is there something else that we should be doing besides rasping to move them back right away and give more support?
Thank you!
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Mikaela Tapuska in Calgary AB, 2021
Case History: https://ecir.groups.io/g/CaseHistory/files/Mikaela%20and%20Zahr
Photo Album : https://ecir.groups.io/g/CaseHistory/album?id=274255
For his heels do you mean that they can't be moved back only by rasping all in one go, but will continue to come back as his whole hoof is adjusted accordingly? Or is there something else that we should be doing besides rasping to move them back right away and give more support?
Thank you!
--
Mikaela Tapuska in Calgary AB, 2021
Case History: https://ecir.groups.io/g/CaseHistory/files/Mikaela%20and%20Zahr
Photo Album : https://ecir.groups.io/g/CaseHistory/album?id=274255