Lavinia Marks up advise Please


Kirsten Rasmussen
 

Good luck!  Overall, the fronts look better than most we see here.  Just minor tweaks.

The underrun hinds are definitely the biggest issue, and we have ways of dealing this that if the heels fail to stand up without more intervention.  One option would be to put a wedge pad in a boot for the hinds (after correcting the RH medial heel); that will help to take some of the stress off the DDFT and other soft tissues/ligaments in the back of the hoof and leg, and he would be able to stand straighter without being camped under so much in the hinds.

--
Kirsten and Shaku (EMS + PPID) and Snickers (EMS) - 2019
Kitimat, BC, Canada
ECIR Group Moderator
 
Shaku's Case History
Shaku's Photo Album

Snickers' Case History
Snickers' Photo Album


Amy
 

Thank you.  Just in time for the farrier visit.  :)
--
- Amy 10-2016

Mooresville, Indiana 

Stormy, Case History, Photo Album https://ecir.groups.io/g/CaseHistory/album?id=282454  .

 


Kirsten Rasmussen
 
Edited

Hi Amy,

I've uploaded some markups to your album.  I'm sorry its not the level of detail you would get from Lavinia, but hopefully these help in the interim. 

https://ecir.groups.io/g/CaseHistory/album?id=282454&p=Created%2C%2C%2C20%2C2%2C0%2C0

Some very general notes:

Red lines are ideal "form", so do not remove anything within them.  Red lines are NOT trim lines.  Pink lines are current "form" for comparison.  Blue dashed lines ARE trim lines, although on sole photos they can be used as breakover or bevel lines, especially from the quarters to the heel.  Try drawing the blue dashed lines on the hoof with a Sharpie marker, then trimming to your lines.
 
My trim suggestions:
  • front heels can come down a few degrees
  • front soles are a good thickness but you do not want to remove any sole
  • do not lower hind heels, just bevel lightly around the edges -- except for the medial RH heel (see below)
  • do not remove any sole from hinds

From Dr Kellon:
RH sole view: the hoof has been trimmed in a way that the capsule is twisted. You can see this in the heel bulbs but more importantly in the frog. The center of the heels is one landmark that can't change. If you draw a straight line through the center of the heels it should bisect the frog and exit the frog at its tip. This is way off.

I've tried to illustrate this in the RH sole markup.  The way the hoof is twisting suggests the medial heel is being left too high, and has grown forward as a result.

--
Kirsten and Shaku (EMS + PPID) and Snickers (EMS) - 2019
Kitimat, BC, Canada
ECIR Group Moderator
 
Shaku's Case History
Shaku's Photo Album

Snickers' Case History
Snickers' Photo Album


Kirsten Rasmussen
 

Hi Amy,

Yes you are.  I'm not sure what the timeline is for markups right now as I believe there are 2 others ahead of you.  I know Lavinia does her best to get them out before the next trim date, but it's not always possible. 

--
Kirsten and Shaku (EMS + PPID) and Snickers (EMS) - 2019
Kitimat, BC, Canada
ECIR Group Moderator
 
Shaku's Case History
Shaku's Photo Album

Snickers' Case History
Snickers' Photo Album


Amy
 

Hi.  Checking in to be sure I am in the que for markups now?
Asking because he is holding his own pretty good.  Invonkana should be here this week to start/try.
Bloodwork should be back by the end of the week. 
Everything seems to be happening now and this is the other piece.   
Appreciate everything and everyone.  

--
- Amy 10-2016

Mooresville, Indiana 

Stormy, Case History, Photo Album https://ecir.groups.io/g/CaseHistory/album?id=282454  .

 


Amy
 

Kristen,
I have uploaded per requested.  
The front soles look like they aren't cleaned out but they are.  He is in boots 24/7 (fronts only), with the occasion of being left off for a few hours, when he is in his stall and he seems to be ok without boots.  This gives me a chance to clean them and let them dry.  It is a mud pit out here during the day and frozen in the am.  I am sure the boots make his soles different.  The farrier and I agree that at this time, he can't be without the boots on the front.  He is improving but still have much more to do with his trim and getting the insulin down.  Still waiting on Invonkana.  Come on UK.  :)

Appreciate the help.
--
- Amy 10-2016

Mooresville, Indiana 

Stormy, Case History, Photo Album https://ecir.groups.io/g/CaseHistory/album?id=282454  .

 


Kirsten Rasmussen
 

It's ok if stance is not perfect.  The hoof mechanics affect how he stands, and vs, so if he stands a certain way that is important info, too.  I probably shouldn't have even mentioned it.

--
Kirsten and Shaku (EMS + PPID) and Snickers (EMS) - 2019
Kitimat, BC, Canada
ECIR Group Moderator
 
Shaku's Case History
Shaku's Photo Album

Snickers' Case History
Snickers' Photo Album


Amy
 

I will get these done. 
We are tying to get him as square as possible.   It has been tough.   
--
- Amy 10-2016

Mooresville, Indiana 

Stormy, Case History, Photo Album https://ecir.groups.io/g/CaseHistory/album?id=282454  .

 


Kirsten Rasmussen
 

Thanks, Amy. 

Since you have some time, would you mind redoing the laterals but from farther back so we can see the entire cannon bone (your LF shot is pretty good, but even farther back is still better)?  If you could ask Stormy to stand relatively square, first, that would be great.  It doesn't have to be perfect.

Also, could you try to redo the sole views on all 4?  They were taken at an angle, some worse than others (the LH is the best, but is still angled with the toe pointing away, making the heel bulbs look huge); try to get them so that the camera is centred over the middle of the sole and your phone is perfectly parallel to the plane of the sole.  This will reduce the distortion and is worth the effort for getting good markups your trimmer can follow.  I usually cup the hoof with one hand and take the photo with the other hand...its a juggling act, but by cupping the hoof with my hand (or firmly holding it at the pastern) I can control the angle of the sole plane way better.

The LF heel view focus is on the ground, not the hoof, so the hoof is a blur.  This angle is not critical but if you redo it, try to hold the camera farther back to help it focus on the hoof.

Sorry to send you back with homework, but since you have time and its worth getting the most out of these, I think you'll be happier in the long run.

--
Kirsten and Shaku (EMS + PPID) and Snickers (EMS) - 2019
Kitimat, BC, Canada
ECIR Group Moderator
 
Shaku's Case History
Shaku's Photo Album

Snickers' Case History
Snickers' Photo Album


Amy
 

My next trim date is Feb 15th.  
I hope to send my farrier mark ups prior to her coming so she can have time to review them, if possible.   
Thanks a ton!
--
- Amy 10-2016

Mooresville, Indiana 

Stormy, Case History, Photo Album https://ecir.groups.io/g/CaseHistory/album?id=282454  .

 


Kirsten Rasmussen
 

Thanks, Amy, they look good and we'll get those in the queue!  When is your next trim date?  It helps for prioritizing if Lavinia knows your hard deadline.

Sole flakes off for its own reasons, there's not much you can do to stop it.  I find alternating going from dry to wet conditions to be the main cause for my horse, but it happens even without those fluctuations.  Putting hoof armour on might help prevent it?

--
Kirsten and Shaku (EMS + PPID) and Snickers (EMS) - 2019
Kitimat, BC, Canada
ECIR Group Moderator
 
Shaku's Case History
Shaku's Photo Album

Snickers' Case History
Snickers' Photo Album


Amy
 

I have uploaded new photos today.
The Farrier was out yesterday and these photos were taken AFTER the trim.  Nothing has been done to them since.
She wanted to mention "on the front soles, she didn't make any changes, just by cleaning them out, the dead sole was flaking off, such as exfoliating".  
I noticed this happening the 2 days prior. He is in boots and it has been extremely muddy.  His boots are dry on the inside when I take them off to clean.  
Not sure if the boots are causing this or something else.

I hope these photos are acceptable. I was advised to back up some for the pictures so that is what I did.  Hopefully 3rd time is a charm!? 

There are rads uploaded as well from earlier this month.

Appreciate any assistance.  He is much improved and still waiting on Invonkana for our 1st trial of the new meds.  Still waiting on bloodwork as well, although we have to assume high insulin as it has been high for years even with doing all the right things.  

Case History is up to date as well.  
--
- Amy 10-2016

Mooresville, Indiana 

Stormy, Case History, Photo Album https://ecir.groups.io/g/CaseHistory/album?id=282454  .