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Exercise appropriateness ?

Diana RL
 

Hi,

Scooter started Invokana in December.  Will be getting updates labs done this Friday.  He is also PPID but that is controlled.  His weight is good.

I believe there will still need to be an increase to his Invokana dosage pending the bloodwork (He is 100mg and is 430ish pounds) which may help comfort levels still improve. 

My question is, he is at the point where I believe I should be adding exercise back in.  Currently I am hand walking about 15 mins a day - in boots on soft ground or sand.

He is not a riding or driving pony so only walking or free lunging are exercise options.

Assuming physical foot comfort continues to improve or stays as-is, what exercise would be appropriate (length, intensity, number of days a week) to continue to help stabilize his insulin?

Thanks!
--
Diana and Scooter
Jan 2019
PA

https://ecir.groups.io/g/CaseHistory/files/Scooter%20-%20Case%20History

Trisha DePietro
 

Hi Diana. I reviewed your case histories that are posted for Scooter. Is he still getting Outlast? TC 30% ? Laminox and Heiro? If not, would you update one of the histories( delete the old one)  and include his invokana dosing and the new blood results? That would be really helpful in following Scooters story and giving good advice.  Here is a link that is worth reading about increasing exercise , when and how much, etc. https://www.ecirhorse.org/DDT+E-exercise.php  How long has he been pain free? Has his trim been tweaked to support more exercise? Has he grown out enough hoof for more serious exercise? 

I think folks who have more experience with Invokana and can speak to the calorie requirements of Invokana and exercise...Free choice hay is good, but not sure about the rest of the diet piece and exercise, when taking invokana.  Will you also be testing ACTH friday too?  --
Trisha DePietro
Aug 2018
NH
Primary Responder
Dolly and Hope's Case Histories
Dolly's Photos 
Hope's Photos 
HOW TO SEARCH THE ARCHIVES: https://ecir.groups.io/g/main/wiki/1993     

Diana RL
 

Hi,

Thanks for the response.  I just re-did/updated his case history (I am new at this).  I put more info in and updated everything that needed to be.

His feed has changed (now on Stabul 1).  I contacted Randy for the appropriate feeding rate.

He is not pain free yet...much better but I would not say pain free.  With the boots on soft ground he is sound or pretty close.  Turning and on hard ground still visually lamanitic.

Xrays being done this Friday and I will post them.  His heels are too long but my new farrier wants to see xrays befor doing anything significant.  His hind feet turn elfish (toes curl up) after 3 weeks. The growth is tremendous.  We are on a 3 week trim schedule with the xrays hopefully helping address the trim issues more significantly.

Yes.  Friday will be everything Dr. Kellon suggested for monitoring Invokana in addition to acth again.




On Wed, Jan 18, 2023, 12:19 PM Trisha DePietro <RN1016@...> wrote:
Hi Diana. I reviewed your case histories that are posted for Scooter. Is he still getting Outlast? TC 30% ? Laminox and Heiro? If not, would you update one of the histories( delete the old one)  and include his invokana dosing and the new blood results? That would be really helpful in following Scooters story and giving good advice.  Here is a link that is worth reading about increasing exercise , when and how much, etc. https://www.ecirhorse.org/DDT+E-exercise.php  How long has he been pain free? Has his trim been tweaked to support more exercise? Has he grown out enough hoof for more serious exercise? 

I think folks who have more experience with Invokana and can speak to the calorie requirements of Invokana and exercise...Free choice hay is good, but not sure about the rest of the diet piece and exercise, when taking invokana.  Will you also be testing ACTH friday too?  --
Trisha DePietro
Aug 2018
NH
Primary Responder
Dolly and Hope's Case Histories
Dolly's Photos 
Hope's Photos 
HOW TO SEARCH THE ARCHIVES: https://ecir.groups.io/g/main/wiki/1993     


--
Diana and Scooter
Jan 2019
PA

https://ecir.groups.io/g/CaseHistory/files/Scooter%20-%20Case%20History

Eleanor Kellon, VMD
 

It doesn't sound like he's ready for any forced exercise yet. Please get a full set of hoof photos up (see the Wiki) too.
--
Eleanor in PA

www.drkellon.com  BOGO 2 for 1 Course Sale Through End of January
EC Owner 2001
The first step to wisdom is "I don't know."

Diana RL
 

I will get them over the next few days and post them.

To confirm, stop the hand walking even though he seems less stiff and more comfortable after?



On Wed, Jan 18, 2023, 1:56 PM Eleanor Kellon, VMD <drkellon@...> wrote:
It doesn't sound like he's ready for any forced exercise yet. Please get a full set of hoof photos up (see the Wiki) too.
--
Eleanor in PA

www.drkellon.com  BOGO 2 for 1 Course Sale Through End of January
EC Owner 2001
The first step to wisdom is "I don't know."


--
Diana and Scooter
Jan 2019
PA

https://ecir.groups.io/g/CaseHistory/files/Scooter%20-%20Case%20History

Sherry Morse
 

Hi Diana,

You said:
He is not pain free yet...much better but I would not say pain free.  With the boots on soft ground he is sound or pretty close.  Turning and on hard ground still visually lamanitic.

That is not a horse that should be doing forced exercise at this point.  You want him to be completely comfortable moving on his own before you start forced exercise. 

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


Diana RL
 

Understood.  Thank you.  No excercise at all until he is 100%.

Thanks.  I will be back to this thread once xrays and pics are done and uploaded.

On Wed, Jan 18, 2023, 4:04 PM Sherry Morse via groups.io <sherry_morse=yahoo.com@groups.io> wrote:
Hi Diana,

You said:
He is not pain free yet...much better but I would not say pain free.  With the boots on soft ground he is sound or pretty close.  Turning and on hard ground still visually lamanitic.

That is not a horse that should be doing forced exercise at this point.  You want him to be completely comfortable moving on his own before you start forced exercise. 

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



--
Diana and Scooter
Jan 2019
PA

https://ecir.groups.io/g/CaseHistory/files/Scooter%20-%20Case%20History

Eleanor Kellon, VMD
 

If the walking improves his comfort, keep it up.  That signifies a circulatory issue. He could benefit from Jiaogulan.
--
Eleanor in PA

www.drkellon.com  BOGO 2 for 1 Course Sale Through End of January
EC Owner 2001
The first step to wisdom is "I don't know."

Diana RL
 

He is on Laminox.  That has J in it correct?


On Wed, Jan 18, 2023, 5:36 PM Eleanor Kellon, VMD <drkellon@...> wrote:
If the walking improves his comfort, keep it up.  That signifies a circulatory issue. He could benefit from Jiaogulan.
--
Eleanor in PA

www.drkellon.com  BOGO 2 for 1 Course Sale Through End of January
EC Owner 2001
The first step to wisdom is "I don't know."


--
Diana and Scooter
Jan 2019
PA

https://ecir.groups.io/g/CaseHistory/files/Scooter%20-%20Case%20History

DEBBIE GIRARD <dgwof@...>
 

Diane my horse has been sound for almost a year , in the ring or out on the trails but he is uncomfortable on frozen rutty turnout so I put his boots on and off during the winter. Our new reality I think.


--
Debbie Girard   Massachusetts  2022

Eleanor Kellon, VMD
 

Correct.
--
Eleanor in PA

www.drkellon.com  BOGO 2 for 1 Course Sale Through End of January
EC Owner 2001
The first step to wisdom is "I don't know."

Diana RL
 


I just uploaded (I think I did it correctly) his front xrays from today.  I'll try to take the physical foot pictures this weekend. 

--
Diana and Scooter
Jan 2019
PA

https://ecir.groups.io/g/CaseHistory/files/Scooter%20-%20Case%20History

Kirsten Rasmussen
 

Hi Diana, 

Yes you did!   Can you add this link to your photo album to your auto-signature: 
https://ecir.groups.io/g/CaseHistory/album?id=283361

Also, can you rename your xrays following our protical:  YYYY-MM-DD_LF Lateral Radiograph/Xray
You can edit the name by viewing your image and hitting the "Edit" button.

--
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

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