Updates


Deb Walker
 

I updated Scotty's case history (just tweaked a few items to make sure it is accurate.) Basic change is I have added Jiagoluan back at 2 Tbsp. day as of yesterday. The reason I stopped it was that his feet were growing too quickly, and since I couldn't get my (then) farrier to come at reasonably shorter invervals, his hoof was just growing too much between trims.

So, now we are back to an old/new farrier who is doing an excellent job, and highly recommended by my vet. After she did the first 2 or 3 trims, Scotty was able to go totally bootless for the first time since 2017. He could walk on pavement, grass, etc. with no issues. As we continued to work slowly at backing up his toe and removing no sole, he would get sore. I would boot him for a few days and practice boots on/boots off. If he showed any discomfort the boots went right back on. He spent most of July bootless with no discomfort.

After his trim on July 29, he was unable to transition back to barefoot and remained booted 24/7.

On August 31 I discussed with his farrier the *bump* for lack of a better word on his sole (both fronts, but more prominent and painful on the right.) He could walk bootless in his shaving filled barn or on grass, but as soon as that *bump* touched pavement he couldn't do it. My farrier could see what I was talking about, and reluctantly rasped off just a tiny bit of sole where the bump was. He seemed immediately more comfortable, but still booted. We decided we really needed to see what his coffin bone was doing and where it was, so I had laterals on his fronts done 9/13. My farrier will be back out 9/22 (just a 3 week interval this time.) As a sidenote-there was no soft or squishy area on his soles and he didn't react to pressing on hit with hands/fingers.

The laterals are added to Scotty's photo album. As you can see, he has lost sole. It would be impossible to guess whether that was from the very tiny bit rasped off, or whether it was from almost a month of not wearing boots in July. His hoof continually grows down from the coronet band looking perfect, and then after a few weeks, his toe starts going forward.  I think you can see that from the x-rays, which are 2 weeks post trim.

The goal going forward will be to keep that toe from getting too long and hopefully with the addition of J he will grow more sole quickly. Because we are in the seasonal rise, I am not doing testing at this time, and evaluating by sight, condition, demeanor, etc. If (bless his soul) Scotty makes it through another winter, we will test in the spring for ACTH and Insulin.

I'd appreciate any thoughts, but I bow to my farrier to make any changes/decisions. I've lost 2 farriers who could not tolerate me asking questions...which were always asked in the most polite way. Sometimes I think men feel challenged if you ask a question, when all you really want is for them to explain to you what and why., and a question does not constitute unhappiness with their work. My new farrier (who did Scotty's feet years ago in a boarding barn - 2004/2005) told me to ask away...that is the only way you learn, and she is aware of the situation I had. Still, what one sees in a picture is not the same as holding that hoof in your hand. But if there are thoughts I should keep in the back of my mind...I'd appreciate it. Thank you as always.
--
Deb and Scotty I/R, PPID
Pecatonica Illinois, May 13, 2019
Case History:
 https://ecir.groups.io/g/CaseHistory/files/Deb%20and%20Scotty
Photos:
https://ecir.groups.io/g/CaseHistory/album?id=90619


Deb Walker
 

By the way. Not sure how it changed, but the owner's name under the photo album is wrong. Not sure how to change it to me.
--
Deb and Scotty I/R, PPID
Pecatonica Illinois, May 13, 2019
Case History:
 https://ecir.groups.io/g/CaseHistory/files/Deb%20and%20Scotty
Photos:
https://ecir.groups.io/g/CaseHistory/album?id=90619


Sherry Morse
 

Hi Deb,

I'll leave the hoof questions to Lavinia but as far as the owner name of the folder I suspect it's because Paula set your photo album up originally.  Nothing to worry about in that regard.




Lavinia Fiscaletti
 

Hi Deb,

Agree that his soles are thin, so I would recommend keeping him in boots until you can rebuild that depth as moving over anything abrasive will be wearing that already thin sole away.

LF shows some bony rotation, so the heels need to come down a bit while leaving the front half of the foot alone. That means lowering from about mid-foot back while leaving everything ahead of that alone. The result won't be a flat foot from front to back, which is fine. If you try to make it level, you'll be removing material from the area that is already too thin. Then shift the breakover back just a smidge more, as well as taking more of the remaining laminar wedge.

RF needs to have the breakover move back about 10-12 mm. Heels can be lowered a smidge as there is borderline bony column rotation.

The rotation could be why he has become more sore without boots. It would also correlate with the timing of early seasonal rise starting to kick in for the older horses. If possible, it would be a good idea to pull blood work on him now to see if his perg dose is adequate as from the last blood work, things weren't as well controlled as they should have been. I realize his perg dose was raised 1mg after those May 202 results, but that was likely just getting him back to where he should have been at that time and didn't address the 2020 seasonal rise, nor does it appear as if there has been any testing/increase in dose this year. If his ACTH and insulin are still/again not well controlled, he will continue to rotate/sink and he won't be able to increase that sole depth. He'll need more perg, and possibly Metformin to address insulin, to get there.

Sole depth doesn't necessarily increase evenly across the bottom of the foot. Many times, the foot will prioritize areas that are the "neediest" and add depth there, while the rest moves along more slowly. Removing depth from that spot is counter-productive. If Scotty seems to need relief in those raised areas, better to cut some relief into his pads than to remove the material from the sole itself.

--
Lavinia, George Too, Calvin (PPID) and Dinky (PPID/IR)
Nappi, George and Dante Over the Bridge
Jan 05, RI
Moderator ECIR


Deb Walker
 

Thank you Lavinia. I will share your thoughts with my vet...and based on her response, with my farrier.
--
Deb and Scotty I/R, PPID
Pecatonica Illinois, May 13, 2019
Case History:
 https://ecir.groups.io/g/CaseHistory/files/Deb%20and%20Scotty
Photos:
https://ecir.groups.io/g/CaseHistory/album?id=90619


Deb Walker
 

Can someone please give me an easy to understand definition of what the laminar wedge is? I've googled it, studied pictures, and I still don't really understand it. Thank you.
--
Deb and Scotty I/R, PPID
Pecatonica Illinois, May 13, 2019
Case History:
 https://ecir.groups.io/g/CaseHistory/files/Deb%20and%20Scotty
Photos:
https://ecir.groups.io/g/CaseHistory/album?id=90619


Lavinia Fiscaletti
 

Picture lamina as really strong Velcro that attaches the hoof wall to the coffin bone. When the two sides of the lamina (velcro) get separated, the material that fills the gap is called laminar wedge. The more of it there is, the further the hoof wall will be pushed from being well aligned with the coffin bone.

--
Lavinia, George Too, Calvin (PPID) and Dinky (PPID/IR)
Nappi, George and Dante Over the Bridge
Jan 05, RI
Moderator ECIR


Deb Walker
 

Thanks Lavinia. I've got that visual firmly in my head. What I don't get is how you physically *see* the laminar wedge when looking at the hoof. What am I looking for to see it...just the longer than normal toe?
--
Deb and Scotty I/R, PPID
Pecatonica Illinois, May 13, 2019
Case History:
 https://ecir.groups.io/g/CaseHistory/files/Deb%20and%20Scotty
Photos:
https://ecir.groups.io/g/CaseHistory/album?id=90619