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blogs: emily esterson: may 2008: poke, poke, poke baleno goes to the diagnostician
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Poke, poke, poke: Baleno goes to the diagnostician
May 21, 2008
by Emily Esterson
So ever since I bought him, Baleno has had an on-and-off strange lameness in his right hind. Look at both feet and you’ll notice his right hoof is worn down at the toe. It’s not been an obvious lameness, a three-legged lameness or even something that was easy to point to and say, “yup, that’s it. That’s the trouble spot.”

I know that some of the issues we’ve had with his training have to do with this unidentifiable, not-quite-even quality of his gaits. And I also know he probably hurts more than he lets on. Sometimes he will buck just once for no apparent reason. I’ve wondered if that buck was the equivalent to OUCH!!!

So since we’ve come to a screeching halt in his training—he went through a period of absolute and complete resistance, the vet came out yesterday for an exhaustive workup on his right hind leg. Nerve blocks in the fetlock, the hock and stifle (and an endless number of needles!) revealed nothing—his hitched gait didn’t change at all.

Discouraging as that might sound, at least we know it’s not his leg. So we’ve ruled out one structure. The bad news is that there’s no way to know, without some more advanced diagnostics, what’s wrong with B and what we should do about it.

Next step: Haul the horse to Colorado, Arizona or Texas for nuclear scintigraphy—commonly called a bone scan. How it works: a “tracer” is given to the horse orally, which than congregates in areas of damaged bones or structures, so the veterinarian can see the areas of change. Because we can’t tell whether it’s his hip, his back, or his neck that’s the problem, the bone scan will tell us how and where the treatment (whatever that is) should be administered.

Of course this presents its own set of problems: Money, for one. I’ll have to save for a few months—and that’s really the only problem, except that I need new tires on the trailer before I haul 500 miles, and probably should replace the stolen radio out of the truck, and get it fully tuned up, checked out and that pesky “stalling when I back up” problem is just like B’s hind end: undiagnosed to date.

So the treatment will be one set of costs. Getting to and from the treatment a whole other set of costs.

At times like this, I do wish that lotto ticket would come due. I’m not a gambling woman, but I’d like to give my horses every opportunity to feel their best. Maybe that’s excessive, or obsessive. But to me, it’s probably worth every cent.

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Emily - Have you tried acupuncture or chiropractic on Baleno? Some of my friends have used both successfully with their horses and I know they work wonders for me personally.
Posted by Rebecca Howe
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Whoh there, there is another option with out needles, expensive x-rays, etc. I am referring to a device that 1) identifies and pin-points where the issue is located and then uses concentrated beams of infra-red light to assist in healing of that issue. I own one of these devices and have been amazed at how accurate the identification can be. My vet was even amazed. The issue you describe is precisely the type that this device is designed to ID and resolve. You can find out more about it at the web site: www.SumerelTherapy.com. Dan Sumerel is the developer and distributor. He might be able to refer you to someone close to your location that performs the process. You can even purchase one if you want. So, before any more needles and expensive x-rays check into this...it may be just the ticket.
Posted by Alice Comer
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Emily, It sounds like you have two very good options presented to you. I was going to also give you the name of a very good equine practitioner. Larry Jones is in the Dallas area. 817-966-6877.
Posted by Phyllis Winn
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Emily, does Baleno wear shoes? Now, before you 'poo poo' my thought, please keep reading. It may sound a little far fetched, however, something you may want to try (and it isn't gonna cost much) is to have a Certified Natural Hoof Care Practioner examine Baleno's feet. You can locate one at http://www.aanhcp.net/ It's truly amazing what taking off their shoes can accomplish. I hope you'll at least do some research on this before you say no. Here's another website to assist with your research. http://www.hoofrehab.com/ I hope you'll keep us posted. I'd love to know how Baleno is doing.
Posted by Cheryl lemonhead54@gmail.com
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I would love to know more about this and how to find hind end lameness. I live in Virginia and not too far from great equine hospitals and I was hoping you would list the cost of scintigraphy. I will check out Summerel Therapy but would love to know the outcome of your tests--Thanks, Bev Carroll
Posted by beverlycarroll@att.net
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Hi everyone: here are some answers to you comments: Rebecca: He's been a regular customer of chiropractor, and it definitely works...(as I'm writing this, btw, it's raining for the first time in months and B is bucking around his pen like nothing's bothering him) in the short term. I have not yet found an equine accupuncturist in the ABQ area. Open to suggestions. I'll check out the summerel therapy for sure. Not poo-pooing natural hoof care at all! B suffered from serious quarter cracks for several years when I first got him, and we solved it, finally, and part of the solution was barefooted-ness. He's back in shoes now because I was working him 6 days a week (third level dressage is tough on the feeties!) and riding him out on desert sand for fitness. His feet, to be honest, look better than ever--so I'd be worried about the if it ain't broke, don't fix it aspect of changing his shoeing routine. I'll keep everyone posted. I found a new clinic that might have NS in El Paso--that's only 200 miles! My vet said the cost was about $1000 at Littleton Large, but that's a complete guess on his part. But the drive and the two night stay and so forth probably doubles that.
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I also was going to suggest chiropactic and accupunture. I bought a new horse who seemed off in the back end. I was told that she had some possible issues in her hocks. I started with the chiropractor/acupunture vet and found out it was some built up scar tissue about a foot and a half ABOVE her hock, on the back of her rear end! I also use a natural hoof care practicianer. I have seen amazing results with horses with huge hoof issues!
Posted by Karen yunker92@comcast.net
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I have gone though a similar experience with my horse, 21 year old Appaloosa mare that I have had since birth - she had a great four years of jumping, followed by several years of a mostly bliue ribbon dressage career to the age of 14. She has had constant hind end lameness and progressive front end lameness on the right side for the last two years, which seems to improve and then get worse, improves again and then gets worse. My vet who is stumped suggested a full body bone scan ($1,000 plus). To this end I took her to Madison Vet Hosp. in Wisconsin, three hours away, and six doctors worked on her to no avail - lots of nerve blocks, poking and proding and flexion tests. Was talked out of the bone scan by them saying specific x-rays were better. Right hock, foot, and shoulder are clean. Also. a local vet hosp. found nothing. Lots of cash involved here - can barely afford any more. She is given Adequan, Cosequin and HA - doesn't help any more. Must save up for bone scan - local vet still insists this is the way to go. Good luck with Baleno if you go this route - maybe this IS the answer to find out what is wrong. I am going to check out the Sumeril therapy first, though, before I commit my horse to a bone scan.
Posted by appaloosa03@yahoo.com
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Emily,have you had a farrier really look at his hoof and sole? Many times a very deep stone bruise can cause an abcess that will present in the leg area not the hoof. It may take sever weeks for the abcess to move down in the sole or to open at the coronary bank. Have you packed the foot and placed it in a sequine slipper or hoof boot? These are just some suggestions to where the problem may lay.
Posted by lakeacre@aol.com
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