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Ask The Vet: Alternative Therapies - June 07
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Questions concerning equine chiropractics and acupuncture can all be answered by Dr. Heather Heiderich during the month of June.
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Question: I have a horse that is healing from a puncture wound in the right hind hoof that went to the coffin bone. When he was returning to work and turn out, the diagnosis of his new lameness issue was that he had pulled a suspensory in his stifle. He was then on stall rest for three more months, and finally switched over to complete turnout. He continues to show signs of improvement, but after a year of only being checked once in a while to see if he's able to be ridden, he's still not able to do more than a couple weeks before something starts creeping back in. Can accupuncture or any other alternative medicines help him? (I would rather do something non-invasive and I have mixed feelings about shockwave therapy and believe it's too late now anyway).
I know the chiropractor said he can't help, but I am wondering if it's healed enough now that it's creating a case of tendonitis and if acupuncture can improve things.
Answer: Click To View
I have found, through previous expereince within my practice that acupuncture and herbals would likely help increase the strength of the body as a whole, as well as treating the current tendon injury and get it to heal faster. Acupuncture not only focuses on the current or new issues that arise, but also treat the body as a whole. I would start with the acupuncture treatments and see how much of an impact it will make.
As a side note, shockwave therapy may be of benefit, but it is best if used in acute cases. I cannot tell you how much your horse might benefit from it now, but it is a very non-invasive treatment for tendonitis and can increase the time that it takes tendons to heal.
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Question: I have a 5-year-old APHA gelding that punctured his cornea 3 1/2 weeks ago. The local vet thought it was superficial, so the treatment was not as agressive as it could have been. Hence, he developed a serious infection before we got him to the University Teaching Hospital. We had our two week follow-up visit this week. The surface of the eye is healed, but there appears to be some infection within the globe. There is atrophy of the globe also ocurring and is cloudy. He is on five different eye drops through a lavage tube, an oral antiboitic and pain med. The posibility of him having vision is very small as per the vet.
My question: Are there any supplements, acupuncture treatments or other alternative therapies that might benefit him in the healing of his eye?
Answer: Click To View
I have found in my practice that acupuncture is a great modality to add to treating cornea ulcers and other ocular diseases. Acupuncture will increase the blood supply to the area as well as stimulating the body to heal faster in the face of the current disease. The corneal abscesses are hard to treat and they take a long time to heal, there for anything that can cut down the time it takes your horse to heal, will increase the chance that vision will not be lost and it is less time he will have to be medicated. I would just add the acupuncture and possible herbals to the current treatment to speed up the healing process. Anything to get him healed in the least amount to time.
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Question: I have a 12-year-old Quarter horse gelding who was recently diagnosed with mild COPD (vet noticed heave line and heard some congestion in his lungs, but I rarely if ever hear him cough and he is on 24hr turnout on pasture with a run in shelter). This gelding also has skin sensitivities that seem to flare up in the summer (some loss of hair on face and underbelly) and he also sweats much more profusely (even at rest) than my other horse on extremely hot days. My veterinarian says COPD horses often also have allergies/sensitivities due to a compromised immune system and they will sweat more due to having to work harder to breathe. His case is mild enough that the vet simply wants us to keep an eye on it year to year and indicated if he has flare-ups since there were some medical options. Can you suggest any alternative therapies that have been researched and shown to have positive effects either for COPD or general allergies/sensitivities? I go to a chiropractor myself and appreciate the holistic benefit of proper alignment and an optimal functioning nervous system.
Answer: Click To View
I have found in my practice, COPD has responded best to acupuncture and herbals combined. There are a few different herbal recommendations depending on which pattern your horse has. Patterns are how the Chinese diagnose medical pathologies. They use the tongue, pulse, personality and other traits to pick the pattern that best explains why your horse is sick and how best to support the body to fight the disease process. I would recommend looking on WWW.IVAS.org or WWW.TCVM.com to find an acupuncturist in your area.
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Question: What is acupuncture, why is it done and what does it do?
Answer: Click To View
Acupuncture is the science of inserting small needles into the skin and underlying muscles to cause an energy change in the body. Most acupuncture points are at nerve/muscle intersections or where there is a change in the electrical conduction of the skin. Most often, acupuncture is used for treatments of musculoskeletal problems, chronic pain and decreased performance or to treat conditions that are not responding to conventional medicine. Anything from chronic obstructive pulmonary disease (COPD, Heaves) to eye problems to lameness issues, can be greatly helped by acupuncture. Acupuncture in the easiest to explain sense, causes the body to release energy and respond to the needles to reset its self. We use the body’s natural energy to route it to where it needs to be or unblock it from where is it stuck.
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Question: Could an adjustment cause my horse to go lame? on Friday, May 11th, a local vet/chiropractor came to the barn to work on several of the other horses. I had asked him to take a look at my 9-year-old Quarter horse. I had been noticing that as we trot or canter 20 meter circles, it would feel like his back left side would drop out behind at least once or twice a lesson. After the exam, he determined it to be stifle issues on the left in which he treated with aqua puncture (Echinacea not vitamin B). I was told not to ride for a week. He also gave the farrier instructions on trimming the back feet in a "natural" manner to ensure that the break over was easy. The farrier came out Wednesday and trimmed the hooves and placed shoes on the front but not the back. All seemed well, as I had not ridden since the previous Friday.
The following Friday, the vet came out for a check-up. I did not see the procedure the barn manager did; he was adjusted behind the jumping saddle about a hands width. When I got to the barn, the vet was finished but told me my horse was much improved and I could start walk/trot on the trails this week, but with no canter and no tight circles. The vet would return in a month to check on progress.
The next day I went to take him on the trail and he could hardly walk. It was as if he could not feel the ground with his back feet. As he would step with the back foot, he would raise it twice as high as normal and extend it way out underneath his belly, then set it down gently and drag it back to a more normal landing spot, shift his weight and repeat in the same manner with his other hind foot.
The same veterinarian that was working on him did not work on Saturdays and had not returned my calls. I contacted a second local chiropractor/vet to come out that morning. She said there was a lot of heat at the L4 and L5 with swelling, she then used tens on the lowest setting and it nearly dropped him. We gave Bute for three days and applied hot and cold for five. After the second check-up, a week later, he had much improved and we are now applying surpass once a day and doing massage on the left lumbar. I can tell he is still over-extending in the rear when he walks, but are still unable to ride. Did the first chiropractor cause my horse to go lame?
Answer: Click To View
Sometimes an adjustment or acupuncture treatment can cause local swelling and heat around an area. With acupuncture, sometimes when treating a chronic problem, the body over responds to the stimulus and horses actually feel worse the day or two after treatments. They usually get better about as fast as they started feeling bad and within the week, are better than they were when started. It is not common, but I do try to warn owners that sometimes when the energy that has been blocked is released, it actually makes them worse for a few days. With chiropractic, there is even less of an occurrence of this happening, but it still does. The clinical signs you are telling me about are consistent with a local inflammation at the area he most likely adjusted. It should go down and your horse will most likely return back to his normal gait within a week.
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Question: Can a stifle problem be helped by chiropratics or acupuncture? This is soft tissue damage in the stifle or possibly in the joint itself.
Answer: Click To View
It depends on what type of stifle problem you are referring to. Arthritic conditions, cysts in the femur or DJD of the patella are conditions that can not be cured or fixed by chiropractic and acupuncture. They can certainly help alleviate the pain from the arthritis as well as the muscle soreness from the horse compensating for how they have altered their gait.
If the condition is an injury to the soft tissue structures of the stifle, and do not involve the bone, I have found acupuncture and herbals to be exceptional at strengthening the tendons and muscles that are involved in the stifle joint or sore due to the altered gait associated with the stifle joint.
Chiropractic will help rebalance the body and spinal column, but again, if it is arthritis, it will not reverse the process.
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Question: I recently rescued a filly from the stock yards, a beautiful black and white paint, and under two years old. She has one hip or pubis bone that is about 11/2 inches higher than the other. I was thinking about a chiropractor, to see if the bone can be manipulated back into place. She walks well, unless she is going downhill, which she walks a little unsure in the hind end. Do you have any suggestions?
Answer: Click To View
The first suggestion is to find out whether the hind end weakness is due to an orthopedic or neurologic process. I suspect from what you are telling me that it is more likely neurologic in origin. If the reason her hip is elevated and she is unsure about placing her hind end, is due to an old boney trauma and now arthritis, then I have found that chiropractic will help the issue and you will see good results. If the weakness is neurologic, meaning she does not know where to place her hind end, seen especially when walking up or down hills or over a step, chiropractic will not give you the best results.
For neurologic disorders, I would recommend, based on my own expereince from practice, acupuncture and massage. Both will help stimulate the nerves that are damaged in her hind end as well as supporting the bones and muscles of the hind end. Your veterinarian should be able to evaluate your mare's movement and tell what is causing the problem.
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Question: A local instructor has told me that my horse has a "dropped hip." Can you explain what this is, what impact it may have on my horse's well-being and way-of-going and whether chiropractic adjustments can be helpful?
Answer: Click To View
A dropped hip is usually referred to a horse whose hips are uneven when viewed from behind. One hip is higher than the other and causes a slight difference in the movement of the hips mostly noted at the trot with the two beat gait. A dropped hip most often causes poor performance rather than an outward lameness. It will cause shortened stride behind, lack of impulsion from behind and lack of power when jumping or performing sliding stops.
I have found in my practice that chiropractic adjustments will help keep the spinal column in line and the hips even as well as correct any issues that arise from the horse compensating for a hind end that is not strong. Usually, the opposite shoulder/ front limb, bears more of the horse's weight, which can cause a secondary lameness in an already weakened joint/tendon. I would recommend a lameness work-up and chiropractic work.
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Question: My mare tore her deep digital flexor tendon and has been lame for three years. Although no longer able to be ridden, she is happily retired and, for most of the time, only slightly lame. However, from time to time, this becomes more marked. The normal course of action is box rest and bute. Is there anything else I could do for her to ease her discomfort? Would acupuncture help? She has poor conformation and has a broken back hoof pastern axis. She is in shoes raised at the heel by a gel pad.
Answer: Click To View
Acupuncture was first used as a way to lessen the pain response and in China is still used for anesthetic for surgery without any chemical drugs. There have been many studies conducted on the benefits of acupuncture in chronic pain relief in both people and animals. Acupuncture will not only help with the pain of the injury, but will treat her whole body and help her as she compensates in moving around when she is in pain. Her other leg bears increase weight and stress when she is uncomfortable and we cannot forget to strengthen and support that limb as well as the rest of her body to allow her to continue to adjust to the injury.
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Question: Where can I find a list of qualified equine chiropractors for Alberta, Canada? How do I know if they have proper qualifications?
Answer: Click To View
Here are three websites of certified chiropractors that have taken a course. I would look for someone that has completed the course and the required internship hours for certification.
www.animalchiropractic.org
www.avcadoctors.com
www.animalchiro.com
You should be able to contact them and see if they have completed the courses and you are comfortable to have them out to work on your horses.
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Question: I currently own a 6-year-old Thoroughbred who has had it rough for his little time he's been on this earth. About 2 1/2 years ago, he and two other horses that his current owner had all went through colic surgery within two weeks. From what I understand it was the lady constantly changing feed and feeding at different times. He hasn't had even a hint of problems since. Since his surgery, he's had what looks like muscle atrophy in his right hip and has just recently been claimed "lightly rideable" by my current vet. I have been working with him in the round pen, however , I haven't wanted to push him too hard. I'm wondering if doing some type of either acupuncture or massage therapy might help with his right hip or if I just need to keep working him in order to build-up that side. Any advice you could give would be greatly appreciated.
Answer: Click To View
It sounds like your guy has had a very rough time. To start, I am going to assume the muscle atrophy is a direct result from the surgery and not a different condition. I would recommend if you are not sure that the atrophy is a direct result of an ischemic insult (sometime laying too long on the surgery table can cause a lack of blood supply or too much pressure on a nerve will result in permanent damage to the muscle). EPM may also be a reason for the atrophy, since it has a predilection for the encysting in the gluteal muscles and it is warranted to test him for that as well. If it is a trauma related injury or EPM, I have found that acupuncture is a great way to increase the blood supply to the muscles, strengthen the current muscle mass he has and stimulating the nerve that innervates those muscles. Therapeutic massage to loosen the muscle fibers and release the tension from the facia covering those muscles as well as increase the range of motion of each muscle, can make a tremendous increase in his progress. Some consistent (4-5 days a week) of low level work will keep the muscles loose and is a must in the beginning of any rehabilitation program.
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Question: I have a 12-year-old Belgium Warmblood mare that I imported from Holland in November. She had a mild bout with colic in December that was resolved with NSAIDS and mineral oil. This happened again in January, but also was very mild and resolved quickly. The mare went on to compete at the top level of showjumping through March of this year. On the 22nd of April, she experienced severe pain and had to undergo surgery for a colon torsion. She is being hand walked twice a day and we have been feeding her orchard hay (3 meals) and Equine Senior with corn oil (2 times a day).
Everything was going well until early June when she began to exhibit the same symptoms of the torsion. She was given Banamine, Buscopan and Xylezine and taken to the hospital. The mare appeared VERY bloated and would barely stand prior to being medicated. Her ultrasound showed a lot of gas buildup. She is comfortable now but I am wondering if you have any ideas on how I can prevent this from happening again? Can this feed program cause extreme gas? Would allergy testing be in order? Do you know of any herbal or "alternative" supplements that could help reduce the gas?
Answer: Click To View
That feeding program should not cause her to have abnormal amounts of gas build-up. The first thing I would recommend is putting her on a top dressing of a probios product. Gener-tec or Probios powder can be fed daily with the grain. It is similar to us eating yogurt to "reset" the good bacteria in the gut. When a horse gets a build-up of gas, it is usually due to the bacteria are dying off. The probios will help replenish the bacteria and keep the gut regular. Acupuncture is also an alternative therapy to think about. Acupuncture will help strenghthen her Stomach Qi (energy) and balance her overall. When one element is deficient, it causes others to become deficient as well. Acupuncture focuses on not just the element out of balance but also the effects on the entire body. Depending on what her acupuncture scan reveals, there are also some herbals to try. WWW.IVAS.org or www.tcvm.com will give you a list of veterinary acupuncturists in your area.
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Question: I have a 3-year-old Thoroughbred filly that is in training for dressage. While she is not lame, she has excessive popping in her hindquarters (croup area not stifle). Sometimes it is not present at all, and other times I can hear it at every stride. She has flexed sound. Is it something to be concerned about and would chiropractics be something that could help?
Answer: Click To View
The most common cause of popping in horses is intermittent upward fixation of the patella. It is usually heard when the patella releases from the medial trochlear ridge of the femur and usually is heard when a horse goes from standing or rest to moving but not once they are already in motion.
The problem is most often seen in young horses especially once they are started in training. Usually, this condition may improve with 30-45 days of trotting up hills for 20-30 five to six days a week. Once she is more conditioned, it usually subsides if kept in work. I have found in my practise that acupuncture and herbals (tendon and ligament formulas) will help strengthen the tendons and lessen the severity of the condition. If the above does not work or keeping her in vigorous work, there is also a surgery where they cut the medial patellar ligament and it can correct the problem.
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Question: I am a small animal veterinarian, with horses of my own. I have two horses, half-siblings, a gelding that is 9-years-old and a mare that is 7-years-old. I sent both horses to a trainer in April for a tune-up, as they have been off work for two years, due to family obligations on my part. These horses have both been to two other trainers for starting and for further work several times over their first five to seven years, respectively. I sent them to a new trainer this past April. Problems arose right away. I have never had major problems at any of the previous trainers. My gelding is a sweet, quiet, very willing horse, while my mare can be a little stubborn. Right away the trainer let me know she was having trouble tying both horses to a wall in the arena. They both fought it pretty strongly. I have never had problems tying these horses. She did not ride them until about two weeks into their stay there, but they continued to fight being tied to the wall, and when she rode them she had problems with them fighting her. My gelding has never fought anything in his life. Both his previous trainers wanted to keep him for themselves or for show. My husband who does not ride, rides this horse. Again, he is kind, willing and very sweet. I called his previous trainers who reported none of this behavior from him or my mare. We, at first, attributed this to them being off for two years. However, two months later, things are not getting better, and she tells me my gelding is very off, switching leads on the fore and hind constantly while cantering, still fighting the wall, pawing and rearing and backing up when she gets on. She is convinced he is trying to get her off of him and know what he is doing. My mare is doing alright, but is very stiff and will go along fine then stop, and she has to really kick her to go on. The trainer now wants to use spurs. The trainer had a chiropracter look at both my horses, and he is telling me that they both have latent herpes virus neurologic symptoms, which is attributing to thier behavior. He has found "old vesicles" in their mouths, which, according to him, means they had herpesvirus sometime in their past and has told me to call some equine veterinarian in Portland, Oregon, (I am in Illinois, and my horses are being trained in Southeastern Wisconsin) to discuss treatment with colloidal silver and lysine. He is a human chiropracter by training that has supposedly done equine for several years, and in fact, does it exclusively now. As a veterinarian, I am a little skeptical of his diagnosis. I consulted on the Veterinary Information Network with a board-certified equine internal medicine specialist who said she has not seen "vesicles" of any kind, old or new in herpes virus infected horses' mouths and recommends an equine veterinarian look at my horses. The trainer has contacted her veterinarian to set up an exam for both of my horses. I was told that this "phenomenon" is quite common and being treated all over the U.S., but cannot find ANYTHING on it in my search. My problem, up until now, is that my horses are two hours away and I have been at the mercy of the trainer as far as chiropracters and veterinarians. I will be going up tomorrow to see them, and will likely bring them home this week, as this has been an extremely disappointing venture for me and my horses. I am planning on taking them to a well-respected clinic in the Chicago suburbs to have them examined next week. After all this, as for my question, is this "syndrome" something that is truly being diagnosed and treated, or am I being sold down the river? Let me also explain that the trainer is well-respected and I talked to several horse owners who raved about her training, so she comes on good recommendations.
Answer: Click To View
I have heard of it being “diagnosed” by both chiropractors and acupuncturists alike based on behavior/training problems and their examinations. I have not seen or heard of “vesicles” in the mouth that can be attributed to latent herpes or past infections. My thought is that “vesicle” is extrapolated form the oral plaques found some times in cats.
Most horses suspected of having had herpes, have an increased sensitivity to touch and when handled or in training and may have moments of unpredictable reactions to a normal stimulus. With that being said, I would have them evaluated by a veterinarian with respect to the stiffness the trainer mentioned with your mare (cervical stiffness vs back soreness) and possible unsoundness with your gelding (swapping leads is a possible sign of pain) to rule out any physical reason for the behavior. If they have neurologic symptoms rather than a physical lameness, then pulling blood for titers may be beneficial (both EPM and Herpes). If they are negative, then I would lean toward a mismatch with your horses and the current trainer.
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Question: I recently moved my 23-year-old Arabian gelding to my property, which has slightly more hills than his previous pasture. Prior to this move, he has been ridden lightly on moderately hilly and rocky trails, with no soundness problems. He has developed an intermittent "clunk" in his left hip. He does not favor it and he does not appear lame. He has not been ridden since his move to the new property, so his soundness has not really been tested. He has been on regular dose Cosequin for many years for pastern arthritis (confirmed by radiographs). Is this a condition for which chiropractic or acupuncture would be appropriate, or should I have him evaluated by my regular vet prior to any "alternative" treatments?
Answer: Click To View
I would first start with a lameness exam done by your veterinarian to determine the exact location of the problem as well as ruling out any other joints or tendons that may be affecting your gelding’s gait. Another question to ask yourself is, do you hear it in all of his gaits or just one? Also, you did not mention which pastern joint has the arthritis and, depending on which leg it is, may contribute to the current concern. At his age, it is imperative to evaluate his overall health and soundness in all four limbs rather than start by focusing just on the area related to the noise. There are many ways that horses compensate when sore and it is best to put all pieces of the puzzle together and have a complete picture. I have found in my practice that by using both chiropractic and acupuncture, will benefit the hip/spine to allow the joints as much freedom of movement possible, as well as loosen any tightness in the muscles and tendons attached to the hip and spine. Additionally, both modalities focus on the entire body and not one area, so I believe that the response to the treatments may be more pronounced than in conventional treatments. That being said, it may take a few treatments to see the desired response depending on the time of onset of the injury, severity of the injury and what else may need to be addressed to correct the problem. If your veterinarian can do all this for you, wonderful, or ask if there is a chiropractor/acupuncturist that your veterinarian recommends and has worked with on other cases.
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Question: I have a 23-year-old Arabian who has Cushing's (pituitary pars intermedia dysfunction - PPID) and has been on pergolide (1 mg daily) for approximately 8 years. I am very attentive to his diet and health maintenance and thus far, his only symptoms have been a long coat that does not shed. I recently heard that pergolide was going off the market (for humans) and may be in short supply for horse owners. I heard about "chaste tree berry" as an alternative treatment for PPID. Is there any information you can impart regarding this herbal remedy?
Answer: Click To View
First, pergolide is off the market to humans as the tablet form. Currently, it is still available in the powder form, which is what is used to compound pergolide for horses. Efforts are underway to continue the supply of pergolide for use in horses only. Chaste Tree berry has been used by some veterinarians but with little consistent success. If you would like to treat your horses PPID with herbal supplements, I would suggest as herbal combination not just one herb. A veterinarian acupuncturist can evaluate your horse's overall disharmony and prescribe the correct herbal combination that suits your horse's needs.
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Question: About four months ago, I noticed my two-year-old mule had a "humped" back. It came on rather suddenly, so I don’t believe it is a naturally occurring conformational development. He had been cast in his stall a week or so before, and was also turned out and playing roughly with his much larger brother of the same age. Lots of rearing and "riding" were taking place.
I had an equine chiropractor evaluate my mule, who massaged his loin and used a "tens unit" on the area. This was followed by confinement and ten days of muscle relaxers. Absolutely no changes were seen. He has never exhibited pain, but now seems a bit crabbed in movement at a walk, more like he is tucking his pelvis and his tail is relaxed. Just what specialist do I call out at this point? Many of the equine back specialists in this area seem to be human therapists that have added equine to their list of clients. I feel they don’t really understand the equine physiology nor the demands upon it.
Answer: Click To View
You are right to question human therapists understanding of the horses' anatomy as well as the dynamics of the spine. Being that the horses’ spine is horizontal not vertical it has different stresses and factors than the human spine. I suggest that you find a veterinarian that specializes in lameness evaluations as this could be an issue with the spine, hip or sacrum. Might I also add that a veterinarian who also includes chiropractic and acupuncture in their practice would give you the most complete evaluation of the problem as well as the best options for treatment.
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Question: I have a mare that has something eating away at her white line. She was treated with Betadine and sugar with minimal success. Currently, I have been treating with oral collodial silver and a salve to apply to her hooves.
The salve has anti-fungal properties and her sole has sloughed since application began. Do you think that feeding silver is beneficial? I am curious how the body utilizes this element or if it is even worth feeding. Both the silver and salve were provided from a human alternative therapist whom my veterinarian recommended.
Answer: Click To View
White line is a disease that is both complex and frustrating. It involves the separation of the hoof wall due to factors such as too much moisture, past or current laminitis, injury to the outer wall causing defects to improper shoeing. In my practice, I do not feel that feeding your horse oral colloidal silver or oral iodine will help the situation for this reason. The area of the white line (especially in the early stages) does not have a good blood supply so feeding anything that must first be absorbed then transported to the outer hoof wall will not be in therapeutic levels needed to kill the bacteria/fungus present. If your horse is lame due to the white line disease, then it may have progressed to the inner wall, but most cases do not get that far. The bacteria or fungus that is part of the disease process is considered anaerobic (non-oxygen loving) and live in damp, dark and non-oxygenated areas. I have found the best treatment still is to dremel/drill out the diseased wall to allow oxygen to get to the area affected (you will see that there is very little to no blood when this is done). If the hoof wall is affected in a large area, a small amount can be cut back every two weeks until healthy hoof wall (wall that is adhered together) is found. Normal hoof wall is considered wall that has not separated. Once found, the exposed wall is treated with betadine solution to help clean and dry the area affected and the hoof wall is allowed to grow out. Shoes are necessary help to distribute the weight and pressure of the horse over the wall that is left.
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Question: How do you view the alternative therapy industry with regards to massage therapy for horses? Do you think it is has a place within horse rehabilitation for muscular problems?
Answer: Click To View
I have come to realize in my practice, I feel there is a huge advantage in using alternative therapies in any rehabilitation program if performed by someone that has training in that modality and is working in conjunction with the treating veterinarian. Rehabilitation takes a team effort form all people involved with the horse and all parties must be in argeement in the course of treatment.
Acupuncture, therapeutic ultrasound and different modalities of massage therapy are wonderful tools to speed up recovery, especially in muscular injuries as well as increase the comfort of the patient if done along with the conventional modalities.
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