Thursday, 1 October 2009

Another Vet later and...

And we still are nowhere near locating the source of pain and cause of Kingsley's lameness. He has now been on box rest with short walk outs for the last two weeks.
He's been seen by three different vets including laminitis/feet lameness specialist today. Nobody seems to have a clue or an idea where is the primary source of pain or where is the lameness coming from.
The vet who saw him today concluded that he exhibits a very difficult type of lameness/unlevelness to diagnose, that he isn't lame enough to nerve block (????), that the lameness is in front and the back end is fine.

After almost an hour of walking, trotting, prodding, lungeing on soft, hard surface etc I was told 'I'm sorry but I can't really say what the real problem is here'...!!!!
He said he can see the unlevelness in front which gets worse on hard ground and when circles get tighter. Kingsley preferred to pop himself into canter than stay in trot on the lunge. At times, it looked like coordination issue when he would trot with hindlegs and yet started cantering/hoping himself into canter with front legs.
Canter generally looked level BUT varied from three beat to four beat at times.

Vet said that as he sees it right now, there are 2 options:

OPTION 1 Start bringing Kingsley back to work, first by turning him out for a week or so, then starting to walk him under the saddle for 10-15 minutes a day if safe to do so, strengthen his muscles and check whether the problem resolves itself. Get the physiotherapist to investigate the muscle imbalances, analyse gaits etc (vet found a very sore muscle in Kingsley's neck which apparently means he is holding himself to avoid loading the front legs with excessive weight).
This will either make him become sounder or he will get lamer. If the former than it might be that for some reason he stressed his front legs and due to his conformation (wide moving in front) he is finding it difficult to re-educate his gaits and move correctly.
If he gets lamer, the theory is we can then see what really is sore and proceed with nerve blocks and/or X-rays and MRI.

OPTION 2 Second option is to bone scan straight away. This is a cost of around £800...

For now we will try to find the best physio in the area and see what they can tell (good physio should be able to do do gait analysis and pin point muscle imbalances and tightness etc). We will get the vets to talk to the physio and see what we can do from there. He will also go out into the field as he is generally quiet there and doesn't really run around.
Having said that, he was rather creative on the lunge today launching himself into orbit and looking rather jolly!

His legs are swelling/filling free entirely at the moment. He seems generally happy within himself, interested in everything and doesn't seem to be in any discomfort.

Puzzling or what? Any ideas?

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