Typical cases, whether pleasure or high-performance horses, involve some or all of the following:
1) No specific diagnosis despite prior examinations and imaging;
2) Multiple limb involvement;
3) Intermittent or chronic back soreness;
4) Limited response to joint injection, shock wave therapy, shoeing;
5) Reduced willingness to work or move off the leg, or reduced quality of work;
6) Recent undesirable behavior pattern change, such as rein lameness.
How we deal with these cases
Our first goal is to reduce repetition of previous examinations and thus reduce costs. We aim for noticeable and preferably measurable response to our treatment plan within 5 weeks; but the length of time the problem has existed may well direct the effort and time to repair the problem.
We want as much written history from any professional who has worked with your horse’s situation, including pre-purchase or other imaging results.
We conduct a physical exam including evaluation of the horse’s conformation, in-hand jogging with various flexion tests, and possible evaluation with the rider mounted. It is recommended to bring tack and riding helmet with these cases. Foot conformation evaluation is also done, including reviewing your veterinarian's radiographs of lateral podiatry views of each foot. We may use our Digital Extension Device (pictured above) in attempt to isolate an area of foot pain. If the horse is an endocrine suspect we may recommend blood tests such as insulin levels.
We will develop a treatment plan that usually includes shoeing, rehab exercise and medication. We will also determine a recheck schedule.
Dr. Mansmann will do consultations on these cases to involve your veterinarian and farrier.
To schedule a chronic lameness appointment please contact us.