Alcohol Injections for Ringbone, Subluxation

@dressager Okay, thank you! That’s a relief. I’ll cut the supplements. I do love those dang Smartperks, even if they’re a bit of a ripoff. I’ll call the nearby equine surgical center and see about fusion asap. I was ecstatic to see her doing her best to run and buck when I went to turn them out, even though it always triggers her pain the next day. It seems like the Equioxx is finally starting to kick in and she’s feeling better!

Thank you again for relaying your experience. It’s brightened my day to know there’s still hope.

Yes- a word of warning- I got lulled into that as well-they have to stay quiet. I turned this mare out in a very small round pen to roll and enjoy being outside. She bucked a few times and the next several days she paid for it!

I know you want this mare to have more time, but if its cutting into the care of the other two, I just cant see justifying any other action other than letting her go. Just my opinion.

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I completely understand this thought process and wholly agree. The biggest chunk of the issue was keeping up with her supplements. I’ll be more than happy to stop feeding her Smartpaks.

These past two months have been one financial blow after another. I hope that finally things will slow down. Getting one of the other mares x-rayed has been a major issue I’ve been saving up for, and now it’s over with. I’ll call around and see if there’s a vet in the state that’ll do injection fusing. The Equioxx seems to be working at last. If she’s not better by the end of the month and I can’t do the injection, the kindest thing I can do is put her to sleep.

I will continue to agree with the other posters. You are on an incredibly tight budget that is effecting your level of care for your other horses as well. It would be kindest for her, and financially responsible for you to have her put down.

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My horse developed high ringbone in the front right pastern from an acute injury. At the time, alcohol fusion was pretty new and really only being used for hocks. There was also an issue with the pastern joint space and ability to inject the alcohol into the joint. Surgical fusion was suggested, but I didn’t want to put her through that and the lengthy stall confinement as she does not do well confined. The costs were a big factor at the time also. I haven’t kept up with the most recent scientific studies on alcohol fusion for pastern ringbone, but I had heard it was more successful for ringbone in rear legs.

Very long story short, what helped her was a very good farrier (worked at the vet school) who thought outside the box. I was ready to let her go when he convinced me to try some Steward clogs. It was like night and day for her. The next day she was walking down slopes and even trotting some where before she could barely hobble. We kept her in clogs until X-rays confirmed fusion. The clogs aren’t cheap either, and it took a long time to fuse (about 1.5 years). She was on daily bute, as previcoxx did nothing for her.

She is now on Pentosan and still on a daily 1g dose of bute, and has been for years with no problems. The vets are of the opinion the ringbone does not cause pain anymore, but her age and the stress and compensation in other parts of her body from the long term lameness has taken a toll. Although she still has a little hitch in her step from the ringbone, her rear fetlocks are now dropping and her hocks aren’t the best either. You can really tell she hurts during farrier visits. Don’t known if the dropped fetlocks are due to genetics (no DSLD in either parent or full/half siblings) or from an injury or from putting a lot of her weight to her hindend for so long. She is turned out on a smaller, mostly flat pasture with a couple long-term buddies. She is still lead mare and will mete out discipline when needed. I cringe every time I see her kick out at an insolent pasturemate or start running because I know she will be paying for it later. It is likely this will be her last summer because winter with ice can be pretty hard on her.

In retrospect, if confronted with the same situation, I would think hard and long about it and probably chose euthanasia. She was in the clogs for a long time, and it was a every 5 week cost for the special shoes. I’m sure she was in quite a bit of pain at times during the fusion process, even though she is very stoic. She has been a pasture pet since her initial injury and is turned out on a smaller, level pasture (not easy to find here in E TN). While she has had a good life, there have also been times when she has had a good bit of pain and I wondered if it was worth it, especially with the added physical challenges likely resulting from or exacerbated by the long-term lameness.

Whatever you chose to do, I wish you the best of luck.

@neversaynever Thank you for relaying your experience. The alcohol injection is really my final option before euthanasia. If I can’t do it, then I’ve done my best and should let her go. I can’t afford doing special farrier work or any kind of surgery.

I read an article by a vet who said while she’s never been told by an owner that they regretted putting their horse down too soon, many have regretted not doing it soon enough. I don’t want to be one of the latter. I’m talking with my neighbor about burial today, just to make sure that when the time comes for any of my animals I’m prepared. I’m calling vets around here soon. I’ll post what I find out.

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Also, something to keep in mind is that in my experience they need to be kept in a very soft environment. This mare absolutely had to be in a very well bedded stall. Even several months out I was out of town and the owner decided to put her in a pipe stall on hard ground for several hours a day. She was ready for more movement but NOT hard footing. She was incredibly sore because of this and had to spend a month convalescing.

That would be me and my old man, Lucky. He’s still with us and doing very well as a pasture pet. Both front pasterns are fused, one with alcohol, the other naturally. The biggest difference for him once he was out of acute pain has been a farrier who really understands what he is doing and spends the time and patience to get it right, even for a “useless” horse.

He’s not on any painkilling drugs or supplements any more. he likes his food so I do watch his weight.

I watched the old boy canter up the field yesterday. It’s not entirely pretty, but it’s functional and doesn’t cause him any distress. He’s in his mid 30’s now.

Had we not been able to do the alcohol fusion, or had it not been successful, I would have had him euthanized. He was in pain and nothing was really helping. The one that fused naturally did so with minimal issues, but the other one stubbornly refused to do anything but cause pain.

@atr I’m so happy to hear your old man is doing well! Thank you for stopping in and giving another update.

No certainties for Pepper - I called an in state surgical center and he said her subluxation could complicate the injection. I asked my vet to email them photos of her rads and, as is the usual for the practice I use, it didn’t end up happening. I’ll call again tomorrow and make sure they get those sent.

Pepper is still on and off non weight bearing after she stands from lying down, which she does twice a day when she’s hurting. I really hope this isn’t causing extreme wear and tear in other parts of her body. Not feeling overly optimistic about any future news.

It’s difficult. The pastern is such a vital, weight-bearing joint. TBH, I wouldn’t wait too long before making the decision either way. We were fortunate that my vet wanted an experimental subject, and as we’d already really decided to euthanize him, there was nothing to lose and everything to gain.

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Awesome news today! The vet at the surgical center called me back and said Pepper’s x-rays place her as an excellent candidate for the injection. As for the subluxation, he said there isn’t one. I was at work and a bit frazzled from the good news so I didn’t process what he told me completely, but he said something about something being ruptured a long time ago.

The even better news is if the fusing goes well, Pepper will be sound to ride! I’m completely blown away. Don’t think I’ve smiled this much since I got these darn horses!

The fusing will cost $500, including x-rays and the whole shebang. The high price startled me, but my parents said they’d pitch in to help me which is a huge burden off my shoulders. I hope to have the procedure done as soon as possible. Crossed fingers she doesn’t have other issues caused by compensating for her lame pastern. Annnd fingers crossed her recovery goes smoothly. This is her last chance for a comfortable life and I’m elated.

Paying $500 to make a horse sound when we originally paid $500 for a sound horse. This is why prepurchase exams are so important - a $500 horse is now a $2,000 horse, give or take a couple hundred :lol:

She’s worth it. Thank you all for the help!!!

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Good luck to Pepper and you! Please keep us posted on how she does. I will be sending healing thoughts and prayers.

I don’t think fusing the joint is a temporary fix. It does, however, hurt a lot during most of the fusion process. That can take months.

If this were my horse, I’d put it down. But, OP, it sounds like you would, too. If that’s what you want, don’t let a vet pressure you into trying a procedure that costs you money and time and causes your horse more pain.

Good luck to you. I have had one with ring bone and another with some subluxation in the pastern joint that resolved itself. I wouldn’t try to “fix” anything going on with a pastern joint again if I could help it. They are unforgiving.

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That’s good news! I know you’re excited, but try not to get your hopes up too high. She’s 3 legged lame and her pastern is swollen. There is no guarantee she’s going to ever be sound or ridable even if the fusing is successful in fusing her pastern. I really hope it goes well and that she recovers!

You’ve only had her a few months, right? Has she been this lame the entire time? If she arrived that way, do you know how long has she been so painful and lame? Do you know if she’s broke for sure or do you have any information about what she did in her former life? How did you end up rescuing her? How about the other two?

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@mvp If this happened with either of my other two horses, I wouldn’t hesitate to put them down. That sounds cold, but Pepper is the golden child because I can trust her with so many things. She gets along with every horse she meets, loads well, and is calm in stressful situations. If and when I get another horse, I know I can trust her to get along with them right away. Her temperament is so genuine and valuable that if I can keep her around, even as a companion, it would be such a relief. The other two are honestly not going to last much longer either. And they’re kind of… witches. I love them, but they’re difficult.

I’ll try my best to not get clouded by bias and emotion and I know that when I feel it’s time, it’s time. I don’t want fusing her pastern to be selfish on my part, but I guess it is, to an extent. She’s kind of my heart horse. She had a terrible start to the year and almost ended up being pts because of unknown dental issues, but seeing her coming back from that and just being happy and pain free for the first time in years was worth all the stress and dollars spent. It’s kind of stupid of me, I guess, but I want to try everything to get her well again.

Apologies for the long post

@Color of Light I’m trying my best not to. The good news is I definitely can see the Equioxx doing its magic. She’s still head bobbing a bit, but she managed to traverse a small dip on the way to the pasture today and did so without hesitation or breaking her stride. First time I’ve seen that in a while! I know there’s no guarantees, but it’s such a good thought that all the cob sized bridles I bought for her might not have to be shelved indefinitely!

Alrighty. Buckle in. This is such a complicated series of horse issues that I could write a War and Peace sized novel about it. I’m grateful that my horse ownership experience thus far has been me desperately balancing three lame hospice horses. It’s really tested my love for these beasts and now I know I just can’t live without 'em.

I’ve had Pepper for… two years, now? Maybe a year and a half? I think since a couple months before winter 2015. You’ll have to pardon me for any inconsistencies. I’m terrible with time measurement. She’s always been “off”. I noticed her strange gait weeks into ownership and tried to take her to the vet’s. She panicked and flipped in the trailer (no more rope halters for me, thank you). That spooked me from hauling her to an actual facility. Called three farriers out, two vets in the next many months. Vets said she needed a pair of shoes. Farriers said she just needed a good trim. Finally, the third farrier I called out noticed the pain seemed to be coming from inside the hoof. I say kudos to her. I didn’t dare put her in the trailer again until the end of last year. She loaded flawlessly. Of course. X-rays FINALLY happened last month after a bunch of tiptoeing around from from my vet. Boom. Ringbone. Just as I suspected since I first noticed her limping.

Pepper is definitely broke, but rusty. Hasn’t been ridden consistently in years but still manages to be a relatively push button horse. I’ve only had a handful of rides on her due to her lameness. On the few occasions I have ridden, she neck reins, responds to my leg, and listens to my voice commands. However, I don’t know how much her pain has altered her responses. My trainer noted in a lesson last year that she didn’t trust me and was weirdly spooky/touchy on her left side. Lo and behold, she had severe dental trauma on her left side. Explained her nasty behavior getting bridled (she’s now an angel getting tacked up). The last rides I had on her this spring were brief solitary schooling/trust building around the pasture, and she randomly bolted on all of them, quickly going from bolt to a terrible gimping trot. Stopped riding her after I realized she wasn’t getting better and I was risking her health.

She was apparently professionally trained, but I have no reason to trust what her past owners sent down the grape vine. She’s definitely awesome on the ground and very responsive in the saddle. No info on her past, which bothers me. I want to know what she did and what her disciplines were. Came from Utah, but she doesn’t seem like Western a speed event horse. She came with her half sister Bobby, who is definitely built and behaves like a speed/rodeo horse. Both were 500 dollars. The owners contacted the breeder and told him they were getting rid of the two as their kids lost interest. Breeder loves his horses very much and asked if my dad would take them for me to ride. Heaven knows not much riding has happened, haha.

I know they were both ridden by children/younger people, but Pepper’s sister Bobby has a strange brand and was obviously trained very abusively, resulting in a flighty, untrusting horse. The two are night and day in temperament. Bobby deep down has a kind disposition like her sister’s, but it seems someone must have beaten most of it out of her. She’s bitten and kicked me on more than one occasion for seemingly no reason at all, and is still unsure about me touching her face. She’s not mean. Just… odd. Bobby has a massive bony arthritic growth on the side of her FR from some sort of MASSIVE trauma. She can hardly bend it at all.

Both came completely covered in tangles and burrs. Pepper hadn’t had dental work done in years (aforementioned dental trauma was a large part of this issue). Still have one of her teeth that was removed while she was getting her first float - 45 degree angle. It’s a wonder she was able to eat at all. Start of this year she almost starved to death in sub zero weather because the second tooth impacted by the trauma was too painful. That was when I was certain I was going to euthanize her. Tooth was removed (900 dollars later) and she instantly progressed.

Since the tooth is gone, she’s gained all the weight back (and more, oy vey) and has really blossomed. Her face is going grey already and she has obvious wear and tear from the stress. Doesn’t stop all the vet techs from telling me what a pretty, sweet girl she is. She’s just a kind soul with a loving disposition. 1100 pound lapdog, in your pocket but respectful. I can’t say enough good about this horse, as you may have noticed. I should probably tone it down a bit :^S

Foxy’s origin story is a lot less dramatic. She was my first horse. I was given her by a former riding teacher because her knee made it so she could no longer barrel race. My teacher made it very clear that Foxy could last 10 years or 10 months with her mysterious condition. She lasted 2 years. She’s now mostly retired (she’s 12 now) and gives a couple joy rides, but she’s got a firey Thoroughbred disposition from her mother and is a PITA 99 percent of the time. Still love her to death, of course. Her FL leg is bent like she’s got severe arthritis, but she stills runs and trots around the pasture without skipping a beat. A right enigma, that one.

Pictures:

Pepper’s tooth

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Pepper early this year after losing a catastrophic amount of weight in what seemed like the blink of an eye. She suddenly would only eat hay dust, refused anything else, and I had no idea what was wrong. Tossed out whole bales for her and she wouldn’t touch them. Hard to tell underneath all that fur, but she was probably a 2/3. Temperature was dipping to about -20 degrees Fahrenheit daily. She was constantly tying up from starvation/malnutrition. She managed to keep her cheery disposition and bright eye until she ultimately seemed to accept death and stood blankly for hours on end. One of most heartbreaking things I’ve ever had to witness. All this from one tooth. Bounced back immediately after the culprit was removed.

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Pepper now, taken last week. Topline could still be better, but this is the best she’s ever looked. Short two teeth but it doesn’t seem to bother her.
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For fun. Foxy when she was about 6, still owned/raced by my past trainer. Notice that knee. Obvious even then.

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I sent you a pm, cocohooves :slight_smile: