Am I being over-paranoid taking my horse to New Bolton for lameness exam?

With the state of those last photos I’d suspect chronic full body pain. Honestly those feet are some of the worse I’ve seen outside of a chronic neglect case. I’m so sorry you’ve been working so hard to advocate for him and had so many professionals let you down. Those feet were truly appalling before you pulled the front.

In light of where you started my personal approach would be at least three months of no under saddle work, keratex those soles, boots with pads, x rays every 3 cycles to monitor progress until you’ve reached goal angles, and in the interim gentle in hand strength work (book - 55 corrective exercises), and find a masterson body worker. If he’s still hyper reactive to body work and actually either way I’d talk to the vet about a mid length course of robaxin to start breaking the tension cycle. Let his body decompress, heal, and trust movement.

I’d restart him ponying if possible or out on the trails (soft footing) to encourage a relaxed full range of motion. Spend a few months walking under saddle and letting him discover wanting to trot going up some hills or through a nice field. When they’ve hurt for a long time I think the mental game is half the battle.

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Thank you! I actually just joined a facebook group couple weeks ago for those exercises but I want to get the book. He just finished 10day course of muscle relaxers - I have more he could get, and in the middle of adequan shots.

I forgot I also wanted to show his body changes through this process. Vet thinks hes growing but I think his SI is irritated.
With Shoes

Barefoot

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Since he has so much body soreness, might be worth looking at the Posture Prep to help with the muscle tightness.

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I was going to ask where you lived because Daisy B is not far from NB… but I see you have already connected with her. She will get you on the right track!!

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New Bolton’s farriery department has a good reptation.

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Oh wow those feet! Good that you have a path forward with that. As for the hopping…I am guessing he is more of a “left handed” horse? Usually with high low, they want to take the lead on the low foot. So the hop looks more like he is contemplating cantering versus pushing more in the trot. Especially since he does it to the dominant left side but doesn’t on the right. If he is body and back sore, he might feel better cantering…if you can get him willing to go forward.

I wonder if you might have a mild club on the right considering how it dished so badly when you had the crazy shoeing job.

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Agree with Janet, NBC’s farrier department is excellent. I don’t have to tell you the angles on those feet are not ideal. But the hoof quality and integrity is good. “Trantering” is commonly seen in shoulder injuries. The horse moves short at trot and when encouraged to move forward they would rather canter short than trot long. Whatever is causing the hopping, it is a thing. Shoulder possibly neck. The body soreness is hard to evaluate because it is a red OTTB. My 16yo OTTB, under my indulgent and loving care for 12 years, still won’t tolerate any type of curry. Not jellies not gloves. If New Bolton is geographically and financially comfortable for you, I would go get a full work up including a consult with the farrier. More information is better.

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I might be in the minority here. My being “over-paranoid” and sending my own then 6yo OTTB to New Bolton in 2021 for mild lameness and behavioral changes was worth EVERY. LAST. PENNY.

Symptoms: Generalized body discomfort, back pain on palpation, tight/choppy striding behind. Crow hopping and poor performance under saddle. Lack of appetite, weight loss, just a really physically and mentally unhappy horse.

Spent months goose chasing random suspicions of our local vet. My horse continued to deteriorate. I jumped at the chance to send him to New Bolton and get a comprehensive workup done and hopefully get to the bottom of it once and for all.

Diagnosis: 0.5-1/5 lame - so minimally that the vets at NB called back to suggest lameness locator because nothing was jumping out on visual exam. Blocked feet - he came sound. Pulled front shoes (he was barefoot behind), ran full series of hoof rads and got a consult from their farrier. Identified thin soles, imbalanced trim and NPA behind. Recommendation was to correct the trim, add leather pads up front and hind shoes. Also scoped and identified Grade 3/4 glandular and pyloric ulcers. Addressing his feet and stomach yielding immediate and lasting positive results.

Also, saddle fit was another thorn in our side through this process. Getting a quality independent fitter and a properly fitted saddle was the last piece of the puzzle after New Bolton to really get him happy and comfortable, so I’ll add that to my soapbox for today.

It sounds like you’ve made a good connection to hopefully continue to tackle your horse’s hoof/farrier issues. If you aren’t happy with the results after giving that a chance, I wouldn’t hesitate to tag in the team at NB. Yes, it’s a relatively expensive one-time workup, but doing diagnostics piecemeal may or may not yield answers either and often costs as much or more.

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Definitely take him to New Bolton. It is one of the top equine clinics out there. He can’t tell you what hurts, what is stiff, what doesn’t feel right. You have speculation from 3 vets and all sorts of ideas posted here. Horses will do the best they can with what they have to work with. A comprehensive lameness examination usually includes tests such as ultrasound, x-rays, and blood work. That is the only way you can see inside his body. You need a specialtist to untangle the signs and symptoms in order to design a treatment plan.

My late Paint gelding had a lump on his left knee when I bought him in 2001 at age 7. It was never a problem, but the flexion started declining slightly when he hit his early 20s. He still was perfectly sound until he stood around for a month when the BO locked horse owners out of the farm when the pandemic hit in 2020. He started to have lameness problems and I had to retire him from riding. He was on previcox. He didn’t show signs of discomfort.

When I had his lameness exam done the specialist spent about 30 minutes with me, including reviewing the ultrasound of his knee. The arthritis was much worse than I thought and he started periodic shots of Osphos.

The other significant exam was the films of his hooves. No hoof, no horse. If they are not properly aligned and balanced he will have continuing issues. Fortunately his hooves were described as “perfect.” I had our vet take x-rays of his knee and front hooves every 6-8 weeks, which we sent to our Cornell-trained farrier. He was able to maintain the balance on a 4-week schedule.

I knew I would lose him to his knee. The vet asked me to agree to put him down when she said it was time. I did. He was still energetic even through the lameness was getting worse. The end came when he lost so much flexion that his knee could no longer control his hoof when he was walking. I had promised him years ago I wouldn’ let him deteriorate into an old man. I put him down at age 28 with his wonderful personality still thriving.

Your horse’s hooves look like they have improved since you bought him. However, they are showing many signs of continuing problems as they have grown out. They loook like they came off 4 different horses. I would definitely have him examined at New Bolton so that you can determine if you need a different farrier, for starters. Your horse is very young; they reach full growth at 5-7 years old, depending on the breed. A specialist will be able to tell you and your vet what the problems are how and how to treat them. Do it now. Otherwise you may find yourself down the road in a few years contemplating whether you need to put him down.

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Thank you! I called them Friday after thinking about it this weekend I think I am going to take him in and work with their farrier. I told my farrier he’s sore and he said he probably should just be in shoes that there’s nothing to take off. The trick will be finding someone who will accommodate NB farriers protocols.

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Your vet’s farriers should work with what NB decides, is the way ours work and they do an absolutely wonderful job.

Your horse looks like a wonderful individual.
Once his issues are resolved, your heart will be singing every time you think about him. :hugs:

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Just wanted to give an update. Spent a very long day with Mr. Nike at New Bolton. He actually looked pretty good on the lunge with some minor hops. Vet suspected something with his right front trying to get weight off it. We blocked his entire right leg as I rode in between and his hops unfortunately didn’t stop. Xrayed neck and ultrasound the leg and it all came back normal. I’m sad we didn’t get definitive answers. Now deciding if I want to shell out the money for a bone scan or do a trial of meds to see if it’s pain related or not. Having a sleepover there to see their farrier in the AM. Oh how I wish they could talk :sob:

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I’m so sorry you couldn’t get an answer to his issues. I wish they could talk too.

While I agree that the hooves are horrendous, have you tested for PSSM?

Sorry you didn’t get more concrete answers at New Bolton.

I would revisit EPM. There are different types of protazoen that cause it and if the drug used doesn’t kill the ones he has, you won’t see improvement. We used lavamasol and oragen and had to treat twice. I’ve read that there may also be a connection between EPM and ulcers. My mare had to be treated with omeprazole and carafate to get hers under control.

You might also consider a Lyme and or anaplasmosis test. Mine had both. Her only symptom was hypersensitivity to touch and being saddled. Rode fine, but the slight weakness in holding her left lead canter suddenly disappeared immediately after treatment. My vet said they are seeing a lot of strange symptoms that go away after 10 days of iv doxycycline.

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Those are SOME FEET.

If you think something other than Consequences of Bad Podiatry is going on here, I also want to second testing for Lyme. “Can’t touch him” levels of body pain or neuralgia can be Lyme.

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He’s been Lyme tested during his episode of piss and vinegar to brush. Today he was a muddy mess and actually was pleasant.

Did you block his feet - i.e navicular level- too or just above the feet?

Vet only blocked RF from foot all the way to shoulder with no improvement. She did xray feet for farrier’s appointment and didn’t notice anything other than thin soles/flat angles

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Hmmm. And he’s got NPA correct? Was he negative to all hind flexions so nothing off with the hind that could look like or compensate as a front end issue? I can see X-rays being clean in a 5 yr old so that’s not a total surprise. I honestly think there are a lot of growth spurt issue that crop up at these ages. I see so many posts of NQR 5-6 yr old horses with no specific findings. Not sure how deep I’d dig either if nothing is coming up, though the hop is a bit perplexing.

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