Back Pain, Frustration, Sadness.

So to throw some information into prospective quickly:
10 year old OTTB, raced into his 7th year
He’s been retired from racing since 2015 and in my care. He had time off from the track and I restarted him uneventfully by myself.

He came off the track incredibly back sore. He was sour and in pain and very angry while still in a stall at the track. He would attack grooms who came into his stall. I never experienced any of that hateful attitude when I got him. He received PEMF work to his back as a donation when he retired, and it seemed to have taken care of the “issue”. He was treated for ulcers then, and has been treated for stomach ulcers twice since then, as well as hindgut ulcers. He currently does not have ulcers.

Last December, actually a year to date, he hurt his deep digital flexor tendon along with his check ligament in his left front leg. Ultrasound showed minor fiber disruption, few torn fibers, but nothing major. He had 6 months stall rest, controlled turnout, and eventually went back to his normal life of 8 hours stalled, 16 hours turned out with his herd. I attempted to start legging him up post injury, and we got to the point of walk trot canter before I realized that due to the amount of time he’d been out of work, his body had changed drastically, and my saddle would no longer work for him.

I stopped riding him at all in September. He presented back sore at that time. He saw a veterinary chiropractor and a massage therapist. He won’t hold adjustments and is STILL back sore, 3 months later, with NO riding.

I talked to the farrier, because I’ve heard of instances where a foot sore horse presents with back pain. He claims to find no pain or discomfort in my horse’s feet. He’s currently wearing shoes up front.

I’m concerned his back pain from the track was more than body soreness, and it’s finally manifesting its self in such a way that it’s become a big problem.

Several things I’ve tried to “excuse away” could easily be answered by a back problem. He has always seemed to “run away” when we canter. NOT take off, not speed off, but get really strung out, and heavy up front. I’ve never not been in control of him, but I’ve NEVER been able to get a quality canter out of him. It’s as comfortable as can be, a rocking horse, I can sit his canter for days, but he just seems to rush around and never truly “settle”. We thought it was a saddle problem. He also dislikes sitting trot. I can get a quality trot when posting, but sitting trot, no matter how still and deep I sit, is a problem for him.

He hates being groomed. I have confirmed he does NOT have active ulcers, but he’s been treated regardless, and is STILL hateful about grooming. I use a tiger tongue to remove sand, but have just come to live with the fact that he doesn’t enjoy grooming, and blamed it on him being a sensitive TB. Could it be pain? Yes.

He plays hard in the pasture with his herd mates. But I feel like he shouldn’t be back sore every single day because of that.

This weekend I did some stretching with him when I discovered his back had gotten so sore that he’s dipping down when I run my fingers down it. When I did shoulder extension stretches, which he used to lean back into and really enjoy, grunting like an old man, he instead started swapping off back and forth on his back legs as if he was unable to hold himself. That was scary. He’s never done that before. Is that neurological, or could that be due to a sore back?

My next step is to get the vet out after the holiday next week. It’s been a really really hard year, and this is the icing on the cake. I want my boy to be comfortable. I had given him bute over the weekend which did not seem to touch the back pain, so I stopped.

What are everyone’s thoughts? How should I guide the vet appointment? Anything I should insist on if my vet isn’t suggesting anything specific?

What films have you done on this horse? I would start with a good lameness work-up including radiology and possibly ultrasound. I’d be filming his feet too. Just because the farrier says he’s okay does not mean he is!
I’d film everything I could - back, hocks, neck, stifle… all of it.

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Not just sore feet but the posture of how he stands. If he stands with his feet too underneath himself (looks like a goat on a rock) that could hollow out his back a bit and possibly cause some soreness.

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He’s had no films up until this point. It’s just now come to light that this is truly a body problem and not just “saddle fit” as suspected previously, since this is the longest amount of time he’s not been ridden, or on stall rest. My concern is the financial constraints I’ve run into this year, making radiographs of EVERYTHING incredibly expensive for me.

Is it safe to assume that xrays should start at the back and work their way elsewhere as things come up as “okay”? I can swing feet and back, but doing everything all at once isn’t possible with my current situation, which came on suddenly and wasn’t the norm just a few short months ago.

He doesn’t seem to stand with that appearance, however he does always have his right leg back when his head is down to graze/eat. His right leg is more upright “clubby”. He cannot reach the ground completely without putting his right leg back.

Have you considered that besides hooves, hocks can also cause back pain due to compensation.

I think it’s going to be a process of elemination one thing at a time.

Can you post pics of his feet? Side, front and sole shots taken down low.

Any videos of him being lunged?

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From what I can gather from your post, your horse lost all his back muscling and needs it to be rebuilt.

I doubt your horse ever had enough strong back muscles to sustain any sitting trot, even less in a ill-fitted saddle.

You should have the vet out and have the hocks inspected as well as SI joint.

Your horse might surely need injections in both areas as well as a slow unmounted rehab.

What do you mean by « play hard »?
IMMHO, horses are usually pretty quiet and shouldn’t be playing hard on a regular basis. It can be because they don’t have enough space, are feeling hungry or in some cases, in pain. I would try to confine your horse in a more isolated area so he can have some time to rest and heal. Roughousing and kicking, spinning, bolting, « playing », can all increase your horse’s back pain.

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Jingles & AO for your gelding to feel better soon ~

no advice

a question

why not Banamine instead of Bute for his soreness ?
because of
back/ body sore not sore in feet

again Jingles !

When I did the PPE on my mare, the vet gave me a package price for as many films as I wanted. Talk to your vet, they may do the same.

I can try to get foot photos this weekend, I currently only have photos of his feet when he was fresh off the track–a complete mess.

I do have a lunge video, but it’s only at the walk. I haven’t done much lunging because when he came back from the tendon injury I didn’t want to put undue stress on that newly healed tendon.

He is a very big personality by nature. He plays with his best friends every night. Unless they’re all falling apart and broken or dying or starving or have something wrong, it’s definitely just their personality. They have 10 acres and free choice hay. They chase each other, rear, buck…they play. He doesn’t play all night long with no rest. But he does play pretty much every night.

When he was resting for his leg injury, no turnout was the absolute worst part for him. He could barely manage it. He ha to be sedated. And he was sore during that time, but both myself AND my vet thought it was due to being body sore from confinement to his stall.

Currently the only option to confine him for turnout is the round pen, and he doesn’t take kindly to that. He would do more damage to himself/his body being left in there, I’m afraid. Running around in a circle and flailing around…

Obviously when the vet sees him if stall rest or confinement is necessary, we’ll sedate again, but I’d prefer to not do that until we know, because i Know what it does to him mentally.

Thaks for the input on hocks and SI. He does have a lot of “action” in his hind legs when he trots. He always has, and I’ve always wondered. That’s the best way to describe it…“action”. He picks them up high, think of a prancing arabian.

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This is a good point and one I will bring up with the vet when they come. I haven’t had to do radiographs (just ultra sounds) on a horse since they’ve come digital, so I know it wouldn’t “cost” them as much as the old school ones did

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Ideally, you’d start with a complete clinical exam and then your vet should suggest in order of priority areas to investigate further with imaging.

Given the timeline, I would not worry so much about the canter. That takes a lot of time and strength to teach one OTT. The body soreness is a major problem, however, and without the clinical exam there is no way to know what is primary (eg kissing spine, arthritis on the spine, pelvic injury) and what is secondary to a foot or joint issue in the legs.

A good sports vet can also guide you on a reconditioning program that may involve a mix of ridden and unridden work.

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Thank you Zuzu! Bute was given because that’s what was suggested by my vet for body soreness. I stopped though, when I didn’t see improvement, because I didn’t want to add to the problems by upsetting his stomach if this wasn’t helping his pain

Thank You IPEsq.
I guess that’s what I was kind of looking for. What to expect from the exam. When he injured his tendon, she started by looking at the affected tendon, then did a basic lameness exam, and I was the one who asked for an ultrasound.
I’ve never had to do something like this, looking for the cause of an issue. It’s always been pretty obvious. So I’m nervous and unversed in what to expect when they come.

He’s my special dude, that “heart horse” that people talk about…He’s not my first, but he’s totally my “heart horse” so I’ve taken worrying to the next level with him.

My equine life was vet directed to …above knees = Banamine

below knees = Bute

ask vet … worth a try for his comfort during this awful time period

  • add ulcerguard product to protect his stomach during Banamine administration

^ not a ‘fix’ but some possible comfort …

again Jingles & AO … diagnosis and treatment plan soon ~

HAPPY HOLIDAYS !

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If this were my horse, we’d start with pulling blood for EPM, Lyme, and Vitamin E deficiency, then a manual exam (feeling for soreness), a lameness exam (walking and trotting on a hard and soft surface in a straight line and a small circle), and flexions. If we’ve isolated a leg/area, we would probably proceed with blocks to determine what percent of the lameness is in that area. If the horse mostly blocks to a joint/area, we’ll proceed to x-ray or ultrasound depending on what we suspect there. If we suspect neck/back/hip/pelvis, we skip blocks. By the time you have to decide about diagnostics, the vet should be able to tell you what he/she thinks is most likely, and what else is possible. I usually proceed in that order.

Back soreness is tough because it can come from so many places - feet, hocks, stifles, SI, kissing spines, neck arthritis, Lyme, EPM, etc.

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So he’s still back sore even though you haven’t ridden in four months?

The suggestion about his hocks and arthritic changes is definitely one to follow up. Sore hocks will equal a sore back.

It would be good to see pictures of his hooves as well. Just because he doesn’t have hoof pain doesn’t mean that the trim isn’t causing him to move in such a way as to cause soreness.

Finally, has he ever been checked for lyme disease? It’s worth doing and it’s not that expensive. Lyme can present as all over body soreness, and as back soreness, and there isn’t always a noticeable fever involved.

Good luck.

Good to know! I will try some banamine to see if he can get some relief!

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EPM and Lyme aren’t very common here, though I guess anything is possible! I will be sure to bring these up with my vet. He’s on 4,000IU vitamin E daily right now, so I will mention it, but he is already being supplemented.

Thank you for your description of how you’d work down the line. I like that idea. Back soreness sucks, you’re right–it could be pretty much ANYTHING.