foot-dragging pony

My pony drags his back hooves. It’s gotten worse over the last six months. My vet instructed my farrier to trim him short and upright. I bought boots for all four hooves. He has some signs of hock stiffness - he tight-ropes his back legs when he canters on the line. (His right hock didn’t test sound when I adopted him 3 years ago, so I assume it’s only worse now.) We’ve had problems with his left stifle all summer. His patella was a little slippy and sensitive. My vet told me to exercise him and do hill work. I paid someone to hand-jog him 2x week and we carriage drive him 1x a week; he turns out 2x a day for at least an hour. I had his left stifle injected this winter. His stifle improved and the patella stopped feeling slippy and he stopped reacting when it was touched. But then the jogging girl lunged him and forced him to hold the troubled canter and so that was a set back. I’m still working on exercising him without aggravating it. My working theory is hock arthritis with stifle injury.

I’ve done a full course of Adequan and I’ve just started him on Pentosan on the assumption that there are arthritis processes at work.

But his foot dragging is getting worse! Sometimes he stands with his left leg at a 90 degree angle - like a ballerina. A chiropractor/DVM assessed him and said he had TMJ and he’s pretty tight in his hind end, “muscle-bound.” She showed me some exercises. His teeth are being done this week. She told me to get an ortho eval. I’m dreading calling my vet. He always just blows off the foot dragging to pony being a fat, lazy pony. I would like to know what are the variety of causes of rear foot-dragging so I can make sure we investigate everything we should. If he wants to do nerve blocks, should he block at the hoof and work his way up or should we block the hocks first since that’s a “most-likely” issue? I want to know what to expect so I’m not taken on the long road to the airport.

How old is the pony? What about fallen fetlocks? New shoes, such as half-rounds that would change the breakover point? It sounds like a legitimate issue.

Nerve blocks are usually done from the bottom up, IME. The problem may actually be in a different location than the “assumed” location.

When you said that the stifle was injected, do you know what was injected? A course of estrone is often used to tighten the stifle, if that is still an issue.

If your vet is not taking your concerns seriously, time to find a new vet, and hopefully a lameness specialist!

Nerve blocks are usually done from the bottom up, IME. The problem may actually be in a different location than the “assumed” location.

When you said that the stifle was injected, do you know what was injected? A course of estrone is often used to tighten the stifle, if that is still an issue.

If your vet is not taking your concerns seriously, time to find a new vet, and hopefully a lameness specialist!

Has a neurological problem been ruled out? Or EPM or Lyme Disease?

Has a neurological exam been performed? Have nerve blocks been performed?

You really need a more solid diagnosis.

Pony is about 13 yo (no paperwork).

The chiro/DVM did some neuro testing (crossing legs, etc.) EPM and lyme seem inconsistent. He’s not generally sore or ouchy or ataxic; no shifting lameness; certainly no weight loss (!!!), etc. He is, in fact, a piss ant - feisty, spunky, naughty. “A pony’s pony” as my vet says. But I know he didn’t just “decide” to drag his feet in the middle of July just because he’s a pony.

I will get a complete diagnosis but I’m here because I want to know what to expect. I gather y’all would expect nerve blocks and to start at the bottom even though it seems like a hock problem??? That’s good to know because if we do a bunch of nerve blocks and then it turns out in fact to be hock, I would be wondering if he did all that for no reason. So I just need to be sure. I’m not too trusting these days. Been through a lot with vets (both dog and horse vets - not to mention pediatricians who missed some pretty easy dxs.)

So i just need to know what you would expect in a lameness exam for something like this.

Why trim “short and upright”? To me, that says “chop off the toes and let the heels grow tall”, which is not correct. While dragging can be a sign the toes are too long, that doesn’t mean make the foot “upright”.

If you can get a good conformation picture, and one with him standing how he likes to stand, that could be useful. As well, some close-ups of the feet
http://www.all-natural-horse-care.com/good-hoof-photos.html

It doesn’t sound like you have an actual diagnosis, or even really know where the problem is. Until then, you’re shooting in the dark for fixes.

Yes, the hocks might be sore, but they might be sore due to badly trimmed feet - won’t help (for long) to “fix” the hocks. You absolutely need to block from the foot up though.

But even before then there should be properly done flex tests.

Have you tested for Lyme and EPM? It might be a good idea to send off for Lyme as the results could take a bit.

I would want to see lateral radiograph’s in the hind feet. My mare dragged her toes from negative P3 behind. Made her sore all through the hindquarters as it stretches all the tendons and ligaments. Wedges behind fixed it.

I would find another vet and have a full top to bottom lameness exam.

Is he only turned out two hours a day total? If that is the case and you know he has arthritis and stifle issues I would look for 24/7 turnout.

A better more knowledgeable farrier/trimmer and 24/7 turnout on the hilliest terrain you can find would be my choice

You might be surprised at how much strength and stability can be gained by simply doing mounted walking up and down hills. Controlled walk, both up hill and down hill. Your vet might have given you other directions, though, about exercise.

Are you wanting to know what a lameness evaluation would entail? You mention that you want to know what to expect.

These are some things that can be included:

Watching the horse walk away in a straight line and toward the vet, in walk and in trot, usually on a hard surface.

Walking in each direction on the lunge, and trotting, usually on a hard surface and on an arena type surface.

Palpation of each joint and limb.

Flexions of each joint beginning at the bottom, evaluating how the horse trots off in degree of lameness (grade of 0 to 5 out of 5).
Repeat on other side.

Radiographs can include numerous views of any part of the leg and joints.

Ultrasound and nerve blocks will take some time for preparation, and pony is usually sedated a bit to stay still. Preparation includes clipping for ultrasound, and sterile prep scrubbing for nerve blocks.

Any vet performing the evaluation not only collects the data, but must also interpret it so you know what problem is and what your treatment plan will be based on the findings. You should feel comfortable asking the vet at any time what s/he is seeing.

It might be helpful to ask the vet why s/he recommends a specific test, what information might be gained, and if the info will guide the treatment recommended. In other words, have a plan, including an estimate of costs for each stage, so you can make decisions about getting the best value to help your pony.

One question to consider: will this test change how we will treat or manage the pony? Will it give essential information above what is already known from the previous steps?

As an example, I passed on doing shockwave treatments on my older horse for a suspensory injury, because I did not have insurance for the horse, and could not afford the series. Instead, we went with stall rest and controlled exercise, and ultra sounded the suspensory a couple of times to check on the healing. (He’s doing fine now.) My vets understood that they gave me information, treatment options, and recommendations, but ultimately, I needed to make a decision about what treatment we would go with.

Don’t feel pressured to make a decision on the spot if you feel overwhelmed with information. It’s ok to finish a day of testing, and making sure you understand your pony’s diagnosis. (It helps sometimes to take notes.) Then take some time to decide what treatment fits for both of you.

[QUOTE=stargzng386;8557005]
I would find another vet and have a full top to bottom lameness exam.

Is he only turned out two hours a day total? If that is the case and you know he has arthritis and stifle issues I would look for 24/7 turnout.[/QUOTE]

This cannot be overstated- a horse with stifle issues needs full turnout if possible or at least 12 hrs per day. All the Adequan or injections in the world will not help of this horse cannot move freely.

I’d also work more than 3 x a week as that’s not enough.

To address the stifle slipping/catching I’d recommend the medial patellar ligament splitting done by a qualified lameness vet/surgeon.

Thank you all!!

My vets specialty is equine podiatry. He was a farrier before he decided to go to vet school. He’s well respected on podiatry. But I will definitely bring that up when I get a second opinion. I’ve wondered about that too. You never know!!

I will take some pictures.

Pony’s “stall” is 16x20 with a 40 ft yard. There are issues with putting him out all the time. I will work on increasing it though.