Latest protocol for physitis

My 15 month old filly has had this for a while in her hind ankles and now has it in all four. We cut her down to only ration balancer and alfalfa pellets. No more sweet feed. The vet wants her on stall rest and wasn’t real crazy about having her still on alfalfa but I think ideas about physitis may have changed since his days of dealing with it. He is an incredible lameness vet and surgeon but doesn’t deal much with babies anymore. I ordered Rejuvenade Plus and MSM that should be here next week.

Do I stall rest or not? I really don’t want to, she is so fat I think she would get even fatter standing in the stall. She is sound if that makes any difference. She was on a high fat diet preparing to show at Devon in May but I cut all that out as soon as it was over and she has continued to gain weight anyway. She is 15.1 and weighs 1000 pounds at 15 months!

Is she sore on it? If she isn’t sore the latest vet research I’ve read is that the swelling is considered a normal reaction to growth and needs no treatment. My yearling had this in both his hind legs, at the bottom of his cannon bones. Looked awful but he wasn’t lame. I did nothing and its gone away. I don’t think he knew I was even worried about him! It started about March and was gone by June.

My youngster lives out with 4 other yearling colts and has access to a mineral lick but no hard feed. He’s ribby and growing like a weed. I’d be concerned that your youngster is overweight. Can you turn them out onto limited grazing and cut out the hard feed? If you’re worried they aren’t getting enough minerals/vitamins you could feed a balancer with a handful of chaff or just feed it on its own. Most horses love the taste.

I never stall rest for physitis. I generally just start them on Rejuvenaide and keep an eye on it. I’m not a fan of alfalfa for babies; I prefer free choice grass hay with an appropriate ration balancer. That would be my only other change in your case.

The hay at this barn is hit or miss which is why I added the alfalfa pellets. I tried to get timothy pellets but didn’t have any luck, all I could find was dengie. If I took her off the pellets all she would be getting is the ration balancer. Is that enough? She doesn’t need to be hog fat like she is right now but has shows the end of August so can’t be ribby. I imagine even if I fed her nothing between now and then she wouldn’t be ribby however.

I never stall rest for physitis. If there’s an “event” in their near future (sale, show, etc.) I’ll start using ice boots on affected limbs at least once a day, but 2-3 times if I can spare the time. The only times I give much thought to physitis is when it’s accompanied by flexural deformity. As long as knee and fetlock angulation/alignment is normal, I adjust the diet as necessary, add Rejuvenaide or Foal-Aide and continue normal turn out. If pasterns and fetlocks are heading toward upright or knees are beginning to appear hyperflexed I will consider possible reduced exercise/turnout, but not full on stall rest. Kids need their recess. :winkgrin:

I had this problem about 6 months ago, but my filly was not over weight. Similar to you, I was told to put her on strict stall rest, but she never took a lame step! I just couldn’t do it and did not feel that was the correct answer. They are babies, the need to be out walking around as much as possible. I tried rejuvenaide, but she got the runs every time I gave it to her so I took her off that. I did put her on MSM and it might have helped but it wasn’t the answer to my problems. I will say after my countless hours of research on the matter, the one thing they said was that you don’t want your horse overweight because that just contributes to the problem. In your case I would suggest only putting your horse on the ration balancer if she is still fat. RBs are great and will give her all of the nutrients she needs to grow.

After I turned my horse out 24/7 and put her on a ration balancer I saw a huge difference in about two weeks! I would concentrate on getting her to lose some weight to take the strain off her joints, but DO NOT sacrifice your nutrients!

Good luck!

Well, you are probably going to have to decide whether you want her in show shape, or whether you want to get rid of the physitis. 1000 lbs sounds pretty heavy for her age/height. For me, personally, I would rather have her a tiny bit ribby (if neccessary) and forego the showing, then to risk continued growth issues. I would stop the alfalfa pellets and see how that goes.

This. I would cut the alfalfa. Hit or mis hay may be just the ticket along with the balancer, Rejuvenaide and free choice minerals (loose if possible).

And this. :yes:

Get rid of the alfalfa. We find this to be the most common offender. If she is getting good grass, hit or miss hay should be ok. Personally, I don’t think you can maintain her condition with ration balancer. We feed Legends Performance Pelleted from Southern States and have NEVER had this problem with any babies that live with us.

I also would not stall rest a young horse like her unless a limb was falling off…

[QUOTE=Hillside H Ranch;6436861]
I never stall rest for physitis. I generally just start them on Rejuvenaide and keep an eye on it. I’m not a fan of alfalfa for babies; I prefer free choice grass hay with an appropriate ration balancer. That would be my only other change in your case.[/QUOTE]

Rejuvenaide is excellent.

Physitis is caused by an unbalanced feeding program. The particular culprits are calcium versus phosphorous in the feed. It is better to have more calcium, as long as you have enough phosphorous - if not you will have problems. If you have too much phosphorous and not enough calcium then this is called “inverted” and will also cause problems.

I prefer youngsters on pasture grass to which I either use a kibble to balance them out, or dole out measured amounts of alfalfa to keep the ratios clean. Pasture grass can be a bit inverted, depending on the grasses in the field.

But if on hay, a mixed grass hay, with some alfalfa, but no more than 10-15% alfalfa in the hay mix, strong emphasis on GRASS in the hay. A good solid, clean quality grass hay with a teeny-tiny bit of alfalfa is good for warmbloods, but not a lot of alfalfa. Then a balancer and the temporary use of rejuvenaide will be all you need.

You have to watch the calcium to phosphorous balance, generally being 2 parts calcium to 1 part phosphorous.

Grass hays tend to be about 1:1 to 0.5:1 (inverted), so a wee bit (and I do mean a WEE bit) of alfalfa increases the calcium to about 2:1. The exception is timothy which tends to be properly balanced; however, it does not have enough protein or lysine - so those things need supplementing. They need the lysine found in the alfalfa and growing youngsters need higher protein.

Alternatively, you can go with mixed grasses like timothy/orchard etc. and then add something with a higher calcium in the growth formula kibble which will also have higher protein and you should see on the ingredients list lysine specifically. So on your product label, if you see Calcium 12%, then you want to see phosphorous at about 6-8%.

You do want warmblood babies to be lean, i.e. readily feel the ribs and see the ribs clearly when they take a deep breath/sigh. Since she is too heavy, you may want to enlist Kentucky Equine Research for some help on a way to keep the proper ratios, but allow her to SLOWLY reduce or grow into her weight class. Youngsters should not be put on a drastic weight-reduction program unless you are very careful about maintaining the right nutritional elements.

Some balancers have no calories, but keep the nutritional elements correct. I tend to use a noncalorie supplement for balancing purposes.

This is a good article:

http://shady-acres.com/susan/Calcium-Phosphorus.shtml

While it is geared for endurance, it is still excellent for applying the knowledge to your growing youngster and/or pregnant and/or lactating mares. It also shows you how to do the proper calculations.

Also, edited to add: Weanling to Yearling warmbloods have different needs than 2 year olds and different again for 3 year olds. I had a lot of help a number of years ago from Kentucky Equine Research and I kept their dietary recommendations for the 4 classes of youngsters and never had another problem since.

Thank you for all the replies. I am glad to hear that stall rest isn’t necessary.

rejuvenade

another vote for rejuvenade, fed it for 30 days, physitis gone and never had a problem since. I didn’t stall rest but did keep the baby in a small paddock until it cleared up.

As a farm that breds and raises TBs for auction and private sale a young horse showing signs of physitis is always a bit of concern. By and large all of our weanlings, yearlings are fed basically the same. Adjust accordingly to the odd individual. And are raised on good pasture. We only feed orchard/timothy that we grow and bale. Like others I am not a fan of feeding alfalfa as a rule especially to young growing horses. It has its place at times but just feel it is too rich and adds unnecessary expense. It was never part of a horse’s ordinary diet. Though our foal crop is down from a few years ago we did raise as many as 25+ a year. On the odd years there would be a couple that showed signs. We would bring them in during the day and cold hose and “open mud” the affected joints letting it dry, draw out the heat and repeat. Standard old school. Restricted turn out with the ones that were more acute in a small paddock or round pen that was not lush with grass but enough to give them something to do. We would also cut back on feed a bit and protein. Let them eat as much hay as they want by and large. We would also only turn out at night when everyone is less active. IMO most of it is caused by lush pastures in the spring followed by hard ground come late June and July around here, SE PA. And yes perhaps to much and to high a diet. If it is real acute you may have to stall for a bit and monitor heat/swelling. You didn’t say what breed but IMO a TB yearling standing 15.1 and weighing 1,000 lbs is a bit on the hefty side. Don’t beat yourself up it happens.

Reducing the digestible energy and making sure the minerals are balanced got my super fast growing WB baby through his.

I was able to locate some timothy pellets so now her diet is just the ration balancer and timothy pellets along with whatever type of hay they offer at the barn this week. Usually it is grass with or without a bit of timothy. Right now it is beautiful straight timothy. Hopefully the Rejuvenaide Plus and MSM arrives today or tomorrow.

Can I ask what is the ration balancer that everyone uses? Certain brands? I think I have buckeye, purina, and triple crown available to me. I was also buying Calm Ultra (not for a foal) but not sure if that is a Tribute brand or not? I would like to know what to feed for future reference.

Buckeye is Grown N Win
Purina is Enrich 32 or Enrich 12 (the former for grass/lower protein forage, the latter for alfalfa/higher protein forage)
TC is the 30% Performance Supplement (they no longer have a 12% equivalent)

Progressive has one for grass and alfalfa. Nutrena has Empower Balance.

Of the ones you have available, honestly, any of them are good. If I had to rank them, it would be TC/Buckeye tied for 1st, Purina 3rd. I don’t like Purina in general, but their RB wouldn’t be something I’d turn down if it was the most convenient to get.

I have used Kentucky Equine Research’s All Phase for over ten years.

I have used the Buckeye – Gro 'n Win in the summer, when the horses are on grass pasture, and Alpha Gro 'n Win in the winter when they are on mixed hay (had it analyzed by Buckeye, and they felt it was too rich for Gro 'n Win).

Right now I am using KER All-Phase, and am happy with it. Low volume requirement.