Wobbly hind end - SI? ovary? neither? both?

My turn for a question to the CoTH wisdom-from-experience crowd. LONG!

Background: I have 25 year old Andalusian/ASB mare that I bought when she was 16 months. She’s ridden with dressage principles in mind (straight, connected) and we used to go on longish trail rides moving along at a trot whenever the trails permitted. She’s been shod every 6 weeks by an excellent farrier since she was about 6 years; she had radiographs a few weeks ago and they showed her feet to be clean and properly angled. She is a leggy girl with a long back and weakish coupling, but has never shown lameness. She has PPID and has been on Prascend for about 2 years. Due to my own soundness issues, she’s been in light work or on the shelf since spring of 2023.

She’s always built up a platform to prop her hind hooves up when standing in a paddock or barn, and seems to be making the platform larger in recent years. Her pastern angles are good and don’t show signs of DSLD, so I’ve attributed this to relieving discomfort due to her less than ideal conformation of her back. Last fall she was tested for Lyme (due to her unusual sour attitude toward life in general) and came back with a weak positive, which the vet thought was due to exposure not an active case. A lameness exam showed slightly arthritic stifles, and going on a daily Equioxx brought back her usual contented attitude.

This spring she was brought back to light ringwork as a schoolhorse. She’s been looking
wobbly behind and twists her hocks especially in softer footing. She can look pretty normal for a while then it gets more noticeable after being ridden lightly for a while. She passed the neurological exams. The last vet palpated/manipulated her back above her SI and thought the mare is sore there so we thought the wobbly hind end was due to that.

Two nights ago I got a call from my friend to come out because my usually peaceful mare was acting very strange. She was very “up” and erratic - totally opposite of her usual behavior. She would toss and shake her head like she had something in her ears (wearing an ear-covering fly mask when I arrived, and the behavior didn’t change after I removed it). She lifted each foreleg like she was doing the Spanish Walk or getting ready to paw. Waiting for the vet, I did many laps with her walking the roundpen and while she was obliging, she was walking faster than her usual and remained hyperalert; I’d periodically stop her for observation and she’d either immediately start the foreleg waving or yawn and manipulate her tongue with her mouth gaping, then do the foreleg thing again; she wasn’t able to remain standing still for even one minute.

Vet checked for colic symptoms and concluded that wasn’t the issue. Despite my mare having been in season a few weeks ago (so theoretically she was out now), our next thought was hormones, especially as an unfamiliar gelding had been brought earlier in the day, even though my mare wasn’t showing her usual heat behavior. The vet palpated for manure balls - present - and the ovaries. The left ovary brought a big pain flinch when palpated. Vet ultrasounded ovaries and uterus and didn’t see anything notable; also ultrasounded the abdomen from the outside to see if anything showed up (I think more as a training opportunity for the new vet who was also present, but beneficial as the mare is a grey). Prescribed Regumate, especially as the mare has had a few hormonal episodes every so often over the years; too soon to say yet what effect that will have.

So, finally, my question – has anyone seen a case where pain from an ovary caused a mare to be wobbly/twisty in her hind end? or am I just hitting the lottery with problems for my poor. aging, lovely mare?

when vet did neuro exam, did they walk her up and down hill w her head extended? sometimes they leave that out and it’s important. maybe think about neck rads.

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no vet here, but I’ve known of horses that prop hind feet on shavings; its my understanding that the back/SI, hocks or stifles could be the cause. In the case of your mare, did the vet who thought her back was sore suggest injections or more exploration? Sounds like the place to start given her conformation.

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If she has arthritic stifles and wrings her hocks, that could travel up and make her back sore. Has any injections been suggested? Or just equioxx?

The freak out and leg waving is weird. You checked all the usuals, but maybe treat for Lyme? A mild positive + strange behavior?

My next thought is melanoma in a strange spot (pressing on a nerve) or strangulating lipoma. These can’t always be seen on field ultrasound.

Jingles, this sounds tough!

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is she on any new drugs before the strange behavior?

No new drugs until Regumate, just prescribed with the episode of weirdness a few days ago. She’s been on Prascend for about 2 years and Equioxx since last fall.
They did do the neuro test walking her with her head up, although on the flat. It seemed to enhance the wobbly-ness a bit, though.
At her age I’m not about to get into joint injections, although the platelet treatment injected into her SI was mentioned. Vet was far from pushing that, however, just mentioning as a possibility.
Lyme, despite the low rest result, is something I’m keeping in the back of my mind.

I picked the mare up today, as my friend’s hosting a clinic this weekend where horses will be brought in. Since my mare seemed to react to the gelding’s arrival, we agreed that the wisest course is to bring my girl home. Interestingly, she seems to be presenting a few signs of being back in heat again, even though she was just in it a week or two ago. Really hoping to see good results from the Regumate, and crossing fingers (wishful thinking?) that it might also help with the wobbly hind end if it has been being brought on by ovary pain.

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Wiggly, twisting hocks generally point to loose/weak stifles in my experience

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Sounds like weak sore stifles.

Adequan for the joints and hills to strengthen the stifles would be my first thought.

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It would be interesting to have someone knowledgeable do it properly - ie downhill. My neuro horse REALLY struggled with that one more than the others. However, head-up posture puts a lot of pressure on the back and hind end, so it shouldn’t be taken as a diagnostic of neuro all on its own.

Agree.

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Ah, yes, knew I forgot one (good gawd, but the drugs do increase as we age!)

She had a round of Zycosan last month. It seemed to help the twisting hock and some of the wobblyness, but not 100%

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I’ve been to new bolton several times w neurologic horses (luckily only one was mine, and he got fixed) they always do the head extended test up and down a small hill. it’s diagnostic for neuro probs. they also back them and watch that they track straight. If bringing her head up on the flat made wobbliness worse, I’d be concerned it’s neurologic. You might call new bolton neurology dept, and ask how much they would charge to evaluate a video. then make one of the mare backing up and down a hill. Wobbliness isn’t a pain reflex. Reaching around looking at her flank, imho, would be more characteristic of ovarian pain.

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A follow up –

The Regumate has provided MUCH “better living through chemistry”! My mare’s wobbly hind end symptoms have disappeared! She actually was walking better within days of starting Regumate. My guess is that somehow the painful ovary was causing her to move the way she was… ?? I’ve heard recently that the hormonal changes could cause loose ligaments, but if that is the case I can’t believe that the Regumate could have affected them so quickly, if it ever would.
I’m just glad that I have my mare back, at least back to her semi-retired status!

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