WWYD: chronic lameness, retire or keep digging?

Hi all, sorry for the novel.

As some may know from my posts, I have a 10YO gelding that I bought basically off the track when he was 3. Due to school and life, he’s never been in consistent work. When he was going, he was a cute local hunter that would max out at 2’9” probably, but is game for just about anything and LOVES to plod around giving pony rides to kids. He also seems to appreciate a “job”, cause when he’s not busy working, he’s busy doing stunts in his paddock.

This horse hasn’t been sat on more than a few times in years; yet he’s consistently extremely backsore, tends to be cranky on the ground, is saddle sour/girthy, and is wonky behind. “Wonky” as in conformationally loose stifle ligaments, no locking though. The most recent lameness evaluation put him at a 1 or 2 off “up high behind”.

His feet have been a struggle, which has led to NPA all around but I’ve finally found a farrier that’s helping, X-rays confirm progress. I’m aware that bad feet can really wreck a horse, so I’ve been attacking that issue with everything I’ve got.

While chasing my issues with his feet, we also found extensive kissing spine - at least 6 areas of contact and mild remodeling under the saddle, and maybe another spot of narrowing. We also found some hock arthritis and a mild thickening of the suspensory in his front left (though I think I can identify a cause for this, he crashed through his paddock fence right before coming up lame on that leg).

So, despite doing nothing at all as far as riding, I have an all over lame horse. NPA, KS, mild arthritis, suspensory thickening, hoof bruises growing out (according to the farrier). We are making progress with the feet, as well as rehabbing the suspensory, but I’m on a budget and also starting to burn out. It’s just been so. much. And now I’m at a point where I either need to commit to chasing this horse’s issues as far as possible, or just retire him.

My personal goals would be to get back to local h/j shows and do the 2’6”-3’ and ultimately the adult eq, but I can’t afford two horses right now. This horse, if all things are fixed 100% and maintained, could do the 2’6”, MAYBE the modifieds. He’s not an Eq type and he’s small - but he could also dabble in dressage and trails which I do enjoy.

If I commit to chasing his issues to their conclusion, I’m doing it full send, maximum investment. I’m looking at months of rehab, Adequan/joint injections, diagnostics, custom fitted saddles, and pursuing bone shave surgery/shockwave/whatever else for the KS. Expensive, but one horse to board and can spread those costs. But - no guarantee it’ll work, or to what level he may come back if he does.

If I chuck him out and just keep him well fed and on his MSM/vit E and going to his farrier, I could save all that extra money I’d have spent on rehab for someday purchasing another horse. But that would mean doing nothing for the foreseeable future, while paying ~$600-$900/month for pasture board (if I can find it), minimal supps, and shoes. For another 20 years.

So, if you’ve stuck with me this far, I guess I’m just stuck. Burnt out, but also unwilling to wash my hands completely. I’m finally at a place in life I could do some lessons and small shows and go trail riding, but my horse appears to need a LOT to maybe possibly get there. I’m also unwilling to ride a hurting horse. Where do I go from here??

You can find cheaper pasture board. Depending on where you are, you may have to send him some place hours away. Around here (NY) people seem to sent retirees to Virginia.

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I should clarify, $600-$900 for everything. Board + shoes + supps + vet savings.

Honestly, I’d retire him. That’s quite the list of issues, and he’s not in any work at the moment.

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How / when was everything diagnosed? I ask because you have several issues that seem to have all been recently (?) diagnosed which makes me think they might not all be issues. With the suspensory and the NPA (which need to be addressed regardless if he’s retired or in work) he is going to need time either way and some amount of rehab. I’d be willing to bet some of the other issues will come along when addressing those two (the rest will help all of the issues). I would hazard a guess the KS may not be a true issue for him if the hooves really are (and have been) NPA all around. You may find after fixing the hooves the suspensory that the back issues don’t need separate treatment and the suspensory is a non issue moving forward. The arthritis may be a non issue as well (depending on placement it could be that the vet went looking and found bony changes that are a non issue once the hooves are corrected). All of the guessing to say, I will wait until the hooves are 100% and have been for 60-90 days (as there will be residual compensatory pains and movement patterns that need addressed) then look at what you’ve got. I would also treat for ulcers with Nexium as with all these issues poor dude is likely to have some gastric upset. Those two things (hooves and ulcers) will be relatively cheap and easy to address and May account for some of the KS and/ or arthritis symptoms.

I totally get the burn out. See my ongoing thread about my coffin bone infection horse. She has other issues too and the length of time this has been going on definitely has me feeling burn out at times too.

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We found the NPA, hocks, and KS all at once in Feb/March, then he came up lame after crashing through a turnout fence in April which prompted the exams that eventually found the suspensory in June.

I have done the Nexium protocol a few times now (as needed - we’ve moved around a lot in the last few years, all pretty far away). Never scoped but I typically find the treatments to help with his aversion to grooming but the back pain remains unchanged.

Good call on the patience though - it’s just been a long road with this guy and it feels like I’m barely treading water with him. Every time I think “yay! We have the feet improved/hocks injected/Legend/etc so we can start doing more than handwalking!”, he pulls a shoe, tries to play Free Willy, Horse Edition and tears down a whole fence post + boards, or does something similarly unintelligent that sets us back to square -3. Or, I move across the country again, which doesn’t help.

Perhaps waiting on the feet and the vague rehab protocol I got from the vet and going from there is a compromise (they gave us no suggestions, didn’t think a change in turnout situation worth it despite daily Buck/Rear/Sliding Stop shenanigans, no drugs or anything besides maybe shockwave. Idk if that’s since I told her I’d be happy just to trail ride or what. It just doesn’t match my research of rehabilitation protocols. Which adds to all this waffling I’m doing).

Let me mention that for some horses, being in no work does them no favors. Why don’t you GENTLY start working this horse to increase his muscle tone, promote hoof growth, tighten up those ligaments/tendons, increase his bone density, and remind him he has a J.O.B., and see where you’re at in 3 months?

If he’s good on trails, could you take him in hand to walk/jog to get started?

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Wholeheartedly agree. I have also shared lengthy posts re: my struggle with my 7yo OTTB. He was completely out of work January-late May 2021 on local vet’s recommendation. For this specific horse, being a pasture puff was a huge disservice. Everything that was already weak just got weaker from lack of correct work. I ended up sending him to New Bolton where his back soreness, hind end wonkiness and general discomfort were determined to stem from ulcers, thin soles, and NPA.

The team at NB recommended a return to light work under saddle after a month of ulcer treatment and a farrier appointment to start the process of correcting his feet. We did 6ish months of very slow rehab work (4-6 weeks just tack walking, then gradually introducing trot and canter as he got stronger). We didn’t do our first lesson back until August 2021. We moved to my trainer’s barn in December 2021 and he had a couple of months to settle in before he started boot camp with my trainer. She rode him 3 days a week in March and April of this year. Those 8 weeks of pro rides really helped him get over the hump with strength and fitness. He’s now back in full work with me 4-6 days a week, starting back over fences and preparing for his first shows.

Of course, every horse is different. I empathize with the frustration and burnout. I just wanted to echo that being a pasture ornament can sometimes be counterproductive.

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It sounds like this horse won’t ever be the one to meet your competition goals. If you are ok with enjoying him as a trail horse, I think you could try to rehab him for that. But of course that doesn’t mean you have to necessarily keep paying to dollar for board the whole time. I think regardless, the suspensory injury needs to be addressed with proper management first, and then maybe you can take the next step at a facility where you can do field board.

It will take time with your farrier and some in hand work to see what you reasonably have even as a possible ridden trail horse. Get something like the Equicore system and a soft surcingle to start with. Balance pads (you can get some on Amazon for cheaper than Sure Foot but they may not be as sturdy/hold up as long). Carrot stretches to strengthen the multifidus muscles that support the spine. Back up in straight lines. Hand walk over poles and on trails, all as the suspensory issue allows. You don’t have to jump straight to bone shaving etc.

Keep on with the feet and address the suspensory strain while you get him in a program (mentally) and get him stronger. If conformationally he has weak stifles, that won’t help the hocks or back. The in hand work will help with the stifles too. And tail pulls to activate the quadriceps muscles to support the stifles.

Only after some time doing that can you really assess if being ridden at all will be possible without going all in financially. If not, then I’d retire completely. But I think that the chance of success of taking this horse from where he is to competing not all that well in a division you don’t really want to do is not that high, and will not satisfy you, especially if the financial investment to try to get there (and possibly fail) is significant. That’s a lot of pressure emotionally as well.

I appreciate that you are taking responsibility for this horse and aren’t thinking of trying to rehome him. But I think you do have more choices between going all in trying to make him something he honestly isn’t even in the best of circumstances and parking mr troublemaker in a field.

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I’m going to echo this over and over again.

Gradually correcting the NPA and working him over his back to build a support for the KS may render you with a totally different horse capable of getting you where you want to go.

Vet write ups are a formality (which should absolutely be taken into consideration). Thoroughbreds are gritty. If you’re willing to put 3-6 months into him, I’d make a plan, stick with it, and readdress. I wouldn’t write him off just yet.

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I’m going to be the devils advocate and say retire him. That’s a lot of KS to overcome, the NPA isn’t really worrisome though. It sounds like it’s on the right track. But the KS is going to limit him. You sound convinced of this too, and the fact that he won’t be the right horse to get you to your goals.

Personally, I would try to find a rescue to take him with full disclosure, if you cannot retire him yourself.

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Thanks for the input y’all. I thought I’d post his KS rads here - since they are on my mind the most right now as my “wild card”. The suspensory, and NPA, are works in progress and most likely something that won’t bother him later.

I just feel like he’s got enough going on that we’d have to go the surgical route to give him a chance of being comfortable - and I’m fine with that, but I also can’t seem to get a good answer from vets. Maybe I should send these off to the vet school for a third opinion/consult.

As far as retiring him, I can afford it (I’d move him once I’m sure he’s good for field board), but it would severely limit my riding budget for another horse. But I won’t send him to a rescue, I feel like they’re all full right now and I kinda owe it to him to keep his feet correct (not that a rescue wouldn’t, but he’s not one to be able to do 6-8 week “pasture trims”). If I could get him riding sound, even for just flat work, he’s got value as a horse for riding friends to hop on while visiting, at least.

I’m just conflicted. If I just retire him, that’s most likely a Career Ending situation (now is the time to do all the digging, if I’m going to), but I’d save a ton of money. Not enough money, though, to find another horse at the moment. If I stick with him, he might be able to do SOMETHING that I enjoy, but not the rather small goals I have.

Fix the suspensory and NPA, and see where you’re at. The stifles could definitely be a byproduct of the NPA and will just need strengthening afterwards. The KS isn’t pretty, but I wouldn’t call it extensive. Once you have the other issues in check you could try some low and slow rehab work with him to see if it alleviates his back soreness. I personally did the surgery, it hasn’t been long enough to see if it has worked yet but it was my last ditch effort for my horse.

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Ultimately, it boils down do it you want to stick money into this horse. That is for you to decide.

If you go that route, I would ask for your vet’s professional opinion on what issue to tackle first. Usually, for the KS, most vets want you to try injections first to see if they help to see if the KS is clinical or not. Yes, horses can have awful looking xrays but it may or may not be manifesting in symptoms.

If this were my horse, I would continue to work on his feet (no hoof, no horse), I would inject hocks for the mild arthritis, start some sort of IM supplement (Adequan, pentosan, etc), and then start bringing him into work. It’s very difficult to gauge how he is truly feeling if you are not riding him. And yes, there is something very valuable of controlled light riding, working on muscle tone and physical fitness.

THEN … decide how to pursue on the KS and see if the left front leg bothers him at all. Thickening of the suspensory might not be anything if there isn’t any fluid present.

If you do not want to stick the time and money into him, then find retirement arranagements … or put him down. Financially, it really doesn’t make sense to pay for 20 years of board for a horse you will never ride, if that is what you decide.

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You don’t mention his level of in-breeding or conformation but it sounds like this horses has systemic connective tissue and joint issues and arthritis unrelated to normal aging so likely systemic as well and he has always had these problems. I do not think you can rehab him sufficiently to jump or even to be sound in pasture necessarily. It may be kinder to put him down if he can’t stay comfortable without even being ridden and doesn’t do well turned out. Running and panicking in turnout is stress related- horses who are in pain are stressed. You might also check his vision and hearing before deciding on a course of action.

You don’t mention his basic conformation or level of inbreeding either but those are both things to consider. If he is straight behind and you are seeing all these changes- is he potentially a DSLD horse? Can he build a sufficient digital cushion in his feet or is his body not capable of laying down correct fibrous tissue?

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He’s actually not that inbred - only one double, I forget the stud. He is a little straight behind, a fact mentioned by the vet when I bought him, but one attributed to being a TB and a tad downhill rather than outside the range of “normal” for a sport horse. At least at that time. He grows FAB feet, when they’re trimmed often and correctly (more toe than heel, yes, but the farrier was pleased just to have something to work on).

I haven’t looked into DSLD or anything but I could, the vet seemed to think his hind issues are higher up. He does have a hunters bump that went away when he was fit. Stifle/SI issues related to or compounding the KS, is the current thinking.

As far as turnout, he looks quite sound out there even now, but gets stupid when the wind kicks up or his neighbors disappear around the bend. When he used to be out with buddies (former barns) he would just chill and be a babysitter most of the time. This barn is solo turnout only though for the time being - so no choices there.

I’m not disagreeing, but he’s not lame “enough” as it stands today to think that he can’t be at least pasture sound. Vet thinks at least trail/flat sound if I fix the feet and suspensory, and put him on Adequan. More might be on the table with further injections or meso/shockwave/surgery for the KS. Which is where my struggle is - he’s not “bad enough” to just chuck out to pasture and write off as lame forever without always wondering, but he’s also not “good enough” to think I can get him going without a ton of MORE money into him.

It just really sounds like he has systemic tissue issues to me. His whole body has problems. I don’t think it’s worth trying to get him sound to jump, possibly he could be sound enough to let you trail ride but if he’s back sore and girthy all the time – is he really sound enough to ride?

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I do agree with that 100%. He won’t be ridden, at all, if I can’t get him comfortable with the whole process.

It sounds like you have a clashing of your goals, your finances and the realities with this horse. I can empathize, because I have a horse who has had some setbacks and I am also not in a position to maintain two (or more) at present. There is always a calculus.

Forgive me, because these quotes are all out of order and also my comments may be too!

Originally, horse was:

I have a friend with a horse nearing retirement who wants a job. It is rough.

That said, your goals don’t necessarily align with horse’s ability. It isn’t clear if YOU have the potential to ride beyond 2’9” at present, but you say your goal includes that. Is that realistic in the nearish future? What height fences are you jumping now, and could horse, with rehab, help you do okay for now and move up the levels before seeking another ride that could take you further?

How much money would it take to get him sound enough for your goals? How much money would it take in comparison to do the right thing by him and find another?

I am in this same place financially, and it weighs heavily on me, so I get it! If my horse is retired, I am essentially done. But that’s my plan.

Are you truly happy with that outcome given your competition goals and financial limitations? I think this is time to be honest with yourself. Are you really happy having only him as a trail horse and no other horse to work towards goals with? I would be (although it would be devastating), but not everyone would be.

I think there is a lot going on here, but you need to have an honest conversation about what would make you happy. It sounds like:

  • Option 1: rehab and if outcome sucks, trail horse only with other goals back burnered.

  • Option 2: retire and save for one more aligned with goals (who also has no guarantee of being sound forever).

I don’t think any of us can answer, it’s all about what you want, are comfortable with, etc.

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This 100%.