The navicular changes I can see are minor. I just went through, well, 7 months ago, the whole navicular x-ray game; I don't think navicular is the issue. Given the crookedness the corrective shoeing may help. I can see the farrier trimming slightly higher on the inside (If that is what is to the left in that first film) to raise that area in order to straighten up the angle, or maybe just add a wedge pad..I am not a pro farrier by any stretch of the imagination but I went through several variations of corrective shoeing for the navicular. Hopefully the shoeing corrects the issue.
Yes, the vet said there was very minor navicular changes, but of course what we'd like to see (but can't) is what the soft tissue is doing around everything.
And yes, I am very much hoping my farrier can come up with something that will work for Red. I'm sure it's going to take a few months minimum to see if we can figure something that's going to work, through trial and error.
You need a second opinion IMO. I disagree with the vet. The uneven joint to me signifies the hoof is not being trimmed properly for what it needs. I can clearly see the flare on that side that is not allowing the leg to break over to the squashed side as easily. See how the wall is flaring on that side? More pressure. See the taller side bone on that side? I say trim problem. You should get the opinion of Patty Stiller. She's on HGS more often. Post there and see what you get.
Red does tend to wear the outside of his front hooves quicker than the inside because he is slightly pigeon-toed. I wonder if the constant pressure on the outside has something to do with this all?
Yes, he is over-due for a trim right now. Things just get too nuts around the 4th of July. I did trim that inside just a tad a couple of weeks ago. But he was going through this lame spell long before that.
For right now, I'm just going to wait and see what happens. I don't feel the need to get a second opinion at this point (although I do appreciate the advice) because I greatly trust both my vet and my farrier. They are both very good and I have never heard one person speak poorly of either of them. Not saying her diagnosis can't be wrong, but I'm going to run with it for right now to see what we can do.
My farrier already has the x-rays (the vet emailed them to him on the spot) so now that we know what is going on on the inside, hopefully we can trim or shoe him appropriately to help him land and load better.
Sidenote .... what's HGS? Who's Patty Stiller? Is she a vet?