EPM! Help

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EPM! Help

This is a discussion on EPM! Help within the Horse Health forums, part of the Keeping and Caring for Horses category
  • Exercising the epm horse
  • Epm horses facial nerve damage do horses recover

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    02-01-2010, 03:55 PM
Exclamation EPM! Help

My horse was diagnosed with EPM over a month ago, and has been on treatment since then. In about another week the vet said I could start gently riding (working) him again. I'm worried about how he was affected by this, and how that will impact him while I'm in the saddle. And what the possible damage could be. I'm not sure how I should start out with him again. Please any advice would be a huge help to both me and him.
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    02-01-2010, 04:12 PM
You mean EPM, not EMP. Equine Protozoal Myelitis.

What you have to remember is that even though you can get it under control, it's never really gone. Your horse will never be 'cured'.

Your horse may or may not have relapses, depending on the severity of the disease and how far along it was prior to diagnosis.

If your vet said you can work your horse, albeit slowly, then believe him. EPM, unfortunately, is pretty common and vets deal with it quite a bit.

I wouldn't ride a horse knowing it had EPM, but that's just me. You never know when they're going to have a relapse, and I wouldn't want to chance riding the animal.
    02-01-2010, 08:16 PM
If you access to gentle sloping hills, start hand walking your horse up and down hills to start building up his muscles again. Once he's doing that like he's bored with it, move onto riding him at the walk up and down the same hills. Once that's boring for your horse, move onto trotting, etc. You know your horse, so you'll be able to see what might be difficult for him. EPM affects every horse a little differently. Mine recovered completely in terms of motor function. I just brought him back to work systematically one step at a time so I would be able to identify any problems. I also use a selenium/magnesium/vitamin E supplement for the first few months back to work to help his body heal itself. If you caught it early, he'll probably recover very well.
    02-02-2010, 12:08 AM

Please give your horse some time off. The horse can't build muscle where he has nerve damage. I would not work the horse in a lunge circle until you are sure that he can handle this. Tight circles are very tough for the EPM horse to negotiate. I highly suggest the TTouch Rehabilitation for Horses with Neurological Deficits. The exercises will help you to more fully understand the depth of the horse's deficits.
Horses - Tellington TTouch Training

Please visit this site for more rehab information and ideas:
www.EPMhorse.org No Sales.

Rehabilitation of neurological deficits takes a lot of time. Think in terms of a year, not weeks. If you push the horse, you risk a relapse. I disagree with Speed Racer. The horse either has an infection, or it doesn't. You want to treat the infection long enough to kill all of the protozoa. Relapses within a few years are generally thought to be reactivation of the infection that was never fully cleared. Many vets recommend at least two months of treatment with Marquis or diclazuril. 3 to 7 months with ReBalance.
    02-02-2010, 10:43 AM
Originally Posted by EPMhorse    
I disagree with Speed Racer. The horse either has an infection, or it doesn't. You want to treat the infection long enough to kill all of the protozoa.
Killing off the protozoa is only the first step. If the horse has irreversible neurological and nerve cell damage they will never recover fully, thus they're not able to be cured.

Early detection and therapy may increase the chance of sucessful treatment, but response to treatment is highly variable.

Some horses do return to their original level of function, while others remain compromised. There are also those animals who will require medication indefinitely.

So your cut and dried statement, "either the horse has an infection or it doesn't", doesn't work for EPM. It's an extremely frustrating and expensive disease to treat, and many do not recover to their pre-EPM levels.

Even the treatments and medications aren't without risks. Anemia, diarrhea, abortion, and low white blood cell counts are some of the side effects.

Hrsecrzie, I'm sorry about your gelding. EPM is a very serious condition, and I hope your boy can return to his normal work. Your vet is the one who knows the horse, so if he says you can work him lightly, go ahead.

Regardless of the advice you get from a bunch of strangers over the internet, your vet is still your best source of information and direction.
    02-02-2010, 10:57 AM
I'm with EPM Horse, it is possible to CURE EPM--EPM is the actual infection with the protozoa in the central nervous system. That doesn't mean that a horse won't have permanent neurological deficits from the damage those parasites caused before they were killed, though. But a horse doesn't always have EPM. But it is very possible to cure the disease itself.

As for going back to work immediately, I'm afraid your vet really hasn't done his research on EPM. Dr. Reed stressed (at a veterinary symposium lecture on EPM that I attended--so first hand advice from an EPM expert) the point that recovery is slow and that horses recovering from EPM horses recovering from EPM need lots of time off with no forced work and definitely no riding. Neurological deficits from EPM are much like those from head and neck trauma suffered in a car accident, they take lots of time for the body to learn to work around. Rehab should be taken slow so as to not overwork the horse because even very short periods of physical activity (and I mean waking across the paddock) can be extremely tiring because the horse is having to work extra hard to perform normal motions because the nerves that used to perform these tasks no longer function correctly. Pushing a recovering EPM patient too much leads to increased risk of traumatic accident to the horse or the handler. It is best to allow them a few months of turnout and self exercise in a safe environment so that they can move around as they have the energy and not end up over-worked. You will find that these recovering horses may look pretty good one day, but if they are tired, stressed, nervous or even distracted they may show an increase in neurological deficits. This same sort of thing happens with human and other animal patients recovering from central nervous system disease or damage.
    02-03-2010, 10:25 PM
Thanks so much everyone. I haven't delt with many serious issues, so I really apperciate all of your input. I've been to vist him alomost every day since his diagnoses, and he's doing much better. :) I wasn't talking about getting on and pushing him at all. He's been on turn out for a bit... he can run around the pasture just like he did before. He's not tired, or lathargic. The vet drew blood, and we got the results back and it was positive for EPM. I know that there can be false positives and I'm starting to believe that this could be the actual truth because he's acting so much like himself. Like I said, I really appreciate all of inout, and I take it to heart. :)
    02-03-2010, 11:04 PM
Many recovering EPM horses do go out and play in the field. Some get hurt when they fall. The TTouch book I recommended is less than $20, and is a series of ground work exercises. They have you log your observations, and the exercises get progressively more complex. I can't tell you that they will absolutely help the horse to get better. I can tell you that they will give you a much better understanding of what deficits the horse has. The logs are very good for reference during the first year. Knowing what deficits the horse has will help you to make the decision of when to ride, and what to look for when you do start to ride again.

The horse may have deficits anywhere in the body, lips to tail. He may reject a bit that he has always taken, if he can't feel parts of his mouth. He may not pick up his feet, causing tripping. He may only have problems going downhill. He may have skin sensitivity....And on and on. You won't know until you are able to groundwork him. Good luck with the rehab. Please give it time.
    02-04-2010, 12:12 PM
Originally Posted by hrsecrzie    
The vet drew blood, and we got the results back and it was positive for EPM. I know that there can be false positives and I'm starting to believe that this could be the actual truth because he's acting so much like himself. Like I said, I really appreciate all of inout, and I take it to heart. :)
What blood test was run? What signs was your horse showing that led your vet to expect EPM?
    02-05-2010, 01:10 AM
His eyes were glazed over, one side of his body wa less corrdinated, his gait was stiff. He kept bupping into things. All of this is very unusual for him. I'm not sure what exact blood test was done. But I'm not crazy for thinking that, right? It could be a false possitive.

emp, epm, equine protozoal myeloenc

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