My vet diagnosed my mare with bilateral sidebone a year ago. I was having a hard time finding a way to treat her and keep her comfortable. So I called a vet in the area who specializes in Lameness issues. One of his associates came out friday. We did a flexion test, a block and finally x-rays. She has that kind of uncomfortable unsoundness, I wouldnt says she's in great pain, its more like a chronic kind of pain. She was 90% better with her lower right pastern blocked. So we did some (more like 10) digital x-ray (im so excited I got a copy on cd.) She had no sidebone what so ever, in her right leg. I was kind of annoyed at my other vet who originally diagnosed her with x-rays last summer. There was not even a hint of sidebone, in her more lame foot. I guess that's what you get for a $60 diagnosis LOL. The only thing we saw was an irregular navicular bone. The egde wasnt as defined as she would like, and there is possibly a cyct on the bone, but nothing to be really worried about.
So she suggested bar shoes and a wedge pad, glucosamine and msm supplements, bute as needed, possibly a steroid injection into the coffin bone once a year and denerving as a last resort. She has been in bar shoes with no significant difference then a regular shoe (shes been in bar shoes for the past year.) We're going to try a special absorbant pack under the pad (by vettec.com.) I don't think I would denerve her, unless I had my own farm. I would have to keep a close eye on her. I don't like to give bute (more than a gram a day), she might over exert herself and make things worse. I might try barefoot in the spring, so she can grow a thicker wall and spread her feet out a little. (Shes got tiny feet for a 1000lb horse) She is on glucosamine sulfate right now, 4000mg per day.
So the reason I posted this was because I would like to hear about how everyone treats their horse, or their friends.. ect do, for navicular disease. Any suggestions, or things you found that didnt work??