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Question about nerving

This is a discussion on Question about nerving within the Horse Health forums, part of the Keeping and Caring for Horses category
  • Nerving surgery in horses mistakes
  • Horses and nerving surgery and he is not recovering

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    09-06-2013, 11:36 AM
  #11
Foal
I read this about 'nerving'....poor horse. Hope she figures it out.

"complications include neuroma formation (painful nerve proliferation at the cut nerve end) and nerve regrowth (in some cases happening within a year, but in most cases taking several years to happen)."
     
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    09-06-2013, 11:40 AM
  #12
Green Broke
I agree, another vets opinion is in order. They might be reluctant to deal with another doctors "mistake" so be prepared. If another vet (or 3, or 5) doesn't want to take on the case I'd bang down the door of the vets office! They do denerving procedures on humans to and I think the pain relief they get way surpasses the discomfort they feel when recovering.

Another thing you may consider I emailing or calling some vets out of state to get their opinions on what's happening.
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    09-06-2013, 11:45 AM
  #13
Yearling
Agreed with slide stop. What area are you in? Many of the vet schools have a plethora of highly skilled dvms and specialists. Might be time to call one of them and explain your case over phone
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    09-06-2013, 12:31 PM
  #14
Showing
I would also be looking for a different vet. My best guess is that he's either experiencing pain or a strange sensation from the nerving or he's freaking out about not being able to feel his feet and is trying to wake them up.

With humans who are nerved, they know what's going on and they know why they can't feel that part of their body....but you can't exactly explain to a horse "No, it's fine" to get them to stop freaking out about it.
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    09-06-2013, 09:23 PM
  #15
Yearling
When I spoke with her last night about it, my very first question was: "why the heck are these vets not doing anything for you!?" Her response was basically that the hospital that did the surgery just facilitates the surgery. The aftercare is something that you and the veterinarian of you choice, work on together. I think everyone involved, including the surgeon, thought that this whole thing was pretty routine. And hell... maybe it is... maybe he's just stomping because his feet feel weird now, and he's just gotta' get used to it. But, unfortunately, he can't tell her how he feels, and the vets that have come out don't seem to have very many answers. I will speak with her tonight a little more and see how he might be feeling. She put ice boots on him last night, but it didn't quell the stomping.
Do you folks suppose that a thermograph might be able to tell what's going on?
     
    09-08-2013, 12:46 AM
  #16
Yearling
It sounds like neuropathic itching.

Neuropathic Itch

Among medications, local anesthetics whether administered topically, by local injection, or systemically have proven paramount. These inhibit neuronal firing and affect small-fiber firing at lower doses than required to block motor conduction. High thoracic epidural infusion of bupivicaine and clonidine reportedly helped one patient with V1 PHN and PHI.48 There is also limited evidence of efficacy for other inhibitors of action potentials including carbamazepine.34 Mexiletine, an oral analogue of lidocaine is also reasonable to consider.49 There are isolated case reports of efficacy of pregabalin,43

One more article:
Neuropathic and psychogenic itch - Yosipovitch - 2008 - Dermatologic Therapy - Wiley Online Library
     
    09-08-2013, 01:23 AM
  #17
Yearling
^^ It's funny you should post that, 4horses. I saw my friend this evening and she said she started using Lidocaine 2% topically and that seems to be helping quite a bit.
I saw him this afternoon and he seems surprisingly comfortable.
I work in pharmaceuticals and had mentioned her possibly giving him Lyrica... but unfortunately, she has to pay cash for every single Rx. So even the Gabapentin is costing her around $100 a month. I'm afraid the Lyrica would be even more expensive.
     
    09-08-2013, 01:32 AM
  #18
Yearling
I hope the horse is doing better! I read the post about the surgeon and after care and have to say that I would be having a word with that surgeon... (though that's easy for me to say because I'm not in your position.) All the vets I've studied under (not interning yet, just job shadows and odd jobs haha) have said to 'take responsibility for your surgery'. Meaning that if something seems even a hint out of the norm you go out of your way to check up on it because no one knows your handiwork better then you. I'm glad the other stuff is working and I hope he just needs to get used to his feet instead of something major being wrong! :)
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