Vet appointment, nerve blocking
 
 

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Vet appointment, nerve blocking

This is a discussion on Vet appointment, nerve blocking within the Horse Health forums, part of the Keeping and Caring for Horses category
  • Hoof xrays before nerve block
  • When doing a nerve block on a horses foot do you have to scrub it

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    02-28-2013, 10:11 AM
  #1
Yearling
Vet appointment, nerve blocking

I'm jumping on board since the vet is coming out and Raina doesn't seem to be getting any better or worse with her front right leg lameness.

She was seen by the farrier maybe 2 weeks ago and she hoof tested her for an abscess but found nothing. She thought she felt some mild heat in the hoof but couldn't find a sore spot. At that time I asked about navicular and she said she doesn't have the "navicular hoof" and to call her back in two weeks if she isn't sound by then. Digital pulse was fine.

I didn't like the farrier's work so I switched farriers who balanced Raina's feet out and said abscess. When her feet were balanced, she limped less. She was limping at the trot before her first farrier visit. After first farrier, she was deadlame at the walk. After her second farrier visit, she walked fine but still gimped at the trot.

I didn't call the first farrier back and did a lot of research on my own about navicular. She doesn't have the "navicular hoof" and she doesn't have the stance horses take when they first start to feel that heel pain. I understand horses don't have to show these signs in order to be navicular though. Her parents weren't navicular, she doesn't walk toe first. She is out of shape but is rarely ridden enough to break a sweat. I just can't figure out what else it could be if its not an abscess.

So the vet is coming out to hoof test and nerve block. I'm a nervous wreck. I told them no X-rays just yet. I just want an opinion after the hoof testing and nerve blocking and I'll see where to go from there.

What specific questions should I ask the vet when she comes out? I need opinions and ideas about what it could be and what it sounds like and what I should discuss with the vet.

I had a horrible experience when my first horse went navicular and to this day, I'm not even 100% sure he WAS navicular. The vet just watched him walk and gave the diagnosis. No nerve block or X-Rays. It seemed like THE disease to diagnose when a horse limped. The farrier shoed him inappropriately for the disease (later did research when I grew up and discovered this), if it was the disease, and it barely gave him any comfort. I was young at the time and didn't know any better, and trusted the professionals to lead me in the right direction. I later learned when I grew up that he was very arthritic and I now believe that was the reason for his lameness. But that goes to show you how much money I spent on a navicular horse and trusted the professionals rather blindly out of ignorance.

I did a lot of research to become more knowledgable but would love some guidance and input with the questions I should ask and what I should expect. I want to be educated going into this enough so that I can understand what I need to AND also not be taken advantage of by the vet money-wise. Sorry for the novel.
     
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    02-28-2013, 10:42 AM
  #2
Green Broke
Here we go..lmao.

First off..when did this new farrier come out!?

I'll bet my next paycheck that she's definitely NOT navicular..And while it's a baby paycheck since I haven't been able to work..I could still use the money since I can't trim myself anymore either D:

Not too much help..but figured I'd ask about this farrier, lol.
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    02-28-2013, 10:51 AM
  #3
Yearling
Oh, shut up! You know a little of what I'm going through since you got your new mare. The second she got onto the property you started worrying lmao.

Next paycheck bet is on. But wait, does that mean I have to give you MY next paycheck if I lose? Because I kind of need that...
     
    02-28-2013, 10:54 AM
  #4
Trained
Why don't you want to xray ? Honestly, I think after the nerve block they are going to want to xray. Do you have any base xrays of her foot/let ?
     
    02-28-2013, 11:04 AM
  #5
Green Broke
Lol I did start worrying immediatly, this is my first ownership mare, the rest wasn't my responsibility to pay for giant vet bills, haha.

I won't take your next paycheck :p I'm going to win the bet anyway, no way in h*ll is she navicular. I did learn from John :p
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    02-28-2013, 11:06 AM
  #6
CCH
Weanling
It would be very hard to ddx without radiographs. If you're spending money for a vet visit and nerve block, you really should do the radiographs. It could be anything from navicular, tendon issue, pedal osteitis, coffin joint arthritis (which is common in horses with navicular syndrome from having their heel angle jacked up with pads), or even something else all together.

All a nerve block is going to tell you is if the pain is in the heel area. It is really limiting the diagnosis without doing a radiograph.
     
    02-28-2013, 11:07 AM
  #7
Green Broke
Oh..and I'm still thinking the pain is in her knee/shoulder.(; I can't see anything wrong with the hoof that would cause her to be lame.
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    02-28-2013, 11:32 AM
  #8
Foal
Me personally wouldn't nerve block until X-rays were done and looked over. Your spending money on something that isn't going to give the answer to the problem. Best of luck.
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    02-28-2013, 11:42 AM
  #9
Yearling
No X-rays of her foot yet. I'm going to see how the exam goes first and if we need them then I'll arrange it. The vet will have the x-ray machine available and ready. But I'm not too keen into jumping into something and ordering everything off the menu right off the bat.
     
    02-28-2013, 11:43 AM
  #10
Yearling
Quote:
Originally Posted by CCH    
It would be very hard to ddx without radiographs. If you're spending money for a vet visit and nerve block, you really should do the radiographs. It could be anything from navicular, tendon issue, pedal osteitis, coffin joint arthritis (which is common in horses with navicular syndrome from having their heel angle jacked up with pads), or even something else all together.

All a nerve block is going to tell you is if the pain is in the heel area. It is really limiting the diagnosis without doing a radiograph.
This was very helpful! Thank you

All the information everyone has supplied is great. I'll rethink the vet visit's "schedule" that I have set up in my mind and go about it a different way now. Thank you!!
     

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