What it be? (Little gross) - Page 7 - The Horse Forum
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post #61 of 69 Old 08-29-2019, 02:08 PM
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Not entirely sure that its "bigger" because it was over the coronet band when the OP posted the first pictures, if you look at the overall wound margins. It's more "filled in" now so it might be giving the illusion of bigger.


Quote:
Originally Posted by farmpony84 View Post
I really think it was a summer sore that just got away from me. I am pouring sugar on it to get rid of the proud flesh. It's working but it's going to be a slow process...
OP, sugar is not going to cut it on that extent of proud flesh. (I've never even heard of doing that for proud flesh.) At the very least, put some OTC hydrocortisone cream on it but I would recommend getting yourself some ProudsOff and using that. Works just as good (if not better) than debriding.

And keep washing/cleaning to an absolute minimum. Again, the more you scrub it, the more you stimulate that proud flesh to keep growing.


If the coronet band has been damaged because of this, you might have decreased hoof growth from that specific area, so that is something you will need to watch out for. She might start having a deformed-looking hoof in the future, as the rest of the hoof grows down (but that area doesn't).

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post #62 of 69 Old 08-29-2019, 02:43 PM
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I'm just a newbie, but if it were me I'd have the vet out, or at least send them a picture (ideally a picture of what it looked like then and now) and ask what they think. If that IS proud flesh, I can't imagine that anything short of debriding it, as @Avna said, would help. There's just too much of it.

And yeah I'd be worried about future hoof growth.

ETA: also, for purely selfish reasons, I want OP to call the vet out and then tell us what they said, in case I ever see anything like this on my horses in the future.
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post #63 of 69 Old 08-29-2019, 03:56 PM
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I hope you get the vet out. IMO I think you've waited a bit long to do so, I would've definitely had them come out sooner but you trust your own judgment, so all is fair.

At least get it checked out. It's definitely an eye sore. Poor thing. Keep us posted though. Hopefully it gets better. Proud flesh is icky!
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post #64 of 69 Old 08-30-2019, 02:28 AM
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panalog will inhibit proud flesh, but it's the steroid that does it I'm thinking...

You might cover the hoof with a diaper duct taped on to start and put an ankle wrap then a standing wrap, but I feel that there's only so much wrapping you can get away with...

If you don't want to cut it off then keeping it covered will probably be just fine. I've noticed proud flesh is mostly a problem when the wound gets to the size of a quarter and can't close, because it's necessary to fill in the gaps in the beginning stages.

Recently vet said you want the proud flesh to stick up a little because that causes faster skin closure. Who knows.

@beau159 I've never put cortizone on anything quite like this, but I've thought about it. Is it ok to do, or anything to look out for?
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post #65 of 69 Old 08-30-2019, 08:36 AM
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Quote:
Originally Posted by Filou View Post
Recently vet said you want the proud flesh to stick up a little because that causes faster skin closure. Who knows.
Weird, I've always seen the opposite advice. Once the proud flesh (which is just wildly overenthusiastic granulation tissue) raises above the skin level, it won't close.
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post #66 of 69 Old 08-30-2019, 10:02 AM
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I do a lot of wound care at work and it really is a fine balance. Please bear in mind my experience is with humans and at home domestics/exotics. I've dealt with a fair bit of granulation in people though as I did a stint in a surgical ward which was a lot of fun! Proud flesh in itself isn't a bad thing - it's a normal response and the wound is healing, yes. However, even at work some people will not do enough to manage granulation while simultaneously doing just enough damage to prevent healing/repair. I can't really comment without knowing your exact day-to-day treatment of the wound. What patients dont often realise is that being over aggressive in physical/chemical treatment actually inhibits healing and how does the body deal with that? By ramping things up and trying to close the wound asap, inadvertently speeding up and encouraging granulation. I am unsure if through physical treatment your horse was given any anti-inflammatory medication to offset that normal response. Usually in the form of a topical steroid of adequate strength - drs usually always sent the pt off with a prescription. Lastly I want to add that when we have had to deal with bad cases the surgeons would treat outpatient wounds in sections. Maybe deal with 1cm worth of granulation tissue instead of the whole thing. Trying to balance healing vs dealing with proud flesh on a weekly or monthly basis. Worst cases need surgical intervention which is basically "make a new wound and try get it to heal properly second time around".

It's in an awkward spot that is what really bothers me. Of all the places you don't wanna mess around with it's gonna be right there. The initial pictures when it was fresh - that then was a great candidate to work with. Now? It might not be too late to get a vet involved before that fully "sets". It mgiht even just take a proper round of anti-inflammatory treatment to assist with it healing. Can't really tell - wounds are strange things and can vary between individuals. If you're worried about how it might make you come across (leaving it too late etc) forget that. Just get someone out sooner rather than later IMO.


I don't really like going into too much detail as humans are just different to treat and I know very little of wound care in horses myself but hopefully it helps.
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post #67 of 69 Old 08-30-2019, 12:21 PM
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Quote:
Originally Posted by Filou View Post

Recently vet said you want the proud flesh to stick up a little because that causes faster skin closure. Who knows.

The definition of proud flesh is granulation tissues that has grown ABOVE the level of the skin and will NOT allow the wound to heal because the skin cannot grow over the top of it.



So no, you do not want the proud flesh to "stick up a little bit". You want the wound even with the skin so that the skin can grow in and heal the wound.



Quote:
Originally Posted by Filou View Post
I've never put cortizone on anything quite like this, but I've thought about it. Is it ok to do, or anything to look out for?

Steroids control inflammation but they also inhibit healing, which is why they function well to "knock back" the proud flesh. OTC hydrocortisone is fairly mild so you don't have to be quite as careful with it; but as a result, it doesn't work as fast as some other things, but it does work.



ProudsOff on the other hand is very caustic so you do need to be careful to apply it only where you need it (and nowhere else) and only when you need it, but it works extremely quickly.


Personally, I don't like debriding because it's going to bleed like a stuck pig and the cutting is causing stimulation .... which can make it jump right back to where it was before you debrided. I much prefer to slap some ProudsOff on it and be done with it.
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post #68 of 69 Old 08-30-2019, 01:22 PM
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As you probably realised it depends on the wound and the stage its at. Where it's at. Environment. Just too much at risk I think to leave it :P
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post #69 of 69 Old 09-09-2019, 04:08 PM
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Whatever happened with this?

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