Danny is a 7 year old Irish Draught, used mainly for eventing. After a good eventing session at the weekend, Danny’s owner reported he was mildly lame when exercising him in the ménage.
Trotting Danny up on a flat piece of concrete revealed a bilateral (both left and right) forelimb lameness. Lunging Danny on the soft ménage again revealed a mild to moderate bilateral forelimb lameness. Lunging on the concrete made Danny go hopping lame.
A palmar digital nerve block was performed on his right forelimb. This involves injecting local anaesthetic around the palmar digital nerves to numb them and in return numb the joints and soft tissues those nerves go to (Image 1).
After this nerve block Danny became sound on his right fore but lame on his left fore. This tells us the lameness is somewhere in the highlighted area (image 2).
X-rays of both feet showed moderate osteoarthritis (OA) of both coffin joints and mild navicular lesions in both feet.
Danny was referred to Leahurst to have an MRI of his feet. This confirmed the OA of the coffin joints and navicular lesions but also showed some soft tissue changes.
Treatment: Danny has had both coffin joints medicated with steroids to reduce the inflammation. He has had heart bar shoes and gel pack placed to provide support over the heels and is having a period of pasture rest. Danny is also on joint supplements such as glucosamine and hyaluronic acid.
Published 24th July 2015
Danny is a 7 year old Irish Draught, used mainly for eventing. After a good eventing session at the weekend, Danny’s owner reported he was mildly lame when exercising him in the ménage...
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