It's Not An Abscess

Echo decides to prove yet again that my paranoia is not unfounded.

We finally made it to the vet today for spring shots & the planned radiograph I mentioned previously.  It was supposed to be last week, but the rain prevented the machine from coming out to play & it was so wet, I couldn't get the trailer hooked up & out without tearing up half my property.

Turns out, Echo's prolonged on again/off again soreness on his left front is in fact due to some bone bruising on the medial wing of that coffin bone.  Which Dr. Bob also referred to as "crushing" & "micro-fractures."  Which I did not really appreciate because I don't care what the vet-land rules are, but these words do not all mean the same thing to me & shave several years off my life!  I am just going to call it bone smooshing because that is descriptive without being quite so terrifying-sounding.

Smooshing is right where the #4 is on this coffin bone

This type of injury happens when a horse's heel impacts something hard, such as a rock or a hard piece of ground, with too much force or just the right angle or it's Tuesday.  Fortunately for Echo & I, his smooshing is right at the tip of the bone.  Which means it will heal, is already healing, & he should be fine.  If you get smooshing farther forward on the bone (like by 3 or 5) or extending up into the joint, that is when it becomes a Really Bad Thing.  I am hopeful I never have to learn any further detail about that.

Since this has been going on since early December, Echo is already a "fur piece" down the healing road.  Having had a gnarly bone bruise, I am familiar with their slowness; Dr. Bob said this type of thing can range from 6-8 weeks for a mild one (like Echo's) up to 6 months for something more severe.  So we should be on the "improving" side of the curve & we should see continued gradual progress over the next month or so.

Also fortunately, my gut management instincts (& repetitive haunting of Dr. Bob's phone line) guided the correct course of action over the winter, even though I wasn't certain of the cause.  He's done very little work, which consisted entirely of walking & an occasional short trot for feels on soft ground.  He's been able to move freely in the pasture, which is what needed to happen for circulation which then fuels healing. 

And for the last month or so, as he's moving more & when we get more frozen ground cycles, both front feet have been protected with full support across the heels & frogs.  The exact devices will get their own post, because farrier & I have been learning about new technology, but right now, he's wearing a pair of EasyCare's flip flop boots & they are working pretty well.

One of his expensive slippers

These allow his heels full lateral freedom (which is his particular Princess Pony Foot demand), but provide a thick, sturdy pad under his entire foot while still providing good traction in mud or frosty grass.  All the details will come in the next post.

Until then, he has been cleared commanded to go back into more consistent work under saddle on the flat (with bute as needed) to use that 5-yr-old energy most constructively (although I am sure he will still engage in many spring frolics) & help the rebuilding process.  I am sure I will be ultra paranoid conservative about it, but I suspect I shall receive no arguments from Echo other than "SO WHYYYY IS ALL-CANTERZ A BAD IDEA????"

Definitely not as "benign" as the abscess I was voting for, but on the upside, it involves no wrapping & will be far less messy.  Another plus:  this was the only foot I didn't have radiographs of yet, so now I have images of all four (yes, horse owners celebrate weird things).  Joint spaces were clean & lovely, navicular bone was fine, soft tissue had no issues, & all the other pieces were where they were supposed to be.  And while it's been frustrating to watch his muscling disappear, I'm just glad that it's not permanent (at least not this time).

Answers bring a great deal of peace of mind, even more so when they are not catastrophic.  We'll see how the next 30 days go, but I'll be thrilled if they are completely uneventful...  

I know he's just hatching his next plot...but at least he will do it shini-ly

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Winning The Thrush War

Solo's feet hate moisture & they've definitely gotten more finicky with age.  I've never had a case of full-blown thrush in the past, it's mostly just been a "things are looking mushy & threatening" kind of vibe.  I was usually able to clear things up with a short course of Thrushbuster.  In the past year or so, however, I've been losing the battle.

His front feet are the problem children & he developed some pretty deep sulcus splits in both frogs, out of which I started getting some smelly not-goodness.  The Thrushbuster was having little to no effect & Dr. Bob told me that all those thrushy micro-organisms can & do develop a resistance to iodine.  It was time to set out on a quest for something new.

Solo's big crack.  Yeah, I crack myself up.  TWO CRACK JOKES!

I proceeded to read the ingredient list & reviews of every thrush product ever formulated, searching for something non-iodine, but demonstrating real effectiveness without requiring long soaking or specialized boots.  Funny side story & spoiler alert:  I ended up at one of the same conclusions as L. Williams, who wrote up a great account of her experience recently!

The Winner

After extensive reading, I decided to try Pure Sole Hoof Mud.  I'm always a little hesitant about things that scream "ALL NATURAL FROOFY" or whatnot, that sound like someone just concocts it in their basement & then sells their placebo for a bunch of money.  However, one of the primary ingredients is apple cider vinegar, which is an acid with well-documented effectiveness against thrush, along with zinc oxide, which is a good moisture barrier.

It's extremely easy to use.  I love that I don't need gloves & it doesn't make me all sticky or dye me purple.  It has a perfect, dry clay consistency so you can pack it in to cracks & crevices easily.  I kneaded it deep into those sulci, where it generally stayed for about 24 hours or so.  I've been using it in nasty mud & wetness with no issues.  When the horse puts his foot down, the clay just gets shoved deeper in there.

Just brushes off my fingers when I'm done

Even better, IT WORKED.  I applied it daily for a few weeks, although that may have been overkill with the acid, because I did see a little frog degradation.  But no more stinky funk.  I backed off to using it once every few days, more often if it's rainy, just in the crevices as a preventative.

After packing

I bought the smaller tub & have used probably 95% of it in 1.5 months, but it will take a little while to use up the last 5% now that I'm using less of it less often.  I did already get a new big tub, so now I'm prepared for the microbial apocalypse.  The clay itself seems very stable, the consistency has been the same whether it's warm or cold & it's definitely been out in the shed when it's 20F.

The only thing it didn't succeed at was sticking to the outside of the hoof wall or white line.  I wanted to see if it would help Echo's toe that is prone to separation, but the clay won't stick to that by itself, it falls off or gets rubbed off in about 4 seconds.  But for areas in & around the frog, worked great.

Two hooves up from us (technically eight, because I did put it on some other spots on Echo's feet too).  

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Bruise Purgatory

This is where I've been with Echo for the last too-many-weeks.  A lurking bruise in a front foot that just won't commit to action.  At least I hope it's a bruise, because a worse alternative is...much worse.

He bruised something inside that foot in November, taking a bad step in a field (I saw it, fortunately, he was essentially standing still, so not a ton of force, he just vastly over-reacted to moving out of Solo's way).  Vet checked it out with a basic exam, wasn't overly concerned, we rested.

It lingered.  In early December, Echo was still sore at times & I had worked myself up into an over-anxious state by drawing many parallels with Solo's DDFT injury.  So we went back to vet & he said still just a bruise & after watching the exam, I returned to normal baseline paranoia.

It still lingers, as bruises can sometimes do as they shift around & laugh at me, which Encore expertly taught me.  I am getting twitchy again, because my brain loves to gnaw on things & also does not know how to process time, so I often struggle with temporal perspective.  We have spring shots scheduled in 10 days, so if it's not better by then, we'll shoot a radiograph to see if there's anything bizarre we missed (surely not in a horse that I own *sarcasm*).

Like all things horse, it's complicated.  We did put some super-cool fancy pads on his front feet, which will get their own post, as I thought that would help him bridge the last gap of healing (he's been barefoot for over a year).  Unfortunately, it appeared that one nail, while not a "hot" nail, did put pressure next to the bruise, so we had to pull the shoes after a week & will try some glue-on boots instead.

Thank goodness for Gorilla Tape, my booties now last 3 days

He was much better within an hour of pulling the shoes, but is still a bit sore a week later, so that nail may have aggravated it a little.  Not horrible, just enough that I can see it on harder ground, definitely in his foot, around the medial side of his toe.  Not sore enough that he won't frolic around in his paddock, so I did sit on him today (almost all walking & it just rained so the ground is soft).  I didn't give him any bute beforehand because I wanted an honest feel & while I could still feel the lingerer, I think he did seem a bit better?

Sigh, these subtle things are so confusing & frustrating.  Especially when you don't own imaging devices.  I'm trying to shame Echo by reminding him that his almost-24-yr-old "brother" with arthritis is currently sounder than him.  I'm fairly certain, though, that Echo was standing behind the door when they handed out guilt.

Shame not installed

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