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