How To Make Your Horse Lame

I suppose that got your “WTF???” click.  But I kid you not, Encore heard me typing the last part of the previous post through walls, in the pasture!  He made his final decision when his ears picked up the cell signal of my phone call to BFF, planning a conditioning ride today.  *sad yet unsurprised face*

So I got to spend yesterday afternoon staring at this:

ColdFlex wrap: back in action

This may be true, but so?!

Two calls to the emergency Batphone in two months really is a bit much for my blood pressure, buddy.  Happily, (although probably not for him) Batman Dr. Bob himself was on call this weekend.  His cool practicality born of literally a lifetime of experience (his dad was a vet and a TB breeder, as well) is a perfect antidote for both my brain’s ability to leap from “it’s just a bump” to “lethal tendon injury in 0.3 seconds” AND my imaginary bank account.  Because I was already jumping into the pool of “omg, what imaging do I need?!”

It went something like this:
(I’ll make it easy and put Dr. Bob’s way-less-dorky-than-me-and-actually-useful comments in red) 

“Dr. Booooob (hahaha, my typing impression of my sad fatalistic voice makes him Dr. Boob, yes, I am 12), I came out this morning and Encore has once again telepathically overheard my attempt at actually scheduling something.”

“Of course, he has, he is Encore!”  (even he marvels at the ability of a horse with nothing inherently wrong with him to constantly hurt himself just enough to get out of real work)

But mom, dis all I want to do!

“He has a grape-sized soft swelling on the lateral side of his right front fetlock,  you can feel the ligament rolling back and forth in the squishy.  There is also a small swollen area on the medial side of the same leg, up behind his knee, in the check ligament area.  There is a small amount of heat in each, he is on his second cycle of cold hose/wrap right now.  I palpated all of the soft tissue in both front legs:  he had no reaction.  Whyyyyyyyyyyyyy?????????????” (ok, that last I may have only said internally)

“Is he hopping around on three-legs when he comes up?”
“No, he appears sound wandering around his paddock.”
“Is he lame at the trot?"
“I did not do any soundness evals, I didn’t want to mess anything up.”

“Ok, good.  Give him a gram of bute twice a day, keep up the cold therapy, leave him be, and we’ll evaluate on Monday.  To be honest, I’ve seen a zillion of these things and many of them are simple bruises or something similar that just need a few days off and they go away.” 
“Yes, I shaved the fetlock spot and there were signs that he could have knocked something.”
“Yep, let’s just get the anti-inflammatories in his system.  Since he lives outside, just leave him out, he’s not going to do anything goofy.  He can keep moving around so it doesn’t get stiff and increase swelling.”

“Ok, no worries, he is very chill.  It is Solo’s job to generally run around and do something silly.  Plus it’s hot.  I’m sure you’ll be shocked (end sarcasm font), but a couple of questions?”
“Sure!!”

“Should I put anything on it like DMSO or the magical ButaCort creme you gave me?”
“No, just bute and cold.  If there’s a small cut or puncture, I don’t want to put anything on there yet, but good question.”

Master farrier at work

“Should I put him on the longe or anything and evaluate him or just leave him alone?”
“Just leave him alone, the treatment will be the same.”

“Cool.  One more:  Johnathan (awesome farrier) re-shod him on Friday and when he put the left front shoe on, Encore shifted funny when he set it down and felt weird under saddle that evening.  I checked the nails as best I could, and we know he has butt-loads of hoof wall, but he seemed a little weird around the toe.  Could this be a contributing factor?  He hoof-tested all four at the end like he always does, and they were fine, though.”

“No, I seriously doubt it.  Johnathan is way too good for that.  He may just need to reset a nail or the shoe a little, but if we look at him on Monday, we can solve two issues at once.  But as many years as I have been doing this, there really is no point right now to try and pin down a cause.  I’ll be happy if it is just gone on Monday and we can carry on, I don’t need to know why as long as Encore is happy.  I’m really totally fine with that!  Even on the off chance that the two are related…”
 “…the treatment would not change.”
“Correct.”

“Ok, thanks.  I will be happy if it just goes away too!!!  I sent Johnathan a message and will keep him apprised.”
“Bute, cold, go forth.”

End scene.

So I shall.  Go forth.  I’ve got two wraps in the fridge (so I can alternate; never freeze them) for extra cooling.  He was a little stiff walking off after standing in cross-ties for 1.5 hours, but then, so was I.  Three steps later, he was fine and pranced rather spectacularly for his dinner.  I maintain hope for minor windpuffs.

Solo models after a Novice HT in 2010

As for the ColdFlex wraps, wow, did that experiment pay off!  I bought two of them years ago to use on Solo post-XC because ice is just a giant pain in the tail and I only want to bring my little drink cooler.  I was so happy with them I bought two more immediately thereafter!  It wasn’t terribly cheap at $80 for four, but for their convenience, if they were as re-usable as the manufacturer claimed, it would be money well-spent.

Well, they were and it was!!  All four have sat unused in my trailer for at least four years (properly put away in their little baggies and cans with water, of course).  I grabbed the first one to slap it on when I found the injury and it was good as new!!  I soaked it down with cold water, set the fan in front of his leg, and let it do its thing.  I can’t tell you what a life-saver it was to be able to read my reference material, talk to the vet, get things from the house, put on fly sheet, spray horses – all while not having to hold a hose or watch a bucket or worry about ice melting or deal with a boot (they are basically a polo wrap made out of some weird jell-o stuff, so completely flexible).  Win!

Now...bump, I bid thee:  DISAPPEAR!!

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My Horse Has Itchy Intestines

Lovely

Apparently.  Since on Sunday afternoon, I was presented with the delight you see pictured.

While I spent THREE HOURS clipping and probing and tweezer-ing and hosing and de-ticking (at least he’s patient), I told him next time he had an itch, he could just politely point it out so I could take care of it instead of over-dramatically experimenting with self-gutting on his own.  He already looks like burn victim, having used every reachable surface to scratch half the skin off his face.  He’s that little kid that you have duct-tape oven mitts when they get chicken pox so they won’t claw their skin off.  Only I don’t have enough oven mitts for every post.  And tree.  And rock.  And his entire body.

Ah well, I hadn’t used the emergency vet number in a while.  It was just hot enough and swollen enough and oozy enough that I wanted to make sure I had covered all my bases before someone came to check it out Monday and give him a (naturally, expensive) steroid shot.

Here I would like to pause and note the already employed strategery.  This adorable, wonderful, maddening horse is wearing fly boots, fly sheet when it’s not too hot, fly mask, eats garlic, gets fly spray, is treated with a tick drench, and is groomed often.  I will also note that Solo, aka I Used To Be A Giant, Accident-Prone Parasite Magnet…is fine.

He got his shot and I got permission to spend even more imaginary money on things that aren’t even fun, like antihistamines for the season.  He likely got a bit itchy from tick bites, started scratching on the TREE WITH THE FATTEST POISON IVY VINES and then the oils worked their way into broken skin and it all became a systemic cycle of itchiness.  I moved him out of pasture with said trees but then jinxed myself by observing on Saturday that he was healing nicely.

*pause for multiple eyerolls*

Remember this horse (2012) casually loping 3'7" in the chute?

On the plus side, he had the good grace to at least injure himself in a “no tack goes here” spot (I had noticed the scabs and thought movement from a ride might work out the fluid of the swelling; it did, but by the time I got the saddle off, it blew back up and on closer examination, the depth of drama was revealed).  Time is hard to come by at the moment, but I was determined to carve out 20 minutes, climb on and at least remind Encore what standards look like.
 
That ride…was our first proper jump school in – I’d actually have to look in my own archives it’s been so long – at least seven months.  We hacked next door to Trainer Neighbour’s Jump Field, adjusted a few rails, and assured Encore he would not die alone while OTHER HORSES DID INTERESTING THINGS RIGHT OVER THERE!

After perhaps two or three dressage schools over the last two months and a couple good trail rides with hill work:  The Pro still has it!  I channeled my inner David O. voice, focusing on being patient, consistent, and soft in my hand while not forgetting I have legs (what, I STILL have to think about them?) to keep his butt engaged and his poll up.  When Encore got antsy, I heard Becky in my head repeating, “Don’t torture him, give him something to do with that energy!”

C'mon, let me take you for a ride! (High Time Photography)

Reward:  Encore didn’t touch a rail, and our final jump was a 3’4” vertical from a solid rhythm where I stayed soft, kept my shoulders up over the apex, kept my butt off his back coming down, and we cantered away forward, but relaxed.  That arc where we both get it all right at the same time – I have a vague memory of that feeling.  Definitely time to get off now and don’t screw it up!  

Maybe we should all spend a little less time beating ourselves up for not riding “enough” (who defines that anyway??) and lower the pressure by just enjoying time on the back of a horse.  Letting ourselves be pleasantly surprised when picking just a detail or two for focus results in an improved bigger picture.  It doesn’t have to be a jump.  It can be a transition into a trot, three steps closer to that horse-eating tree stump, a more responsive halt, a more accurate turn, or even an anxiety-free hack in the woods.

That's a challenge for all of us -- let me know how it worked out for you!

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So, There's Water Polo, How About Water Eventing?

I should probably just keep a snorkel in my truck at this point.  Even the reservoirs can't hold any more and soil that "never gets muddy" is oh so muddy.  My neighbour tells me he has never seen it this saturated, so at least now I know what to plan for.  He may be regretting selling me his high spots now...

A few of you have noticed, but out of random curiosity, I have placed a poll for you in the sidebar directly above the social media buttons.  Tell me how you get your "fresh reading material" updates and how you follow along with your favourite bloggers!

Since no story ever gets to just wrap up smoothly, despite the fact that they've started power line work and I should have electricity in two weeks (yay!), complications abound.  An insulation subcontractor who for some bizarre reason uses a single-axle dump truck (suspected to be made of lead) with a tarp over it instead of a box truck, wandered up my (completely soaked) farm driveway with half the truck off the edge, resulting a lovely mud slop.  Duly added to list for builder of "things contractors messed up" -- it is a short list, and I think an unavoidable one, but no less annoying for all of that.

The lump mid-cannon on the outside front

With perfectly synchronized timing as my financial assets hit rock bottom until my old house sells (soooo....close....), my truck decides that it might like a couple of new injectors or a driver module.  While it occasionally misfires on a couple of cylinders, I hope against hope it's a $10 wiring harness instead (yeah right), but as long as it is sporadic, after consultation with diesel mechanic, it's fine to keep driving.  It still runs so I waved goodbye and pleaded with My Precious to just be patient, as mom doesn't have $900 to feed you right now.

Feeling left out of the fun, Encore popped a lateral splint, which I discovered on Sunday.  Probably being silly in the pasture.  On the plus side, it's cold, hard, not painful and he shows no lameness while walking and uh, leaping on a packed dirt road.  I consult with Dr. Bob and monitor closely, pleading some more that it's just one of those cosmetic ones.  Just don't start limping!  At least we won't be doing much in the next couple weeks (of mud).

The reason all this is so well-timed is that the state gives this lovely little holiday gift to its employees.  We normally are paid on the last working day of the month.  However, in December, the paycheck comes in two weeks early, before the Xmas holidays.  Which means you get six whole weeks to freak out relax and practice your planning skills until January's check appears.  Two more weeks, two more weeks...

H2Y8SAV65C2V

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Rested, Restored, And Ready To Run?

Yes please.

Dr. Bob knows how hard I work for my horses.  He knows the hours I spend toiling, studying, watching, searching, and fine-tuning every aspect of their existence to give them the best I can.  So it made me feel a little less paranoid when, as he stepped out of his truck Tuesday morning, he said, "I'm hoping I can give you some good news for a change today so you can finally catch a break!"

You and me both, buddy, you and me both.  At least it wasn't just me who felt like the dice kept rolling against us just enough to keep us from, you know, actually doing anything.  I could only keep chanting my life mantra:  nothing lasts forever, nothing lasts forever...

Stuff blew out everywhere.

I had spent the last six weeks dutifully feeding bute, painting on Durasole (thanks for the reminder of its much-loved magic, Yvonne!) and strapping and re-strapping fly boots (thanks, Allie!) and examining every surface and crevice on Encore's four bruised-up feet for any signs of emerging abscess or other "nasties" (hey, that's the term my vet uses, so it's real now!).

As directed, I'd kept him in very light work on grass; even though we knew his hips were out of whack and he was sore, he still needed to do some gentle walking and trotting to keep the blood pumping in his feet, speeding healing and exorcising all evils.  He was all kinds of cattywompus, but after three to four weeks, I felt the footiness subside until all that remained was his out-of-whack hind end and poll.

Check out where that back meridian on top goes!

The latter two were a result of his compensation for his foot soreness.  Interestingly, because of the way the muscles and nerves work, many times a hind end lameness can manifest through a jammed or resistant feeling in the horse's poll on the opposite side.  Even the ancient rules of acupuncture acknowledge this connection, which is pretty remarkable if you consider acupuncture itself dates back to the Stone Age and the use of metal needles dates to at least 113 BC!!

I told Dr. Bob that I believed that he had finally worked out that last significant bruise in his left front foot and, miracle of miracles, had not developed abscesses in any of them.  At times, I am hesitant to make any assertions, as it can be difficult to detect small things in all the colours and dirt layers of a hoof.  But the hoof testers backed me up and I had to let out a giggle of excitement.

Next we had Encore's long-awaited chiropractic adjustment to put all that cattywompus back where it belonged.  Dr. Bob had informed me that yes, he could have adjusted him two weeks ago when we were at the clinic, but it would all get thrown right back out again since Encore was still compensating a bit, so instead of wasting time and money, it was better to hold tight until his feet felt good (this is a vet you keep!).

Not Encore, but that is his favourite stretch!

My big brown beast leaned into the stretches with relish, licking his lips as joints popped and settled from his poll to his tailbone.  Happily, his mid-back was solid so his spring vertebral injections were still doing their trick and his withers and hips quickly fell into line.  I was glad we had decided to inject his hocks six weeks ago; even though they do not have arthritic changes, they were sore from compensatory motion and were now swinging freely and their range of motion was as good or better than ever!  It was with great satisfaction that I watched him trot off across the pasture already looking pretty darn normal again.

Dr. Bob went merrily along his way (significantly more financially merry) after a hearty congratulations and Encore was free to rest and meander around his pasture.  The latter will get today off in case of any soreness from the adjustments and then, I will swing a leg back over to....dare I hope?...bring him back into work.

Don't leave us behind, fall season, we're trying to catch up!!

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I Could Fund Dr. Bob's Retirement. I Probably Do.

Stomp.  Stomp.  Stomp.  Stomp.

With that, we were down for the count again.  If you follow us on Facebook, you already know that Encore has the dubious distinction of managing to bruise all four of his feet at once.  While I felt rather relived when Dr. Bob pronounced his diagnosis, as it was far better than whatever mysterious thing my brain was dreaming up, it was still frustrating and a bit disheartening whilst in the middle of it.  Bite me, fall schedule.

This year has been akin to hoof  murder for many, though.  It went something like this:

Enjoying dinner in a ditch in mismatched anti-stomp finery.

Wet
Dry
Wet
Wet
Wet
Dry
FLIES FLIES FLIES
Wet
Wet
FLIESDRYWETFLIESAGH!

Shoes came loose, muscles got sore from ground concussion, and everyone ended up aggravated.

Sometimes it seems like my sexy brown horse is bent on getting out of work.  Each time we get into the swing of things, we crash into the wall.  Even Dr. Bob shakes his head a bit because Encore has great conformation, wonderful athleticism, and worlds of try.  And there is certainly not anything wrong with him outside of his back's arthritic changes, which have done great with injections and caused no further issues.  He just seems to have picked up his owner's penchant for hurt-yourself-just-enough-to-be-annoying.  Naturally, Mr. Solo Of The Wussy Feet...is fine.

Making a list of his creative ways of hurting himself does make me feel better though.  Yeah, that sounds odd, doesn't it??  But it does remind me that they are all just poorly-timed little things.   A pulled ligament, a foot bruise (psh, who does just one, go big or go home!), a sore muscle.  Irritating, yes, but undeniably a part of owning the sporthorse!

His back feet have already blown out their abscesses.  His hocks were a bit sore from compensating for sore feet and more stomping, so we injected the lower hock joints to tide him through healing (heck, he raced for three years, it's not like he's never had a joint injection) by reducing soreness and letting him move more smoothly and naturally.  Interesting tidbit:  I asked Dr. Bob if there was any data about hock injections in terms of future prognosis, as I know he keeps up on his science.  I was very happy to learn that with hocks, the injections do not exacerbate any issues or limit your treatment window in the same way that coffin or fetlock joint injections can.

He'll stay on his bute until his front feet decide to erupt, remaining in a light riding schedule on grass to help keep the blood pumping in his feet and encourage those bruises to move out and heal.  And of course, I broke out my Durasole and introduced the two of them, along with my fly boots!  I already know from his radiographs that he has lovely, thick soles, they just need to be a bit harder this year to battle the crazed weather on top of hard ground in which rocks are a cash crop.  I also picked up this nifty little battery-powered fly mister for the run-in shed.

Keep an eye on those tootsies, folks, and don't forget, proactive is always better than reactive!  And less expensive, sigh...

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Changes Afoot

Naturally, after I celebrate Encore's awesomeness and plan a fantastic trip down to Southern Pines to visit his CANTER MA aunties and ride with David...

...he shuts that down a few hours before we depart.  Apparently, I never learn!

I arrived on Saturday morning to find his shoes all jacked up from stomping endlessly at flies and his withers and butt sore from the repeated concussion.  The rest of his back seemed fine and I tried to ride the soreness out with stretching but it did not go well.  In addition, the stomping plus a hoof growth spurt from new grass made him grow insane amounts of hoof wall all over the place; his feet did not even closely resemble their normal state!  He had two loose shoes and the barn farrier, who happened to be visiting, tacked them back on for us and also made a few suggestions, which got my brain churning.  He didn't know any better, haha.

Regardless, no trip for us.  Sadness.

Both boys were due for their vaccinations and our farrier was visiting yesterday, so I hauled them down to Dr. Bob's clinic.  While we there, I decided to redo the lateral radiographs of Encore's front feet that I had taken almost two years ago when I brought him home.  I was curious to see if there had been improvement in his P1/2/3 alignment (it felt like there had not), if there were any arthritic changes (I hoped not!), and what his soles and toes looked like (I already knew he grew a ton of toe).

Dr. Bob agreed it was far more useful to shoot the pictures than try to guess, so we made the boy some nice wood platforms and had a look.  Turns out, my instincts weren't totally wrong.

Left front foot.

When I said he grows a ton of toe, I meant it!  This is at 4.5 weeks of this crazy cycle, our grass has been off the charts.  So try not to judge the heinous hoof wall too much, even though it looks uuugly. 

On the positive side, his joint spaces have remained nice and clean, as has his navicular bone (nestled in the back between P2 and P3 (coffin bone).  While his coffin bone shows some remodeling on the palmar (facing the ground) and rear edges, it is nothing outside of the normal range.  His sole thickness, which was already great, had increased a bit more, yay!

However, there has not been any improvement in the P1/2/3 alignment.  The heel end of his coffin bone still sits a little too low, which lets the bones sink slightly out of alignment.  This also creates some bruising on the palmar surface of the coffin bone, in the center of the foot (I thought this sounded horrible, but Dr. Bob assured me it was minor). 

Right front foot.

His right foot told much the same story (this was one of the two reset on Saturday, hence different nails).  Still clean joints, navicular is fine, sole excellent.

Same verdict on bone alignment and coffin bone angle.

We also discussed his back feet.  Encore travels very base narrow behind and twists his hind feet, especially his left hind, when he pushes off the ground (very common).  His front feet also hit the ground before his hind feet if he is not fully engaged, creating his nice four-beat canter, heh.  However, he does not grow crazy toe back there, his hoof wall behind is very  nice.

Now it was time to create a new shoeing prescription!  He was wearing Natural Balance shoes up front, which farrier alternated with keg shoes when he felt it was appropriate, and a normal keg shoe behind.  So what is he wearing today?

Up front, he has an aluminum wedge shoe that lifts his heel 2 degrees to help correct that coffin bone angle (as we move his toe back, this will help too).  I HATE HATE HATE pads, as Solo wore them once and they gave him horrible thrush, bleh.  So I was happy to use a wedge shoe and farrier rolled the toe with his rasp to speed breakover even more.  He moved the toe wayyy back and the narrower shoe let it sit closer to the frog than the NB shoes could.

Behind, he went to a size larger keg shoe to both widen his stance, help the foot to land more quickly, and reduce the twisting of the ankle.  There was also an option of using a trailer on the outside branch of his old shoes, but farrier felt that since we needed to use studs, the larger shoe would make that easier on Encore, as the trailer would change more forces on the leg and that added to the studs might be too much change too fast.

So we will see how he responds to all this.  I am very glad I decided to go ahead with the radiographs -- it 100x times more helpful for the farrier to be able to see all the details and we can KNOW what Encore specifically needs help with and what he doesn't; that is worth a great deal!  He is also now wearing four fly boots that I dug out from my stores to reduce some of that stomping.

And you know, why not try to spend as much money as possible in one day!!!

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Look, It's Hard Being Six People At The Same Time

So many posts that need writing, so little brainpower available to throw at them.  But there are exciting things coming up, I swear, including a contest.  Like, with actual prizes!

Monday, I sat down with Dr. Bob at the clinic to talk about short- and long-term management options and possibilities for dear little Encore.  As many of you know, last spring, with the help of the amazing orthopedic department at NC State University's Vet School, we were able to pinpoint Encore's hind end subtle quirks and pain to arthritic changes in his vertebral processes between T12-L1.  He was injected at the vet school (although a resident told me this process would never have to be repeated, which seemed highly biologically improbable at the time and later, I learned my instincts were right) and over the process of three weeks, returned to comfort and full work.  Of course, he then promptly slipped and pulled his SI ligament at Five Points HT that August.  *headdesk*

Being a star at Holder Event Team's Windhaven Farm.

When we returned from our magical fantasy time with Becky, out of nowhere, his back flared up and it was as if someone had flipped a switch, turning my strong, balanced horse into the stumbling, rushing, anxious kid of a year ago.  I was caught so completely off guard, I admit to full-on panic, frantic weekend emails to NCSU (which were actually answered, bless them) and whirling confusion as to what this all meant.

Dr. Bob was able to reinject his back with no issues after consulting with the Vet School, with the clocking ticking down to Longleaf Pines HT.  I did not want to push a sore horse, so I deeply hoped he would feel better quickly and not make me eat $220 of entry fees.

Long story short, it was bumpy, but he began to make positive progress this past weekend and it looks as if he will ok to head to my favourite horse trial on Saturday.  But I had some things to think about and some questions to ask.

Would managing his back spiral into insanity, leaving both of us in a constant state of anxiety and frustration?

Would Encore even be able to make it in eventing -- all I want is Training Level and he can jump that from a standstill.

Should I consider surgery?

Head spinning, quite exorcist-like, I crashed through the clinic doorway and assaulted our poor, wonderful vet with all of it.  In his trademark practical, calm delivery, he allayed many of my concerns and quieted the howling confusion and uncertainty yet again.

As his imagery shows, Encore's vertebral changes are low-grade, a 1 out of 4.  He does not show bone loss or fusion and still has joint space, even though it is reduced.  By keeping his topline strong, continuing to teach him to use his body in a round outline, and keeping the inflammation at bay with periodic injections, he should not have a problem achieving the goals I have set for us.

So I decided to start breathing again.  That is reasonable management and that I can do.  I am well aware by now that a horse in training and competition WILL need management of some kind.  As soon as you begin to challenge their body, unless you are just insanely lucky (and I sort of hate you), you will have to support that body, just as you would any athlete's, through diet, medical care, physical therapy, and all those other details.  Be it injecting hocks or padding feet or supplying Adequan or calming ulcers or building up stifles or unlocking a weak joint or muscle, once you enter the sporthorse game, those cards will land on your table.

The decision we must make, then, includes defining what is reasonable for both horse and human.  If it's a joint injection and muscle building, well heck, half of that I need to do anyway and the other half is pretty straightforward and low on the "things that help our horses" totem pole, so I'm ok with that.  Solo needed his hocks done every six months when he was in work.  Encore needing the same for his back every 8-10 months (pretty much the same price) is fine.  In fact, it may be less than that -- doing ten days of very intensive training in a row, in my reality, is not something that is going to happen again any time in the foreseeable future, so that level of body stress for a prolonged period of time will be rare (thank goodness for BOTH of us).

For today then, Encore and I will continue to be a matched pair, with a bit of crunch in our backs that, with a little helping hand, doesn't diminish our enthusiasm for the road ahead.  Hopefully, it will stay that way.

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I Want To Go For A Walk

I'm  not dead, I swear.



I just need a clone to get all my stuff done.  Should be easy enough, right?

But Dr. Bob took care of Encore and injected his back for me yesterday.  I'll bring him back to the long lines on Sunday and go from there and with any luck, we'll be back to golden for Longleaf.

Speaking of long lines, the videos from Becky's magical training session with Encore are up!  Thank you so much to Amber; this is quite possibly the most valuable tool I took from those two weeks.

It is currently raining ice (WTF, sky, it's April?!) so...I guess I'll just wait 30 minutes to see what season is up next. 

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Happy Happy Happy Sad

I have a few more Becky insights to share with you, but to share the most recent reason why only crazy people own horses:

I did our first home long lining session on Saturday and although it took a bit for me to get sorted out, I got some REALLY nice trot work from Encore!  Happy!

Solo and I warm up at Tamarack in 2009.

Monday, after being very patient and positive and ignoring all his silly head flinging and eye-bugging on a cold, windy day, we finally settled into a dressage school and he was connected, moving over his back, and just generally awesome!  Happy!

I noticed on Monday that his left lead canter felt quite disjointed, but I attributed it to post-training muscle soreness and gave him some bute and a few days off.  No problem, a little rest and we can still go visit the Emersons' lovely farm in Southern Pines, Tamarack Hill, for their fantastic schooling HT series (if you haven't, you should go, EXCELLENT courses, Denny and his wife, May really make it a welcoming, educational experience for the horses).  Still sticking with happy...

Today I got on for an evaluation ride so I could make sure he was ok before spending diesel money and getting up at 4 am.  NOT ok.  I have the horse I had a year ago and my gut says he needs his back re-injected.  He is stiff, running around on his forehand, stumbling behind, and very anxious about his back.  Naturally...because we have already entered Longleaf.  And we definitely won't be heading south tomorrow, I will not run him when I know he is uncomfortable; it's a waste of time and money and will only jeopardize future outings.  Sad.

Post-XC Tamarack 2009 -- yeah, it was that good.

On the plus side, I called Tamarack to scratch him and May was very, very kind and generous and has offered to send us some entry money back, which is unheard of in eventingland, yet is like water in a desert to this house of poverty!  Thank you, Emerson peoples!  I am very sorry that I won't get to run their course but I hope we'll get to support their efforts in the future and oh, did I mention, YOU SHOULD GO!  There is another one on April 13th. 

Countdown to Monday morning and call Dr. Bob.  Already emailed the NCSU vet school orthopedist who worked on Encore almost a year ago.  Of course I did.  Sigh.  I don't mind the maintenance at all, but it would be a little less brain-exploding if it had been mentioned that we might need to repeat when there are big changes in strength and fitness...

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The C Word

No, not that word.  Although I hate that one too.  But I have now officially decided I hate this one more:

Colic.

It sends a shudder down any horse owner's spine, that unpredictable monster hidden deep in your horse's guts which can twist and cramp and snatch his life away from you in a matter of hours.

Yeah, it scares the living bejeezus out of me.

Sunday night, I was on feeding duty and noticed Encore had stopped eating mid-meal and walked out of his shed.  He stood making funny faces for a minute and I watched with concern, as he is a steady, if slow, eater who works his way through the meal, then goes and gets a drink.  He returned to eating and I continued my rounds, but with a yellow warning light in my head.

As I finished turning out the herds, I returned to my pasture and found Encore standing rather pitifully by the shed divider next to Solo, with a sad eye and a half-finished meal.  He peed and it appeared he was dehydrated.  Now that light turned to red.

I led him down the barn, his head hanging, his feet dragging at a slow walk, which hardly helped as this TB usually takes a big swinging step that I can't keep up with.

I called the vet on the way down and put him in stall with warm water while I simultaneously crouched in the dark with my ear against Encore's belly and tried to carry on a conversation with Dr. Bob's junior vet.  He got some very mushy food with bute mixed in and I went to hang out in the BO's house for an hour to see what happened.

I was kindly fed a delicious dinner while I worried, but I came out to find my horse perky, with good gut sounds, and when I led him up to his pasture, he took a drink from his trough and wandered off to comfort an annoyed Solo.  Driving home, I breathed a sigh of relief and assumed an "all clear" text from the BO Monday morning.

Yeah right.  Never worked for him either.

So you can imagine my blood pressure when instead, my phone rang at 10 am and I answered it to a, "Well...."

Encore had eaten his breakfast, but was laying down in the field.  He may have wanted to nap in the sun, but BO put him on the hotwalker to keep him in sight for easy monitoring just in case (Encore's owner may or may not have a reputation for being the crazy lady...).  The horse got some more bute and mushy alfalfa pellets, but no more dry hay, and he was relegated to a prison cell for water and poop monitoring.  His owner was forced to drive to Southern Pines for a work presentation, a fine chance to work on her stomach ulcers.

After flying back north following work, I arrived to find Encore pouting quite noisily in his cell, demanding release after knocking one water bucket over, although hopefully at least drinking part of it.  I stirred a possibly illegal amount of salt and electrolytes into an alfalfa pellet mush and confess to being slightly shocked that he actually ate it, albeit stopping and slapping his tongue out after every bite at the brine component.

Oh, because we have a really important thing in 5 days!

He was left in his prison last night, in hopes that the salt would force his mouth to eventually shrivel up and force him to drink.  His guts were moving so he is allowed to be pardoned pending empty buckets.  I await my notification this morning with guarded optimism.  He will certainly be kept on electrolytes for the rest of the week.

Our insanely bipolar weather is no doubt to blame, although the biologist in me finds it completely nonsensical that weather should have any effect on a endothermic animal's digestive system.  But Dr. Bob and his junior sidekick were all over the place tending to moaning horses, so it wasn't just us.  When it is 60-20-50-30-70-20-55-20-30 all of us are just damn confused.  It will be 70 today and then 42 again tomorrow.  I curse they bones, climate change...

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I Think It's Over Now

I've been in this blind panic, trying to get Encore going properly for Virginia, my destination event of the year, the one thing I've set my sights on that was to be a balm for my life, a grand adventure of a true 3-day event with a great team of friends.

He never gets sore spots.

I've decided instead to invest in pet rocks.

Encore has had soreness in his left hip ever since he slipped at Five Points in September.  I, like an idiot, took two horse trials to figure out what was even going on.  It's not like him to go into the ring and pull 5 rails in stadium.  He should NOT be getting 44's in dressage.  I blamed my riding, I blamed lack of preparation.  FINALLY, I was able to piece together the evidence, see a timeline and figure out he was just plain sore. 

Dr. Bob came out several times, as mentioned previously.  He put the skeletal pieces back where they belong and gave the muscles and ligaments a little juicy help. 

On our Facebook page, I mentioned we did a trail ride on Saturday -- some walk/trot work on hills.  As soon as he picked up the trot though, I could feel his diagonals were uneven.  The muscles in his hindquarters fatigued quickly.  He was hot and sweaty in less than an hour; not normal for a fit young horse.  There was obviously something else stressing his system.

So I spoke to Dr. Bob yesterday and he instructed me to try everything last night and see what I had.

What I had was a tense, anxious horse, ears pinned back, teeth grinding, tail swishing, who would not step under with his left hind.  He kicked out, he dropped his hind end in downward transitions, and in general, I felt like I was torturing him.  But I had to collect the data.  After the ride, I admit I ended in tears because I knew he was only getting worse in work and I knew that, barring unicorn magic, our journey for the year was over after a frustrating fall half-season and  now, my riding was done for a long time.

I palpated and tested and stretched post-ride.  Everything seemed concentrated around the SI/ligaments/muscles on top of his left hip.  Strains to the SI ligament often happen when a horse slips at a gallop at the moment that leg is loaded:  exactly what he did a month and a half ago.  I will talk to Dr. Bob again  later today and I will wait and see, but odds are I will be calling in a scratch next week and I will just eat $400.

Because there comes a point where it's all about you and stops being about your horse.  I could probably push him through the event, but then it is all about my personal wants and NOT about what is best for him in the long term.  So I choose him.  I choose what I hope will allow him to continue to perform for many years to come. 

It could change, something magical might happen in the next week.  That has not been my experience.  While I am heartbroken, there is also a little bit of relief -- taking away the pressure of getting to the horse trial took away the panic and anxiety of wondering how he will make it.  Now if it works, that's great, but if it doesn't, I'm now mentally prepared to pull his shoes and start over again next summer.

So now it's just me and two half-broken horses, kicking around the broken remnants of our goals.  Maybe we'll share a beer and share a dream of a brighter comeback.  Maybe we'll just lean on each other and watch the days crawl by, waiting, always waiting, for a little luck to glance our way. 

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The Horseman's Decision

Dr. Bob warned me on Tuesday that Encore would be sore for a while following a rather large chiropractic adjustment and recommended that I keep him on bute for the rest of the week.  I asked if he would be ok to do the horse trial and he didn't say no.  But I saw a look that I knew and I wondered.  Looking back, I think he made a gamble and because he knows me, hoped it would work.

I schooled Encore lightly on Thursday, some walk/trot lateral and stretching work and a few crossrails.  He felt great.

We trailered to the Horse Park on Friday and settled in for the night.  I wanted to hack him that evening, but ran out of time and daylight and we had to settle for a walk.

Carolina dawn.

 The Moment of Weakness

Dressage warmup was ugly.  Encore was unfocused.  I regretted not making the time to at least longe him the day before.  He had no bend, ignored my leg except to leap forward from every application.  He was stiff, cranky, and anticipatory.  40 minutes of work brought some improvement and I thought we might squeak through.

We didn't.  He turned like a motorcycle, ignored every aide, had no bend in either direction, stiffened and braced whether I was soft or not, and generally brought me near to tears by the end.  Which is almost impossible.  I made a promise on this blog that I would be open about the whole process, that I would not create some kind of false Facebook life where only the good is shared.  So yes, there is a video.  A sad, sad video.  Erm, at least I am getting better at sitting up straight?  And yes, yes he is violently allergic to the rail and wanders drunkenly down the long side like a lost cow. 



I slumped in despair when we left the arena.  Arriving back at our stall, where we were next door to our friend Sue and her magical, wonderful homebred, Rocky The Amazing Horse, I finally said it out loud:  "This just makes me want to give up.  I want to pack up my trailer right now and go home."

The Rally

I didn't.  I took a deep, shaky breath and took a long look at my horse.  I gave him a snack and a drink and thought hard.  He is a worker bee, he does not generally just behave like an asshole because he can.  Gearing up for stadium jumping (it was a one day HT), I decided to feel every step and carefully evaluate what was going on beneath me.

He jumped five or six warmup fences well, moving up when I asked and mostly maintaining a rhythm.  But he leaned hard on the left rein and his left lead canter was a bit flat.  We started our course and after jump 1 when he hit the ground running, the pieces began to form a clearer picture.

He ran at the jumps and about halfway through, started pulling rails behind.  There were only 9 fences so it ended quickly and as we walked out, the answer was clear:  his left hip was still sore, despite the bute and he needed more time.  Apparently a few jumps was ok.  15 was too many.

The Big Decision 

We began our walk over to XC, my first thought being, "Well, we might as well finish."  Then I paused.  Why?  There was nothing to gain -- the course was EXACTLY the same as the once we jumped at 5 Points, there were no new challenges.  I hadn't checked our dressage score, but I've gotten fairly accurate in my assessments and it certainly was not competitive and we'd just pulled at least 3 rails.  I knew my horse was sore and there was nothing to be gained by running him up and down hills for 4 minutes, knowing he would jump flat, chip in, and generally try his best while being physically compromised.  That would just be stupid.

So I walked over to the steward (who was very kind and sympathetic, thank you), calmly informed her we were withdrawing because my horse was sore, and returned the barn to pack up.

The legendary CHP steeplechase infield would not see this Thoroughbred's hoofprints today.

Disheartening?  Absolutely.  A hard choice?  Not really, because I strive to always put my horse first.  Frustrating?  Well, considering my day would have been better spent drinking and setting $300 on fire, yes, I'd say so.  Six hours of driving and we had neither learned nor developed a thing.

The Aftermath

I knew someday it was a choice I would have to make -- looking out for my horse in the long term vs. the short term gratification of completing an event.  It was a choice I will never forgive myself for not making for Solo and it cost us both a great deal.  It was the indisputably right choice to make for Encore yesterday.  I was also encouraged that people in stabling near us that I didn't even know expressed their support and good wishes for our choice and our future when we made it back.

I don't think there is any real damage done; I will talk to Dr. Bob on Monday and assess.  The only real stressor is that we have four weeks and I'm already $400 in to the VA Horse Trials in November.  A part of me wants to just give up, scratch, move the surgery up and be done with it.  This fall season was supposed to be fun, the last good thing I had to look forward to for a long time.  Since 5 Points, it has not been fun.

Because I think it all traces back to that point (ha, see what I did there):  Encore was going very well and had an excellent dressage test.  But he had two big slips on XC on the hard ground and even then, I felt something that I couldn't identify and he jumped poorly on Sunday.  Now I am just upset with myself for not figuring out the problem sooner -- a tweaked up back that just needed a reset and some time, which I attempted to do too close to a competition because I was too slow.

But I am stubborn.  Perhaps stupidly so.  But I'm not giving up just yet; I never thought for a second any of this would be easy.

As of this past Wednesday, he is tapped for studs and wore them on Saturday, so we shall have no more slipping.  Hopefully, all he needs is a bit more time for his hip to settle and rest and he will be back to good.  Did you hear that, big, young, thing?  Get good, I need you!

Oh, we'll be back.  The dream will not die that easily.

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Shhhhh, Did You Hear That?

It was nearly like the sound of a new post forming.  This only counts as half of one though.  I must apologize for a quiet summer; field work is rather like being slowly eaten alive, yet still-half enjoyable?  And the universe continues its focused plan to smoosh me, but fails as yet...

Solo has been finessing his guilt skills, trying to push his nose into the halter hole when I get Encore.  I take him out for a trail ride or a work session when I can, but there is so little time.  He has lost all that hard-won muscle and I'm a bit sad on the trail, where he stumbles and tires easily compared to the muscle-bound athlete he was before.  Before everything changed.  I look at him now and am frustrated, I want more for him but my plan to bring him back to shape this winter ended before it even began.  I can read his frustration too, we know each other too well.  But he will be my rehab horse in a couple of months, so I have hope yet to pique his interest.

Our barn wall speaks truth.

Encore and I have our final practice run this weekend in Southern Pines; next stop the Adult Team Challenge in VA.  We've joined up with three of our fellow Adult Riders to make a kickass team, so look out, because Team "Smurf Cocktail" will be looking to burn up the leaderboard!  If I can manage not to do anything stupidly obvious, perhaps Encore can bring home his own giant ribbon...

Dr. Bob comes up on Tuesday for a pre-flight chiro adjustment.  Encore's left hip has gotten tight again, which I have learned means that some cracking and re-rotating is in order.  For us both, funnily enough, I see mine tomorrow morning, ha.  I will do my best to assure that we are in our finest fighting form. 

Because October is already here, with November on its heels.  By the time I hit the O.R., I'll be broke and exhausted, but there will be plenty of time to nap later and no lessons to pay for for quite some time.  So I'll live right now, thank you.

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Baby's Got Back

Injections, that is.

I wanted to talk a little bit more about what steroid injections do, about where the science is today, & about what my experience has been within my sample size of n = 3.  Full geek-out links are included for your reading pleasure.

Yes, I used to be one of those people who said you should never puncture a joint capsule & introduce bacteria unless your horse was at death's door & blah blah blah.  I fully admit my lack of education on the topic & can gladly say that time, careful research & thought, & experience has changed my position somewhat.

While I still don't believe in administering "preventative" joint treatment, I have learned that, in a problem area, steroid injection can be a very powerful tool to keep your horse doing his job happy & comfortably over the years.

Why would I want to inject my horse's joints?

Most sporthorses (and humans, sigh) will experience a deterioration/roughening of their joint surfaces & sometimes a reduced production of synovial fluid (joint lube).  The results can vary from just a little extra warm up time to reduced range of motion & pain.

Sometimes that can be treated with a reputable feed-through supplement (I have gotten good results with SmartFlex Senior) or an intramuscular injection which addresses the body as a whole, such as Adequan.  These can increase production of synovial fluid & even help repair cartilage.

However, sport is demanding on both our bodies & sometimes we need targeted relief.  Arthritis is technically defined as joint inflammation, which causes the pain, & if you don't break that cycle of inflammation, the body will compensate, causing problems in other areas & the horse (or person, ow) will continue to degrade in condition.  So the key is breaking that cycle at the source.

What do they shoot in there with those big, fat needles?

The fluid injected is generally a mix of broad-spectrum antibiotics to prevent infection mixed with a corticosteroid.  For example, my own spinal injections were done with dexamethasone.  Encore's were triamcinolone.  If I remember correctly, Solo's hocks got cortisone.  All are the same type of drug & reduce the inflammation in the joint.

You can also include hyaluronic acid if you'd like to drop another $300 per injection, however, Dr. Bob says he sees little difference unless you are competing at the very top levels of your sport, i.e. if you are the 1%.

That sounds expensive.  Oh wait, it's a horse.

It can feel expensive.  A set of hock injections (doing both high & low hock joints) here will be $300.  That breaks down to $50 per month.  The cheapest I have found Adequan is $36 per dose & I used that approximately once a month, so the prices are not far off & the IA (intra-articular, or in the joint) injections were effective immediately & worked better.  A back or SI injection may range from $350-500.

Try to think in the long term & make fair comparisons.  That feed-through supplement may sound cheaper, but it may be costing you $40 a month & results may be something you can feel maybe if you close one eye & hold your tongue just right.  So it's all relative & in the grand scheme of a horse's career, it may not be as expensive as you think.

What's the point if I just have to do it again later?

Each horse is unique & each joint is unique.  Some horses can get one joint injection, the cycle is broken, & that joint will perform pain-free for the rest of their lives.  Others do have to be repeated.

For example, to compete, Solo needed his hocks injected every six months (a fairly standard interval for horses with mild to moderate hock arthritis).  But it is impossible to predict, because just like humans, the results will vary with each body.

I really want a full set of knitted bacteria...

But by breaking the joint capsule, am I not taking this huge risk of bacteria getting in there & killing my horse?

Every puncture of the skin can open a passageway for bacteria.  A fly bite, a scratch, a shot, all create a chink in the armour.  But any worthwhile vet should take every precaution to make sure your horse is safely injected.

As I mentioned before, antibiotics are usually included in the injection itself.  The horse's skin is washed & scrubbed repeatedly to sterilize it.  Often, the hair is clipped away to create a clearer work area.  It should never be a procedure taken lightly or performed quickly.

How soon will I notice a difference?

Like every biological process (engineers hate talking to us), it depends.  For Solo, within three days, he had power & loft back in his trot.  For me, the first 3-4 days after the injections were intensely MORE painful, then over 7-10 days the pain decreased rapidly, although there was some bruising, & by 2-3 weeks, I felt pretty darn good  That was a year & a half ago.

Encore is about 10 days post injection; he still has a sore spot or two if I hit it just right with the curry & if there are bone or connective tissue bruises as the vets suspected in the stifle or hock, those will take a few weeks to heal (yeah, I had those too last year, we REALLY match).  There were some really promising moments in the trot on Saturday, but I am taking it slow & easy & demanding little.  At three weeks, we will know more.

How do they know the needle is in the right spot?

Some injections, like hocks, stifles, & fetlocks, can be done by feel by an experienced vet.  Others, like vertebrae or SI joints can be guided by radiograph or fluoroscope (live video radiograph) because the target is small & surrounded by large muscle groups.

I hear all these condition names thrown around with injections, what do they really mean?

Science is a continuum -- it is forever evolving & forever learning.  Often, when something is not completely understood, vets toss it into a pre-existing bucket so that clients can have a label to hold on to.

Take "navicular" for example -- this is a convenient bucket that can contain all manner of arthritic & bony changes & inflammation to the navicular bone.  Some are very serious & career ending, others simply require a change of hoof angle or shoe.

Another growing bucket is "kissing spine" -- this is the one Encore got tossed into.  Right now, it is being used to contain cases where either arthritic changes or simply conformation or genetic misfortune cause the spaces between the vertebral processes to be narrower than normal.  The degree & effect can range from zero to 15....on a scale of 1 to 10.

This may sound frustrating, but it's because we are still learning.  But clients want a name, they want a definitive answer, heck, I want a definitive answer. Even though the name may not be a very accurate one, nor truly fit the original description of the condition.

I have come to really like a plain big ol' cut:  I can see it.  I know what's wrong.  I know how to treat it.  I can watch it heal.  And I know when it's fixed.

This internal stuff, well, I'm kinda over it.  Actually, I'm WAYYYYY over it.  From a scientific perspective, it is fascinating.  But I'd rather be fascinated by someone else's horse, thank you.  However, I hope this treatise, which escaped me & ended up longer than intended, can help you understand a little bit more about the process & why steroid injections can actually be your friend.

Or in the case of my back, your true love.

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Diagnostic Geek-Out Imminent

After I left Encore at the NCSU Equine Hospital on Wednesday night, things proceeded roughly like this (italics are me):

Wednesday night:

He's not lying in his stall, whinnying in anguish.  He is not lying in his stall, whinnying in anguish.  Dr. Newman said he would call on Thursday when Encore was going into his bone scan tomorrow, so I will just try and breathe deeply till then.

Thursday:

Did my phone ring?  How about now?  Now?  How about now?  Ahh, I have to pee, I'm taking my phone with me.  It still didn't ring.  How about now?  Well, I guess they would call me if he died.

Friday:

10:30 am; Dr. Newman calls with results of bone scan -

"Overall, he looks pretty good.  There are three hot areas, in his left stifle, left hock, and the spinous processes of his thoracic spine.  So I would like to do radiographs there, unless you prefer to try blocks first.  I'm not sure if it's just his back or if there are any surgical lesions on his hock or stifle"

When looking at bone scan images, darker areas indicate where there has been greater uptake of the radioactive isotope into the bony structures.  This can mean a potential problem area, but keep in mind, that it is only an indicator to help zero in on spots, because it will show you EVERYTHING.  Dr. Newman said almost all horses will show up hot in their sesamoids, withers, and some elbows.

A nice matched set of knees.

Pretty  matchy scan on the hind feet too.

 ZOMG, you said the "s" word.  No problem.  I'm totally not freaking out right now.  It's only $600 more, radiograph away, my friend!

11:00 am:  Dr. Newman informs me that Encore is going into radiology.  At this point I realize my horse has basically just gotten to be high for two days and I start to feel less bad for him.

11:30 am:  Dr. Newman calls with the results of radiographs -

"His hock and stifle are lovely and clean, so I suspect there is just some bone bruising there or bruising at tendon/ligament attachments.  His neck and cervical spine are beautiful and some of the cleanest we've ever seen.  What Dr. Redding and I feel is causing the problem are the arthritic changes between his vertebrae from about T15 to L1 and we'd like to inject those."

Look at that hock -- pretty darn clean, I can't ask for much more than that!

Left stifle.  Radiographs fascinate me.  But you can see the joint edges are pretty dang clean and smooth.

So no surgery?

"No, no surgery."

OMG, my horse and I are a perfectly matched pair.  This is the same procedure I got last year, only I didn't get to be doped out on xylazine.  Go get 'em, vet-man.

Shortly after that, I was able to pick Encore up and take him home for three days of pen rest, after which I am slowly bringing him back to work over the next 2-3 weeks.  If there are any lingering issues at that point, we can poke and block and see if we can chase them down.  Dr. Newman also sat down with me when I arrived to rescue the pony and went through the imagery with me.  It was easily apparent (if your entire career has been training to look for small differences in details) where the problem was.

Bone scan of happy withers.  Notice the spinous processes above the vertebrae are clearly defined.

Now compare that to his thoracic spine (back of the saddle) -- the processes are dark and indistinct.

Radiographs confirm -- see the nice spaces between the processes at his withers?  Happy withers.

Back to his thoracic spine and you can see the uneven edges of arthritic change and that the spaces between vertebral processes have shrunk.  Very common in riding horses, especially short-backed horses.

Four injection needles inserted and position checked prior to injection.  This one gave me shuddering flashbacks to the horrific pain of my own injections but Encore got sweet sweet drugs, so the vet said he didn't even flinch.

So, best case scenario, I bring him back in 3 weeks, he is fixed, I jump up and down and I never have to talk to you again?

Dr. Newman:  "LOL, yes, that is the most likely outcome."

Now, my goals are Training Level long format events, which are 3'3" jumps.  We're not asking for Rolex, but will he have a problem with this?

"No, he should do just fine."

If I didn't have massive personal space issues, I would hug you right now, but I do, so let's just pretend.

Is it just me, or did his laugh sound relieved?

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