02/13/2024
Snow Day Podiatry Before & After:
One thing snow makes us think about is feet, because we all worry about our horses packing snow and whether they have the right pads. Then when the snow melts, we’ll be back with our constant companion Mud and worrying about moisture levels, dropped soles, and dermatitis.
The patient in the radiographs below is a 22-year-old half thoroughbred gelding, and he’s fairly representative of a common scenario we see. These horses are barefoot, have thin soles, have changes to the coffin bone, are frequently uncomfortable, and get abscesses. We’re talking about feet that look like this for years, not horses that have just been made barefoot with some hope that in time they will “toughen up.” These horses commonly have a potentially small space that has been used long enough that there are some drainage problems--and you all know if Mud is only in two corners that’s where the horse will spend 80% of its time. These are horses for whom the real concern is an ability to be pasture sound, with riding soundness being either irrelevant or in a distant future.
We’ve been exploring what we can do for these horses within realistic parameters to get them to a better place for their hoof care team.
Do you put on a shoe for protection?
Sure, but many of these horses are barefoot because 1. They can’t hold nails consistently or 2. They don’t live in a location a farrier is willing to come to for one horse. We know the demand for qualified farriers scarcely meets the need these days, and it doesn’t make economic sense for them to drive to every single or two-horse home.
Do you cast it? That might help over time. It will likely take an awfully long time for that to allow enough sole development to get ahead of the negative cycle. These are feet that seem to grow almost entirely outward instead of up-and-down and change is sloowww.
You can put on a shoe with a heart bar or a frog support pad, you can keep trying to move the breakover back, but when feet are THIS far gone it usually takes a big effort and some mechanics to get ahead. That can mean a shoe with rocker motion. That can mean a clog nailed on. In this case we tried out a cuff called a Nanric Ultimate that was developed by Dr. Ric Redden and is a favorite in the horsey land of Kentucky. It can be bandaged on or glued on. It can be used to help increase blood supply to the foot and speed up sole growth.
*pause—we know these radiographs aren’t the straightest but we don’t care because they still show change*
This patient was three-legged lame much of the time. He had 0 to 5 mm of sole because abscesses had resulted in some parts of the sole entirely peeling away. These before and afters are 15 weeks apart. For 15 weeks a very diligent owner monitored and replaced the cuffs with multiple farm calls for status checks. In fifteen weeks this horse doubled his sole depth and has been consistently comfortable in his daily activities. Now he has enough foot for his trimmer to work with, and we think that’s pretty cool!