Nuchal bursitis (infected or not) or poll evil is an insidious and often chronic pathology affecting horses with pain at the poll region. Medical treatment often fails to resolve the problem and nuchal bursoscopy under general anesthesia is the current gold standard for treatment. Here is Dr. Bonilla performing nuchal bursoscopy STANDING in one of the first patients that received the procedure, which to our knowledge has not been reported before. At TEH, we continue pioneering standing procedures for our patients.
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Intussusceptions are uncommon in horses but often seen in youngster associated with parasitism or motility disorders. Intussusception is a term to describe when one part of the intestine telescopes inside another part. In this case, Dr. Bonilla resolves a cecocolic intussusception where the cecum went inside the colon.
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CHECK IT OUT: Adam Miller (husband of Calan Miller, our site specialist for equine and small animal) was recognized at the rodeo last night. Thank for your service, Adam!
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Teeth fractures and tooth infections are common but sometimes hard to find during routine exams. At TEH, we count on the equipment and the expertise of Dr. Bonilla to diagnose and treat them.
This case presented with a draining mandibular abscess. Radiographs revealed that the abscess communicated with the roots of the first molar and that there were signs of infection about its roots. An oral endoscopic exam revealed a mild crown fracture and pulp packing with feed material. The tooth was orally extracted after regional and local nerve block under standing sedation.
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Subchondral bone cysts are cavities that form inside bones and under the joint and produce lameness. If not treated early enough, the joint could develop osteoarthritis and be affected for life. The goal of the technique is to promote healing of the cyst and, more importantly, to recover the normal contour of the joint to prevent joint damage.
This case shows the positive radiographic and clinical progression of a medial femoral condyle subchondral bone cysts after screw placement through it. The horse presented to TEH lame at the walk and is currently sound and back in training.
Dr. Bonilla is one of the first surgeons using the screw technique and has performed research about this relatively new technique that has quickly become the gold standard for most equine surgeons in the world.
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“There are many wonderful places in the world, but one of my favorite places is on the back of my horse.” -Rolf Kopfle
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Traumatic wounds to the cannon bone area can be problematic and often affect the splint bones. This case developed septic osteomyelitis of the splint bone several weeks after trauma and had a non-resolving draining tract.
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A cryptorchid horse is a horse whose testicle did not descend properly from the abdomen and stays either in the abdomen or in the inguinal area. The gold standard technique to treat abdominal cryptorchid is with laparoscopy (keyhole surgery). Here at TEH, we have both cutting-edge technology and experts in the field. Make sure an expert in laparoscopy like Dr. Bonilla does this procedure for your horse!
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At Tennessee Equine Hospital, our team has the knowledge to be able to utilize special radiographic projections to diagnose and create treatment plans for P3 fractures trying to “hide.”
Fractures of the distal phalanx are a fairly common injury. They can occur at high speed or from kicking a firm object like a stall door or a wall. The fracture produces a sudden onset of lameness and can be a diagnostic challenge.
Watch the video above to see one horse's road to recovery.
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Equine odontoblastic tooth resorption and hypercementosis (EORTH) is a common and debilitating disease mainly affecting the incisors of aged horses. Dr. Alvaro Bonillla addresses this issue for a horse at Tennessee Equine Hospital.
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Distal fractures of the splint bone are really common either after a kick or secondary to suspensory desmitis. These fractures can be treated conservatively, which usually requires 2-3 months of rest, but they may or may not heal well or require surgical removal.
At TEH, Dr. Bonilla offers standing surgical removal of these fractures, which speeds up the recovery process and is more economical than traditional removal as the horse does not need to be placed under general anesthesia.
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Septic joints in foals occur commonly via the bloodstream. Watch as Dr. Alvaro Bonilla discusses the treatment process at TEH.
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Breeding season at Tennessee Equine Main is gearing up to be a busy year!
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At Tennessee Equine Hospital, we perform onsite laboratory tests to ensure accurate diagnoses and treatment plans.
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We are now proud to offer standing tie-back surgery and throat laser surgery at TEH for horses with laryngeal neuropathy (AKA roaring horses). Here is Dr. Bonilla performing the procedure on a large horse. This technique avoids complications associated with general anesthesia in large breeds.
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Braces for horses can save their smiles 🐴
Mandibular fractures in the incisor area are common in young horses after a kick or getting their mouth stuck on a water bucket. Thankfully, most of them can be repaired standing, and they have a good prognosis after using orthopedic wire as braces for a few weeks.
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Your horse's hock joints are on their hind legs. Think of the hock joints as similar to the human ankle. These joints allow your horse to carry weight and push off the ground to run and jump.
At Tennessee Equine Hospital, we utilize arthroscopic surgery – a keyhole minimally invasive procedure – to inspect joints and provide treatment, which may include removing bone and cartilage fragments, debriding damaged ligaments and menisci, and repairing cartilage.
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To provide the best treatment plan for your horse, Tennessee Equine Hospital is proud to offer state-of-the-art diagnostic imaging, including MRI, nuclear scintigraphy, and ultrasound.
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A little fun in the snow ❄️
Have fun snow pictures? Let's see them! Tag us or share them in the comments. 📸
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Lameness is a general term that refers to a horse with an abnormal gait or stance. This is a common issue that requires assessment by a veterinarian to determine the cause and best course of action. At Tennessee Equine Hospital, our Lameness Center is equipped with multiple types of footing to best evaluate your horse's soundness.
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