Not sure how I feel about this comment…. Regardless this is Prostride, an excellent biologic that we use for treating joint pain and arthritis. #equine #caballos #pferd
Sometimes we do horse yoga….
Not really, it’s just a flexion test. 😀
#horsepower #yoga #horse #stretch
Laminitic feet need special shoes. This is a clog and we use screws not nails to secure it (Carson helping with the drill). Radiographs are used to guide the final placement.
#fancyshoes #laminitisrecovery #danielequine
Laser therapy for soft tissue injuries…⬇️
The options for soft tissue injuries continue to expand. Here we are using laser to help with chronic suspensory desmopathy.
#wellington #ocala #laser
Information about worm testing
Cyst in the hock causing lameness
CASE STUDY: Bone cyst in the hock
PATIENT: 8-year-old Thoroughbred gelding
STORY: This gelding had a persistent 3/5 (AAEP) LH lameness which had not responded to routine injection of the hock joints twice with corticosteroids. He also had been diagnosed with kissing spines 3 months earlier which had responded well to shockwave therapy.
EXAM: The left hind lameness was evident at a trot and the lameness locator was used to precisely measure the improvement to nerve blocks. The limb palpated normally and there was no other heat, pain or swelling. Flexion testing f the hock was positive.
NERVE BLOCKS: Several blocks were performed of the limb, sequentially starting from the ground up. When the hock region was blocked a 90% improvement in lameness was seen.
RADIOGRAPHS: Multiple radiographs of the hock were taken which showed a bone cyst within the center of the third tarsal bone. This was determined to be the cause of the persistent lameness and options including repeating the joint injections into this joint or surgical screw placement across the cyst.
TREATMENT: Surgery was performed to place a screw across the cyst. This was performed under general anesthesia using radiographs to guide placement of a 3.5mm screw.
OUTCOME: Post-surgery the horse was comfortable and began a rehabilitation program.
Septic Elbow Joint
CASE STUDY: Septic Elbow Joint
PATIENT: 4-year-old Thoroughbred mare
STORY: We were called to evaluate a TB mare for a severe RF lameness. 2 months prior she had sustained a wound near the right elbow which had been treated with antibiotics.
EXAM: The mare was lame at the walk and had marked pain when palpating the right elbow region. There was also swelling near to where the original wound had been. The rest of the limb palpated normally and there was no other heat, pain or swelling.
DIAGNOSTICS: We started with radiographs of the elbow. We placed a staple over the scar of the previous wound on the outside of the limb which showed that the wound had been level with the elbow joint. On the inside of the joint there was abnormal joint capsule roughening. Ultrasound of the limb showed that the joint had a marked increase in fluid and the joint capsule was very thick.
JOINT TAP: A needle was placed into the joint and a sample of fluid retrieved. Stall side tests were suggestive of an infection which was confirmed when we submitted the sample to the laboratory. The cell count and protein in the fluid was very high, which is typical of an infected joint.
TREATMENT: Arthroscopy of the elbow joint was performed to flush out the infected fluid, remove fibrin and to place resorbable antibiotic beads. The mare was also given a long course of antibiotics following surgery.
OUTCOME: The joint fluid was checked 2 weeks post-surgery and was normal. The mare is now sound and has gone back into an exercise program. This is a wonderful outcome for this mare, since her original prognosis was quite poor given the duration of the infection.
Septic Elbow Joint
CASE STUDY: Septic Elbow Joint
PATIENT: 4-year-old Thoroughbred mare
STORY: We were called to evaluate a TB mare for a severe RF lameness. 2 months prior she had sustained a wound near the right elbow which had been treated with antibiotics.
EXAM: The mare was lame at the walk and had marked pain when palpating the right elbow region. There was also swelling near to where the original wound had been. The rest of the limb palpated normally and there was no other heat, pain or swelling.
DIAGNOSTICS: We started with radiographs of the elbow. We placed a staple over the scar of the previous wound on the outside of the limb which showed that the wound had been level with the elbow joint. On the inside of the joint there was abnormal joint capsule roughening. Ultrasound of the limb showed that the joint had a marked increase in fluid and the joint capsule was very thick.
JOINT TAP: A needle was placed into the joint and a sample of fluid retrieved. Stall side tests were suggestive of an infection which was confirmed when we submitted the sample to the laboratory. The cell count and protein in the fluid was very high, which is typical of an infected joint.
TREATMENT: Arthroscopy of the elbow joint was performed to flush out the infected fluid, remove fibrin and to place resorbable antibiotic beads. The mare was also given a long course of antibiotics following surgery.
OUTCOME: The joint fluid was checked 2 weeks post-surgery and was normal. The mare is now sound and has gone back into an exercise program. This is a wonderful outcome for this mare, since her original prognosis was quite poor given the duration of the infection.
Septic Elbow Joint
CASE STUDY: Septic Elbow Joint
PATIENT: 4-year-old Thoroughbred mare
STORY: We were called to evaluate a TB mare for a severe RF lameness. 2 months prior she had sustained a wound near the right elbow which had been treated with antibiotics.
EXAM: The mare was lame at the walk and had marked pain when palpating the right elbow region. There was also swelling near to where the original wound had been. The rest of the limb palpated normally and there was no other heat, pain or swelling.
DIAGNOSTICS: We started with radiographs of the elbow. We placed a staple over the scar of the previous wound on the outside of the limb which showed that the wound had been level with the elbow joint. On the inside of the joint there was abnormal joint capsule roughening. Ultrasound of the limb showed that the joint had a marked increase in fluid and the joint capsule was very thick.
JOINT TAP: A needle was placed into the joint and a sample of fluid retrieved. Stall side tests were suggestive of an infection which was confirmed when we submitted the sample to the laboratory. The cell count and protein in the fluid was very high, which is typical of an infected joint.
TREATMENT: Arthroscopy of the elbow joint was performed to flush out the infected fluid, remove fibrin and to place resorbable antibiotic beads. The mare was also given a long course of antibiotics following surgery.
OUTCOME: The joint fluid was checked 2 weeks post-surgery and was normal. The mare is now sound and has gone back into an exercise program. This is a wonderful outcome for this mare, since her original prognosis was quite poor given the duration of the infection.
Septic Elbow Joint
CASE STUDY: Septic Elbow Joint
PATIENT: 4-year-old Thoroughbred mare
STORY: We were called to evaluate a TB mare for a severe RF lameness. 2 months prior she had sustained a wound near the right elbow which had been treated with antibiotics.
EXAM: The mare was lame at the walk and had marked pain when palpating the right elbow region. There was also swelling near to where the original wound had been. The rest of the limb palpated normally and there was no other heat, pain or swelling.
DIAGNOSTICS: We started with radiographs of the elbow. We placed a staple over the scar of the previous wound on the outside of the limb which showed that the wound had been level with the elbow joint. On the inside of the joint there was abnormal joint capsule roughening. Ultrasound of the limb showed that the joint had a marked increase in fluid and the joint capsule was very thick.
JOINT TAP: A needle was placed into the joint and a sample of fluid retrieved. Stall side tests were suggestive of an infection which was confirmed when we submitted the sample to the laboratory. The cell count and protein in the fluid was very high, which is typical of an infected joint.
TREATMENT: Arthroscopy of the elbow joint was performed to flush out the infected fluid, remove fibrin and to place resorbable antibiotic beads. The mare was also given a long course of antibiotics following surgery.
OUTCOME: The joint fluid was checked 2 weeks post-surgery and was normal. The mare is now sound and has gone back into an exercise program. This is a wonderful outcome for this mare, since her original prognosis was quite poor given the duration of the infection.
This horse was kicked in her elbow by another horse. The wound developed an abscess which made its way into the elbow joint, causing septic arthritis.
Dr. Daniel has placed a camera in her elbow joint (elbow arthroscopy) to visualize the joint and lavage out the infection. The screen is showing plaster of Paris pellets being deposited into the joint. These are pelleted antibiotics that will treat subsequent bone infection, or osteomyelitis.
#equinesurgery #horse #horses #vetmedicine #surgery
FES (functional electrical stimulation) at the beginning of a treatment session. This horse was recovering from an injury to the shoulder. His neck muscle training was being used to shorten his return to sport once he was done healing from his injury.
#shoulderrehab #horse #fes #muscle
Taking a little trip through the esophagus after #gastroscopy to diagnose squamous gastric ulcer disease. The esophagus looks very happy on our exit out 😁
#gastroscope #equinevet #danielequine
