Radkin Equine Podiatry

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Radkin Equine Podiatry I'm an experienced vet & farrier focused on creating & maintaining a better hoof for your horse.
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Visit my website horsehoofvet.com for more information on services and what you can expect from an appointment with me.

Thank you Stony Rock Farm for organizing this opportunity for me to give back to the community!
20/10/2024

Thank you Stony Rock Farm for organizing this opportunity for me to give back to the community!

14/10/2024
14/09/2024

Toe length and base proportions are vital for creating equilibrium, but what does that mean?

There are big debates at the moment on the importance of toe length, some suggesting its not as important as we make out. Some suggesting it doesn't matter in laminitis, others suggesting toe length doesn't matter in locomotion.

But there seems to be a lacking of understanding of the importance of creating correct strain share between the tendons and ligaments of the digit, AND the importance of maintaining a level hoof on soft ground when the weight of the horse moves over the hoof (midstance). Both of these being a state of equilibrium which basically means a state of balance between opposing forces.

This understanding of the physics involved in the digit has relevance in the treatment if laminitis and in every day shoeing and essentially maintaining a healthy digit.

I will be doing an introduction to digit biomechanics, with The study of the equine hoof, where I will look to explain these things in simple and easy terms to allow for everyone to be able to assess the different theories from a more educated place.

3rd October 7pm BST
Get your tickets now...

https://equineeducationhub.thinkific.com/courses/digit-biomechanics-101

Shod with rockered Avanti shoes and pour pad
13/09/2024

Shod with rockered Avanti shoes and pour pad

I had the pleasure of taking x-rays for & collaborating with my good friend .farrier this past weekend. This is a thorou...
09/09/2024

I had the pleasure of taking x-rays for & collaborating with my good friend .farrier this past weekend. This is a thoroughbred that was having trouble growing hoof & keeping shoes. We placed casts on his fronts & Mike shod him with rockered 4-point rail shoes from Nanric

Trying something new for a navicular horse. Visani full roll shoe with pour pad underneath
30/08/2024

Trying something new for a navicular horse. Visani full roll shoe with pour pad underneath

Thoroughbred with a DDFT issue shod with a rockered Nanric 4 point rail shoes and pour pad
30/08/2024

Thoroughbred with a DDFT issue shod with a rockered Nanric 4 point rail shoes and pour pad

10/08/2024
10/08/2024

Today was a great to start for Dr. Redden's Aug 3 Day course with students from Austria to Australia, CA to NY, and many more.
⚒️🧲🐴

Never stop learning
10/08/2024

Never stop learning

Thoroughbred that was one week overdue. Shod him with full rockers and pour in pads
15/07/2024

Thoroughbred that was one week overdue. Shod him with full rockers and pour in pads

14/07/2024

03/07/2024

We have just finished updating our Safe Feeds list for equines with IR/EMS and/or PPID for the US and Canada and have added a new Safe Feeds list for the EU. All of these have been approved by Dr. Kellon. If your favorite product is not on this list, it is because it does not fit our criteria of less than 10% hydrolyzable carbohydrates (HC = ESC and starch combined), less than 4% fat, and no added iron. These documents are available under the tab PDF FACT SHEETS on our website here: bit.ly/3zoixk9.

03/07/2024
Trying something new
25/06/2024

Trying something new

16/11/2023
10/11/2023

The war against hyperinsulinemia to prevent laminitis rages on.

In 2022, we were delighted to announce preliminary findings of very favorable responses to canagliflozin (Invokana®) in severely laminitic horses with hyperinsulinemia unresponsive to the usual diet and drug therapy. Kellon and Gustafson (2022)

In the two years we monitored case reports, no adverse effects were reported until a horse was noted to be hyperlipidemic (high blood triglycerides). The horse was hospitalized as a suspected colic but continued to be bright and eating well with triglycerides coming down rapidly with therapy and off the drug.

We immediately informed owners and their treating veterinarians of the risk of hyperlipidemia/hypertriglyceridemia and advised screening both before therapy and serially after starting therapy. We have found that the vast majority of horses on canagliflozin or ertugliflozin develop high triglyceride levels. Detailed information on these cases has been recently published. Kellon and Gustafson (2023). https://pubmed.ncbi.nlm.nih.gov/37026076/

Except for mild to moderate weight loss, these horses showed no evidence of the life-threatening hyperlipemia syndrome reported in donkeys, ponies, and miniature horses. We also found that animals in those high-risk groups for hyperlipemia did not develop more severe hypertriglyceridemia with these drugs. We believe the hypertriglyceridemia is in response to an energy shortage caused by the loss of glucose in the urine, similar to what occurs with fasting/starvation and during endurance exercise.

While our 2023 paper was under review, Sundra, et al. (2022) reported on responses to ertugliflozin in horses in Australia. They found similar triglyceride elevations without symptoms. This is consistent with the report of Dunkel, et al. (2013) where it was noted horses with metabolic disorders may be hyperlipidemic for many years, including with liver enzyme elevations, yet show no obvious ill effects.
Nevertheless, because of the potential for development of fatty liver we recommend diets be liberalized to free-choice safe hay and 1 to 2 lbs of beet pulp daily for full-size horses. This allows for an increase in safe calories and the acetate from fermentation of beet pulp and hay can substitute directly for glucose. Other dietary measures are also being investigated.

We wish to especially recognize the members and volunteers of the ECIR Group Inc. for their contribution of time, resources, and data, without whom help for metabolic equines would not be possible.

REFERENCES
Kellon EM, Gustafson KM. (2022) Use of the SGLT1 inhibitor canagliflozin for control of refractory equine hyperinsulinemia and laminitis. Open Vet J. 12:511-518.
Kellon EM, Gustafson KM. (2023) Hypertriglyceridemia in equines with refractory hyperinsulinemia treated with SGLT2 inhibitors. Open Vet J. 13:365-375.
Sundra, T., Kelty, E. & Rendle, D. (2022) Preliminary observations on the use of ertugliflozin in the management of hyperinsulinaemia and laminitis in 51 horses: A case series. Equine Veterinary Education, 00:1– 10.
Dunkel B, Wilford SA, Parkinson NJ, Ward C, Smith P, Grahame L, Brazil T, Schott HC 2nd. (2014) Severe hypertriglyceridaemia in horses and ponies with endocrine disorders. Equine Vet J. 46:118-22.

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