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Saturday December 3, 2022
mwmyersdvm

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  • mwmyersdvm replied to the topic 'Please Help, A new unidentified hoof fungus.' in the forum.
    Post some properly taken radiographs of true lateral and dorsopalmar views of the hoof with the beam along the bottom of P3 and I can probably answer your query. Soft and hard exposures will also be beneficial. The most common cause of hoof separation is excessive stress on a weakened laminar bond. This year has been a real problem for higher carbohydrate levels in pasture grasses which have contributed to the laminar instability. Many horses are fed an inadequate level of high quality protein to grow a decent hoof. Add in the lack of removal of toe and quarter flares and you have hoof separation. M. W. Myers, DVM
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    kunena.post 3625 days ago
  • mwmyersdvm replied to the topic 'Proximal (superior) check ligament tear' in the forum.
    Since the superior check tears when overloaded severely by the superficial flexor tendon, how did they rule out proximal inflammation of the superficial flexor tendon? Just would want to make sure of the location of the lameness before I injected the area with a product to assist the problem. Any ideas on how this ocurred? M. W. Myers, DVM
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    kunena.post 3634 days ago
  • mwmyersdvm replied to the topic 'What is this?' in the forum.
    If she is obviously pregnant and lame, he probably won't get full meat money price either. The foal adds weight that cannot be used for meat and the limb has to be dicarded. She may easily be passed over at a meat sale and he will have to bring her home after paying for transport and sale entry charges. Good idea to pass, but even the possibility for free may put you in the position for paying for the euthanasia. M. W. Myers, DVM
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    kunena.post 3634 days ago
  • mwmyersdvm replied to the topic 'What is this?' in the forum.
    There is a very good possibility you will be investing some money into this horse. I do agree with Rick as to what "practically giving this horse away" amounts to. A chronically lame horse with a possible looming substantial veterinary bill, should not only be free, but may well be too expensive as a free horse to consider it. There are so many good horses that are reasonably sound and affordable out there, it is not wise to have too many conditions on horses already presenting wiht a problem. That said, this lesion could be an old injury with granulation tissue. If so, this will require surgery and considerable aftercare to alleviate. If it is a keratoma, this is another and likely more extensive surgery. There is stil more diagnostic workup to be done before an informed decision and estimate can be made. M. W. Myers, DVM
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    kunena.post 3637 days ago
  • There is no currently available direct test for the bacterila flora problem. History and clinical signs give some clues. You can run a serum panel and a serum lactate concurrently. If the horse has been at rest for a few hours and the serum panel normal and the lactate elevated, that would make it suspicious, but not definitive.It is treated the same way as IR with likely more careful attention to hay and pasture sugar input. M. W. Myers, DVM
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    kunena.post 3648 days ago
  • mwmyersdvm replied to the topic 'Need Help With Founder- Update Post 9' in the forum.
    Until he has over six months of healing into his IR and laminitc event, I would not attemtpt to lower his heel unless you intend to replace the drop in angle with a wedge and roller. He would not have sufficient laminar stability to tolerate any dorsal laminar stresses as yet. That toe needs serious address. M. W. Myers, DVM
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    kunena.post 3648 days ago
  • mwmyersdvm replied to the topic 'Need Help With Founder- Update Post 9' in the forum.
    I am going to assume that all management issues - feed, hay, pasture have been handled as laminitic events are not usually strictly hoof related issues. What I do see is a club foot that needs some serious address to relief of the deep flexor tendon pull if you would like it to function more correctly. I get the best response with a roller motion shoe and managing heel load. This is not a simple procedure and has to be done carefully. M. W. Myers, DVM
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    kunena.post 3651 days ago
  • A chronically thin soled Warmblood may well have either a metabolic laminar inflammatory issue or laminar inflammation from an imbalance in the bacterial gut flora, a syndrome that mimics the clinical signs of the equine metabolic syndrome but the horse will test negative to the problem on the usual testing protocols. If the whole horse isn't addressed in these cases, the problem will not fully resolve and the ongoing inflammation will slowly degrade the hoof structure over time. M. W. Myers, DVM
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    kunena.post 3651 days ago
  • mwmyersdvm replied to the topic 'Help w/ Diagnosis. (Rads)' in the forum.
    I do realize this is a tricky call, particularly if there are not very many veterinarians in an area to service the horse population. The easiest way to accomplish it is to use a third party and have the owner request the veterinarian to send the radiographs to a specialist for review. He will probably let the veterinarian know that the images are substandard and suggest ways to improve them. I do this regularly. Some veterinarians take it well and others do not. It just has to be presented diplomatically. My Hooves and Horses partner is currently working with the Americcan Farriers Journal to provide some on line webinars for farriers, veterinarians, and owners that will cover some of these issues. The unfortunate side to this issue is that working with the hoof is not a good profit center for veterinarians. The quick and easy joint injection provides better "billable hours". The owners don't see that the veterinarian's and farrier's time is valuable, and we have been remiss for years in teaching them it is valuable. How do we correct this? I am not fully sure at this time. All suggestions are welcome. M. W. Myers, DVM
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    kunena.post 3651 days ago
  • mwmyersdvm replied to the topic 'Help w/ Diagnosis. (Rads)' in the forum.
    This seems to be a Metron system and the format is definitely a CR technology and not DR. He probably snet the normally imported TIFF images out to the owner as JPEG. From what I see he also needs work on his imaging technique as well as his scanner import algorithms. The veterinarian should get with Metron and he will be taking some much better images. The DP coffin view is taken way to hot to determine if "pedal osteitis" is truly present. The lateral is too hot and to skewed to get much information. M. W. Myers, DVM
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    kunena.post 3651 days ago
  • mwmyersdvm replied to the topic 'Why Can't People Just Let Go??' in the forum.
    Tom. I wholeheartedly agree with you on the games part, but the quote has worked for me as an example to many owners on the fence about euthanasia. Have to give credit where credit is due. Don't have to agree with all of it just approximately 0.000001% :P
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    kunena.post 3654 days ago
  • mwmyersdvm replied to the topic 'Why Can't People Just Let Go??' in the forum.
    What is being demonstrated here is a portion of the coffin bone that has died from inadequate circulation and the tracts are the attempt to eject the dead tissue. While there are procedures to keep these horses alive short term, for instance, to get a foal out of a mare that has had a bad lamnitic bout during her pregnancy, long term does not occur and this horse really needs to be kindly euthanized. His "will to live" is instinctive and not a thought process by which he judges the future. "Horses live in the moment...and..there are four moments per second" (Pat Parelli). He does not know the future, only the immediate present and it is not getting better each moment. When every moment is not significantly better than the last, it is time to bid the world adieu. M. W. Myers, DVM
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    kunena.post 3657 days ago
  • mwmyersdvm replied to the topic 'Does this look normal to you guy's?' in the forum.
    I defintiely agree with your mechanics, but I can simplify them for you. I use an aluminum Kerckhaert wedge with a slight roll to the whole shoe and get some great results from horses like this. Make sure you put the roll center correctly in the shoe and get it in the right spot on the hoof. No pads or packing needed on many. My preference for pads and packing when I use it is a leather wedge and some Hawthorne sole pack. This is definitely not a "normal" distal limb mechanically speaking. We need to look at this aspect much more than just noting if there are bony lesions or not. The flattening of the heel bulb is an indicator of early digital cushion compromise and there is some early remodelling of the expensor prccess. There should be a barium strip on the dorsal wall so more information on soft tissue measurements can be gathered, but this was apparently taken more for diagnostics of bone changes than mechanical data gathering from the information given in the report. Good work. I hate seeing farriers put in this position. If you have questions such as this on cases, I am available to your clients for consults. M. W. Myers, DVM
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    kunena.post 3743 days ago
  • mwmyersdvm replied to the topic 'Rim shoe on gaited horse' in the forum.
    The trainer may be thinking of a light shoe with a thin branch. What needs improving in your horse's gait? M. W. Myers, DVM
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    kunena.post 3744 days ago
  • DeniseMc thanks for the post Re: Anyone else see this?
    kunena.thankyou 3753 days ago
  • mwmyersdvm replied to the topic Re: Anyone else see this? in the forum.
    That is a fair question, however, the answer is a bit conplex. Laminitis is not a "apply a certain trim and a certain shoe and all will be well" type of problem. It is multifaceted and all areas need address in order to get to a positive outcome. These areas look to not only hoof mechanics, but also metabolic status, diet, exercise, owner's input capability, and environment. "Trial and error" needs to be kept to a minimum in higher scale cases as an error can easily result in irreparable damage.
    My process is a good physical, lameness assessment, bloodwork as required by the exam and history of the case, radiographs right then and there, and possibly a venogram dictated by the needs of the case. I would need all veterinary records and history - feed practices, turnout, use, length of tme this has beena problem - just to name a few. Then we start.
    Once all of this is done, I have a sufficient database to fully assess the problem and make a very informed discussion with the owner as to possible outcomes.
    Some of this will depend on the finances of the owner and their degree of ability to comply with diet and exercise recommendations. There is no true "natural" treatment for laiminitis as may sometimes be purported to the poor desperate owner. Laminitic horses do not survive in nature.

    M. W. Myers, DVM
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    kunena.post 3753 days ago
  • mwmyersdvm replied to the topic Re: Keratoma? in the forum.
    That looks like it needs a little more invasive surgery than an exploration. It is very typical in appearance to a keratoma.

    M. W. Myers, DVM
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    kunena.post 3755 days ago

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