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Conference noted::equitation

Title:Equine Notes Conference
Notice:Topics List=4, Horses 4Sale/Wanted=150, Equip 4Sale/Wanted=151
Moderator:MTADMS::COBURNIO
Created:Tue Feb 11 1986
Last Modified:Thu Jun 05 1997
Last Successful Update:Fri Jun 06 1997
Number of topics:2080
Total number of notes:22383

1810.0. "generalizations about soft tissue injuries" by DCETHD::WILPOLT (Carrie Wilpolt, dtn 381-1884) Tue Sep 28 1993 14:11

What experiences do you have with soft tissue injuries
recurring, provoking other injuries, or healing fine with
no later soundness problems?

I have been advised not to even look at horses for sale 
(for use as dressage horses, to 3rd level let's say) that
have suffered soft tissue injuries.  The reason given was that
supposedly soft tissue injuries are prone to recur, or, like 
a person's sprained ankle, they may be a weak area for the horse 
forever.  This seems to me like a pretty big generalization-- 
but having had a severe ankle sprain myself, I can understand
where this idea might have come from.

So, time to check with the Vast Noter's Knowledge...  what do your
experiences and reading tell you about this kind of generalization?

Also, I'm wondering how broad this categorization is-- is there an
accepted definition for what "soft tissue injury" means?

thanks,
carrie
(The specific injury that raised the question was a pulled "something"
(muscle? ligament? I don't know) in the heel, from deep mud.  
Supposedly the horse was blocked on one bulb of heel, and went 
almost sound, and went sound when blocked on both bulbs. Xrays were
clean.  The horse has had the summer off completely, has been seen
by the vet recently, and is coming back into work slowly.)


  
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1810.1One opinionDECWET::JDADDAMIOSeattle Rain Festival: 1/1-12/31Tue Sep 28 1993 14:4739
    Personally, I would pay little attention to such crass generalizations. It 
    is practically impossible to raise a horse from foaling to an age suitable 
    for riding without it sustaining *some* sort of soft tissue injury. So, 
    to rule out *all* horses that have ever had a soft tissue injury would
    eliminate all horses or at least all horses owned by people who were
    honest enough to tell you about the prior injury!
    
    I would say it depends on the type and severity of the injury. Wounds
    are soft tissue injuries but I would overlook them unless the scar
    tissue interferred with the way of going. Strained ligaments etc might
    be a concern if they were severe.
    
    But even then, an injury doesn't necessarily mean future unsoundness. You
    mentioned a severe ankle injury. I too had a severe ankle sprain while
    in college. It was so bad that the college infirmary doctor thought it
    was broken and sent me to the nearest hospital to have it set. The
    doctors in the emergency room took X-rays and then said "We have some
    bad news for you. Your ankle isn't broken. It's severely sprained. It
    will probably bother you for the rest of your life. You won't be able
    to walk on it without crutches for 3 to 6 weeks."
    
    I hated the crutches and started walking (OK, limping) on it within 3
    days. It has not bothered me since then and that injury happened 30 
    years ago!
    
    In general, I think I would to have my vet go over a horse I was
    intereseted in buying and evaluate the injury and how debilitating it 
    might be.
    
    In the particular case you mentioned, I think I would pass. A nerve
    block in the heel just tells the vet that there is something wrong in
    the area served by the nerve. There are too many debilitating foot
    problems to take a chance on misdiagnosis. If the horse had recovered
    from the injury and been sound for a year or two, that would be
    different but I would pass on a horse just coming back from such an
    injury.
    
    Just one man's opinion,
    John
1810.2My experience with soft tissueCHEFS::ELKINLThu Sep 30 1993 09:0457
    I thought I'd let you know about my experience with soft tissue
    injuries.  I have a 12 year old mare whom I bought from a riding school
    a year ago, I'd known her for 5 years as I had looked after her in my
    spare time.  Whilst at the riding school, she had no problems that I
    knew of (and I would have known if she had!).  When I bought her I did
    not have her vetted, mainly because if there was something wrong with
    her I'd rather have found out afterwards (regardless of later costs) as
    I would have obviously changed my mind!
    
    After 3 months of hacking she went lame, for no apparent reason and on
    the way back home from a ride.  I rested her for 3 days as it was not a
    severe lameness and then called the vet on the 4th day.  He nerve
    blocked her fetlock/hoof area and she was still lame but better, he
    then gave two more nerve blocks further up her leg, just below the
    knee.  This covered all signs of lameness which concerned the vet as it
    suggested that there was a problem in both her fetlock and lower leg. 
    With that he told me to rest her a further week.  He came out the
    following week and diagnosed a check ligament strain (not severe), by
    that time the area around the check ligament had swollen to form a soft
    bump just smaller than an egg.  She then had a weeks course of laser
    treatment followed by three months off work, and a further three months
    being worked in gradually.
    
    For the past couple of months she has been fine, both on the flat and
    jumping.  Three days ago I took part in a cross country competition and
    low and behold, she went lame!! Same leg, same movement, same signs!!! 
    The ground was very, very muddy and would have most definately put
    strain on all of the legs, unfortunately she only had brushing boots
    on, not bandages.
    
    I called the vet out last night, he did not nerve block this time as it
    was easy to detect the problem, but gave me some ointment to lightly
    blister the affected area.  He said he didn't want to be taking my
    money off me for laser treatment as he felt the injury was not bad
    enough to require it as it is costly.  Well, you know what we're like
    with our little darlings, I said to give whatever treatment he thought
    appropriate at whatever cost (thank god for insurance!!).  The vet
    thought that the strain was a little further down the leg this time,
    more likely to be a tendon or the top of the suspensory ligament.  So, we're
    now back to 6 weeks rest, with the vet coming out next week to check
    how she's going.  He wasn't unduly worried but did point out that she
    has a weekness in that area.  When he looked at her first injury
    earlier in the year he suspected that this may have stemmed from when she
    was younger, in which case it would always be a problem and I would
    have to bear it in mind in the future.
    
    Just from my experience, I would say always be cautious with soft
    tissue injuries (meaning sprains/twists/pulling etc of
    tendons/ligaments).  Fortunately, when she is fully recovered, I can
    still show jump her but will have to think twice about
    cross country/drag hunting, it all depends on the ground and most
    definately with full support from bandages/boots etc.
    
    I'd be interested to see what you do and how it goes, please keep me
    posted and good luck.
    
    Liz
1810.3DDFSALEM::ROY_KThu Sep 30 1993 17:3817
    My horse suffered a deep digital flexor tendon tear last winter.  I
    gave him 4 months off and had to start exercising him lame (I hated
    that) and gradually he went sound.  We don't know what caused the tear
    as I had ridden him at night and came out and found him dead lame in
    the a.m.  He could have suffered the injury while riding and not had
    enough time to get "really sore" or he could have overstretched it
    getting up from sleeping, we don't know.  I hate to say it (afraid I
    will jinx him) but he has been sound for 5 months and back to normal work 
    for a 3 year old.  I did buy him a pair of Professional's Choice boots
    and I love them.
 
    Conformation has a lot to do with a recurring injury.  Some horse may
    just take a wrong step or a freak injury while others will be more
    predisposed to an injury due to their conformation.
    
    Karen
    
1810.4more...KAHALA::HOLMESMon Oct 04 1993 11:1914
    How often do you ride ?
    ie. do you hack or are you in serious training ?

    I'm thinking of two scenarios.

    I) All the warnings we get about carpel tunnel, if we exercise
       and strengthen our forearms our muscles do the work, if the muscle
       gets tired the tendons do the work....and can be damaged.

    II) Serious (human) amateur and professional athletes also can
        pull or damage a tendon, ligament whatever...I assume they are
        muscled up but have a lack of flexability.  
        
    Bill