|
|
Discussion on Diagnosing NS - unilaterally
|
| Author |
Message |
Member:
Yann
|
Posted on Thursday, Dec 12, 2002 - 5:01 am:
Hi,
My 12 year old mare has spivat in her hock joints. My vet believes the problem started with NS in one front leg. Regardless of this relation (or not), I am trying to individually address these problems.
Although two vets consider that it is NS, there are a few troubled findings, that do not seem to relate to NS:
- There is no constant apparent lameness. She just can't move right, she doesn't engage with her hind legs.
- The pain is unilateral.
- She has been injected twice in the foot's joint, with little and very shortlived relieve.
- While injecting the front foot joint (but also the hock joint), the joint fluid was very clear, but also very watery, flowing freely nad in no way thick.
- She has an old scare at the base of the front foot, of about 1-1 1/2 inch.
- X-rays show a very healthy foot.
With these information, do you feel a diagnosis of NS is logical?
My vet suggests a neurectomy. Should I ?
Many thanks,
Yann
|
Moderator:
DrO
|
Posted on Thursday, Dec 12, 2002 - 6:07 am:
Hello Yann,
I do not diagnose NS in unilaterally lame horses, see » Equine Diseases » Lameness » Foot and Sole Problems » Navicular Disease / SynDrOme for a detailed review of the diagnosis. In fact I do not see where the lameness in the front limb has been localized clearly at all. Has a posterior digital nerve block been done and what were the results. How long has your horse been lame on the front foot?
DrO
|
Member:
Yann
|
Posted on Sunday, Dec 15, 2002 - 5:31 am:
Hi,
The lameness has been going on for as long as I have my mare (3 years), albeit progressively. In fact, most of the time she is not really lame, but cannot run normally, in that she doesn't engage with her hindquarters. The nerve block, removed all of her problems, in that she moved much more freely.
Yann
|
Moderator:
DrO
|
Posted on Sunday, Dec 15, 2002 - 11:21 am:
Most excellent. A undiagnosed lameness of the foot for 3 years duration, with no radiographic evidence of disease, and blocks out 100% with a PDN is a perfect candidate for neurectomy.
DrO
|
|
|
