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Discussion on Hard Swelling on cheek bone

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Heidi Wright
Member
Username: remmi

Post Number: 33
Registered: 9-2005
Posted on Friday, Feb 20, 2009 - 9:12 am:   Edit PostPrint Post

Last week my horse came out of the pasture with a hard swelling on his cheek bone - bigger than a golf ball. He plays face games daily, so I assumed he got hit in the head. The vet came, took head xrays, and they felt it was a severe bone bruise. The swelling is hard, warm and painful. After a week of hot compressing, bute, SMZ's, and rubbing surpass into the bump, nothing has changed. The swelling is not going down. It is a little less painful. My horse feels great and is eating normally.

Dr. O, any suggestions?

Thank you!
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Fran C
Member
Username: canter

Post Number: 1859
Registered: 1-2000
Posted on Friday, Feb 20, 2009 - 10:46 am:   Edit PostPrint Post

Hi Heidi, for what it's worth: last summer, my husband dropped a rather large TV right on top of his foot. We thought he broke the foot so I brought him to the emergency room (once I stopped laughing) for xrays and it was a severe bone bruise...very painful and swollen. Took well over a month for the swelling and pain to even start to go down substantially. If your horse does indeed have a bone bruise, based on my husband's unfortunate experience, it may take a while to go away
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Imogen Bertin
Member
Username: imogen

Post Number: 1241
Registered: 4-2003
Posted on Saturday, Feb 21, 2009 - 3:35 am:   Edit PostPrint Post

I had a horse that got a bone bruise on the canon bone - took about 3 months to go away but did not affect soundness. It was painful if pressed. The only thing that seemed to help was lunging her in the sea (very cold estuary current) and encouraging her to stand in the channel. Can't quite see how you could do that to the head, so I suppose Ice packs if the horse will put up with it, and don't worry as long as there's no infection.


Imogen
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Robert N. Oglesby DVM
Moderator
Username: dro

Post Number: 22396
Registered: 1-1997
Posted on Saturday, Feb 21, 2009 - 9:20 am:   Edit PostPrint Post

As others note Heidi it takes several months for some bone bruises to resolve. Sometimes longer if there is calcium deposition and remodeling required. Treatment for the diagnosis of bruising seeems logical though I would not be using Surpass with bute, question the antibiotics, and the first few days should have been cold compresses rather than hot.
DrO
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Heidi Wright
Member
Username: remmi

Post Number: 34
Registered: 9-2005
Posted on Monday, Feb 23, 2009 - 1:07 pm:   Edit PostPrint Post

Thank you for your feedback. The bump is still hard but it is about 20% smaller. I have stopped the bute and SMZ but am still using Surpass on the bump.

A friend suggested I use Splintex Silver, which is supposed to help reduce swelling in fresh splints. The company is called Splintex - I called them today and they said it will prevent calcification on bone bruises. Anyone have any experience with it? I have a friend who used their product on old splints and they disappeared within 3 months.

Thanks all.

Heidi
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Robert N. Oglesby DVM
Moderator
Username: dro

Post Number: 22417
Registered: 1-1997
Posted on Tuesday, Feb 24, 2009 - 7:52 am:   Edit PostPrint Post

Calcification takes some time so would not be much of a concern at this time. For more on how trauma induces calcium formation and splint removal products see, Diseases of Horses » Lameness » Diseases of the Lower Limb » Diseases of the Splint Bones.
DrO
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Heidi Wright
Member
Username: remmi

Post Number: 35
Registered: 9-2005
Posted on Thursday, Feb 26, 2009 - 5:13 pm:   Edit PostPrint Post

Thanks all for your feedback.

Have I mentioned lately how much I love this site?! I have been able to get information and answers 100% of the time. Amazing!

Heidi
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