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Discussion on Lesion between the extensors causing lameness?
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Member:
zbgirl
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Posted on Saturday, Aug 31, 2013 - 12:22 pm:
This is similar to the post above but still, different.
My vet has concluded my gelding has a soft tissue injury between the knee and the elbow. We got the area ultrasounded yesterday due to a suspicious nodule that I found on the leg. Comparing both sides of the upper forearm, there is a oval shaped lesion, fairly firm, not movable, and raised above the surrounding tissue. It does not appear to be tendon sheath, nor in the belly. It is almost in the cleft between the two extensors. Currently the size is just shy of a centimeter and about a half centimeter wide.
My vet ultrasounded this lesion about a month after I discovered it. From the moment I found it, I have been applying myofascial and massage techniques. It has reduced in its prominence by at least half, but the nodule or lesion had remained.
My horse had been grade 1-2 lameness, and after 5 weeks of only walking under saddle, short lines of trot in both directions he appear sound. I am still avoiding circles but use the trot lines as markers of progress. I plan on continuing walk under saddle for another month or so before introducing more trot work.
My question is, my vet and I are still not 100% certain this was the cause of lameness. There was never any heat or swelling, nor flinching on palpation. Is this quite uncommon?
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Moderator:
DrO
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Posted on Monday, Sep 2, 2013 - 6:25 pm:
Hello Pat,
This would be an uncommon cause of lameness but not impossible. The question of whether this is causing pain or not is relatively easy to answer: infiltrate the area thoroughly with lidocaine and see if you can extinguish the pain.
DrO
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Member:
zbgirl
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Posted on Monday, Sep 2, 2013 - 11:24 pm:
On closer examination (palpation) of the tissue directly above the lesion by 2-3inches, I am finding fibrosed vertical lines of soft tissue, reminiscent of scar tissue or tissue that has been irritated.
The left forearm in this area remains normal. For comparison, then, this is significant. Unfortunately (at this point) my horse has not ever flinched or indicated this is a tender area. I guess I will have to monitor this area over the next few months as I rehab my horse! I continue to do some form of manual therapy and some stretching after warmup. I am aware of not over working the area both in stretches or massage.
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