Saturday 16 March 2019

The Navicular Disease Treatment Options

By Carol Bell


If you spot limping in your horse, it is likely they are suffering from caudal heel ache. All breeds are equally affected. The ache is more common in horses which have abnormally conformed heels, under-run, and mismatched hooves. It is impossible to completely cure deformation. Specialists recommend several Navicular disease treatment procedures to ease the pain. These vary from conservative techniques such as therapy and medication to more aggressive methods like surgery. Below paragraphs expound on each of them.

First signs of hoof ailments are reflected on hooves. For this reason, before trying any other form of cure, ensure proper shoeing is done regularly. Shoeing is a process of balancing all sides of hooves. Ideally, hoof front should lie parallel to the pastern line while back side lies parallel to the pastern itself. Most limping horses have longer toes than normal as well as under-run heels. If trimmed to normal size, limping reduces and horses become more comfortable.

If the size of toes does not require trimming, then specialists can try padding affected area to raise angular positioning. Ideally, if back and front hoof areas lie flat, more pressure will be exerted on flexor tendons. As pressure increases, blood circulation reduces. Ultimately, horse movement is affected. Padding reduces tension by maintaining normal pastern-heel axis. It works gradually depending on how much angular distortion had happened. Additionally, some horses do not respond positively to this form of therapy.

When limping is more intense, medication should be applied besides physiotherapy. Experts recommend dosages depending on causes of the ailment. Bute is an anti-inflammatory medicine which has proved effective over a long period of time. Even though a combination of therapy and Bute works well, one must administer the right dosage proportions. If possible, only administer when needed especially during work hours when pain is extreme.

While most heel-pain responds positively to therapy coupled with Bute, some do not go away. If experiencing that, a variant form of medication is Isoxsuprine. Vessels contract with continued exertion of the pressure reducing blood flow from the heel area. Isoxsuprine works by dilating these vessels to allow more blood to flow within a given time. However, the effectiveness of this medication is in question since constriction continues to happen as long as heels are under tension.

Besides drugs, extreme cases of lameness could be operated on. A most common surgical procedure is nerving also referred to as digital Neurectomy. Nerving is a procedure which involves cutting nerves lying digitally in the lower pastern area. Surgery has evolved gradually with time. Initially, it would be a simple process of cutting nerves with a scalpel. Today more advanced specialists nerve using highly improved laser devices.

The last option when every other medication has failed is Neurectomy. Unlike other management procedures, Neurectomy only aims at reducing pain. Hooves continue degenerating from inside with time. For this reason, it can only be adopted if all other medications do not work.

Even though surgical procedures on nerves have longer effects compared to others, they are not permanent. Owners must perform it over and over again to eliminate growing nerves. Some horses develop other serious complications after surgery.




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