HarlequinHorses
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Suspensory injuries - 2006/09/16 22:59
My gelding was diagnosed with suspensory injuries in both hind legs in 2000. In 2002 a vet that I had ultra sound him said he has Digenerative Suspensory Ligament Dismitis. Since then I have treated him for the DSLD, but after speaking to a vet that is very well known for his amazing work with leg injuries I now question what really is wrong with my gelding. I know he has suspensory problems, but maybe he doesn't quite have DSLD. No matter what it still is a problem with the suspensories no matter if I say he has DSLD or just some injury, so, I'm trying to find some ideas for supplements, wraps, bedding etc that other people have tried on horses that have suffered from suspensory injuries.
Thx Erika
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equestriart
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Re:Suspensory injuries - 2006/11/13 06:36
I know a support wrap that may help alleviate the strain. If you get wraps that are long enough to reach from the tops of his cannons (under his hocks) all the way down to his coronary band (much like a shipping bandage, actually). I recommend No-Bows for that since they provide a good cushion and are less risk for further damage. If you don’t have extra-long wraps, you may need to use two stable wraps (4" to 6" width ones) per leg to ensure even tension and make a ‘lock’ around or above the fetlock before going down to the hoof and back up again. (the lock is much like you do when you begin the stable wrap from the no-bow). If you don’t know how to wrap, get help from an experienced person before attempting!
As for supplements, I can only say that yesterday, I had a life changing experience (and revelation) with a representative from Horse Sense Herbs at the Royal Winter Fair. They have a good selection of herbal formulas for various health concerns. I’m thinking of trying their ‘Breathe Eze’ on my guy. Anyway, their address is http://www.horsesenseherbs.ca if you want to have a look.
Hope that helps. All the best. ---------
~Sheri & Jake
Equestriart.com
"The improvement of the horse is its own reward." ~ Charles de Kunffy
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equestriart
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Re:Suspensory injuries - 2006/11/13 06:38
One more thing,
The no-bows.
If you decide to use no-bows and have to go buy a pair, I recommend washing and drying them once first cuz it makes them easier to wrap with a little more 'stick.' ---------
~Sheri & Jake
Equestriart.com
"The improvement of the horse is its own reward." ~ Charles de Kunffy
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polo
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Re:Suspensory injuries - 2006/11/22 17:00
I will give my opinions again, based on successfully racing horses most of my working life with suspensory damage. I have very little respect for vets. They are good about sticking needles in, pushing pills, pushing expensive procedures at you to pay for expensive instrumentation. I wish I could say they were a lifesaver in my career of training race horses, but they were not. I would like to have a dollar for every horse they said that would never race again and did exactly that.
In my OPINION, one has to stimulate proper healing. It will not happen on its own, certainly not by the common veterinarian prescribed procedures of stall rest and bute. Stress is required to be exerted on the damaged ligament in order for the body to know how to reinforce it. Stall rest will not tell the horse's body anything other than how to heal a damaged suspensory to withstand STALL REST. So if you want a horse to heal a healthy ligament for STALL REST than you are doing the right thing. If you want a horse's suspensory strong enough to be useful in a working environment, then you most certainly will fail with a stall rest regime. I dislike bute and all other pain relievers. Occasionally, they have their place, but on the whole they hurt solid systemic healing.
Pain is good, particularly a little pain. So don't get excited if your horse is nodding at a walk or trot. It is unlikely a walk will re-damage any suspensory damage. The same thing can be said for a trot and even a canter, further on into the healing time slot of a suspensory. You need this stress of movement, of ligament strain in order to tell the horse's body how to place the scar tissue in the most logical and strongest fashion. Some stall rest is ok when very first injured, but don't go overboard. Let the horse tell you when he needs more exercise. There is no clean cut, cook book prescription on how to give all horses the same exercise. So don't ask. Just know the faster you get the horse moving the better off you and he will be. Usually, once the initial suspensory damaged inflammation has subsided, he will need exercise.
A proper trim on your suspensory damaged horse's hoof is all-important. Do not raise angles. Try to achieve as normal of angles for your horse as possible, i.e. 45-50 in front and 50-55 behind. If you want to raise angles, do it only (in theory) by squaring the toe. This will foster an easy break-over of the hoof's toe without artificially raising the heel angle. If you have your horse shod, use a half round shoe or some other shoe that will stimulate a clean easy break-over at the toe. Never use toe grabs. I have also put a shoe on backwards in front which means the open part is on the toe end and the rounded shoe is at the back of the frog. Turning the shoe around will give your horse an easy toe break-over plus mimic a bar shoe. Not a bad configuration on some horses, particularly performance horses.
Ok, on sports boots and all bandaged support as it pertains to suspensory injury. Again, my opinion, I would stay away from these things. I have found that any type of support on the biologic organism will weaken it in the end. It is ok to use bandages in the first few days of a newly injured suspensory and it is ok to use it as a mechanism to apply medication to the leg (stable bandages), but when you try to use it to support the actually ligaments or tendons themselves, you are making a mistake. For one thing, there is no way that a boot or bandage will protect a suspensory from being over-stretched. Impossible. You have metaphorically a limited-stretchy rubber band next to a bone that is covered by a stretchy bandage or boot. This type of support has absolutely no control in checking how far a suspensory is stretched. It can only apply pressure around the outer margins of the suspensory ligament, not at the origin or insertion of the suspensory. Bandage pressure can sometimes limit pain in a damaged structure. For instance, if you are hit by a mean brother, you naturally want to take your free hand and apply pressure to this painful spot. Pressure seems to reduce pain. It also controls swelling. So if you are after a temporary reduction in pain or edema, then bandaging can be of some value through its mechanism of applying pressure to the skin and underlying structures. The key word here is "temporary". Some bandaging support may be ok during exercise, but I would try to limit use. Once you get your suspensory horse back to the races, I do race in vetraps applied over strapping. My strapping is in the form of common athletic tape as used by sports trainers. Strapping tends to loosen quickly so one must wait till the very last minute to apply strapping, then your Vetrap outer bandage. I have a unique pattern of strapping, I have developed for suspensories and it is a bit difficult for me to explain here in words. I really need to build a web page for suspensories and try to show it in drawings.
I do like the concept of "rubifacients" or counter-irritation. There are also, healing herbs which may be painted on the damaged suspensory that are helpful, i.e. comfrey, plantain, gravelroot, Solomon's seal, mullein root, etc. You may make leg paint out of these herbs by soaking 4-6 ozs in DMSO in a glass jar for 2-4 weeks and then straining and painting it on the affected leg as an herbal leg paint. You can also make a poultice out of these herbs, perhaps adding bentonite clay and then using it on the ligament at night. And one can use the traditional leg paints of iodine or other irritants designed to increase blood flow and the wbc counts.
Lastly, electro-medicine probably can help quite a bit too, though I have had much less experience utilizing this latter technology. I would invest in a good Electronic Muscle stimulator and apply it to the affected front leg, though I suspect it would be of more value for tendon injury than ligaments. I would also like to experiment with using a colloidal silver/DMSO paint which is applied on the damaged ligament, then electrified with low voltage of around .5 milliamps. There seems a distinct possibity that this could stimulate much quicker healing from the studies of Dr. Becker.
To summarize: In the final analysis, your horse must be fitter than the general population to stay sound with a damaged suspensory. They can't be babied. Use counter-irritation type paints and herbal healing paints. Religiously keep measurements of hooves and trim for easy break-over and level landing. Always be on guard of secondary lameness which could have been the stimuli for the suspensory in the first place or will cause the horse to get off some where else and just compound your suspensory problems. A suspensory horse must be hitting sound on all four! Be very sensitive to soreness in all corners. Many times, if you have a horse off behind, he will compensate and pull a suspensory in front. And lastly, you still need good luck. Always, good luck.
doug
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valsgal
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Re:Suspensory injuries - 2007/06/05 15:00
just wondering what the OP's results were or if there are any updates. i have a horse diagnosed with dsld too. 
Post edited by: valsgal, at: 2007/06/05 15:01
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whinny
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Re:Suspensory injuries - 2007/06/05 18:56
MY BLUE TB IS AGED NOW AND WAS A JUMPER.BOTH BACK LEGS ARE SHOT. I KEEP HIM SOPPORTED WITH COTTON COVER AND VET WRAP AROUND THAT,JUST LIGHTLY WRAPING HIS BACK LEGS FOR A LITTLE SOPPORT.WE LIVE IN A MOUNTAIN SO THERE PADDOCKS ARE STEEP IN SOME AREAS.HE HAS FIGURED OUT A ZIG ZAG COME DOWN IS EASER THEN HIS BROTHERS ROUTE WICH IS BLOWING UP AND DOWN THE HILLS STRAIGHT ON.I BELIEVE HIS BACK LEGS ARE HANDLEING THE STRESS WELL BUT I FIND WHEN I TAKE OFF THE SOPPORTS WITHIN A WEEK HE IS HURTING AGAIN.SO I CHOOSE TO LEAVE THEM ON,,,HE IS NO LONGER RODE AT ALL.HE IS RETIRED FROM ALL WORK.....I REWRAP HIS LEGS EVERY 3 DAYS AND HES DOING GREAT. BUT AGAIN I DO NOT RIDE HIM AT ALL.... ---------
Be one with your horse and track silently on bare feet...
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Esther
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Re:Suspensory injuries - 2007/06/08 14:46
I agree with Polo. I had a TB who did his suspensory ligament while racing and aggrivated it while he was with us. The vets didn't do a thing, except for topping him up with pain killers which ultimately don't stop the injury, simply the pain. We nursed his leg back to health. Ice, rest and TLC. Lots of bandages etc and he got back to what his leg was before.
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valsgal
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Re:Suspensory injuries - 2007/06/11 13:22
Thanks for the replies. Did either of you have the legs ultrasounded? My horse's ultrasounds look a little like swiss cheese.
I found a new group for owners of DSLD horses and learned that its been renamed to ESPA since it's systemic and caused by an accumulation of proteoglycans (sp?). They've found it in various body organs like eyes, heart, lungs, etc. Makes me wonder what wonder what we're not seeing on my horse. Sometimes I really feel hopeless about his situation.
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valsgal
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Re:Suspensory injuries - 2007/06/11 13:22
Thanks for the replies. Did either of you have the legs ultrasounded? My horse's ultrasounds look a little like swiss cheese.
I found a new group for owners of DSLD horses and learned that its been renamed to ESPA since it's systemic and caused by an accumulation of proteoglycans (sp?). They've found it in various body organs like eyes, heart, lungs, etc. Makes me wonder what wonder what we're not seeing on my horse. Sometimes I really feel hopeless about his situation.
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valsgal
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Re:Suspensory injuries - 2007/06/11 13:24
sorry for the double post...i didn't post it twice
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KWPN_Lover
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Re:Suspensory injuries - 2007/09/05 20:13
I have to say I agree with Polo completly. All three of my top show horses have had suspensory injuries. My most current battle is with my Dutch horse Neon. For the most part I have also experienced vets who have offered little more then needles and drugs. However because Neon is so valuble to me I recently bit the bullet and took him to the clinic that takes care of the horses for the USET. (Fairfield Equine Associates). They perscribed much of the same recovery plan that Polo has described. I did have his suspensory Ultrasounded and his looked like a pair of panty hoes with a run (Dr Edwards called it a disturbance in the fiber pattern). My Horse is on stall rest with controlled exercise for 60 days. 10 min of hand walking 2x a day for 14 days then increasing it 5min a week to a max of 45 min of walking once a day. He is also alowed 2 hrs of restricted turn out in a 20' diameter round pen. I do however advocate wraping to keep down swelling, I alternate from standing wraps to a magnetic wrap(stimulates blood flow) to polos when turned out. My horse recieved IRap therapy and depending on the results of his ultrasound next week may under go shockwave therapy as well. Both of which I have read are very sucessful. The bigest factor with this kind of injury is patience and time, you have to be willing to give your horse they time they need to heal and have the patience to bring them back slowly, spending alot of time devloping the muscles that will help him to cary himself better. Good Luck!
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FibberMagee4me
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Re:Suspensory injuries - 2008/07/30 01:00
Ok, I have a Trakahner mare that I do the Level 3 jumpers with. They say she's fine and can jump and whatever, but she has a suspensory injury in her front left leg. It's not bad, but we have to get it injected and give her like a week or two off every now and then and I'm concerned. I mean is there anything I can do to help the ware and tare? I'm getting those Eskadron boots that are made with the suspensory protection strap to help, but I mean should I get the ice boots or something like that when I take her to shows? She jumps well and is usually just fine. I've had her for about a year though, and this is the 2nd time I've gotten her injected. Any suggestion?
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WalkNJake
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Re:Suspensory injuries - 2008/07/30 02:05
Rub the ever lovin heck out of it. 5 times a day. Dont' stall her. Work her. Sorry, old Cowyboy talking here. Use a mild liniment like HPQR or Absorbine, but just the rubbing is what it takes. Liniment is to make you feel good.
Simple is good. Don't complicate it. Have your vet inject himself. Right between the eyes. ---------

When you're in jail, a good friend will be trying to bail you out. A best friend will be in the cell next to you saying, 'Damn, that was fun!!!
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sgolshani
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Re:Suspensory injuries - 2008/08/31 21:18
The description/picture of your horse sounds/looks an awful like like a horse that I had. I got told a lot of things and tried at lot of things to make him better. Eventually, I learned about DSLD. There are some websites and groups on the internet that may help guide you and your vet to a diagnosis like http://dsldequine.info/ information for diagnosis, care, mangement, case histories, and special vet pages http://groups.yahoo.com/group/DSLD-equine/ group message board for exchange of information, raising awareness, and promoting research. An experimental treatment is available that may help your horse feel better. http://www.freewebs.com/dsldhorse/index.htm newsletter The point is, it's not a leg disease! In fact, breakdown of the suspensory ligaments is a late-presenting symptom of the chaos that starts in many parts of the animal's connective tissues and progresses through acute degeneration and phases of relative stability. Back pain is often obvious before leg lameness.
Eyes, lungs, ligaments and tendons through the body, the aorta, the stomach lining, fascia of the skin and organs have all been examined cellularly and found - various parts in various horses - to have been affected.
The reason we get so hung up on the legs is that broken down suspensories were the first consistent sign that we unknowing humans could see from horse to horse. Plus, it's horribly dramatic. But before a horse breaks down like that it's being attacked through many areas of it's system. Because the suspensories form the stay mechanism that holds the fetlock in place - and therefore is a significant weight-bearing structure - it's breakdown is more dramatic and obvious.
For example, when a horse's skin hurts because the fascia is in an acute phase and they pull away from touch ...we may just think they're cranky. When their gut hurts from acute phase of the organ linings we think they have colic (here, we call it false colic). When their lungs are in crisis, we think it's allergies ...etc, etc.
Bottom line, legs are a symptom, NOT the nature of the disease.
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KLaser
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Re:Suspensory injuries - 2009/01/02 07:04
Currently, we are helping several horses in KY to recover better and quicker from suspensory injuries and tendon injuries. Our company develops and sells class IV laser therapy systems. We have several recognized Equine vets in KY using the system and 350 country wide. We have found that injuries can heal up to 30% faster using our system with significantly less scaring.
Please feel free to contact me about some specific cases that we have treated. I think we all can learn from one another.
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