Posts Tagged ‘x ray
Maintaining Ringbone: Minnow gets new X-rays
Those of you that have followed our ponies’ journey from the beginning may remember that our little Minnow has battled with Ringbone since 2008. Ringbone is essentially a form of equine arthritis, a bone growth in the pastern or coffin joint of a horse. And because in a lot of cases people choose to euthanize a horse with Ringbone (because there is no cure), I have decided to document Minnow’s journey in pain management in the hopes that it might help someone else battling Ringbone in their horse.
Earlier this year we noticed that he seemed to be more lame on his right front (his initial diagnosis and treatment has always been for his left front), so we decided to have him re-xrayed since it’s been 2 years since we last had him checked. We made sure that we used barrier technologies radiation gloves and other safety measurements before the procedure.
Here’s the shot of his left front, 2 years after being injected with Ethyl Alcohol to help the joint fuse faster:
Here’s what it looked like the day we had it injected:
As you can see the joint still is not completely fused, but it’s a lot closer, and it’s actually straightened out some. Which I think has attributed to him being more comfortable on it.
So let’s take a look at the right front, the one that has started to bother him more recently:
It’s hard to tell, but there is some white shading around the pastern joint, and indication that Minnow is at the beginning stages of high ringbone in his right front pastern as well. Our vet consulted with New Bolton Animal Hospital, and determined it’s still too early to inject with Ethyl Alcohol for it to be effective. The fact that he’s also developing this in his other leg further proves that in his particular case it was more genetic than anything. It makes me feel better to know, no matter what I would have done, he would have developed ringbone anyway due to his confirmation.
But not to worry, Minnow is still doing well (he’s super Minnow after all)! And here’s how we’re managing pain today for him:
Minnow is currently taking 1/2 a pill of 57mg of Previcox daily as well as a scoop of GLS joint supplement. Once starting the Previcox we noticed an improvement in Minnow’s pain. He seems much more comfortable and we even noticed an improvement in his limp (on both legs).
If you’d like to check out our previous attempts to help Minnow with his Ringbone diagnosis, you can read more here:
Maintaining Ringbone: Minnow’s Trip to New Bolton
Maintaining Ringbone: Minnow tries Ground Control Shoes
Maintaining Ringbone: Minnow gets injected with Ethyl Alcohol
Maintaining Ringbone: Minnow tries GLS
If you have a story to share about your horse and Ringbone, we’d love to hear about it! Post a comment on this blog post, or share it on our Facebook wall.
Maintaining Ringbone: Minnow gets Injected with Ethyl Alcohol
Minnow was diagnosed with high ringbone back in 2008, and he’s been retired from all riding and competition since then. He’s lived pretty comfortably for many years, but this year he has been noticeably more sore. So in an effort to make him more comfortable for years to come I’ve been trying lots of options to help him be more pain free.
Our previous attempts to help Minnow can be read about here:
Maintaining Ringbone: Minnow’s Trip to New Bolton
Maintaining Ringbone: Minnow tries Ground Control Shoes
Since then we also began giving Minnow Pentosan injections because we had heard great things about this drug from some of our friends, in helping horses with arthritis. There really wasn’t any noticeable difference when Minnow was given Pentosan, so it wasn’t going to be a long term benefit to him.
We also tried giving Minnow Equioxx, which did help with his pain some, but the most helpful by far was giving Minnow bute along with a Fast track supplement to help protect the lining in his stomach.
While bute did help make Minnow more comfortable I still wanted to do all that I could to help him be more pain free, and bute is never a great long-term pain medication just because of the harm it can do to the intestines. So with the help of our vet we made another appointment for Minnow at New Bolton to have him injected with Ethyl Alcohol into his pastern joint with one of the renowned vet’s there.
The goal with the injection was to destroy the remaining cartilage in the joint allowing the joint to fuse as it has been trying to do naturally for the past several years. With this injection there is no guarantee it will work, and likely no results would even been seen for many months as it takes time for the joint to fuse. But there really is no down side to this procedure other than the risk of infection due to inserting the needle. Minnow should not be any more painful than he already is. So with fingers crossed we took Minnow back to New Bolton to have him injected.
Using X-rays, the vet was able to put the needle into the right space in Minnow’s joint to inject the alcohol (which was a bit difficult because his joint is already pretty deteriorated).
After one day we miraculously already saw improvement in Minnow. For the past 2 weeks he’s been “resting” in his stall and the small turnout paddock attached to his stall.
Here’s a video of Minnow BEFORE the injection:
Minnow a week AFTER the injection:
While Minnow is significantly improved, the hope is that his joint will continue to fuse over time and eventually he could be possibly even be pain free. He is so much more comfortable already that we have taken him off all of the pain meds and this week he gets to go out in the pasture with his buddies again.
While this procedure is never recommended for horses that will be ridden (Minnow will never be ridden again), Minnow met a lot of the criteria to make this procedure successful for him. Time will continue to tell how beneficial it will be to him.
Minnow is very special to me, and I will continue to do everything I can to make him comfortable and happy!
