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Bettina Martin's Rio (Bettina's comments are in green.)
Bettina’s email to me
summarizing this case in May, 20
Rio is a 14-yr. QH. He wore shoes all his life and developed laminitis in October 2010. He was diagnosed as Cushings and IR and battled EPM in the summer of 2011 due to his compromised immune system. Initially, he was treated the traditional way with orthopedic shoes, frog support pads, casts and lots of pain meds, antibiotics and 24/7 stall rest. In August 2011, after 10 months, numerous abscesses and no improvement, I decided to go the barefoot route and fired the farrier. Rio has been barefoot with the help of boots and pads since that time and was moved to my barn where he is turned out on a paddock paradise track for 14 hours every day. Although he had periods of being totally sound he is still not rideable and presently wears boots during turnout to be comfortable.
I know Rio should be out 24/7 to help his hooves heal. Truman is out all the time since I moved to my barn and he enjoys it. The only reason I have Rio in throughout the day is because he really has a tough time with the heat due to his EPM. He shows signs like toe-dragging when he gets too hot. The paddock paradise track is across the drive from the barn and has no run-in shed and only minimal shade. So, he is inside with 3(!) fans going full speed and mane blowing during the hottest hours of the day. :-) He has a Dutch door that opens to a large paddock, but there is too much grass in there still. I keep mowing it down to 1", but we've had enough rain for it to grow back like crazy. And if I put on a grazing muzzle he cannot eat his hay when he is in his stall. So, I'm waiting for the GA heat to finally kill the grass in there and then will keep the door open and he'll have access to his paddock.
Anyway, I have come a long way from the 4-6 hours turnout and 2 blankets over a full head slinky in the winter months. I cannot believe I did this to my horses! I have learned so much since Rio's laminitis!
And another snippet regarding blanketing. Gretchen is very right about dangers when turning out blanketed horses. A few years back Rio was turned out with his slinky covering his head except for ear and eye holes, a thick blanket over it and a neck cover over the slinky connected to the blanket and closed under his neck with 3 snaps. Mind you, that was in Georgia where it seldom drops below freezing. He managed to snap himself to the pasture fence and stood there all day. He never tore his neck cover, but dug a big hole in the ground with his foot out of frustration. The neighbor was working in his field next to Rio and drove by him with a large tractor several times. He later told me he was wondering why Rio stood there all day (would have been nice if he had checked on him).
November 17, 2010--includes venograms
These are the initial x-rays and venograms taken showing the rotation and some compromised blood flow in his RF dorsal wall.
Left Fore
Right ForeMay 20, 2011
The farrier applied shoes with frog supports. LF was sealed in with Equipak. RF was put in a cast which remained on until August 17 (see photo below.) Rio's stance and expression shows that he is in pain.
Left Fore Right ForeRio, full body view
August 17, 2011
Rio's shoes and cast were taken off and the farrier fired. His RF shows abscess channels which destroyed his hoof wall. The farrier's last trim left Rio's heels high, walls unbalanced (see hind feet!), soles rasped flat and bars untouched. You can see lots of excess bar, but thinned out soles. He was extremely uncomfortable at that time. I purchased Easyboot RX for him and used different pads to help him.
Front feet
Left Fore Right Fore Left Hind Right HindSeptember 7, 2011
Left ForeRight Hind
September 26, 2011
Right ForeLeft Hind
September 28, 2011
This is Rio's first barefoot trim by a local Pete Ramey trimmer. She shortened his toes and beveled his heels leaving points (see his RF) on which he walked and was very uncomfortable. The bars were not touched at all.
Left Fore Right Fore Right HindOctober 7, 2011
My feeble attempt to take off some high bar points after soaking his LH.
Left HindOctober 10, 2011
Again, soaked all four feet and finally got my courage together to remove some bar (my first trim). And yes, I needed some help (see comment) :-)
Left Fore Right ForeComments:
RF Sole
ewertkarina
Tue Oct
The trimmer needs some help to determine where the bars are and how to trim them
so that they end up where they can function properly again.
October 29, 2011
My second trim. Still soaking and trying to remove more (hard as rock) bar.
Left Fore Right Fore Left HindComments:
LH Heel
rider4seasons
Sun Nov
I would roll off those heels at the back, that will certainly help those bulbs
relax more as well. Barb Fenwick
November 9, 2011
Left Fore Left Hind Right ForeNovember 11, 2011
I finally got some help from Anne Coley who was gracious enough to make the trip to Atlanta to trim Rio.
Left Fore Right Fore Left HindComments:
LH Heel
tinkerbell30350
Sun Nov
I’m glad you pointed that out. I will make sure that I include the heel bulb
and hairline from now on when I take the pictures!
This camera angle allows us to see the changes
to the sheared inside heel. Looking back at the earliest photo taken from the
same angle, the inside bulb hairline was jammed more (sheared). In the next
photo (of the same), taken later, you’d not centered the hoof in the frame so
the hairline of both bulbs was cut from view so it’s hard to know how much the
inside bulb had been able to relax down at that time but there’s clearly a
difference between the earliest photo and this one. I just won’t assume the
change didn’t occur sooner or have continued since the first trim you,
yourself, did for
March 13, 2012
Radiographs show that Rio's feet are improving, but toes are too long.
Left Fore
Right ForeLeft Hind
March 22, 2012
Anne Coley trimmed Rio again and the bar slivers went flying! His feet are starting to look much better.
Left Fore Right Fore Left Hind Right HindMarch 27, 2012
After trim radiographs. Toes were shortened, but soles are still extremely thin.
Left Fore Right Fore Left HindMay 12, 2012
My own trim again. I am getting more confident, but those thin soles scare me. The hairline angle on his fronts is too low, heels too high. There is no concavity.
Left Fore Right Fore Left Hind Right HindMay 29, 2012
I trimmed Rio's fronts again trying to bring his heels down to get the hairline angle a bit steeper. Rio's feet are hard and dry and his soles are flat. He wears boots 14 hours for turnout and then no boots when stalled in shavings. Need to soak more!
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