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Bettina Martin's Rio  (Bettina's comments are in green.)

Bettina’s email to me summarizing this case in May, 2012, along with other comments she sent me later:

Rio is comfy in boots, but still sore over uneven terrain without.  He is Cushing’s and IR, but his diet is controlled and his ACTH is a little high (84 on 6mg pergolide).  I’m just wondering why on earth he is still sore.  His laminitis happened in Oct 20 and I was hoping I would be able to ride him again.  It’ll be 2 years this Fall  :-(

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.

LF+DP+111710_.jpg (22912 bytes)   LF+DP+Venogram+111710_.jpg (28286 bytes)   LF+Lateral+111710_.jpg (20494 bytes)   LF+Lateral+Venogram+111710_.jpg (25721 bytes)

Left Fore

Rf+DP+111710_.jpg (21878 bytes)   RF+DP+Venogram+111710_.jpg (25161 bytes)   RF+Lateral+111710_.jpg (20628 bytes)   RF+Lateral+Venogram+111710_.jpg (28306 bytes)

Right Fore


May 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.

LF+Equipak+052011_.jpg (29699 bytes)   LF+Front+2+052011_.jpg (32223 bytes)   LF+Lateral+2+052011_.jpg (29216 bytes)

Left Fore

RF+Solepad+052011_.jpg (34045 bytes)   RF+Front+2+052011_.jpg (37360 bytes)   RF+Lateral+2+052011_.jpg (38010 bytes)   

Right Fore

RIO2+052011_.jpg (30278 bytes)

Rio, 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+trim+081711_.jpg (29039 bytes)

Front feet

LF+DP+081711_.jpg (24663 bytes)   LF+Lateral+081711_.jpg (23580 bytes)   

LF+Lateral+trim+081711_.jpg (29504 bytes)   LF+Rear+trim+081711_.jpg (31746 bytes)   LF+Sole+trim+081711_.jpg (35342 bytes)   LF+trim+081711_.jpg (29296 bytes)

Left Fore

RF+DP+081711_.jpg (24667 bytes)   RF+Lateral+081611_.jpg (32544 bytes)   RF+Lateral+081711_.jpg (17758 bytes)   RF+Lateral+081711_.jpg (17758 bytes)

RF+Lateral+trim+081711_.jpg (32758 bytes)   RF+trim+081711_.jpg (32047 bytes)   

Right Fore

LH+Lateral+trim+081711_.jpg (35903 bytes)   LH+Sole+trim+081711_.jpg (32980 bytes)   LH+trim+081711_.jpg (29444 bytes)

Left Hind

RH+Lateral+trim+081711_.jpg (34053 bytes)   RH+Sole+trim+081711_.jpg (27156 bytes)   RH+trim+081711_.jpg (30037 bytes)

Right Hind


September 7, 2011

LF+DP+Rad+090711_.jpg (18432 bytes)   LF+Lateral+Rad+090711_.jpg (16619 bytes)   

Left Fore 

RH+DP+Rad+090711_.jpg (19456 bytes)   RH+Lateral+Rad+090711_.jpg (18432 bytes)

Right Hind


September 26, 2011

RF+DP+Rad+092611_.jpg (16399 bytes)   RF+Lateral+Rad+092611_.jpg (13898 bytes)   

Right Fore

LH+Lateral+Rad+092611_.jpg (14377 bytes)

Left 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.

LF+092811_.jpg (28658 bytes)   LF+Heel+092811_.jpg (25029 bytes)   LF+Lateral+092811_.jpg (30120 bytes)   LF+Sole+092811_.jpg (31880 bytes)

Left Fore

RF+092811_.jpg (30227 bytes)   RF+Heel+092811_.jpg (23705 bytes)   RF+Lateral+092811_.jpg (31320 bytes)   RF+Medial+092811_.jpg (30183 bytes)   RF+Sole+092811_.jpg (32082 bytes)

Right Fore

RH+092811_.jpg (25679 bytes)   RH+Heel+092811_.jpg (20750 bytes)   RH+Lateral+092811_.jpg (31222 bytes)   RH+Sole+092811_.jpg (27627 bytes)

Right Hind


October 7, 2011

My feeble attempt to take off some high bar points after soaking his LH.

LH+100711_.jpg (28911 bytes)   LH+Heel+100711_.jpg (26422 bytes)   LH+Lateral+100711_.jpg (33606 bytes)   LH+Sole+100711_.jpg (30809 bytes)

Left Hind


October 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)  :-)

LF+Heel+101011_.jpg (23043 bytes)   LF+Sole+101011_.jpg (30795 bytes)

Left Fore

RF+Heel+101011_.jpg (23565 bytes)   RF+Sole+101011_.jpg (28920 bytes)

Right Fore

Comments:
RF Sole 101011
ewertkarina Tue Oct 11 07:49:06 UTC 2011
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.

LH+Heel+101011_.jpg (19206 bytes)   LH+Sole+101011_.jpg (32638 bytes)

Left Hind

RH+Heel+101011_.jpg (20759 bytes)   RH+Sole+101011_.jpg (26339 bytes)

Right Hind


October 29, 2011

My second trim.  Still soaking and trying to remove more (hard as rock) bar.

LF+102911_.jpg (26962 bytes)   LF+Heel+102911_.jpg (22346 bytes)   LF+Lateral+102911_.jpg (27316 bytes)   LF+Sole+102911_.jpg (26362 bytes)

Left Fore

RF+102911_.jpg (25984 bytes)   RF+Heel+102911_.jpg (19915 bytes)   RF+Lateral+102911_.jpg (28737 bytes)   RF+Sole+102911_.jpg (26874 bytes)

Right Fore

LH+102911_.jpg (26618 bytes)   LH+Heel+102911_.jpg (24803 bytes)   LH+Lateral+102911_.jpg (28775 bytes)   LH+Sole+102911_.jpg (27754 bytes)

Left Hind

Comments:
LH Heel
102911
rider4seasons Sun Nov 13 14:39:5 1 UTC 2011
I would roll off those heels at the back, that will certainly help those bulbs relax more as well. Barb Fenwick

RH+102911_.jpg (23989 bytes)   RH+Heel+102911_.jpg (18042 bytes)   RH+Lateral+102911_.jpg (29444 bytes)   RH+Sole+102911_.jpg (22956 bytes)

Right Hind


November 9, 2011

LF+Lateral+Rad+110911_.jpg (18237 bytes)   

Left Fore

LH+Lateral+Rad+110911_.jpg (21504 bytes)   

Left Hind

RF+DP+Rad+110911_.jpg (18448 bytes)   RF+Lateral+Rad+110911_.jpg (18341 bytes)

Right Fore


November 11, 2011

I finally got some help from Anne Coley who was gracious enough to make the trip to Atlanta to trim Rio.

LF+111111_.jpg (30426 bytes)   LF+Heel+111111_.jpg (23482 bytes)   LF+Lateral+111111_.jpg (30765 bytes)   LF+Sole+111111_.jpg (27463 bytes)

Left Fore

RF+111111_.jpg (25280 bytes)   RF+Heel+111111_.jpg (23423 bytes)   RF+Lateral+111111_.jpg (31873 bytes)   RF+Sole+111111_.jpg (28306 bytes)

Right Fore

LH+111111_.jpg (27342 bytes)   LH+Heel+111111_.jpg (23311 bytes)   LH+Lateral+111111_.jpg (32647 bytes)   LH+Sole+111111_.jpg (28652 bytes)

Left Hind

Comments:
LH Heel 111111
tinkerbell30350 Sun Nov 13 12:58:58 UTC 2011
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!

barefoottree Sat Nov 12 14:08:53 UTC 2011
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 Rio . :-)

RH+111111_.jpg (25574 bytes)   RH+Heel+111111_.jpg (25263 bytes)   RH+Lateral+111111_.jpg (32076 bytes)   RH+Sole+111111_.jpg (26563 bytes)

Right Hind


March 13, 2012

Radiographs show that Rio's feet are improving, but toes are too long.

LF+Lateral+Rad+031312.jpg (15255 bytes)

Left Fore

RF+DP+Rad+031312.jpg (14705 bytes)   RF+Lateral+Rad+031312.jpg (15768 bytes)

Right Fore

LH+Lateral+Rad+031312.jpg (11905 bytes)

Left Hind


March 22, 2012

Anne Coley trimmed Rio again and the bar slivers went flying!  His feet are starting to look much better.

LF+032212.jpg (67025 bytes)   LF+Heel+032212.jpg (61623 bytes)   LF+Lateral+032212.jpg (72143 bytes)   LF+Sole+032212.jpg (75243 bytes)

Left Fore

RF+032212.jpg (60407 bytes)   RF+Heel+032212.jpg (65768 bytes)   RF+Lateral+032212.jpg (74510 bytes)   RF+Sole+032212.jpg (78889 bytes)

Right Fore

LH+032212.jpg (56525 bytes)   LH+Heel+032212.jpg (72421 bytes)   LH+Lateral+032212.jpg (70424 bytes)   LH+Sole+032212.jpg (84996 bytes)

Left Hind

RH+032212.jpg (60079 bytes)   RH+Heel+032212.jpg (66030 bytes)   RH+Lateral+032212.jpg (82782 bytes)   RH+Sole+032212.jpg (75721 bytes)

Right Hind


March 27, 2012

After trim radiographs.  Toes were shortened, but soles are still extremely thin.

LF+Lateral+Rad+032712.jpg (15840 bytes)   RF+Lateral+Rad+032712.jpg (16506 bytes)   LH+Lateral+Rad+032712.jpg (15364 bytes)

Left Fore                       Right Fore                       Left Hind


May 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.

LF+051212.jpg (63307 bytes)   LF+Heel+051212.jpg (57207 bytes)   LF+Lateral+051212.jpg (67630 bytes)   LF+Sole+051212.jpg (67721 bytes)

Left Fore

RF+051212.jpg (68952 bytes)   RF+Heel+051212.jpg (65989 bytes)   RF+Lateral+051212.jpg (70740 bytes)   RF+Sole+051212.jpg (80139 bytes)

Right Fore

LH+051212.jpg (65147 bytes)   LH+Heel+051212.jpg (76475 bytes)   LH+Lateral+051212.jpg (67008 bytes)   LH+Sole+051212.jpg (82936 bytes)

Left Hind

RH+051212.jpg (66051 bytes)   RH+Heel+051212.jpg (74563 bytes)   RH+Lateral+051212.jpg (70820 bytes)   RH+Sole+051212.jpg (79300 bytes)

Right Hind


May 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!

LF+052912_.jpg (21255 bytes)   LF+Heel+052912_.jpg (23357 bytes)   LF+Lateral+052912_.jpg (26013 bytes)   LF+Sole+052912_.jpg (32097 bytes)

Left Fore

RF+052912_.jpg (21878 bytes)   RF+Heel+052912_.jpg (24142 bytes)   RF+Lateral+052912_.jpg (25977 bytes)   RF+Sole+052912_.jpg (33156 bytes)

Right Fore


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