[RC] degenerative joint disease/physical therapy (long) - Ridecamp GuestPlease Reply to: Jessica Wysocki syreino@xxxxxxx or ridecamp@xxxxxxxxxxxxx ========================================== I've been a lurker for some time, signed up for digest a few months back and have learned so much. I appreciate everyone's knowledge and differing point of views. However, i now need the Ridecamp community to help me if they can. Ribbons, my 9 year old Arab mare, my endurance partner and so much more, had knee surgery at the tender age of 5 for a fracture/chip. It is not known how she injured herself, maybe in a trip while riding, maybe in the pasture...she faired well through her initial rehab (then again it was winter and she's not a snow girl by any means) and after three months stall rest and a month of hand walking, she was ready for our first ride, where she promptly dumped me and took off running and bucking--oh to be free again. We conditioned slowly and three months later did our first 30 mile CTR--where she did unbelievably well, but I learned she has quite a temper and mind of her own. We also did a 25 mile CTR in November. Around christmas she re-injured herself--opened her fracture according to x-rays--and we did another four months of stall rest and month of hand walking. This time she wasn't quite so hyper and was more willing to settle down and get back to conditioning and we were ready for our first ride late August, a 60 mile CTR where we were pulled at 30 miles for footsore--complete rider mistake. We went on to do a 50 mile CTR, 25 mile CTR and a 50 mile endurance ride that fall, which she completed without problems. We have had several battles to overcome during our winter conditioning, but she has been without injury for two and a half years and we completed 310 competitive miles last year. That is until our first ride this year, we were pulled at the first check at Old Dominion 50. She didn't take a lame step, she was cruising the hills wonderfully, we lost an easy boot, but went back only about 1/4 mile for it (yes, she lost the boot on her right front, the "bad" knee) and she was grade III at the trot out. The vet said to come back for a recheck after I'd checked her easy boots--but I declined the recheck and we were pulled. After a trot out at home on monday, I called my vet. It took him a week to come out, and she was sound--during the week, I was cold hosing and poulticing--so he said to put her back to work and thought I was insane. We had one long conditioning ride, several short ones and then another long conditioning ride. The next day, she was off again, but seemed to warm up out of it, and we took it slow. I called him back out again because my gut said it was her knee again, and sure enough it was. So we went for more x-rays and a third injection of hyaluronic acid (one after surgery and the following year after her re-injury) and we've been cold hosing/ice packing 40 minutes a day for over a month now with heat still noticable. We hand walked for two weeks, she's miserable so we now walk under saddle with a little trot thrown in, and she seems fine. My vet basically has no prognosis for her as to if she will even be ridable so I sent all her x-rays and history to New Bolton for a consultation. I received the consultation report yesterday and he said that she has severly moderate degenerative joint disease, which is not unexpected with her history. He does not feel additional surgery or debridment will yield any better results than a more conservative approach of injections, physical therapy and extended rest. However, he did not suggest what type of physical therapy and how long the extended rest should be, and he also did not give me a prognosis on her ridability. I have had two months to come to terms with the fact that our endurance career is over, and I honestly will miss it, but what is more important is her health and happiness, which means getting her back on the trails for at least light work around home and not being a pasture potato where she is clearly miserable. Our partnership means the world to me and I will do anything possible to ensure she is the soundest and happiest she can absolutely be, so my question to the ridecamp community is--does anyone have experience with physical therapy, degenerative joint disease progression of a young horse, shock wave therapy (it was mentioned a few weeks back and I stuck it in the back of my head as maybe a possibility, but I know nothing about it), anything at all that might help her ease any pain she might still have, but allow her to still go out on trail, as she loves it so much and her attitude is terrible when she's "just a pasture potato". I am scared to ride her now since I feel I have caused all of this pain for her and yet I miss her so terribly--we spend a fair amount of time together still, but we just aren't connecting, we're both dealing with our pain separately rather than together as the team we have become. The conditioning miles to get to a ride are the best part of everything endurance--we only have 250 endurance miles and 490 CTR miles, but we logged so many more miles, just the two of us, learning and living together and to see that slip away breaks my heart. Since her surgery she's been on J-Flex and Springtime GL, MSM and Conquer (weekly). Now she is on Hylamotion and Vitamin C as well. She also gets her Vitamin E and Selenium supplement and Clovite. She is fed beet pulp and Pennfield grand prix granola (10% protein), after her re-injury in the winter of 2001/2002 I took her off alfalfa cubes which were a treat for her. She lives with her 27 year old POA brother on 3 acres. She is on pasture, with stall rest when called for or during the winter at night. We live in central NJ, where it is relatively good footing, no real hills or anything to speak of. Thank you for reading Ribbons story and any suggestions and help you might be able to give us. Jessica and Ribbons and Spider;-) =-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=- Ridecamp is a service of Endurance Net, http://www.endurance.net. Information, Policy, Disclaimer: http://www.endurance.net/Ridecamp Subscribe/Unsubscribe http://www.endurance.net/ridecamp/logon.asp Ride Long and Ride Safe!! =-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-
|