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RE: [RC] sacroiliac joint - Jeanie BartsonThank you for all the information on pelvic/sacroiliac problems. With my 9 YO mare at first it was a subtle, intermittent problem. Then after one ride she tweeked her stifle in what appeared to be a sprain. I am continuing chiropractic treatment following my vet's instructions on recovering from what appeared to be a stifle sprain. My vets recommended treatment consisted of stall rest for a few days, then building up the surrounding muscles by incremental daily walking (30 minutes for 5 days) increasing to 40 minutes for 1 week and 50 minutes walk and adding 5 minutes of trot for 1 week, adding another 10 minutes of walking and increasing trot time to 10 minutes. Each week we increased the walk time and added at least 5 minutes more of trot time, allowing plenty of cool down time. My horse still exhibited stiffness and the symptoms described in the article. I had a traditional well regarded Chiropractor come out and adjust her. This did wonders for her "Hunters Lump" but did nothing for the pelvic/sacroiliac problems--she still moved in what I call a "peg leg" manner in the hind. Following the traditional chiropractic techniques, in this situation (IMO) did not seem to help my horses stifle. I decided to try an alternative chiropractic method. I have now used the VOM (veterinary orthopedic manipulation) 2 times and today we are using both the VOM and a cold lazer to encourage the deep tissue healing. I hope this works, and if you are interested, I will let you know. Any other info on this topic would be appreciated. I think my mare may be a bit too straight in the leg & hock area... perhaps that caused the SI stress? I bought my mare when she was 7 without knowing much about her history, other than that she had been bred to race and had done a LD. I may concuct further tests with my vet, but now I am just hoping this alternative treatment works. My vet did not think my mare would ever be suited for doing long steep hills, but she said regular daily exercise is the best to keep her fit and to minimize stiffness. Jeanie B. -----Original Message----- From: ridecamp-owner@xxxxxxxxxxxxxxxxx [mailto:ridecamp-owner@xxxxxxxxxxxxxxxxx] On Behalf Of Libby & Quentin Llop DVM Sent: Sunday, February 20, 2005 3:50 PM To: Cindy Collins; ridecamp@xxxxxxxxxxxxx Subject: [RC] sacroiliac joint Cindy et al: I have perhaps just read the same article, in Horse Journal? The article that I saw, was clearly deficient in describing not a single form of alternative/complementary medical treatment. You raise an interesting but not simple question when you ask for research. There is a population of veterinarians that get themselves published by bashing various modalities of complimentary medicine, Acupuncture, Chiropractic, Osteopathy, Muscle release etc. as lacking in research. Since I employ all four of those mentioned, I am perplexed by those of closed minds who do not get it. The fact is many if not most of treatments employed in Veterinary Medicine are not strictly "research-based". If I employ Osteopathy to free the motion of a sacroiliac joint, it is quite obvious to me that motion was not present before, and was after: just the same, if I spay a cat, a dramatic, perceivable change has happened to the cat. Acupuncture has been definitively shown to decrease inflammation; I doubt very much that a research study has been done to establish a specific pattern of points to decrease sacroiliac pain, and as explained below, would perhaps not be all that useful. I also doubt very much that a research study has been done to establish specific anti-inflammatory drugs to decrease sacroiliac pain. The basic character of most alternative treatments is that they seek to promote and work with the body's own self healing tendencies. (The power of self healing is clearly demonstrated in what is called the 'placebo effect'.) As such, complementary medicine treatments are very much individualized. One research study that I saw presented a number of years ago, used a selection of back Acupuncture points to achieve demonstrable racing improvements in TB horses with back pain. A veterinary Acupuncturist would be very unlikely to use precisely the points in the study but would rather individualize the treatment; thus his (her) manner of using Acupuncture would not technically be "research-based". In short, many forms of alternative treatment are effective for pelvic/sacroiliac problems. The weakness of standard medical treatments is demonstrated by the reliance on anti-inflammatory drugs. My personal knowledge of the subtleties of the biomechanics of pelvic and sacral motion was obtained entirely from Chiropractic and Osteopathic training, not veterinary school. An appreciation of the importance of proper sacroiliac functioning is just beginning in mainstream medicine. A great book for the general reader is Doris Halstead's book, "Release the Potential". It has a lot of information on the horse's pelvis, how to evaluate it and how to treat it with muscle release therapy. There is also a section on rider self evaluation and release. (Note that the drawings in the book are schematic.) Happy Trails! Quentin -----Original Message----- [mailto:ridecamp-owner@xxxxxxxxxxxxxxxxx]On Behalf Of Cindy Collins Sent: Sunday, February 20, 2005 3:18 PM To: ridecamp@xxxxxxxxxxxxx Subject: [RC] re: right on, MB! Please forgive me, Steph, for heading us off again! Here's a bone...I'm reading a fascinating article about rear end horse lameness due to problems in the sacroliliac joint. Does any one know if there's any research-based treatment for this, other than pain medications? 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