Battle of the Flatlands @ JBLM

 

Battle of the Flatlands @ JBLM

Roy, WA

April 9 2022

 

Heather and I have been doing training rides on Sundays for the past couple of months. She has been a huge help to me in getting Amira going as an endurance horse. Setting goals, learning to rate our speed, only increasing speed or distance at a time, not both, etc. Since December when I bought her I have been able to put a pretty good (gradual) fitness foundation on her. Because both of our horses are fairly young (7 yrs) and mine is green as well, our priority has been to maintain a good mindset with the horses. If they are acting spooky or naughty, take the time to slow down and work some circles, do some bending exercises, bring them back to the horse you want to ride. If you see a problem area, work on it. If you ignore your issues at home, they will only be amplified at the ride.

We decided to do our depletion ride two weeks before the endurance ride. This was a 15 mi ride with a goal of maintaining a 5-6 mph pace to see where the horses are at in their fitness and allow their bodies time to recover before the big day. On our first loop we had a bit of a challenge as Amelia threatened to kick and Amira spun around and leapt, and I fell off and landed backside on some concrete. Amira ran away through a plowed field and finally stopped and let us catch her, so I got back on and we resumed our ride but the horses were feeling pretty spooky that first loop and we took a time-out to work with them before continuing our second loop. I had been recovering from that and hoping it wouldn’t be an issue.

Heather has a local endurance friend, Dean, who has a big trailer. He had asked her if she wanted him to haul her horse. They worked that out and I followed with my truck/trailer because I wasn’t sure if my horse would get on his trailer with a rear tack compartment. We met at her place about 8:30 am on Friday morning. We convoyed over to Roy WA together which was a great relief to me just to have another adult nearby in case of any issues.  The drive was uneventful. We had a pit stop in Ellensburg to fill up on gas and then we made it over Snoqualmie pass with clear roads. Then we had some torrential rain and after that some pretty heavy traffic (20 mph on the interstate) and then what seemed like town driving that went on for quite awhile and before we knew it we were driving along the JBLM (Joint Base Lewis-McChord) and I even saw two horses at a water stop doing a pre-ride and then I really got excited.

We arrived about 2:30 pm and they directed us to park past the tree, I let Dean pick his spot and I pulled in next to him with enough space for the horse corrals between us. We unloaded and let the horses graze a bit, the ride camp was in a beautiful pasture and the grass was lush! We then set up the portable corrals that Dean had brought, and he was so kind to loan me one for Amira. I used to use electric tape for Sinwaan, he always stayed in it really well, but every horse is different, and they made the announcement that they would not be allowing it at the next ride, so people must tie to the trailer or have a portable corral.

Heather asked if I wanted to do a pre-ride once we got camp set up and registered, and I thought that sounded like a great idea! We were really glad we had time to do that because on this ride you walk down the road a bit and then the entrance to the trails is this large hump, gully, hump and then it flattens out. At that same corner is a road sign and some stumps/large rocks to give the horses something to eyeball. Some horses had an issue with this entrance. Heather led Amelia and they had a look at the obstacles and decided it was ok to proceed. Heather led for about a half-mi and then mounted up and we rode on to check out the trail. What we saw initially was primarily double track with great footing, smooth gravel with some occasional rocks. There was a mossy forest that was just magical to view. It was all so pretty. We turned around and headed back after about 2 miles.  When we got back Ellie wanted to ride so I had her hop on and ride around ride camp for a little bit and then we untacked, did some grooming and then took the horses over to be vetted in.

The pulser noted that Amira was at 60 and that had Heather a little concerned. 60 bpm is typically the criteria your horse has to meet to continue on and if that is her baseline there may be a chance she would take longer to meet that after our ride and get a completion. (For example Amelia was 37) So I waited a couple minutes and asked for a re-check. Again it was 60, so Heather suggested I ask the vet about it. We had Dr Cassee vet us in and she said that yes she was running at right around 60 but not to be concerned unless there were other signs for alarm. She scored all As on her card and I was very happy about that. I decided she must keep all her excitement on the inside, and I would just see what tomorrow brings as we had a good plan for a conservative ride.

Meanwhile Ellie (my daughter who is 12) was doing a great job capturing everything with photos and video! She had a couple of cameras and was following us around and getting footage whenever we were doing something.

After all that was done, we had some time so we ate dinner and kept an eye on the horses as they settled into camp and before too long it was time for the ride meeting. They honked a nearby car horn and the Beagles started howling. It was pretty cute.

Heather Costigan was the ride manager and spoke about the base, and if we were to encounter anyone out there the military always has the right of way. The ride camp was on her personal property, she was glad to have us all there for a nice easy (flat) ride. To please be welcoming to the newcomers, there were a lot of them registered (50?) Sarah Aleshire made announcements regarding the trail markings and answered questions before they introduced the vets. Mike Foss DVM spoke about the importance of EDPPMF in your horses – Eating, drinking, peeing, pooping, moving freely. These are the things you want to see them doing. They also stressed having a blanket or rump rug available since horses can cramp up if their muscles get tight standing around in windy cold weather. Dr Cassee hung around to answer any additional questions from newcomers and the rest of the people dispersed.

We hand walked the horses after that and let them graze a bit and then it got dark and we all went to bed around 8:30 pm. It seemed silly being in bed that early, but it was cold and dark and there was nothing else to do. Ellie and I had made beds in the back of the truck and we were warm enough, although I was not able to sleep very much from the excitement.

Ride day dawned and I got up about 6:30 am. Dean was already mostly tacked up and trying to loosen his breastcollar on Creedance. Creedance was excited and ready to get moving! Dean mounted up and walked him around waiting for the trail to open at 7 am. There were about 13 entries for that distance. They were doing the 15 mi loop twice and the 20 mi loop once.

Ellie and I had decided on yogurt, fruit and granola for breakfast so that is what we had and then I got dressed and ready to go. Heather and I decided to tack up around 7:30 since the out time for our distance was 8 am. I was strangely not nervous like I used to be. I was feeling very Zen. Maybe it was because I was pretty sure my horse would not go through that giant water crossing (at only 4 mi in) or maybe because I thought we would lose a shoe, or her pulse wouldn’t drop low enough in time. Any rate I had pretty low expectations going in and apparently that really helped my mental state.

I tacked her up, she was a little excited due to all the camp commotion, but I mounted up and walked her around just to start warming up and give her a chance to see how we handle rides. Yes, there is excitement, but no, you don’t have to worry about it. At about 8:05 when the LD riders were going down the road and starting on their ride I heard a bunch of noise and I look over and see a horse crashing through the brush (NOT on trail) and I hear his rider say “HELP ME!” and I see the horse running away with her and then a horse trailer blocked my view and when I saw them again it was only the horse. Someone else was trotting that direction to go catch the horse and the rider was somewhere behind the trailer. Oh dear that is not a great way to start out! All the commotion had some of the horses still in camp all excited and one horse that was tied to the trailer broke free and ran all around camp and I think another horse may have busted out of their containment system too, so it was a bit of a ruckus. It is good this ride camp is basically a pasture, it is completely fenced except for the entrance gate, so loose horses can’t get too far.

Heather and I had decided to wait about 10 minutes after the start time to head out, to avoid all the nonsense of competitive horses and riders. I was especially glad when I saw all that. Thankfully while I was riding around camp I realized I had forgotten to put on her little bell boots so I rode over and put those on. She was starting to clip her front feet with her hind toes and I did not want to risk an injury. By then it was a good time to leave, camp was pretty well clear, and we walked on out.

There wasn’t a very big shoulder on the road to the trail, and Heather led Amelia down to the up and down lumpy entrance and through it and walked awhile, and also jogged with Amelia and when the horses felt good and solid she mounted up and we began our 15 mile loop. It was double track for quite a while and then we got into single track and it was very twisty through the woods and brush and the scenery was constantly changing (and so was the weather haha) and at times I wasn’t sure it was actually a trail but then we would see the ribbon markers and know we were on track. We aimed to keep the horses to a slow trot most of the ride to both complete on time and not over stress them. With Amelia in the lead this was easy as Heather can keep her nice and consistent at 5-6 mph. When I was in the lead we would creep up to about 8 mph and either Heather would ask me to notch her down a bit or I would catch on and slow her myself.

We came upon the water crossing and it was magnificent. The nice thing about it is that the footing is very solid since it is usually a crossing for vehicles. We knew we were not going to get stuck in mud, and it would be safe. We heard hollering and realized the photographer was knee high in the water at the other end, ready to take photos of the great event. Heather and I had made a plan for this ahead of time. I was just going to pull over and give Amelia time to get in the water. Once she was making good progress then I would come down and attempt with Amira. It only took a couple of minutes for Heather to convince Amelia that this was a good idea. After that it was no problem. Amira didn’t want to be left behind and plunged on through. Once we were safely on dry ground on the other side and walking along I teared up a bit! Such a great relief that my ride was not already over!

I can’t say enough good things about the trails. They were ever changing, from double-track to single track, from gravel to dirt, and the scenery was always changing and always beautiful! Very few elevation changes but there were a number of downed small trees so it was good to keep an eye out when in the heavy brush single track trails. We rarely slowed to a walk, but did as needed for any technical parts. We saw the photographer again, this time in a meadow. I let Heather go on first and followed along, trying to rate Amira but I don’t think I got her going easily or collected how I wanted for a photo. Oh well, maybe next time.

When we came cruising back towards ride camp we dismounted and loosened our girths and led the horses back down the road to help them lower their pulse as much as possible before we got to the timers. We discovered Amira loved the oat water tub, she would try to nibble out all the oats.  I asked for the recipe and was told “we literally just poured a bag of oats into that water tub.” Ha! I let her drink a bit before asking for pulse. She was down to 60 within 5-10 minutes and thus started our hold time, with an out time of 11:55.

The vet check went really well, although since I had tried to unsuccessfully give her electrolytes (Heather did manage to get some in her mouth before the ride) when the new vet attempted to check her capillary refill she just raised and tossed her head and did not want any part of that. Otherwise she stood very good and still for all the other items on the card to be checked. She was responsive to my request to trot for the vet, and she did what was asked. Good mare!

The hold time was a flurry of activity as we were given 45 minutes. Some of that time is used in the vet exam and following that we walked the horses back to the trailer and put a buffet of food in front of them. Alfalfa hay, grass hay, water, grain, carrots, etc. Heather asked Ellie to please keep an eye on the horses and if they were not eating to let us know. Then we, the riders, took care of ourselves. I ate a granola bar and downed some Gatorade with a fizzy people electrolyte tablet added to it. I also made sure to use the restroom. Amira was acting like she wanted to roll (itchy) and I didn’t want her to damage my saddle so I put on her halter and had Ellie hold her outside the pen so she could graze on the grass. My mom showed up and wanted to feed me but I told her it would have to wait until after my second loop!

Before we knew it the hold time was up and we were headed back out for our second (10 mi) loop. It was mostly single-track through the woods and there was a lot of things for the horses to look at so Amira took the lead as she has more confidence. We worked on setting a steady trot and just ate up the miles.

 Towards the end there was a hailstorm! We encountered a lady leading her mule. I felt bad for her but she said her mule just did not want to go. We came upon a group of riders who were out doing the trail ride and they pulled over to let us pass which was very nice of them. We played leapfrog with another pair of riders but soon decided to just let them go on ahead since we didn’t want them running up on our tail when they decided to canter. Then it started raining sideways and it was in the horses’ faces and they hesitated to keep going. We were close to the trees at that point so with more encouragement we were able to get out of the worst of it and then not long after it cleared up. At that point Ellie texted me and wanted to know how far away we were. I texted back 1.5 mi. It went by really fast and before I knew it we were all done!

We again dismounted and loosened girths before heading back down the road to ride camp. Amira’s pulse was a little high – I think 62? So we went to the oat water and I let her drink and play in the tub while I removed her saddle. When I asked for the recheck it was 54! Yay! Good deal, she passed and got a completion time. Then we headed directly to the vets. My mom and Ellie were ready with horse blankets in case of a line but we got lucky and did not have to wait to vet through. Amira scored really well on everything except for gut sounds, she got a B on one side and a C on the other. I asked if that was going to prevent us from earning our completion and Dr Mike said no worries, just let her eat and rest and she should remedy that herself. At this ride they held onto the ride card for scores and placements. I knew we were at the end but I wasn’t sure if I was the turtle or not. Some rides give a special award for turtle.

Heather says per her GPS, our active riding time was 4 hr 30 min for the 25 miles. I am really happy with that.

We put the blankets on the horses and walked them back to the trailers and let them eat and continued to watch them but they were hungry and tired and alternated between eating and resting. “Now mother, I will take you up on that picnic!” She had brought pasta salad and hoagie fixings and cotton candy grapes and juice and home-made chocolate chip cookies (with no walnuts) and it was all very delicious. Quite the treat to have such a feast after riding 25 miles. We enjoyed some sun and conversation and then (as was the norm here) the wind picked up and the sky darkened and my mom decided not to stick around for bad weather. So we bid her good bye and she left.

At some point Dean returned, he was in 3^rd for the 50 mi distance, and Heather helped him with Creedance for the vet check and after care.  His son and family stopped by later and Dean went with them to dinner.

When the last 50 mile rider came in much later they decided to have the after-ride results meeting. They started with the 25 mi distance and announced the top riders and best condition winner for the special awards, and then asked, “if you are here and want your completion please raise your hand and tell me your name.” Many of us did but it was quickly apparent that the results did not go past 16^th place so if you were lower then that your placement was a mystery – for now. They then did the same for the 50 mile riders. They had a really nice turtle award for the 50s – a $100 gift certificate to an endurance vendor. Wow! What a great prize. Then I was even more curious if I had gotten the turtle award. Sarah told me she would be working on the full results over the next week and could let me know my placement but they did not have an award for the 25 mi turtle.

After awards Heather and I made some more food for dinner and sat under her canopy and had a nice time chatting. Around 7 pm a car pulled up and asked us about the awards meeting. We told them it already happened, and they were upset because I guess it was posted somewhere it would be at 7 pm and as they were local they had come back for it. Then a couple more ladies showed up, the person who won the 25 mi distance and a friend. I messaged the RM Heather and she said she would be back to pass out their completion awards since she was headed to the store. At that point the weather got cold and windy again so Heather and I went and sat in the back of the horse trailer and drank hot tea and enjoyed some conversation.

When RM Heather returned I was able to have her sign my AHA form for Amira’s first point towards her Achievement Award. My goal for her is to earn a “+” after her name. You can do that by earning 75 points. You get a point for completing a LD ride, and can earn more points per ride by either doing longer distances or by placing above more riders.

All that taken care of it was starting to get dark. Dean had returned so we took the horses for a walk and graze around camp. It had emptied out quite a bit with people packing up and heading home. The horses really enjoyed the grass and were tucked in for bed as night fell.

The next morning I heard Heather up and around so I got up, I think it was about 6:30. We packed up the truck and trailer and took the horses for another walk and graze before leaving camp by 8 am. Since I had been getting texts about accidents closing down Snoqualmie for 5 hrs on Saturday, and the current conditions looked like a lot of snow, we decided to head south through Portland and the Gorge for the drive home. This added an hour (at least) to our travels but better to be safe then stuck, or worse.

The drive was uneventful, I was following Dean and he missed the exit at Troutdale so I pulled off anyway since I was getting low on gas. They ended up stopping at Hood River and by the time they were ready to get back on the highway I was passing their exit so we joined up again for our travels. Arriving back at Heather’s I realized we never got a photo of the three of us so we posed for one and then I headed the last mile home.

Amira stepped off the trailer and dove into the grass, I let her eat, removed her blanket, groomed her a little and then took her to her pasture with Sinwaan. He was very happy to see her! They took a little trot around the pasture, had a roll and a drink and then settled back into grazing side by side. Amira did EDPPMF and I could relax. All was well.

Special thanks to Heather for being such a great riding partner, we have had many things to work on and she has provided many tips that have helped us a lot. Thanks to Dean for convoying over with me, and loaning me his corral panels. To my daughter Ellie for being such great crew – film and for the horses. Appreciation to Heather Costigan for putting on a great ride, and Sarah Aleshire for answering all my questions both before and during the ride. Jala Neufeld for the wonderful photography. And my mom for stopping by with more food! Thanks to Maureen for taking great care of Sinwaan while I was away, and my husband Matt for caring for the dogs in my absence. It takes a village!

 

Happy trails. Next stop, Prineville!

A new horse arrives

Here is a story I wrote for Jennifer Buxton's blog and it seems as good a way as any to jump start this blog back into action again! 

How I turned Breyers into a real horse (thanks to Covid) XD

  
 I have a 25-year-old Arabian gelding named Sinwaan, who I did about 5 years of limited distance endurance on when my kids were very young. We had an old camp trailer that we would take to the rides to contain the kids, and my mom would often come along to help baby-sit. Sinwaan started dragging a hind toe on our training rides and wore down his shoe flat across the top and no amount of diagnostics from an equine sports vet could provide any answers, so quite unexpectedly I found myself without a horse to ride. Because I had a limited budget and did not think he would land softly in a non-use home, I hung onto him and had to come to terms with the fact that I was now a retired horse owner instead of an endurance rider. It was a very difficult adjustment for me, but the next decade of years found me more immersed in model horses (and parenting!) to help fill that void.

 I have attended BreyerFest twice in my life, once as a kid and once as an adult. It was overwhelming, wonderful...a true experience. Enter Covid in 2020. The Breyer team offered a virtual substitution. I was very excited when I learned that I could now enter the contests from my home state of Washington! The 2020 theme was Celtic Fling and I thought really hard about how to best present a diorama that would evoke emotion. I decided on the story of Boudicca and her chariot, and it really became a family affair as we brainstormed how to include an added element of fire in the final photos. I yelped as they called my name on the webcast and welled up with tears. It was really special to win the “Feis” model and I had ZERO plans to ever sell him since I cherished the whole process of creating that diorama and what he represented. It was the first and only prize model I had ever owned to that point.

 2021 and we still have covid. Breyer again offers a virtual experience, only this time the participants are restricted by state/country due to gambling laws. Crazy! I was relieved that my state was not on the blacklist (but I know Jennifer and a lot of others were rightfully upset by this). The theme was Horse of a Different Color, and the guidelines for the diorama contest had us reimagining an existing piece of art. This time I decided on Little Bit scale and reworked it into the Remington Mountain Main. I was pleased with the outcome but wasn’t as convinced that I had a shot at winning that time. Thankfully I did make it as a finalist and won the lovely “Stubbs" model.

 The past couple of years my daughter has been riding my friend Bethany's horse Shimmer and pony Mazi on the weekends and really doing well. I am so proud of her ability to listen to direction and apply it to her riding and she improves each time. I had become a “barn mom” and while that was special and I loved sharing my passions with her, what I really wanted to be was more involved and riding with her! What to do? There is a very green horse at the same barn and I started doing some training rides and while that was fun and exciting, it still wasn’t my own horse.

 End of autumn I asked my neighbors if they would lease out their pasture. I have been so incredibly blessed to have wonderful folks looking after Sinwaan for me, but they are getting older and didn’t want to take on any new horses. After I had a job change, I started thinking it would really be nice to have my own horse to ride again. It took a couple months of discussion and after thinking it over and negotiating my neighbors agreed. Now that I had a pasture nearby, I could start looking for a new horse!

 I decided at that point to sell my Stubbs model to start a 'real horse' fund. That gave me a nice start, and with that I started casually looking at Dreamhorse to get an idea of what was available. I came across an ad with no photo. I emailed the seller and the photos she sent me made my heart sing. If I could custom-order a horse, this one checked all the boxes.  Bay, Arabian, Bask-bred and beautiful. 

I arranged to see her in person and on the drive up there (Oct 29) I thought I would throw up; I was so overwhelmed. I had never shopped for a horse of my own before! Sinwaan was given to me by my aunt, he made the long trek from Virginia to Washington when my son was just a baby so I took him on pretty much sight unseen. So this was a whole new experience for me. I was reading articles on “how to shop for a horse” and I was so worried I would get swindled. How do I know if I can trust the people selling this horse?

 I did not need to be so worried or suspicious. The seller and her friend were very nice down-to-earth and upfront people. It was important to them that this horse go to the right buyer, just as it was important to me that I make the right decision. The friend rode her first to show her skill set, and then I rode her and I was just over the moon for this horse. I had my husband shoot videos and I watched them over and over all weekend, asking my friends for feedback. One thing I insisted on was a pre-purchase exam. The vets were all scheduled out a couple weeks so this worked in my favor. Now that I had found a horse that I couldn’t live without, how do I pay for her? I didn’t have quite enough in the fund.

 I decided when it came right down to it, a real horse was more important to me than a model. So I put Feis up for sale and it was a bittersweet moment when I packed him up for shipment.

 I first looked at my new horse "Angel" around Halloween, and didn’t end up bringing her home until December 9. It was a VERY long trip to get her, as our mountain pass had a lot of snow and ice and we took a different way going home that added a lot of time to our journey. But it was all worth it! I have renamed my new horse "Amira" and she has settled in well, and has proven to be a nice steady mount for both myself and my daughter.  One of my friends soon commented "how incredible is it that you buy the very first horse you look at?" Yes, it is really amazing that it worked out so well. 

 My long term goal is now (once again) to participate in endurance. I have reconnected with a good friend that I conditioned with 10 years ago. It feels like we are coming full circle. We took time off for the kids, had things that prevented both of us from being as involved as we would like with the horses and now we are back to riding. Amazingly enough we both have mares the same age and color that are pretty similar in how far along they are in their training.

I would not have this horse without Breyer offering both a virtual way to enter the contest, and for providing such lovely prize models!  THANK YOU BREYER :)


See you on the trail!

Patient History Report: Sinwaan - 10/24/13

For those of you who are interested and have been following Sinwaan's story lately, he went back in to see the specialist Dr Dora Ferris on 10/24. Here is her write up of that visit;

Misc Medical Procedures - Ultrasound - hind suspensory ligaments
Sinwaan presented today for re-examination and ultrasound of his hind limb proximal suspensory ligaments.

Examination: He does not have significant back pain today and there is no withdrawal response when the tuber sacrale are compressed. At the walk both hind fetlocks drop/hyperextend when in the weight bearing phase of stride. At the trot, his lameness has not improved despite the 3 months of rest. The left hind foot continues to have a club footed appearance due to the short worn toe.

Sinwaan's heart was ascultated and was within normal limits. He was sedated with 4mg of detomidine and 60mg of xylazine IV. Both metatarsal regions were clipped and prepped for ultrasound examination. The left hind suspensory ligament was ultrasounded and compared to the right hind suspensory ligament. There was mild thickening of the plantar fascia of the left hind limb compared to the right. The suspensory ligament of the left hind was mildly enlarged, especially laterally compared to  the right hind evidenced by a reduction in the space between the suspensory and the metatarsus. Hypoechoic areas consistent with muscle and fat within the ligament were symmetrical from right to left. There was a mild  bone irregularity at the distal portion of the attachment of the suspensory ligament on the left hind. A brief  non-weight bearing exam was performed as well which did not show additional lesions.

Assessment:
The ultrasound did not reveal significant disruption or damage to the suspensory ligament at this time. My biggest concern is that there could be a slow, chronic degenerative process in play, causing mild breakdown of the suspensory ligament. Some have suggested this can be linked to metabolic syndrome in some horses. Sinwaan is slightly overweight, and resting will only make this more difficult to manage. This could be linked to a metabolic syndrome.

It is also thought, that in horses with a similar presentation there is nerve impingement of the deep  branch of the lateral plantar nerve beneath the plantar fascia due to the swollen suspensory ligament.

Plan:
We can discuss further treatments, and I am  happy to talk about these at any time. Treatments I would recommend pursuing:
Testing for equine metabolic syndrome, including insulin and cortisol (ACTH, Dex suppression testing). These cost around $100. Unfortunately in the fall and winter horses can come back falsely negative, so it is best to wait for this testing until spring. Some management changes could be undertaken prior to testing in an effort to minimize his weight changes. Changes include grass only hay, minimal concentrates or grains, or substituting with a low starch grain, minimizing or eliminating grass pasture turnout, etc.

Platelet rich plasma - While there is not visible disruption of the ligament, these horses often have a degenerative process occurring and PRP could potentially provide growth factors that can slow or decrease this process.

Radiograph - Radiographs of the hock/proximal suspensory region of the left hind limb could be helpful for two reasons, they could show if there is sclerosis (increased bone density at the proximal suspensory region) and could outline any hock changes as well. He may still have a portion of hock pain that is contributing to his lameness. If there is sclerosis at the origin of the suspensory ligament origin (consistent with the bone change seen on ultrasound) it would be consistent with a chronic issue.

In the interum time, I would like to start the following therapy for Sinwaan.
Lateral weight shifting - Stand to the side of his hip, facing him. Grasp his tail up as high as you can on the tail bone, then gently lean back, pulling him towards you. Watch for the  contraction of the quadriceps muscles on the side you are facing and slight dropping of the fetlock. You want him to resist the drop, and hold himself up without pushing and moving away from  you. This will improve his control of his hindlimb and muscle activation. Ask him to hold the contraction for as long as he is able, currently about 3-4 seconds, ideally he will improve several seconds per week until he can hold the activation for 20 seconds. Repeat this exercise for both hind limbs 5 times a day.

Aquatic therapy can be very helpful for these horses. While taking Sinwaan to a rehab facility is not really an option for him, exercising him in a pond, lake, or creek might be beneficial as long as the bottom of the lake is not deep and muddy, and the weather is not too cold. Please let me know if you have anything along those lines available to you and we can discuss a protocol.

I would like Sinwaan to have low impact exercise if possible. Walking in hand or ponied from another horse initially on a straight line on firm footing would be ideal. Start with 5 minutes 1-2 times daily, increasing by 5 minutes each week, until he is walking for 20 minutes up to twice daily in 8 weeks if possible. As he progresses, we can begin to add weight to his back.

Please apply the DMSO/Bute mixture to his proximal suspensory regions up to 1 time daily for 14 days. Please wear gloves and do not allow this to touch your skin. Don't touch his leg after you have applied it. This will help reduce the inflammation that may be occurring, and may help for any nerve pain he may be experiencing.

Shoeing changes - Research has shown that a high foot angle (tall heels) puts increased strain on the suspensory ligament. Since his heels have become so tall, I would like to have them trimmed to more closely match his opposite foot. Care needs to be taken that they are not shortened too much and cause a broken back hoof-pastern axis. Sinwaan may also benefit from heel extensions to bring support back under his fetlock further. In the past that has helped horses with similar conformation. I'm not sure who you have used in the past, but let us know if you need recommendations for therapeutic shoes.

If these therapies are started, I would like to recheck him next month if possible. Otherwise we can discuss his progress on the phone.

Dora Ferris

Patient History Report

Today in the mail I received the patient history report on Sinwaan's visit from 9/17/13. I really love my vet clinic and working with both Dr Pritchett and Dr Ferris so far. I think mailing me the report goes above and beyond anyone I have worked with in the past, and it is really nice to have it all in writing since it is so hard for me to digest and remember everything as it is happening.

Sinwaan is an Arabian gelding who is 16 yr & 6 mo, DOB 3/10/1997. Weight listed as 1,050.

Lameness Exam
History: Previously seen for a left hind limb lameness due to wearing off the toe. He has been on a bute trial since the last visit on 9/6 and has been resting in his paddock. No other treatments have been performed. The original goal was to ride in a 50 mile endurance ride in October. He has been unshod since the last exam because he pulled the left hind shoe.
S: Today Sinwaan is still BCS approximately 6-7/9. He has mild withdrawal response to palpation of his right and left thoracic and lumbar longissimus muscles bilaterally, but is not positive to compression of his tuber sacrale. There is mild thickening of the joint capsule of the femoropatellar joints and mild effusion of the same bilaterally. He has very straight conformation in his hind limbs through the stifle and hock, with an extended fetlock. His hocks palpate slightly abnormal on the medial aspect of both, with potential mild remodeling over the distal intertarsal and tasometatarsal joints. Hoof tester exam of all four feet was unremarkable except for bridging the medial frog the lateral heel bulb of the left front foot which was mildly positive. On lameness examination, he slightly circumducts the left hind limb when walking, and tracks with the right hind limb more to midline. At the trot he was 3+/5 lame on the left hind at the trot and the lameness is referring to left front. Occasionally he takes a step that appears to be sensitive to the rocks due to being barefoot. The left hind limb lameness is worse when the limb is on the inside of the circle, vs. outside.
Flexions:
Distal LH - mild positive
Stifle LH - moderate positive
Full LH - moderate positive (slightly worse than stifle)
Distal RH - mild positive
Stifle RH - mild positive - appeared symmetrically lame on both limbs
Full RH - moderate positive - switched to primary RH limb lameness for several strides, then returned to the baseline LH limb lameness.

Diagnostic blocks, radiographs and ultrasound were discussed. Due to Sinwaan's straight hind limb conformation, there is some concern that there could be suspensory pain present. The decision was made to persue diagnostic blocking of the LH limb to rule out suspensory injury. Based on palpation of the hocks and the presentation of his lameness (worse on the inside of the circle, worse to full limb flexion, and moderately sensitive to back palpation, the next most likely cause of his lameness is pain in the DIT and TMT joints.

Low 4-point nerve block LH - no significant improvement.
Deep branch of hte lateral plantar nerve (proximal suspensory) LH - 70% improvement overall, improved when on the inside of the circle, left forelimb lameness improved as well (decreased referring lameness)

A light bandage with nitrofurazone was applied to the left hind limb.

Plan: Based on the improvement to blocking today, it is most likely that he has a suspensory injury. To assess the extent of this injury, an ultrasound of the metatarsus is recommended at a later time. Because of the blocking today there will be fluid and gas artifact in the tissues, which could confound visualizing a lesion. We will pursue ultrasounding him next month.

The bandage on the left hind limb can be removed tomorrow (Wednesday) and his leg rinsed in the hose to remove the nitrofurazone. Ideally, you should wear gloves or use a plastic bag to protect your skin from the nitrofurazone when removing the bandage.

Sinwaan should be rested in a small paddock for the next month until he can have the ultrasound performed. Ideally this should be no larger than approximately 14' x 24-36' so he cannot run if he likes to play in his pasture.

Pending the results of the ultrasound, using Platelet Rich Plasma to treat the suspensory and rehabilitation will probably have the best chance of returning Sinwaan to his previous performance. He will most likely need at least 4-5 months of rest and rehabilitation before returning to work under saddle.

Treatment with Firocoxib is worth considering for Sinwaan as he enters his rehabilitation phase. This is similar to bute but has fewer side effects for the gastrointestinal tract and kidneys when given long term. We can discuss this further on his next visit.

Thank you for bringing Sinwaan in to see me today. I look forward to seeing him next month.
Dora Ferris

Visit to the specialist

This week Dr. Dora Jean Ferris is in town so I took the opportunity and scheduled an appointment time with her for Sinwaan.

We did more lameness evaluations with flexion testing and it was more obvious today that he was "off." Dr Ferris pointed out to me that he is dropping his right hind lower to compensate for the pain on his left side.  Today he was even doing a little toe dragging without me riding him. (Obvious in the photo above). Another thing she pointed out to me was his muscles quivering in a specific spot, when flexing him, more so on the left than on the right. 

Video #1 - left flexion test

Video #2 - as a comparison, right flexion test

After these she did some more flexion tests, focusing more on the stifle area but my video camera was not recording when I thought it was. Oops.

Video #3 - starts at 10 sec. right flexion test on right

Video #4 - starts at about 18 sec. flexion test on left

Video #5 - flexion on right

Then she used a hoof tester and checked all his feet for any soreness issues. Other than some mild tenderness on the inside frog of the left fore, there were no issues.

Then we talked, or I should say, she talked to me about what she was seeing.  I will include the report in the next post because it covers the whole visit.

Thickening area

We had the options of blocking, radiographs and ultrasound. I asked her what option she would choose, if she could only do one (due to my financial limitations), and she said the blocking should give her the most answers today. The price quote for that was cheaper than the radiographs so I said let's go ahead. Well, they had another appointment due to come in within 30 minutes, and not wanting to get started only to be interrupted, they asked if I could leave him with them for a couple of  hours. I said that was no problem.

As we walked him back to his pen, we passed the cattle in the stocks. It was castration day for them, and there was quite a bit of blood, which they had warned us about before walking over there. Ellie was with me, carrying a armload of hay for Sinwaan, and I told her to watch Sinwaan, which she did. She told me later she did not see any blood,  but she wanted to know all about castration!  Sinwaan was settled into his stall next to a horse who was all bandaged up from injuries resulting from the storm we just had. Bandages all the way up two of his legs, stitches in his neck, but he was upright and looked like he was going to make it.

Exciting day at the vet clinic to be sure. I'll report more later after I pick him up.

Here we are again

Sinwaan watching neighboring cows. 

When his mane is at this angle he always reminds me of the Breyer Indian Pony

Monday Chad was able to come out and pull Sinwaan's shoes and give him a trim. I had leveled out an area by his water tank the day before and flooded it so his hooves would not be so hard. Chad said it worked perfectly, and I was glad when the improvement also meant he could remove that last nail still in the hoof without a shoe.

I figured this past week would drag by, but with school starting up again and all the other things that happen in our daily lives, it actually wasn't too bad. Before I knew it Friday rolled around and it was time to take Sinwaan back in for some more evaluations, and hopefully answers. 

The night before we had a wicked storm pass through, leaving many without power. Sinwaan's barn was one of the unlucky ones, so we hauled some water out to them on our way to pick him up.

Dr Pritchett and her tech, I believe Linda was her name, started out with a lameness exam in-hand. Using some of the same tests as last time, but taking it a step farther. I am not a Hollywood pro focus-puller so apparently it is impossible for me to get clear in-focus videos from this fancy camera, therefore I am only posting one from that session.

Video #1 - Flexion test. This one I could see he looked a little off.

Guess who took their saddle pad home to wash it, and forgot to bring it today? 

Thankfully Matt was able to deliver in record time.

After those tests it was time to saddle up so she could observe him under a load. At the walk there was no sign of toe drag, but at the trot it became obvious. I didn't get to do much riding, as it didn't take long to see the issue. 

Video #2 - Riding, about 3 minutes long. It was a little stressful riding him there after not having ridden for 2 weeks, with the highway next-door, but he was quite good. I felt like a dummy when I un-tacked and noticed I had never clipped the top portion of his breastcollar. Oh well!

After  un-tacking they did more evaluations. 

Video #3 - Trotting, circles. More focus issues, sorry!

Video #4 - Flexion test, trying to aim higher up in the leg/hip area I believe (and a video capture below to show what he thinks of this)

Then another flexion test aiming lower in the leg, but that video is not worthy of posting as the trotting away portion is nowhere near being in focus.

After that she performed the same tests on the opposite side.

There was mention of sedating him, not for x-rays this time, but for palpating his hip from the inside (lucky for all involved that was never needed). First, however, she wanted to do some more research. So after a quick trip inside the building she came out with a couple more ideas. More palpating, flexing, extending his hind leg...trying to locate the issue.

Video #5 - Palpations and a reaction on the left

In the midst of this Ellie told me she had to use the restroom, so I took her in. I came out to find Dr. Pritchett with a look of triumph on her face. "I found it." Confused, I asked her what she found. She showed me that when she palpated his stifle, right over the peroneal nerve, he would move away, lift his leg, and just generally looked uncomfortable. She did the same thing on the opposite side with no response. Palpating other neighboring areas on either leg, also no response. Definitely an issue in that one spot.

Later, when we were inside the building, Dr Pritchett brought out her anatomy book to show me what everything looked like in his leg where he is having that issue. Quite kind of her, and fascinating!

Palpation of the right stifle joint over the peroneal nerve caused no reaction, 

compared to the left side. 

Dr Pritchett has an equine sports medicine specialist colleague (Dora Ferris DVM) whom their clinic plans to work with, who just so happens will be in town next week with her own ultrasound equipment. Dr Pritchett said she would like to talk with Dr Ferris more about this case and perhaps she could offer an additional diagnosis or treatment plan. She plans to get back in touch with me next week after they have a conversation.

(Sidenote: because I am curious, and the internet is so powerful, I Googled Dr Ferris and found the following...she is also the daughter of two local vets;)

We also talked about how after some rest and anti-inflammatories we should be able to develop a conditioning plan for Sinwaan to help build up his muscles to get him back on track for distance riding. (For example, lounging work with ground poles to start with, not riding) She sent me home with some bute to be given 2x a day. The barn owners volunteered to give that, to save me all that driving. Thank you!

So although I didn't get a complete answer about what caused this, or how exactly we will fix it, or how long he will be on vacation, it does sound like there is hope, and it is better than the alternatives. Here's hoping Sinwaan is back to normal soon.

However, no October ride for him. And since so much of the ride is about the bond that we share, I am not sure I want to do it without him on another horse, even though I have already had a very kind offer. I should probably volunteer, and crew, and see it all from the other side.

* * *

Later that afternoon I called back to the clinic to ask about that nerve, because I had already forgotten the name of it, and couldn't seem to figure it out doing basic Google searches for "stifle nerve." The gal who answered the phone said she could email me the notes from the visit, which I thought was really awesome. You can see them below.

Using this basic format—Subjective and Objective observation, Assessment and Plan, the vet notes on Sinwaan from today's visit are as follows:

Lameness Exam
S: Sinwaan is here for re-evaluation of the left hind limb. His feet have been trimmed. He has not been ridden.

O: No obvious lameness at the walk or trot on the pavement. Circumducts hind limbs well when turned to the left. He is more hesitant when turned to the right (left hind leg on the outside)
When ridden no lameness or dragging of the toe noted at the walk. When ridden at the trot - drags the left hind toe.
Flexion test of the left hind tarsus and stifle w/o rider - no change in gait
Flexion test of the left coxofemoral joint with the tarsus and stifle in extension - lameness noted and a few strides of toe dragging at the trot.
Subsequent to these observations - deep palpation of the lateral aspect of the stifle joint (area over the peroneal nerve) caused consistent pain reaction (moves away from me, lifts hind leg, switches tail). Palpation of the same area on the right hind leg did not cause any reaction.

A: Grade I/IV lameness of the left hind at the trot. Painful on deep palpation of the lateral aspect of the left stifle joint. Potential injury to the peroneal nerve.

P: Advised rest and anti-inflammatory. Consult with orthopedic specialist in additional diagnostics and rehabilitation. Lori C. Pritchett, DVM)

Unscheduled Stop!

Just when things seem to be going along as planned, something comes along to detour you, or completely rock the boat. That is how I am feeling this week. Quite discouraged.

On August 15 my farrier came out to put new shoes on Sinwaan. His feet were incredibly dry and some of the hoof wall chipped off as he was trimming the new growth. We noticed he looked like he was dragging his left rear toe a bit as there was a flat spot on the front-outside of that hoof. So he set the shoe a little forward on that foot to try and allow for the hoof to grow back out while we continued our training regimen. I would like to mention that I have been using this farrier since at least 2007, and when I switched over to him Sinwaan had a real issue with interference in his hind end, after changing to my current farrier after the first trim he no longer had that issue. So I feel he is and has been a good farrier for us. He did lecture me on needing to get his feet on some moisture once in a while, not only for hoof health but also because trimming him was like trying to cut through a rock!

Fast forward four weeks later. Sinwaan has worn down his shoe, and worn down his hoof drastically now. It is to the point I am asking around for advice. Have you seen this before? What could it be? The first thing Heather noticed was his pastern angle, different in the two hinds. After our lovely 8 mile ride at the lake on Saturday, Heather and Laurie looked him over, felt him, discussed it, thought about it, and mentioned that they both had ridden behind me for an extended period, focusing on his movement, and other than him over-reaching (hearing the shoes click click click, rear to front) did not notice any form of lameness issues. What was going on? He did seem tender and slightly swollen in his loin/hip area at the time, but no back tenderness.

So I messaged Cassandra. She was willing to come out and have a look at him Tuesday evening. (By now I had already made an appointment with my vet for Wednesday). When I got there, the first thing I noticed was that hind shoe. It was looking pretty weird! So upon farther inspection I noticed it was coming off, only held on by a single nail now. Doug got out his tools and we both worked to get that shoe off. Man it is tough without the right equipment! Sinwaan was a champ, standing very still for us as Doug finally used a hacksaw to get through the nail in order to remove the shoe, and then pliers to pull the nails out.

Once that was done it was time for some evaluations. Cassandra had me trot him all around. Unfortunately for all of us, I am not very good at this. It is hard for me to lead in a straight line, he tends to crowd a little and then I get paranoid about falling down and getting my leg broken again. Despite all that, and him moving out without a shoe on the gravel, eventually after a lot of trotting here and there and everywhere, and some walking, and a flexion test, we determined he was not showing any lameness. He might have short-strided twice in all that time. Cassandra pointed out a number of things to me and it was a very educational visit.

The lines on the outside of his hoof follow the coronet angle but then curve and drop down within the last six months.

There is some space between his hoof wall and the white line on that hoof that is obvious. She also pointed out hoof angles and how opposite feet rear-to-front will match. He had some filling in his legs so I need to learn how to either poultice his legs or use pressure wraps after the longer rides.

So what could it be? Tendon/ligament issues, coffin bone rotation, arthritis, injury, etc. So many options. Cassandra suggested that I keep my vet appointment and insist on x-rays to rule out what we could. I appreciated her time and insight, although I have to admit, I did go home and cry. Then the next morning Heather called me for an update and I got emotional again. It has been a sad couple of days for me, thinking we could be headed down a road of light use for Sinwaan instead of my big dream of riding a 50 mile ride.

So today I loaded him up and hauled him into the vet. We arrived early and had some time to groom him. He was a little edgy due to a weed eater running on the opposite side of the fence where we were parked, but it didn't take long for him to calm down and just enjoy Ellie's pampering. She and I brushed him, and she picked him fresh grass to eat.

The tech came out and introduced herself, and I remember her name because it is the same as my sister-in-law's, Joanie. She asked for more information as to why I was there. I told her I had been putting a lot of miles on him and he had strange hoof wear on the one side and I would like x-rays to rule out arthritis or coffin bone rotation. It wasn't long after that she came out again with Dr Pritchett and they worked together on a series of lameness tests. It was quite interesting. I asked her if I could video and she said sure.

Video #1 - walking away and back, and in a circle

During the second test she commented that he was "doing this better than the last three horses she examined." She thought his legs felt pretty good for a horse his age, especially around the fetlocks.

Video #2 - circling and the tail pull. I believe what she was looking for here (in the tight turns) was to see how he managed his back end. A horse with a hip problem will  be less likely to cross over their legs in the rear, and he didn't seem to have any problem with this test.

Video #3 - tail pull while trotting straight and circling.

Video #4 - This video really doesn't show much of anything but I include it because she did tell me that he has an elevated digital pulse in that rear left.

After all the fun and games in the parking lot, we moved him into the covered area and the stocks to try and get some radiographs of that foot. Dr Pritchett agreed with me that it would be a good idea to take some x-rays to see what might be happening there. She could not see him drag the toe at all in her movement tests. She said he had no atrophy, his rear musculature was very good, watching him there was no problem, no lameness. She wondered if he might be moving differently under a load and thought it could be helpful to see me ride him as well. Unfortunately at this point she also said that she was only given 30 minutes for our appointment time today, so she explained it would take some time for the techs to clean his foot and get him set up for the x-rays. She would check back in with us periodically between other patients. I was welcome to sit in the waiting room, or take a drive, or watch. I like to see everything, and as an employee in a radiology department I was curious how this would compare.

Joanie cleaned his hoof up quite nicely and I took some more photos.

Video #5 - Joanie explaining to the kids why she is using playdoh in his hooves for the x-ray.

Once his hoof was scrubbed and clean, Joanie started packing Play-doh into the grooves. The kids recognized the container and started asking questions about that right away. It was interesting to me to hear that the air on an x-ray shows up as black, so they pack the grooves with Play-doh to better be able to see the bones.

Video #6 - the techs attempting to put his feet up on risers for the x-ray.

Once his hoof was packed, the idea was to get him to stand on a riser for the x-ray. Well he wasn't too co-operative, and he wasn't sedated at all because there was the chance I might ride him afterwards if we had time, so they did what they could but it didn't work and they gave up after about 20 minutes of that. They equally tried both hooves on risers to no avail.

Video #7 - when the stocks and risers failed, the techs tried using Styrofoam

The stocks were kind of in the way and becoming a hazard so they moved Sinwaan out into the aisle and tied him so they could try again, this time with Styrofoam. They took an x-ray but it didn't turn out very well.

Video #8 - back in the stocks with no risers or Styrofoam, finally a lateral x-ray

So they tried again, back in the stocks this time with no risers or Styrofoam. They were able to get an x-ray without him moving,  however it was not a good enough radiograph for Pritchett to diagnose a problem. She said the coffin bone tip looked a little "hazy" but it really was not good enough for her to say any more about that.

She wanted to be able to spend a couple of hours with us, so we agreed to reschedule for the next date that I have off work, which is Sept 6th. At that visit she will plan to give him a more involved lameness evaluation, have me ride him for another look at how he is moving under a load, and then sedate him for better x-rays, because he really needs to have both rear feet up on those risers with equal weight on them. Hopefully then we will get some answers. In the meantime we both agree he needs time off, so I will have his shoes pulled and his hooves trimmed so at our next visit he will be level and ready for the evaluations.

After it was all said and done I was there from 3:45 - 5:45 pm. Quite an ordeal, especially for the techs, to have to "try again another day." They really worked hard to try and get a good picture, and I thanked them for the effort.

This journey has initiated several conversations and I want everyone to know that your support and opinions really do mean a lot to me, I like to hear all the ideas and advice, many times they bring to light other learning opportunities for me. I really hope that we can get to the bottom of this quickly so I can continue on down the trail on my horse, even if it is for shorter distances...