Tearing of the Laminae

‘Laminae’ are the structures that hold the hoof wall to the pedal bone a bit like Velcro.

‘Itis’ means inflammation in latin.

When the laminae become inflamed, they weaken and tear. This causes micro bleeds, inflammation and pain. The bleeding can be seen as fluid on the radiograph, or it can present like a foot abscess due to increased pressure in the hoof capsule.

It is NOT just a fat pony disease.

Since we purchased our in-house insulin test, we have discovered how many normal horses that have slightly increased BCS, are at high risk and living on a knife edge for laminitis.

Fat deposits around the body cause increased Insulin levels.

This high resting insulin can trigger laminitis.

We now use our test routinely in the Spring and Autumn to ensure horses are not at risk. This helps us design a horse focused nutrition and exercise regime for the current season we are in.

Impaction Colic/Constipation

The grass is starting to grow. Some of you may decide soon to bring your horses off the grass onto a hay diet to avoid the Autumn flush. You may decide this either to prevent weight gain, or to prevent any behavioral change.

 

Please always remember that changing from a grass to a hay-based diet results in a very different total water volume to the gastrointestinal tract.

Last week we saw a patient that had become impacted causing severe colic. The faeces had formed a dry mass in the large bowel and had caused it to obstruct. As the horse continues to eat, the impaction becomes longer towards the mouth end as no faeces is passed.

 

This is an emergency situation which needs intensive care with IV fluids and oral fluids to over hydrate the bowel. This will prevent the faeces from distending and rupturing the bowel which would be fatal.

Luckily, we saved our patient this week.

 

Tips:

Use molasses water or electrolytes when bringing horse from a grass to a hay diet.

Soak 50% of the hay for the first week.

Heavily wet the hard feed.

Monitor faecal output.

If there are any signs of abdominal comfort do not give pain relief without calling your vet first.

Windy Days are Dangerous

Today I visited a patient with a progressing tumour on his penis.

The changed surface of the penis meant that the penis skin secretions collected along with cells to make big clumps.

As I was peeling them off… a big gust of wind blew one in my mouth! Good heavens, the dangers of my job 😉

 

SHEATH CLEANS ARE NOT AS IMPORTANT AS A PENIS HEALTH CHECK!

It is very important to understand the difference.

A dirty sheath can be treated.

A tumour covered by smegma can be missed and this is far more dangerous for the horse.

Pictured is a penis covered in Melanoma.

Eye Eye...

We have seen multiple eye injuries recently so we would ask you all to check your horses daily for any signs of injury.

 

The horse’s eye is relatively large as they are prey species. This leaves them open to risk of trauma from either long grass, hay in round bales, or hedges.

The best way to spot a painful eye on a horse is to stand from the front and check their eyelashes are open evenly: In the horse there is a nervous connection between pain, and dropping of the upper eye lashes.

 

Do not forget to pay attention to any swelling or eye discharge.

If ulcers in eyes are not treated quickly with antibiotics, they can become infected. The horse’s immune system tries to treat the infection quickly and dramatically. As a result, the horse’s cornea becomes dissolved and starts to melt. This is very dangerous and can quickly lead to rupture of the eyeball.

 

Another reason ulcers are prone to infection is there is no good blood supply to the cornea so the only defense against invading bacteria is the tear film.

Blood vessels will grow into the cornea to fix an infection, but this is a very slow process hence the need for antibiotic treatment.

Eosinophilic Granulomas

Eosinophilic Granulomas .….. gotta love that word!

 

But what actually are they?

They are firm nodules that appear on your horse’s skin. They are the most common non-neoplastic nodule that we see. They are commonly not painful and should not be itchy.

EG’s have many causes, but at this time of year they are commonly related to a hypersensitivity reaction. The most common cause would be insect bites, however sometimes they can be caused by trauma or other allergens.

 

How can I prevent them?

Use light weight cotton sheets: This reduces allergens onto the skin and also prevents fly bites.

 

What is their significance?

The main issue with these nodules is they are unsightly, and occasionally they can enlarge with the development of calcium deposits within them. These ones can also become painful to touch.

 

What should you I do when I see skin nodules?

Record any nodules you see on your horse’s skin. If they do not resolve after 2 weeks or increase in size or number, then get in touch for some advice.

Squamous Cell Carcinoma

What is a Squamous Cell Carcinoma?

 

It is a tumour of cells called squamous cells. Squamous cells are found lining the surface of the skin and the inside of the mouth (plus other areas).

 

Squamous Cell Tumours can be triggered by sun exposure.

 

Common areas we see them in horses are the eyelid margins or third eyelid, and on pink skin over the face.

Sun damage to the eyelids or third eyelid is seen as mucosal irritation or irregularity. We can treat the damaged tissue at this stage before it progresses into tumour cells.

 

Once a tumour has developed, we need to treat it with one of the following:

Surgical resection

Cryotherapy

Chemotherapy

 

Below are photos of two different Squamous Cell Carcinomas

The third eyelid tumour was treated with removal of the eyelid.

The tumour on the lower chin has had multiple rounds of cryotherapy and chemotherapy.

 

TOP TIP:

Look at all pink skin on the face and eyes regularly.

If you see anything you are worried about, send us a picture.

Early intervention is key!

Hay

Tips for Buying Hay:

 

What is good hay?

Any hay that is mould free. Any dusty hay likely has mould spores which will affect horses’ respiratory system and performance. If hay is baled when it is of the correct moisture content, there will be no mould.

 

What types of hay exist?

Low vs high digestible energy

Low sugar

Clover or no clover

Lucerne or meadow

 

Which hay do I pick?

The best thing to do is look at your horse’s body condition score and look at the hay you purchased last season. If they put weight on, consider a lower energy hay. If they lost weight, consider higher energy or higher protein hay. If they are laminitic or at risk of laminitis, then pick a low sugar option.

 

How compact is the hay?

The more compact the hay, the smaller and heavier the bale, and the easier to handle without falling apart. 

 

Is the hay dry?

Moisture in hay causes spoilage and mould. Ensuring hay has a high dry matter content is key to making good quality hay.

Some balers have moisture content readers to ensure all the hay is consistent.

Some machines can add products to the hay to ensure when slightly higher moisture content hay is collected from an area of the paddock with less sun for example, the quality of the hay can be maintained.

 

What’s in the hay?

Having a nutritional analysis of the hay will help you to choose which hay suits you. Some hay companies send samples of their hay away for analysis. Ask them for this information to help you select.

Respiratory Illness

What’s with the wind?

 

The horse’s respiratory tract is a very effective and efficient organ and is often taken for granted.

When there is inflammation in the lungs it will dramatically affect a horse’s performance.

Often lung problems present as coughing, or with increased nasal discharge, but not always.

 

One of our patients this week presented to us for poor fitness only, with no other clinical signs.

 

We can examine the airways with our endoscope, a flexible camera that is introduced into the airways through the nostrils.

We can sample the secretions of the lungs with a long tube and the procedure is call a Bronchio-Alveolar Lavage.

The bubbles in the photo are surfactant, and the cloudiness shows a high cell content.

 

An increased cell content can be due to:

Allergies

Asthma

Infection

 

All horses should make a full recovery once treated.

Pre vs Probiotics

Pre- Versus Pro-Biotics… How do I choose??

 

It’s easy….

1: Decide what you want the product for

2: Look to see what ingredients there are

3: Look at cost per day

4: Pick the right option for you

 

Products explained:

Prebiotics: Something that nourishes the gut microbial flora

Examples: Fermentation products (MOS, brewer’s yeast), indigestible plant fibres and carbohydrates (lignin cellulose)

 

Probiotics: Live microorganism which will provide a health benefit to the gut microbial flora if fed in the correct amounts

NOTE: THEY SHOULD BE IN AN ENCAPSULATED FORM

Examples:

Live yeast (Saccharomyces cerevisiae)

Bacterial species (Lactobacilli, Bifidobacterium, Enterococcus)

 

Final note:

Beta glucans: Can stimulate the immune system and can act as an anti-inflammatory.

Examples: Yeast cell walls, algae, seaweed, rice bran

 

WHATS IN YOUR GUT HEALTH PRODUCT?

Use the above guide to see how it might be helping your horse.

Gastric Ulceration

We’ve seen a few grumpy ponies in the last couple of weeks and it’s led us to a few discussions about ulcers. The good news? There is a scope day coming up at the end of October! So, if you think your horse is displaying any of these sign’s now’s the time to get your name on the list for this clinic. Here is a bit more information on the topic.

Ulcers can cause pain which is often more apparent when tacking up, especially when you tighten the girth. They can start showing signs of evasion and aggression and this can lead to behavioral issues down the line. They also can be prone to mild recurrant colic signs, be reluctant to eat, lose weight, develop a dull coat and generally underperform.

Research on ulcers is always ongoing and it is only fairly recently that researchers have identified two different types of ulcers that occur in horses, one in the glandular part of the stomach which is diet related, and one in the pyloric part of the stomach which is not diet related. We are still not sure what causes this second type of ulcer which can make it harder to manage. So, if you have a horse with ulcer signs but you don’t think their diet is high risk for ulcers, it’s still worth checking for!

If your horse’s ulcers are diet related, they’ve generally been on a high starch/low fibre diet. So generally lots of hard feed and not enough grass or hay. Lots of racehorses develop ulcers while in training for this reason.

We use a gastroscope to diagnose ulcers in horses. This involves fasting the horse for 16 hours overnight beforehand to make sure their stomach is as empty as possible, then we give them a small bit of sedation and pass the gastroscope into their stomach, where we carefully look around for any signs of active or healing ulcers. The treatment and management of ulcers can be expensive and take time so we really prefer to diagnose before we begin treatment.

In the meantime, if you think your horse may have ulcers there are a few things you can do to help:

Feed plenty of fibre. Hay is actually better than grass as it bulk up more so supplementing  a grass fed horse with hay may help.

Giving a small fibre-based feed 45 minutes - 1 hour before exercising may help soak up acid in the stomach during exercise, when movement can cause the acid to splash about in the stomach and cause damage.

Make sure any hard feed that you give is also high fibre low starch. Grain free brands are generally suitable.

Recent research suggests that making sure your horse has a couple of days off with no exercise a week seems to help. It also suggests that riding for prolonged periods increases the risk of ulcers, probably because as time goes on the horse’s stomach becomes emptier.

Laminitis

Spring is coming and with it hopefully some grass! So, I thought I’d put up a little refresher on the risk of laminitis and the ways we can help prevent it.

 

Laminitis is a painful condition where the laminae inside the hoof become inflamed and swell. They are swelling inside the strong hoof wall so they can’t expand, and the pain can be excruciating.

Symptoms can range from a slight tenderness of the feet with ponies avoiding hard ground and appearing almost normal on soft ground, to ponies which are unwilling to move at all. They typically rock back and lean on their heels to try and take the weight off their toes. They have a shortened ‘shuffly’ stride in front and are very stiff when they turn.

 

Any horse can get laminitis if they have too much sugar in their diet. However, there are certain ones which are more likely to develop laminitis so I am going to list these and try to explain why they are at risk and what we can do to stop it. Prevention is always better than cure!

 

Equine Metabolic Syndrome (EMS): this is similar (but not the same as) type II diabetes in humans. It’s mostly seen in British pony breeds but can occur in any horse. Horses affected are often overweight with abnormal fat deposits and classically a ‘cresty’ neck. They develop an insulin resistance which then leads on to laminitis, and the good news is we can test for this by testing for a high blood insulin level, which helps us manage it.

Overweight horses and ponies are at a higher risk of developing EMS and laminitis.

 

Cushing’s Disease: also called PPID, this is a complex hormonal condition in which the horse’s hormones lose their normal rhythm. Unfortunately, it often results in laminitis. It usually occurs in older horses and ponies. These often have a curly coat, loss of muscle across their backs and may drink and pee a bit more than normal. We can test for this too, by testing for an excess of a hormone called ACTH.

(EMS and Cushing’s often come together! So, we often test for both if we’re suspicious of either.)

 

Not enough exercise: you should never exercise an animal with ongoing laminitis, but increasing exercise in a horse that is high risk for laminitis is one of the best ways to prevent it as it helps manage weight and keeps their metabolism healthy.

 

So please be careful with your new grass! If you a high-risk horse or pony try limiting the amount of fresh growth your horse has access to either by restricted grazing, strip grazing or using a grazing muzzle. You can also soak your hay to dissolve sugars. Limit the sugar in the rest of the diet by feeding meadow or timothy chaff and NOT lucerne chaff (often too high in protein leading to weight gain), nor chaff with molasses. In your concentrate feeds and balancers, look for a low starch and a digestible energy (DE) content of 10-12.

 

Call us for diet advice and a chat if you have any concerns about your horse’s diet or if you’re interested in testing for EMS or PPID. www.talkaboutlaminits.co.nz also has some great information on this topic.

Mares in Late Gestation

As we come towards the end of winter it’s time to start thinking about the best thing about spring - foals!

Most pregnant mares at this time of year will be entering late gestation - the last 2-3 months of the mare’s pregnancy term and when most of the growth and development of the foetus occurs.

A normal gestational period is usually 11 months (330 days), however it can vary from 320-380 days. Most mares tend to have similar gestation lengths from year to year, so after a few foals you’ll begin to see what’s normal for them.

Diet: by the last month of pregnancy the mare’s calorie requirements will increase by about 20%. Both thin and overweight mares can run into difficulties, and it’s best to keep them at a body condition score of 5-6. Adjust your feeding plan if needed. Feeding a concentrate with high energy and protein concentrations is recommended but may not be necessary until the last trimester in good doers. As always provide plenty of high quality roughage and a balancer is key to provide adequate amounts of vitamins and minerals.

Worming: we want mares to have low egg counts around foaling, as high egg counts can increase the burden on the young foals. To ensure this the best thing is to regularly run faecal egg counts on your mare in the lead up to foaling. As always, worming without a prior egg count increases the risk of wormer resistance and can also increase cost.

Teeth: a routine dental assessment should be performed before late gestation if possible to prevent issues with eating.

Quarantine: if possible keep pregnant mares away from new horses, particularly young horses or those out mixing at events.

Vaccinate: mares should be fully vaccinated for tetanus. We also recommend a course of Herpes vaccinations which involves 3 vaccines at 5, 7 and 9 months.

Aside from the usual signs of ill health there are a few extra things to look out for.

- Discharge from the vulva

- ‘Bagging up’ early ie increased size of the udder before the foal is due

- ‘Waxing up’ early ie secretion of a yellow, honey-like substance from the teats

These signs could all indicate placentitis, which can lead to birth of a sick foal or even loss of the foal, so we do recommend getting in touch if you notice any of these signs!

HOCKS WITH HATS

The hock is a complex structure with many bones, tendons, ligaments and bursae. Today we are talking about the type of swelling that is commonly known as ‘capped hock’ and forms a round swelling, like a baseball cap, on top of the bone termed the calcaneus, the point of the hock, which is equivalent to the heel of our foot.

 

Tendons, equivalent to the Archilles tendon, attach at this point, while another (the superficial digital flexor tendon), travels over the point of the hock and continues down the limb.

To provide cushioning to these tendons there are fluid filled bursae between these tendons and the skin. 

A capped hock occurs when there is swelling of the subcutaneous calcaneal bursa and is typically the result of trauma such as kicking a fixed object. However, wounds in this region can also provide a point of entry for bacteria and in 40% of horses the superficial subcutaneous calcaneal bursa joins up with the deeper intertendinous calcaneal bursa allowing infection to spread to deeper tissues. 

Therefore, wounds in this region are an emergency. Injury to the tendons or fracture of the calcaneus can also cause swelling in this region so radiographs and ultrasound are sometimes necessary to know the best course of treatment.

Kissing Spines

This disease is known as Dorsal Spinous Process Impingement.

 

It causes back pain in horses which presents as reluctance to work and go forwards, bucking under saddle, muscular pain, or grumpy behaviour.

 

The cause is due to the spinous processes in the back, most commonly of the thoracic vertebrae 14-16, causing pain and irritation by being too close together.

 

The cause of the spinal process proximity can be due to spinal conformation, poor muscular development, lameness or back pain for another reason.

Poor core development also plays a large role in the onset of this disease.

 

How do we diagnose this problem?

It is a very complicated disease process, so come and see us out our Winter Woollies Seminars this year and I will be spending 15 minutes covering this very important topic.

 

Tuesday 11th July: Alexandra

Wednesday 12th July: Arrowtown

Thursday 13th July: Wanaka

 

Booking information will be emailed out soon.

June Dental Facts

We couldn’t start dental month and not put some fun Friday facts up about teeth!

 

How many teeth do horses have?

Up to 44 teeth. But most horses only have 33.

 

How are horse molars different to human molars?

Horses are born with very long teeth that hide in the skull. As they age, they continually erupt, and therefore their total length gets shorter and shorter, kind of like a pencil as its sharpened and used. Older horses’ teeth are therefore only anchored into the jaw by a small amount. They are very at risk of becoming loose and therefore painful.

 

Why do we rasp points from teeth and not just cut them off?

Horses’ teeth have multiple shallow pulp cavities containing nerves. Horses’ teeth are also strong to some forces, but brittle to others. By rasping, especially the use of power tools, we minimise the physical trauma to the tooth and the risk of fracture. Cutting teeth is VERY DANGEROUS. There is no way of knowing how close the pulp cavity is. Exposure of the pulp would be extremely painful for a horse.

 

Should tartar be removed from canine teeth?

YES… commonly fractures hide underneath the tartar which are very painful. If you can safely flick this tartar off with your nail, then you should.

 

SMILE… have a great day!

Winter Weight Loss

Some of our clients are finding that their horses have been losing weight over the last 4-6 weeks.

 

Some tips to ensure your horses stay healthy over the Winter months:

Oral health check prior to winter; ensures they are getting the most energy from their feed.

 

Shelter: this can be in the form of a physical shelter or a rug

 

Hay: Ad lib hay is ideal for any equine patient. Ensure each horse has 1.5% of their body weight in quality fiber (10cm long) per day. Please weigh your slabs of hay but often 1 slab of small bale hay is approx. 2KG. CAUTION, some horses will eat more than they need to stay at a safe weight.

 

Bullying: when feeding more than one horse, please be mindful of how you present them their hay. Some horses can be chased off their share of the hay if their paddock mate is more dominant.

 

Hard feed: consider using hard feed this winter to increase calories if your horse is losing weight, but do note, winter is the hardest time of year to put weight on horses as the additional calories cannot often be gained from grass. The aim would be to prevent unwanted weight loss.

 

Gastric Ulceration: this is always something to consider in any horse that is not gaining weight or is a picky eater. Do remember, it is ideal that horses can graze 24/7. BUT CAUTION, we do not want to have to diet overweight horses in the spring. So please monitor for weight gain.

Wormy Worries

For all of my clients that know me, I do love the topic of Equine Parasitology aka worms in horses.

 

I AM VERY WORRIED…. so, you should be too!

 

Last year at my seminars I discussed the concerns we have with our wormers and that they are no longer working the way they used. I advised all of my clients to be very careful when bringing new horses onto the property to ensure they do not bring a population of resistant worms.

Sadly, this season we have seen multiple horses with worms that are resistant to 2 different types of wormers, leaving us with minimal options going forwards.

A quick note: Resistance is NOT being seen in the way you would think. The wormers are reducing the egg output of the horse’s poo to zero. BUT not for long enough. The eggs are re-appearing much more quickly. This is an early warning sign.

 

What can you do?

PLEASE STOP WORMING unnecessarily.

A lot of out wormers are lasting 18-24 weeks before a positive egg count is seen. This means that horses may only need to be wormed twice a year, or even less if possible.

To all clients that worm at the change of the seasons or 3 times a year… PLEASE STOP. This could be very dangerous.

 

What do you need to do?

Get advice from myself or an Equine Vet that has an interest in horse worms.

The aim is to keep your paddocks clean by reducing egg output in the poo, and worm only when the egg count indicates it.

 

PLEASE make me happy and stop over worming.

 

Another DANGER:

Stop using any wormer that contains Ivermectin. If you want more information or to know why, get in touch.

READ the ingredients of your wormer: Cross out the word ‘Praziquantel’. And if there is only 1 more ingredient…. Do not buy it!!! Or throw it in the BIN!!

 

PLEASE let’s worm responsibly. We cannot turn back the clock.

I cannot name the wormers not to use, but if you go by my above advice, it will be easy to work this out yourself.

 

Thank you for helping save horses lives across NZ.

Temporary Fencing Risks

The injuries that commonly occur with electric horse tape are deep lacerations, and thermal injuries. Initially the injury may only look small, however the friction trauma that occurs when the tape is pulled across the leg, heats up the underlying tissues, and as time passes, the heated tissue begins to die off. As the tissues dies off there is risk of infection.

Some injuries can affect the deeper tissues which includes the underlying tendons or joints.

 

If you horse has a fencing injury, firstly, always get some advice. Send us a photo and we can help advise on the best next step.

Next, ensure the injured site is monitored carefully.

Apply appropriate topical treatments; this could include a spray, cream or a bandage.

 

What to look out for:

Increased swelling

Lameness

Pain on palpation of the area

 

What we can do:

Manage infection to the tissues

Check for damage to the deeper tissues

Pick the best treatment plan to get your horse recovered as fast as possible.

 

Our patient showed no pain or lameness, and minimal swelling for the first 3 weeks. Then he became acutely lame and swollen associated with infection. We treated him at our facility, and an ultrasound confirmed no underlying damage to the tendons. Treatments with sodium iodide have helped to reduce the scar tissue which is inevitable with a circumferential wound like this one.

Colic

 My phone ringing has increased, and my sleep has been decreased. Why?

 

There have been quite a few cases of colic recently!

 

This is most commonly due to dietary changes at this time of year.  (This time of year has also increased the number of rodents trying to move in – see photo of Becci in our feed bins)!

Any time there is a change in diet, there is a big risk of colic. Colic is the expression of abdominal pain; it is not a diagnosis of the cause.

 

What has changed in your horse’s diet to cause colic?

Increased grass growth causing changes in hind gut microflora resulting in hind gut inflammation.

Secondarily, we have seen gas build up in the bowel, and on occasion, movement of the bowel to an abnormal position.  If the abnormally positioned bowel doesn’t right itself, then surgical correction is required.

 

Best treatment: PREVENTION.

Try to limit your horse’s intake of fast-growing grass.

You can bring them into a smaller area and feed hay whilst your autumn grass grows to >10cm in height. Then it can be fed out as winter fibre and hay replacement.

 

Next, be proactive and consider using Equishure.

Equishure is like cooking bicarbonate soda. However, it is specially formulated so that it is not absorbed throughout the gastrointestinal tract until it gets to the hind gut. This stops the acid produced by the changed microflora and helps prevent pain, discomfort and irritability.

These can cause signs of:

Colic

Irritable behaviour

Problems under saddle

 

Please always treat colic as an emergency and get in touch as soon as you notice symptoms such as:

Reduced appetite

Pawing at the ground/stomach

Excessive rolling and/or sweating

Restlessness

Flat Back Feet

This week we discovered multiple horses with flat angles to their pedal bone in the hind feet. Most horses would measure an angle of 3-5 degrees between the ground/shoe surface and the solar surface of the pedal bone. The difference depends on breed and conformation. The importance is related to good biomechanics.

 

Solar angles of negative or up to 2 positive degrees in the hind feet can cause pain via the following pathways:

Inflammation and damage to the soft tissue structures of the back of the foot.

Inflammation of the hock, especially those with pre-existing arthritis.

Pain over the back, gluteal muscles and hamstrings.

 

Horses can present with the following clinical signs:

Poor performance/unwilling to go forward

Bucking/behavioural changes

Bilateral hindlimb lameness

Hock soreness

‘Bull nose’ appearance to the toes of the back feet

 

Treatment:

This depends on the time of year it is diagnosed but could include:

Aggressive trimming of the sole at the toe

A heart bar shoe +/- wedge

A wedge pad with packing material or equithane

 

Always consider this when you are concerned regarding poor performance.