Ben was purchased on 9/8/2012 for use as a trail horse and re-enactment horse. He was doing well with no signs of lameness until 11/23/2012 when a pasture mate kicked him in the right carpus. The owner cold hosed and wrapped the carpus for initial treatment. 12/17/2012 – dispensed Surpass (diclofenac) ointment and Furosemide/Dexamethasone paste to reduce swelling. Swelling reduced and a focal swelling remained. Lameness remained at 2 to 3 of 5 lame right fore. He was on pasture rest and it was noted that he would not take his right lead in the pasture. 4/22/2013 – Some swelling still present. Patient brought to hospital for further evaluation. Only 50% range of motion noted on flexion and Grade 3 of 5 lame right fore. Radiographs demonstrated an older lesion on the medial aspect of the carpus likely due to his conformation and show career. More recent inflammation was seen in the swollen area of the carpus with bony remodeling over the cranial medial area of the carpus. The soft tissue component of the swelling was involving the extensor tendon. Hylartin V and Vetalog were injected into the tendon sheath and around the swelling. No improvement was noted to this regimen. 6/14/2013 – The radiocarpal and middle carpal joints were injected with Gel 50. There was some improvement to this therapy with the lameness reduced to a Grade 2 of 5.
chronic carpus joint disease
Carpal swelling was evident within 30 minutes. The carpus was fifty percent or more enlarged and horse was non-weight bearing on the limb. Flunixin meglumine (50mg/ml) was administered at the rate of 8cc daily for 5 days and the carpus was ice packed several times daily. The swelling rapidly regressed and comfort was evident by the next day even though the lameness was still a Grade 3 to 4 of 5 that day. By day five the carpus had returned to original size and the range of motion had improved (approximately 70% range of motion) from the original examination. Lameness had reduced to Grade 1 by day 5. Currently this horse is sound to ride and use on the trail and in re-enactments. He now takes his right lead easily undersaddle and in the pasture. There is a Grade 1 of 5 lameness when he first begins work, but he warms out of this quickly.
VIVR8 helped Ben dramatically.