Causes
There many causes for equine lameness. Generally, there are two different types of causes, primary and secondary. Primary causes are things that directly cause lameness in a horse. Some examples of primary causes are:
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- Soft tissue damage
- Arthritis
- Abscesses
- Laminitis
- Soft tissue inflammation
Detecting Lameness
There are many things that you can look for when trying to detect lameness in a horse. Early detection may be hard. Once you start to notice your horse acting lame, it is always best to contact a vet immediately. When a horse is starting to go lame, the first place you may feel it is when riding your horse. It may not be visible from the ground yet, but often you can feel a difference in your horse's movement while riding it. You may also start to notice changes in your horse's attitude if they are not feeling 100%. Their performance might decrease, or they might be harder to work with. In severe cases, horses may even refuse to bear weight.
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When buying a horse, it is always smart to have your ducks in a row and look for potential signs that problems could be developing. We recommend that you have a vet perform a pre-purchase exam on any horse you are looking at buying. Pre-purchase exams involve a vet assessing the horse for lameness or confirmation issues. They will also check the overall health of the horse during the exam. You can also check the history of the breed you are buying. Different types of lameness are more common in different breeds of horses.
Once lameness has started to manifest, it’s always important to contact your vet. There are a couple of different tests that your vet may perform to detect the cause. Often, they will start with a physical exam of the horse. In the physical exam, they will be looking for:
- Any parts of the body that are sore and could be a secondary cause of lameness
- Any parts of the body that are swollen, hot, or painful
- Painful responses to pressure on the hooves
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The two exams mentioned above might give your vet enough information to plan treatment without any further testing needed. If not, there are a few more things your vet can try to detect the cause of lameness in a horse. Nerve/joint blocks (anesthetics) can be administered into the hoof to cause numbness in a certain area. Once the area in question in numb, another movement exam would be given to the horse to see if the numb area is what is causing lameness.
Once the source has been detected, imaging can be used for further diagnosis. Radiographs, ultrasounds, bone scans (nuclear scintigraphy), CT’s, or MRI’s are all ways of getting diagnostic information. They are used to look at the bones, soft tissues, tendons, and ligaments. While expensive, they can be useful in determining the cause and prescribing treatment for severe or chronic lameness.
Treatments
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Once the source has been correctly identified, your vet can help recommend a treatment plan. The treatments vary depending on the factors of your horses' lameness. Some common standard treatments are injections, anti-inflammatories, and depending on the severity, surgery. Injections and anti-inflammatories focus on lessening the amount of inflammation. Another option is specialized shoeing. Your vet and farrier can work together to create a shoeing plan to best help your horse avoid falling lame again. Though there is nothing we can do to fully prevent lameness from occurring, it also helps to make sure they are getting good nutrition. A good preventative joint supplement or hoof supplement can help decrease the odds of your horse falling lame.