Welcome, About us

Hello and welcome. My name is Sammy L. Pittman, DVM and I am a veterinarian, farrier, and horsemen with a great interest in the field of equine podiatry. My wife and I own and operate Innovative Equine Podiatry and Veterinary Services in Collinsville TX. I offer a full line of horse veterinary care, however my passion lies within the health and well being of the hoof to better serve your equine companion. With so much lameness attributed to the lower limb many horses require an out of the box approach to achieve the success desired.
Give us a call and we will be glad to help you in any way we can. Thanks so much.
I will be discussing different Cases and thoughts from our world with the horse. Feel free to contact us via text or call at 918.235.1529 or send an email to iepvs11@gmail.com. Thank you for reading and enjoy

Friday, August 31, 2012

New navicular case

I have been too busy to post many cases in the last few months.  Thanks to Isaac we are getting some rain which allowed me a few hours on the computer

 The following is a case from this week.  This is a 7 year old  pleasure horse with a long term history of choppy gait and off and on head bob responsive to bute.

1/5 lame bilateral but 2/5 on left turn in a tight circle.  Left front is a grade 1+ club and podiatry style films confirm healthy soft tissue parameters.  My thought process is:  With healthy sole depth and minimal remodelling of the apex of coffin bone on a club foot I want to next look at the navicular bone to evaluate for lesions.  This case shows significant lesions in several views.  This are most likely in the distal half of the flexor cortex of the navicular bone.  I find these similar lesions in younger non lame patients but I do feel as they reach middle age they begin to create lameness.  Dr. Redden feels that the navicular bone of the club foot does not recieve as much load from the tendon versus the lower profile foot and does not develop as strongly as the low foot.  I am beginning to feel that these lesions are developmental and become more degenerative with age and use.  If dissected out these lesions will be a slight depression in the flexor cortex with a roughened edge that likely causes some abrasiveness to the deep digital flexor tendon.

My treatment plan is to drastically increase palmar angel to reduce load on the painful area.  This will allow some decrease in inflammation and likely a lower mechanical shoe in the future.  I have also prescribed a 5 day course of bute to decrease pain and inflammation.  I choose mechanical options first as it is a very low risk treatment and we can always resort to injections of the coffin joint and/or navicular bursa.  However I find that most of my cases respond very well to mechanical enhancement alone.  I will let you know about the response we obtain in this case.

Below are images of the navicular bone, pre and post shoe podiatry radiographs and digital photos of the patient.

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 Note the better digital alignment the drastic change in palmar angle, tendon surface angle and reduced toe lever.  This shoe changed PA by 12-14 degrees which will unload the tendons load on the navicular bone by 50 to 60 percent.

Thanks for looking.