Showing posts with label arthritis. Show all posts
Showing posts with label arthritis. Show all posts

Friday, December 4, 2009

Winter Care for Elders

As the forecast calls for the year's first snowfall ("more than a dusting, less than a blanket,") we thought we'd repost our winter care tips:

Wintering Wisely

Under most circumstances harsh winters are more uncomfortable for horse owners than for the horses themselves. When living with seniors, though, it is prudent to practice a little more diligence in snow and ice season. We hope you find these tips useful (and that you will share with us any others you've found helpful in wintering your elders wisely!)


Water - water, water, water! Please remember that horses consuming large amounts of hay will need to drink more water than they do when on pasture. The moisture content of pasture grass is approximately 65-75%, while that of hay is only 8-10%.

It is essential that the water source be kept as free of ice as possible. Not all horses will break through a layer of ice to access the water below. Yes, "wild" horses learn to do that as they grow up around other horses that know outdoor survival techniques. Your horse, however, is not a "wild" creature and may not know how to get to the water under that hard surface. There are several ways to deal with icy water:

One method is to break through and remove ice from the surface. If the ice is merely a thin "skin," a kitchen strainer works fine on small tanks and buckets. Thicker ice or a larger tank requires a larger removal tool. Find an old feed or water bucket and use a 3/4 inch drill bit to drill holes all over the bucket, making your own big strainer. After breaking the ice up with a hammer, simply dip the ice pieces out of the tank. CAUTION: Keep the bucket over the tank until the water drains out! (You will probably not make that mistake twice unless you enjoy working in wet clothes!) Pile the ice pieces where the horse will not have to walk over them to approach the tank. Check tanks and buckets for ice several times during the day.

A second option is to use tank or bucket heaters to keep the water temperature above freezing. There are several types available. Whichever type you choose, remember to keep all electrical cords out of reach of the horses. In addition, please use outlets safely....do not prop open waterproof covers on outdoor outlets, allowing water into the circuit.

If your horses' normal water source is a natural source, such as a pond or stream, consider using a tank which is more easily maintained in frigid temperatures.

Tank or bucket location is another important thing to consider. Winter means less algae growth, but water tanks still must be cleaned regularly. Less algae growth means little when Toothless Wonders drop wads of hay into the water and the heater brews a strong hay tea. When relocating a tank for the winter, be sure to consider drainage in the new site. If you dump a tank for cleaning and the water freezes before it drains away or soaks into frozen ground, the horses may be hesitant to walk up to the tank.

Hay - Roughage is an essential ingredient in any horse's diet, playing a very important role in maintaining gastrointestinal health. During the winter, hay must be provided to replace pasture grass that has gone dormant. But, winter hay is more than just a replacement for grass. Metabolizing hay produces more body heat in the horse than does the metabolism of grains and other concentrates. When the outdoor temperatures drop lower, more hay will be consumed in most cases.

Dentally challenged seniors need special consideration when pasture is unavailable. Some marginally toothed horses can chew tender grass shoots but are unable to eat chewy, stemmy hay. In such cases, a commercial chopped forage may work. Wetting the forage may further aid in swallowing, but it also may create problems of its own. Wet forage will freeze into a solid block in cold temperatures, so serving sizes must be no larger than the horse can eat at one "sitting." A change in hay may make a difference in how well the horse can eat. A very leafy second or third cutting hay can sometimes be chewed when a stemmy first cutting will be wadded and spit out.

A final word on hay is QUALITY. Don't skimp on quality when it comes to this very important ingredient in gut health, nutrition and overall well-being. It was once thought that most winter colic episodes were caused by insufficient water intake. Researchers recently added poor quality roughage to the list of major culprits. When you feed poor quality hay to a horse that cannot chew well in the best of circumstances, and that may have a less than efficient digestive tract, you are tempting fate. Please don't take that risk.

Feed - Some younger horses are able to maintain good health and weight on forages (grass and hay) alone. That is not the case, however, for most senior horses, especially those with dental trouble. Most elders are fed a senior feed throughout the year. Most will also need larger amounts of feed in winter since maintaining normal body temperature requires more calories than are needed in warm weather. Some will need a larger increase, in proportion to summer rations, than others. Monitor the horse's weight closely and make adjustments accordingly. Because winter coats often hide subtle changes in body condition, feel for changes over the ribs, hips, withers and shoulders rather than depending on general appearance. When feed intake must be increased significantly for the winter, consider adding another meal to the daily routine rather than trying to feed enormous amounts less often. If the horse is not already eating his senior ration as a mash, consider soaking. Soaking is yet another way to add to overall water intake.

Shelter - Rainproof, windproof shelter is important for domestic horses' well-being in winter. Trees, especially trees with no leaves, just won't do the trick. Most horses can tolerate rain. Most horses can tolerate moderate wind. But a wet horse in a cold wind can lose body heat at an alarming rate. This is especially true of elders who may not be able to regulate their body temperatures as efficiently as younger horses. Free access to a three sided shed or the interior of a safe barn is ideal. Keeping the horse in a stall during bad weather is another option, but the ability to move about in a shed will help keep body temperatures up. A blanket may be useful during times of confinement when lower activity levels mean less internal heat production. (Remember, though, that prolonged confinement can contribute to respiratory problems and decreased gut motility.)

Footing - Icy ground can be a winter nightmare for both you and your horse. First and foremost, be extremely careful and keep yourself safe. If you take a bad spill, not only might you be seriously injured, but you will also not be able to care for the horses, and everybody will suffer.

No matter how careful you are, you will likely end up with ice in the area of a water tank. One way to combat this problem is to move the tank to a well drained area. If you are in a climate where the daytime temperatures routinely climb above the freezing point, empty and clean tanks early in the day. Doing so will allow water to drain away or dry somewhat before the temperature drops again that night.

If there is no way to avoid ice accumulation in certain areas, sprinkle the area with sand, fine gravel, old bedding or anything else that will help provide traction. One thing to avoid is cat litter. Clay cat litter will absorb a certain amount of moisture, then, especially in high traffic areas, begins to break down into a slimy clay layer that makes things worse rather than better.

If you must lead a horse over icy ground, give him his head, plenty of loose lead, and let him choose his own path. Remember that elders are less agile than they once were and may need a little more time to get where you are asking them to go.

Finally, whether walking on snow, ice or mud, maintaining balance on slippery ground is hard work. This is especially true in horses that have pre-existing unsoundnesses such as arthritis. They will want to rest more often and you may need to speak with your vet about adjustments in pain management until the footing improves.

Snowballs! - No, not the kind you throw at your brother. The kind that form on the bottom of horses' feet. The shape and health of a horses' feet and hooves, and the texture of the snow, are big factors in how much of a problem he will have with snow accumulation. Check you horses' feet often any time there is snow on the ground. Some horses gather so much snow in their feet that their hooves do not touch the ground at all. Under certain conditions, the weight of the horse will compress the snow into an ice ball, making a dangerous situation a very dangerous situation. Snowballs will usually pop right out of the foot with a hoof pick.  (NOTE: In general, shod horses will have a greater tendency to pick up snowballs than barefoot horses.)

Blanketing - As with younger horses, elders vary greatly in the need for a blanket. Don't be tempted to use a blanket based solely on "old age." Many equine elders grow very generous winter coats. Keeping them clean and fluffy will ensure the coats maintain maximum insulating capabilities. Monitor for shivering. A horse can literally lose several pounds during a night of shivering. When blanketing is required, avoid the temptation to put the blanket on and leave it on until spring. Use it only when needed. If the horse is one with a heavy coat, one or two warm days can cause sweating under the blanket, and lead to additional problems.

Getting snowed upon - If you step outside one morning and see four inches of snow perched on your horses back, don't panic. The fact that the snow is not melting proves that the horse's coat is an efficient layer of insulation between his body heat and the layer of snow. It is a good idea, though, to brush the snow off before the temperature rises above freezing. Once the snow begins to melt, it will make the horse wet. Wet + cold = NOT a Good Thing.

Plan ahead -- With today's weather forecasting technology, we usually know of a winter storm well before it arrives. Keep feed, hay and bedding well stocked. Do not run out just before a storm and buy just enough to get you through the storm's predicted lifespan. First, the storm may last longer than expected. Second, maybe (key word is "maybe") you can get to the feed store the moment the snow stops falling, but can the feed distributor get there? If you depend on well water and don't have a generator, fill your water tanks to the brim in case of a power outage. Fill extra tanks and buckets if you have them. (Keep the buckets in the house to prevent freezing.)

Heat - Heat lamps and space heaters in the barn. DON'T.

Keep yourself safe -- Finally in our list of winter tips: Take care of yourself. Use caution on icy ground. Wear appropriate clothing and footwear. Don't risk hypothermia or frostbite, even if you'll "only be out there a minute or two."

And......chin up! Spring will be here soon!

Wednesday, October 14, 2009

Going on

As many of our regular visitors and volunteers know, September was a hard month around here.

Mike & I lost our own very old mule Churchill. It was not entirely unexpected, Church has a very difficult time last winter and was on a slow steady decline. We envisioned a departure before temperatures dropped for the coming winter, but Church set his own timetable. Even though we thought we were prepared, it was a difficult "good-bye."

Three weeks later, Oracle set her own timetable.

In another week + 1 day, Emma let us know it was time to move on. Emma's departure, like Churchill's, was not a total surprise. We had been working to identify and treat the cause of some sudden neurological impairment, were making tremendous progress, when Wham! One night our elegant belle could hardly stay on her feet. Final necropsy results are still pending, but it looks like arthritic changes in several vertebrae put pressure on her spine. There was nothing we could have done to "make her better."

Knowing we made the right decision before Emma went down for good helps ease the sorrow, but also causes frustration that something as "mundane" as arthritis is the ultimate reason for many equine euthanasias. This is the second confirmed case of vertebral arthritis causing irreparable spine damage at TREES. Our one comfort is that neither horse seemed to be in pain, something that puzzles us and our veterinarian.

At any rate, now that a couple of weeks have passed, its time to move on. Time to look to the future and make plans that will honor those who have passed through our gates. More educational programs. More community outreach.

More spiritual growth. Yes, we must learn from the past, but we must also focus on the future. Aim high to honor the past.

Honor the Wisdom.

*****Please See Below


Church (our favorite photo)


Ori



Emma


*****These three losses do not indicate that TREES has space to take in three more horses! It does mean that we had room to move those in rehab paddocks into proper turnout.

Tuesday, October 13, 2009

Spicy Arthritis Treatment?

Here's one we haven't heard of before:

Osteoarthritis: Turmeric Spice Might Provide Natural Remedy

Now before you start pouring tumeric on your horses meals, please note this statement:
"Investigators indicated the need for more research to determine the 'true efficacy and potential safety' of curcumin."

Remember "natural" does not necessarily mean "safe," (Cyanide is a naturally occurring substance, after all!) so we'll wait for additional guidance on this. Its nice to think there may be something besides NSAID's and joint supplements out there for treating arthritis, though.

Wednesday, April 22, 2009

Free Webinar: Managing Equine Joint Disease - May19

From http://www.thehorse.com/ViewArticle.aspx?ID=14020&source=rss

This free Webinar on "Managing Equine Joint Disease" is presented by David Frisbie, DVM, PhD, Dipl. ACVS, of Colorado State University, and Craig Shoemaker, DVM, a Boehringer Ingelheim Vetmedica equine professional services veterinarian and former private practitioner.

You can sign up for this FREE Webinar at TheHorse.com/Webinars. Your registration allows you to watch the video presentation and ask questions live during the presentation, or you can submit your questions via e-mail prior to the Webinar to be answered during the live event.

Wednesday, March 4, 2009

Arthritis study: Surpass better than bute

A study at Colorado State university concluded that Surpass cream is both safer and more effective than "bute" in treating equine osteoarthritis.

David Frisbie, DVM, PhD, Dipl. ACVS sumarized:
"This is the only study published to date that demonstrates that a topical NSAID can not only ameliorate the clinical signs of (osteoarthritis), but is capable of altering cartilage metabolism. That is, diclofenac liposomal cream possesses disease-modifying properties."
See article

Wednesday, November 12, 2008

Free Equine Arthritis clinic

Topic: Osteoarthritis in Equines

Date/Time: Saturday, November 15, 2008 -- 12:00

Location: Rappahannock Equine Veterinary Clinic, Locust Grove, VA

Contact: 540-854-7171
Seating is limited, so reserve a space today! (REVC closes on Friday at noon)
Free Lunch provided!

Speaker:
Dr. Robert Keene

Dr. Keene received his undergraduate degree in Animal Science from Montana State University in 1980, and graduated from the veterinary school of Colorado State University in 1983. He went on to practice in California, focusing on equine health, reproduction and surgery. Since 1985, Dr, Keene has served as consultant to many veterinary and equine research companies, and on several committees of the American Association of Equine Practitioners.

Friday, July 20, 2007

New Treatment for Arthritis

One of the most common physical maladies faced by TREES' residents is, of course, arthritis. Some residents are afflicted as a result of overwork, some because of previous injuries, and some become arthritic as joints change during normal aging processes. More often than not discomfort can be managed through the use of joint supplements and attention to details in the horses' living quarters and turnout areas.

For some horses, however, there comes a time when symptoms of arthritis must be managed with medication. The most commonly used drug, for many years, has been phenylbutazone, or "bute." Bute is very effective, but also has well known side effects, such as damage to the gastrointestinal tract and kidneys.

During the past several weeks, it became apparent that our Grand Old Man, Jeb, a 40 year old Tennessee Walker gelding was becoming more uncomfortable. Joint supplements and management techniques alone were not controlling his arthritis pain. In cases like Jeb's, where the choice is to use bute and risk its side effects, or euthanize a horse because its pain cannot be managed, we have used bute.

As of July 5, 2007, however, we have another choice. The FDA, on that date, approved a COX-2 inhibitor sold under the brand name Equioxx, for the treatment of arthritis in horses.

An excerpt from an article in The Horse explains some of the difference between Equioxx and the older treatments:

Traditional NSAIDs such as phenylbutazone (Bute) and flunixin (Banamine), inhibit both COX-1 and COX-2. These drugs are known to cause ulcers, gastrointestinal bleeding, and kidney damage with prolonged use or high doses. COX-2-inhibiting drugs, including firocoxib and the human drugs Vioxx (rofecoxib) and Celebrex (celecoxib), selectively inhibit production of the inflammation-causing COX-2 enzyme, leaving the COX-1 enzyme free to perform its protective functions in the gastrointestinal tract and kidneys.

"On the equine market we've got the standard old NSAIDs, Bute and Banamine," said Anthony Blikslager, DVM, PhD, associate professor of equine surgery at North Carolina State University's College of Veterinary Medicine. "They're very effective for the control of pain, so they have very good efficacy. But the trouble is, they could be safer.

"I would hope that using a COX-2 inhibitor--if they can show that it's as effective as Bute--would still be safer because even though horses have overlapping function of COX-1 and COX-2, as compared to other species, you would still be leaving one of the enzymes alone to maintain organ function," Blikslager said.

Read the entire article:
New NSAID: First COX-2 Inhibitor for Horses Approved by FDAby: Erin Ryder, News Editor July 05 2007 Article # 9937 http://www.thehorse.com/ViewArticle.aspx?ID=9937

Jeb received his first dose of Equioxx yesterday. At this point, we can say that he does appear more comfortable and ate breakfast well. He is more interested in what goes on around him, and the dull look in his eye is gone. There is no predicting what the future will bring, but its good to have another weapon in the anti-arthritis-pain arsenal.

As a sidenote.........we'd like to publicly acknowledge Drs. Carrie McColgan and David Licciardello of the Rappahannock Equine Veterinary Clinic in Locust Grove, VA. TREES' elders are examined, evaluated and treated with the same thorough care and attention to detail as high-dollar show horses. We also feel that we always have their support in trying new techniques and products to further our education in geriatric horse care, and the more we learn, the more we can pass on to other elders' owners.

And so, we begin a trial of yet another new option. We'd like to hear others' experiences with Equioxx in the comments section, once you've had time to give it a fair trial.