Care of the Equine Athlete

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1 Care of the Equine Athlete Mark T. Reilly, DVM, Dipl. ABVP (Equine) Linda J. Cimetti, DVM South Shore Equine Clinic & Diagnostic Center

2

3 South Shore Equine Clinic & Diagnostic Center 151 Palmer Road Plympton, MA (781)

4 Basic husbandry Vaccines Shoeing Deworming Dentistry

5 Basic husbandry Vaccines Shoeing Deworming Dentistry

6 Timing of Vaccination Spring Fall Prior to Shipping Prior to Exposure After Exposure Annually vs. Biannually vs. Tri-annually

7 Strategic Vaccination Diseases to vaccinate against : Influenza Rhinopneumonitis (Herpes) Rabies Eastern/Western Encephalitis West Nile Encephalitis Tetanus Potomac Horse Fever Strangles (Strep. Equi)

8 Basic husbandry Vaccines Shoeing Deworming Dentistry

9 Shoeing 4-6 weeks Therapeutic Prophylactic (Pads) Discipline

10 Basic husbandry Vaccines Shoeing Deworming Dentistry

11 Deworming Internal parasites (worms) can cause extensive internal and external damage to your horse Annual intestinal parasite exam

12 Basic husbandry Vaccines Shoeing Deworming Dentistry

13 Performance Dentistry Floating the teeth to maximize the performance of that horse both in mastication and when ridden (differentiate from the practice of simple removal of sharp points)

14 Nutrition Good quality forage Grass Hay Timothy/Alfalfa

15 Nutrition Grain Complete pelleted feeds Sweet Feed Specialized Diets Fat/Carbs/Protein

16 Nutrition Supplements Joints Muscles Hoof Vitamin Supplements Blood builders

17 Nutrition Joint Supplements Chondroiten Sulfate Glucosamine MSM PSGAGs Ascorbic Acid Hyaluronic Acid

18 Nutrition Supplements Muscle Omega 3 Fatty Acids High Fat (PSSM) Creatine MSM Organozynol (Gamma Grow)

19 Nutrition Hoof Supplements Methionine Biotin Zinc

20 Athletic Training Veterinary Care / Maintenance

21 Athletic Training

22 Athletic Training

23 Athletic Training

24 Athletic Training WALK

25 Athletic Training TROT

26 Athletic Training CANTER

27 Athletic Training CANTER

28 Athletic Training TOPICAL TREATMENTS

29 Athletic Training TOPICAL TREATMENTS

30 Athletic Training TOPICAL TREATMENTS

31 Athletic Training TOPICAL TREATMENTS

32

33 Veterinary Care / Maintenance

34 Veterinary Care / Maintenance

35 Veterinary Care / Maintenance Diagnostics Therapeutics Prognostics

36 Veterinary Care / Maintenance Diagnostics Physical exam Lameness exam

37 Veterinary Care / Maintenance Diagnostics Radiographs

38 Radiographs Show primarily bone pathology Arthritis OCD Fractures

39 Radiographs Bone evaluation Local therapy Medical Surgical Prognosticate

40 Veterinary Care / Maintenance Diagnostics Ultrasound

41 Ultrasound Shows primarily soft tissue structure Tendons, ligaments Joint surface evaluation/cartilage Limitations Soft tissues within the hoof

42 Advanced Diagnostics Nuclear Scintigraphy - Shows areas of active bone or soft tissue remodeling - Sensitive, not specific

43 Advanced Diagnostics Magnetic Resonance Imaging (MRI) - Shows bone, tendon, ligament, some cartilage - Very sensitive and specific

44 MRI Excellent for identifying pathology within the hoof Targeted therapy

45 MRI Identify lesions not visible on radiographs Cysts Bone edema or hemorrhage Fractures

46 MRI Identify lesions unable to be visualized with ultrasound in foot DDFT Impar Ligament Collat. Sesamoidean Ligament of Nav. Bone Collateral Ligaments

47 MRI Limited ability to scan above fetlock in standing horse Cooperative Height Anesthetized

48 Advanced Diagnostics Thermography Sensitive, not specific Temperature Dependent

49

50 Veterinary Care / Maintenance Diagnostics Therapeutics Prognostics

51 Veterinary Care / Maintenance Therapeutics Systemic Local

52 Therapeutics Systemic - NSAIDs Bute Banamine Ketofen Robaxin

53 Therapeutics Systemic - Joint Treatments PSGAG s Hyaluronic Acid * Injectable glucosamine Adequan

54 Therapeutics Local Topical Joint Injection Soft tissue Injection

55 Therapeutics Local Topical Joint Injection Soft tissue Injection

56 Therapeutics Local Joint Injections

57 Local Therapeutics Joint Injections Combination HA/steroids Hyaluronic Acid Depo, Vetalog Interlukin -1 Receptor Antagonist Protein (IRAP)

58 Therapeutics Local Joint Injections Which joints? With what?

59 Therapeutics Local Joint Injections Which joints? With what? Example - hock

60 Therapeutics Local Focused Extracorporeal Shockwave Therapy Improves blood flow and speeds up healing

61 Focused Extracorporeal Shockwave Therapy Soft tissue injuries, hock arthritis, ringbone, backs

62 Therapeutics Local/Targeted Soft Tissue Injections PRP Platelet Rich Plasma

63 Therapeutics PRP Injection Local infiltration of growth and healing factors Stagnant lesions

64 Therapeutics Systemic Local Alternative Chiropractic Acupuncture Mesotherapy

65 Therapeutics Alternative Systemic Local

66 Veterinary Care / Maintenance Prognostics Historical Follow Up

67 Prognostics Adherence to Rehabilitation Plan is imperative for treatment success!!

68

69 Questions? Comments?

70 REMINDER Upcoming client education seminar Joint Disease and Non-Surgical Joint Therapy April 11, 2007, 5:30 pm

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