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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