Care of the Equine Athlete Mark T. Reilly, DVM, Dipl. ABVP (Equine) Linda J. Cimetti, DVM South Shore Equine Clinic & Diagnostic Center
South Shore Equine Clinic & Diagnostic Center 151 Palmer Road Plympton, MA 02367 (781) 585-2611 www.ssequineclinic.com
Basic husbandry Vaccines Shoeing Deworming Dentistry
Basic husbandry Vaccines Shoeing Deworming Dentistry
Timing of Vaccination Spring Fall Prior to Shipping Prior to Exposure After Exposure Annually vs. Biannually vs. Tri-annually
Strategic Vaccination Diseases to vaccinate against : Influenza Rhinopneumonitis (Herpes) Rabies Eastern/Western Encephalitis West Nile Encephalitis Tetanus Potomac Horse Fever Strangles (Strep. Equi)
Basic husbandry Vaccines Shoeing Deworming Dentistry
Shoeing 4-6 weeks Therapeutic Prophylactic (Pads) Discipline
Basic husbandry Vaccines Shoeing Deworming Dentistry
Deworming Internal parasites (worms) can cause extensive internal and external damage to your horse Annual intestinal parasite exam
Basic husbandry Vaccines Shoeing Deworming Dentistry
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)
Nutrition Good quality forage Grass Hay Timothy/Alfalfa
Nutrition Grain Complete pelleted feeds Sweet Feed Specialized Diets Fat/Carbs/Protein
Nutrition Supplements Joints Muscles Hoof Vitamin Supplements Blood builders
Nutrition Joint Supplements Chondroiten Sulfate Glucosamine MSM PSGAGs Ascorbic Acid Hyaluronic Acid
Nutrition Supplements Muscle Omega 3 Fatty Acids High Fat (PSSM) Creatine MSM Organozynol (Gamma Grow)
Nutrition Hoof Supplements Methionine Biotin Zinc
Athletic Training Veterinary Care / Maintenance
Athletic Training
Athletic Training
Athletic Training
Athletic Training WALK
Athletic Training TROT
Athletic Training CANTER
Athletic Training CANTER
Athletic Training TOPICAL TREATMENTS
Athletic Training TOPICAL TREATMENTS
Athletic Training TOPICAL TREATMENTS
Athletic Training TOPICAL TREATMENTS
Veterinary Care / Maintenance
Veterinary Care / Maintenance
Veterinary Care / Maintenance Diagnostics Therapeutics Prognostics
Veterinary Care / Maintenance Diagnostics Physical exam Lameness exam
Veterinary Care / Maintenance Diagnostics Radiographs
Radiographs Show primarily bone pathology Arthritis OCD Fractures
Radiographs Bone evaluation Local therapy Medical Surgical Prognosticate
Veterinary Care / Maintenance Diagnostics Ultrasound
Ultrasound Shows primarily soft tissue structure Tendons, ligaments Joint surface evaluation/cartilage Limitations Soft tissues within the hoof
Advanced Diagnostics Nuclear Scintigraphy - Shows areas of active bone or soft tissue remodeling - Sensitive, not specific
Advanced Diagnostics Magnetic Resonance Imaging (MRI) - Shows bone, tendon, ligament, some cartilage - Very sensitive and specific
MRI Excellent for identifying pathology within the hoof Targeted therapy
MRI Identify lesions not visible on radiographs Cysts Bone edema or hemorrhage Fractures
MRI Identify lesions unable to be visualized with ultrasound in foot DDFT Impar Ligament Collat. Sesamoidean Ligament of Nav. Bone Collateral Ligaments
MRI Limited ability to scan above fetlock in standing horse Cooperative Height Anesthetized
Advanced Diagnostics Thermography Sensitive, not specific Temperature Dependent
Veterinary Care / Maintenance Diagnostics Therapeutics Prognostics
Veterinary Care / Maintenance Therapeutics Systemic Local
Therapeutics Systemic - NSAIDs Bute Banamine Ketofen Robaxin
Therapeutics Systemic - Joint Treatments PSGAG s Hyaluronic Acid * Injectable glucosamine Adequan
Therapeutics Local Topical Joint Injection Soft tissue Injection
Therapeutics Local Topical Joint Injection Soft tissue Injection
Therapeutics Local Joint Injections
Local Therapeutics Joint Injections Combination HA/steroids Hyaluronic Acid Depo, Vetalog Interlukin -1 Receptor Antagonist Protein (IRAP)
Therapeutics Local Joint Injections Which joints? With what?
Therapeutics Local Joint Injections Which joints? With what? Example - hock
Therapeutics Local Focused Extracorporeal Shockwave Therapy Improves blood flow and speeds up healing
Focused Extracorporeal Shockwave Therapy Soft tissue injuries, hock arthritis, ringbone, backs
Therapeutics Local/Targeted Soft Tissue Injections PRP Platelet Rich Plasma
Therapeutics PRP Injection Local infiltration of growth and healing factors Stagnant lesions
Therapeutics Systemic Local Alternative Chiropractic Acupuncture Mesotherapy
Therapeutics Alternative Systemic Local
Veterinary Care / Maintenance Prognostics Historical Follow Up
Prognostics Adherence to Rehabilitation Plan is imperative for treatment success!!
Questions? Comments?
REMINDER Upcoming client education seminar Joint Disease and Non-Surgical Joint Therapy April 11, 2007, 5:30 pm