Georgia Equine Veterinary Services

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Lameness in horses can be a serious and painful problem with several possible causes, and it is important to notice the signs early to improve the chances of successful treatment. Lameness is a problem if your horse‘s gait is abnormal in any way.

Your examination includes both static (standing still) and dynamic (moving) evaluations to determine if the horse is showing signs of pain associated with the musculoskeletal system.  Static evaluation includes observation of symmetry, muscle mass (or atrophy), posture, and palpation for heat, pain, or swelling.  Hoof testers are used to localize pain in the hoof.  Dynamic evaluation includes observing the horse move at a walk and a trot in both the straight line and on the lunge circle.
 
Flexion tests are also preformed during a lameness exam to temporarily stress on a specific joint.  If lameness is detected, diagnostic nerve blocks can be used to localize the source of the pain.  Once pain is localized, diagnostic imaging including radiographs (x-rays) or ultrasound can be used to evaluate the soft tissue and boney structures in that area to determine the horse of the lameness.

Often times show horses are examined prior to show season to assess the status of the horse, and map out a maintenance program for the show season. Consideration of level of horse, number of shows and year end goals are all considered during such exams.
Stem cell therapy has become popular for the treatment of tendon, ligament and joint diseases in the horse. A stem cell can become any cell, but with limitations). We can take fat or bone marrow and, under specialist laboratory conditions, stem cells can be cultured. These can be placed in areas of injury, where they can integrate into local tissue and aid in repairing injury. Current technology enables us to take cells from a horse and implant the cultured tissue back into the same horse (known as autologous therapy). We never use cells from one horse to treat another. Implantation is usually, for a tendon injury, a straightforward procedure, performed under sedation and using ultrasound to guide the injection. This can be performed on an out-patient basis. Injections of stem cells into joints or other more complicated cases may require hospitalization for a day or two.

Our veterinary surgeon responsible for your horse will discuss the potential benefits and risks associated with stem cell therapy. In most cases, we like to see the horse for follow-up assessment between one and three months after implantation.

If you have any specific questions about the procedure, costs, or the value of stem cells in treating injuries in horses, please contact Georgia Equine Veterinary Services and Hospital.

IRAP (Interleukin-1 Receptor Antagonist Protein): IRAP is ACS (autologous-conditioned serum) and is harvested from the horse’s own blood. IRAP is used to treat osteoarthritis and other inflammatory conditions in the joint. IRAP takes the horse’s own blood and processes. The serum is frozen and can be injected into the horse’s joint at anytime. From one blood pull on a horse we get about 10- 20mLs of IRAP serum to inject into joints. For osteoarthritis cases we recommend a series of IRAP to be injected once weekly for 3 weeks.
 
PRP (Platelet Rich Plasma): PRP is derived from the horse’s own blood. We pull blood from the horse and run it through our PRP machine and we get a solution of concentrated platelets which release growth factors that accelerate regeneration of injured tissues. PRP can be injected into tendon and ligament lesions. Recent research has been focused on injecting PRP into joints.

Owning a horse can be a big investment in time, money and emotion. That’s why it is so important to investigate the horse’s overall health and condition through a purchase exam conducted by an equine veterinarian. Whether you want a horse as a family pet, a pleasure mount, a breeding animal, or a high performance athlete, you stand the best chance of getting one that meets your needs by investing in a purchase exam.

Purchase examinations may vary, depending on the intended use of the horse and the veterinarian who is doing the examination. Deciding exactly what should be included in the purchase examination requires good communication between you and your veterinarian. At GEVS we work with you to understand your expectations, and goals of the horse you are considering, establish costs involved and communicate with you or your agent to ensure no questions are unanswered.

GEVS offers pre-purchase examinations for prospective buyers. The pre-purchase examination includes a full physical exam (including ophthalmology, respiratory, musculoskeletal assessment), and a soundness exam. We offer radiograph packages and are happy to do any other diagnostics a client may want such as endoscopy, blood work(CBC and chemistry), or a drug screening at additional charges. If the prospective buyer cannot be present for the exam, we always communicate with him/her to discuss any findings and how he/she would like to proceed. We can email radiographs taken during the pre-purchase exam for the prospective buyer. We can perform pre-purchase exams here at the hospital or out on the road.

Our objective is neither to pass nor fail an animal; rather, it is to provide you with information regarding any existing medical problems and to discuss those problems with you so that you can make an informed purchase decision. We can advise you about the horse’s current physical condition, but we cannot predict the future. The decision to buy is yours alone to make. But we can be a valuable partner in the process of providing you with objective, health-related information.

Endoscopy allows examination of the upper respiratory tract .Endoscopy is an easy non-invasive procedure; the scope enters through the nasal passage. Endoscopy can diagnose breathing problems as well as infectious upper respiratory disorders, roaring (left laryngeal hemiplegia), guttural pouch disorders, nasal tumors, and epiglottic entrapment. We have the ability through the endoscope to obtain culture or biopsy samples.

Gastroscopy allows visualization of the esophagus and stomach to check for ulceration. Gastric ulcerations are erosions of the stomach lining due to prolonged exposure to acid produced by the stomach .Recent research reports that about 75% of competition horses have some grade of ulcers present. We have a 3 meter gastroscope that attaches to a full screen so both the doctor and client can view the horse’s stomach lining. Gastroscopy is a simple procedure, the fasted horse is lightly sedated and the scope is passed through the nasal passage down the esophagus into the stomach. Stomach ulcers or Equine Gastric Ulcer Syndrome (EGUS) is a common condition that affects many disciplines and breeds of horses. A study of dressage and hunters showed that as many as 60% were affected. Ulcers are common among all groups of horses that train or show.

There are factors that increase a horse’s risk of developing gastric ulcers: decreased grazing time or feeding limited amounts of hay, high grain diets, strenuous exercise, training, trailering, physical stress (from illness or other factors), and certain medications such as bute or banamine.

Symptoms of gastric ulcers are often difficult to detect, although they may have a serious effect on performance and horse comfort. Many horses will show only one symptom. Some example symptoms in adult horses include: attitude changes, dullness, poor or reduced performance, poor condition, decreased appetite, colic.

EGUS can be difficult to recognize since the symptoms may often be vague. The only accurate way to diagnose and determine the severity of ulcers is by gastroscopy.

The good news is that gastric ulcers can be successfully treated. Treatment involves the use of anti-ulcer medications as well as changes in management factors and feeding. There are also prevention protocols that can be designed for horses that participate in high risk activities.

Ultrasound can be used to evaluate a wide variety of health issues.  In horses, ultrasound of soft tissue such as tendon and ligament may reveal injuries causing lameness. Ultrasonography of the abdomen (belly) can be performed to evaluate the fetus is late pregnant mares, gastrointestinal surfaces in the face of colic, ulcers, or colitis, as well as evaluation of the liver, kidneys, and spleen. Ultrasonography of the thorax (chest) is helpful in cases of pneumonia to determine if extra fluid is present in the chest or if areas of the lung have adequate aeration.  Reproductive ultrasound can tract a mare’s heat cycle and check for pregnancy as early as 14 days.