When in doubt, call the vet!

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Kendra

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Last weekend, I noticed a small swelling on the front of Hawk's knee (for those who might not know, Hawk is my main driving/show/CDE/trick/everything horse), about the side of a nickel and fluid filled. It wasn't sore, or hot, and he wasn't lame. It would've made sense to 'wait and see', but I'm a fuss about my horses, so I took him to the vet Monday morning.

The vet found that he wasn't lame, didn't flex, and that the swelling didn't appear to be joint effusion. She called it a carpal hygroma, and thought it probably was the result of blunt trauma. A blemish, that might not go away, but that shouldn't bother him. Just to be safe though, she had me give him a few days off and watch it closely.

Hawk had 5 days off, and I hooked him up on Saturday. I mostly walked him, with a little easy trotting (when the mosquitoes got too bad to stay at a walk), but I had a bad feeling about it - I couldn't say he was lame, for sure, but he didn't seem right. I waited until Sunday morning, when my Grandad was home to watch as well, to put him on the lunge line and take a look.

Sure enough he was lame. Mostly just to the left (the swelling was on his left knee) and not every step, but lame. It was a long weekend here, and I waited impatiently for this morning to call and get an appointment with the vet.

After PD and Abaxial nerve blocks to rule out lower limb lamenesses (and because the lower limb flexion seemed to cause more problems for him than the carpal flexion) we did x-rays of the knee and he has some bony reaction - arthritis in his knee joint.

Because we caught it early, and we're treating it aggressively (joint injection today, and a course of Adequan along with stall rest for a month to start with), the vets feel that there is a good chance we'll be able to calm the reaction and allow him to return to full work.

If I'd waited until he was obviously lame, it would probably have been too late to help him. The vet called his lameness "maybe a 1/5" and the third year vet student, who is a long time horse person as well, couldn't see it at all until she was coached.

Since last year I've had a bad 'feeling' about that knee, it didn't look right to me, but there was never any sign that anything was bothering him. It would've been completely reasonable for me to 'wait and see', and I am so grateful that I'm as hyper about my horses as I am, and rushed him to the vet.

The vet said that we could treat him and he'd be sound for me to show this summer, but that would definitely hurt his long term soundness. He is only 8 years old, that wasn't even an option for me. So I'm losing this summers shows with him, but that's a small price to pay for him being sound and comfortable for the rest of his life. (I hope!)

I rambled a little (sorry, been a long day), but my point is to TRUST YOUR GUT and take your horse to the vet if you are worried about anything. It might make a huge difference.
 
Hawk is lucky to belong to such an alert and thoughtful person.

Besides driving and all the other fun things you two do, if he had longterm carpal problems, how could he write his blog?
 
It is strange how those funny, gut twitching feelings can often turn out to be life savers isn't it?

Well done you - hoping that next years driving will prove Hawks best year yet!
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Anna
 
I'm glad you caught it early! I hope he gets better for you soon. He sounds like one in a million
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Aw Kendra, I'm sorry to hear Hawk has arthritis. Hopefully your quick action will see him have many more years as your #1. I often wonder how many of our horses are used thro the early stages of lameness because no one wants to see that they're off. I have more than once watched someone driving and thought to myself the horse looked liked it might be sore but it isn't really pronounced. Much easier to spot in someone else's horse from the sidelines, good for you for seeing it in your own, I suspect that comes from being so in tune with your partner
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You're also lucky your vet trusted your gut and looked more deeply.
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I took Kody in multiple times that spring because I knew something was wrong and three different vets (one of them a chiropractor) all said they couldn't see anything. The chiropractor said there was nothing wrong with his back, it must be his stifles (never mind that they'd been fine for a year since his surgery) and advised me to work him harder to strengthen them!
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I trusted my gut and declined that advice.
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I gave him a month of complete rest then took him out of the cart and back to slow in-hand and long-line work but it was too late, the damage was done and the muscle went "pop" a month later just walking along. My 8 year old was disabled for life by a soft tissue injury exactly where I thought he was hurting up in his lower back.
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Two years later he's just getting back to being able to do light work but will never be fully sound again.

I have many regrets like not doing the stifle surgery sooner which might have saved him back strain, but taking him to the vet did no good at all because they are only human and didn't trust ME enough to look more deeply. It's so important to find a vet you have a good relationship with!

My prayers go out to you and Hawk and I hope he heals without incident. I know exactly how you feel.

Leia
 
Hope your little guy pulls through and yes it is funny how you just know when somthing doesnt sit right with you. You know your horses and you know when they are not right
 
I have many regrets like not doing the stifle surgery sooner which might have saved him back strain, but taking him to the vet did no good at all because they are only human and didn't trust ME enough to look more deeply. It's so important to find a vet you have a good relationship with!
That's a very good point. I work for these particular vets, so I'm very lucky. Not only do they trust my judgement, but they know that Hawk IS a performance horse, not just a 'cute little pony' and performed a full lameness exam as they would for any other horse. Years ago, when Image's eyes had an autoimmune reaction and he couldn't see, the vet gave me the impression that in his opinion, yes, Image was a cute little pony, but he'd still be a cute little pony if he was blind forever too. Why would he phone a specialist for him? Argh, frustrating!

Also lucky in that they ALL checked out the x-rays ... nothing like the opinion of five equine specialists weighing in!
 

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