Saturday, 25 June 2011

Day Out

Had lovely day out with the husband today :-) went to the V&A and had a lovely day.

Bought a pair of peacock earrings as a 21st wedding anniversary present and Tony had a limited edition fashion photography book.

Seems a long time since we spent some quality time together so many weekends recently seem to have been filled with check ligament issues. Was nice to not have to go back to yard but let lovely YO do him today.

Had a M&S picnic lunch in Kensington Gardens before we walked across the park to the V&A bliss :-)

Thursday, 23 June 2011

Nicky Desailly - 23rd June

So that's it last round of ultrasound before scan on 1st July.

Am staying neutral about scan last scan I got my hopes up, they were dashed and it hurt and took a fair while to pick myself up again. So neutral rules.

C is in a routine and now walks out sensibly to have a hoover of grass.

Feel lucky to have found Nicky certainly feel that we are giving C the best chance possible.

Nicky thinks injury is looking good which has to be better than looking bad but may not necessarily mean it is good of course, but she feels the inflammation is now under control.

She told me that I was doing all that I could do which was nice to hear.

Had surreal conversation with physio supplies place. Rang to confirm connection size of their rubber electrodes, lovely lady on phone had hard time believing that

1/ No I really don't want self adhesive
2/ Yes I know I need to use conductive gel
3/ Yes I'm sure these are what I want

Finally said they were for a horse at which point she either agreed I knew what I wanted or just wanted to get the mad nut job off the phone :-)

Sunday, 19 June 2011

Week 7

Week 7 not long to go until next scan.

Have sent laser back as frankly I think it is doing nothing other than taking up my time. Four weeks should have been long enough to see some real results. Could well be wrong but also think it it really was that good there would

1/ Be more published papers
2/ A lot of people would be over it like a rash as healing ligaments and tendons better is one of the holy grails of the veterinary industry.

Physio has been doing long wave ultrasound and I'm about to start EMS but need some newer electrodes as mine are old and stiff and not sticking!

Last session of ultrasound on Wednesday then pause until scan then review with scan results and make plan for next four weeks.

Funny old day

Clarence Clemons died today following a stroke last week, whilst I've never met him I felt incredibly sad. The music of Bruce S has basically been the background music to my relationship with Tony and it felt like losing a little bit of that. Gawd knows how many concerts we've been to but you'll be missed Big Man you'll be sorely missed.

Lights out tonight trouble in the heartland

Sleep well Big Man

Went to Gainfield with Gill and Soly who came home with a rosette :-)

Would appear if husband is to be believed that I am the grumpy irritable one on box rest! Something needs to change ... Week 7 of his being in and my IBS is getting worse (TMI - I know!) and yes everyone and everything irritates me. Have become judgemental irritable baggage.

So need to have more of 'a weekend' at the moment I get up later than during the week when am up at 05:30 go over do ponies come home for a couple of hours go back; rinse and repeat.

So have decided to just do one trip on a Saturday to spend some more quality time with t'husband, also need to get into routine for FatClub.

Wednesday, 15 June 2011

Mobilization of Horses after Musculoskeletal Injury

Long periods of stall rest used to be part of the healing process after musculoskeletal injury or surgery. This regimen allowed healing but also resulted in bulky scar tissue, adhesions, and losses in range of motion, flexibility, balance, and muscle strength.

Each horse and injury must be evaluated on an individual basis to determine the best course of treatment and recovery.

Newer advice is to put recovering horses back into light work at a much earlier point. Though a short period of immobilization is important immediately after severe tears and fractures, early mobilization has been shown to increase blood and lymph flow, and the tissue tension caused by movement stimulates soft tissue repair and improves fiber alignment in healing tissues. In one study, there was a 60% improvement in tendon Type 1 collagen deposition and a 20% improvement in range of motion and the ability of an injured tendon to handle ground reaction forces. Also, long immobilization doesn’t guarantee a better outcome, and early mobilization doesn’t lead to an increased rate of reinjury.

While it’s difficult to quantify the psychological effect of stall confinement, some horses seem to become depressed while others show increased agitation when they are kept in stalls with no company, turnout, or exercise. Each horse and injury must be evaluated on an individual basis to determine the best course of treatment and recovery.

Monitoring Equine Parasites Via Fecal Egg Per Gram Counts

Fecal egg per gram (EPG) counts are valuable to actually determine the number of worm eggs in a horse’s manure. Routine fecal floats determine if parasite eggs are present but cannot differentiate a heavy-shedding horse from one shedding fewer worm eggs. Manure for EPG determination is weighed, floated in a standard volume-of-egg flotation solution, and worm eggs are counted under a microscope using a special slide.

The most commonly observed worm egg is called a typical strongyle-type ova (eggs) because the eggs of small and large strongyles look alike. Small strongyles are the most common internal parasite of horses. Roundworm eggs are also observed, especially in younger horses. Tapeworm eggs are seldom seen, even when horses are infected with large numbers of tapeworms.

An excellent study from Denmark found that horses tend to be consistent in the amount of worm eggs shed in their manure. Less than 200 EPG is considered a low level of shedding. Horses that had two previous EPG counts performed six months apart that were both less than 200 EPG had an 84% chance that their third EPG count would also be low. Similarly, if a horse had two previous EPG counts greater than 200, the chance of being greater than 200 EPG on the third count was 59%. This demonstrated that horses with low EPG counts tend to keep low EPG counts and those that are high also tend to stay high.

These findings help to target deworming to reduce resistance and allow for the classification of horses into low or high EPG shedders. Horses that consistently have low EPG counts do not require frequent deworming, and deworming twice a year is probably sufficient. Horses that have a consistently high EPG count can be segregated to reduce overall pasture parasite egg contamination, and these horses may benefit from more frequent deworming.

Your veterinarian can perform EPG counts and is the best source of information to tailor a deworming program that is best for your farm. EPG counts also help slow the development of resistance to dewormers, and less frequent deworming reduces costs.

Reference: Nielsen, M.K., N. Haaning, and S.N. Olsen. 2006. Strongyle egg shedding consistency in horses on farms using selective therapy in Denmark. Veterinary Parasitology 135:333-335.

Wednesday, 8 June 2011


Glucosamine Hydrochloride vs. Sulfate

There is discussion over which of the two glucosamine salts, hydrochloride or sulfate, is preferred for the treatment of osteoarthritis.

The answer is straightforward - both salts, in the pure form, deliver equally effective amounts of the desired glucosamine to joint cartilage. If there is a preference, it should be based on relative purity and economics.

Historically, the sulfate was used for the initial European clinical studies because it was made available for that purpose by an Italian pharmaceutical company which had a proprietary position on the sulfate. Thus, it was to their marketing advantage to supply only the sulfate and ignore the hydrochloride.

The original researchers, however, clearly relate all of the observed benefits relative to osteoarthritis to "glucosamine" not to the sulfate. When ingested, glucosamine sulfate is fully ionized in the stomach by the relatively strong concentration of hydrochloric acid (pH 1 - 3) naturally present. As a result, glucosamine ions and sulfate ions are thoroughly mixed with an overwhelming number of chloride and hydrogen ions from the hydrochloric acid. If you could stop at this point and recover the glucosamine salt, you would get 99+% glucosamine hydrochloride as the sulfate is essentially lost due to its very low concentration relative to the extremely large amount of hydrochloric acid present.

As reported by Setnikar1, 54% of the glucosamine that moves into the small intestine (pH 6.8) exists in its un-ionized, amine form (not a salt at all) while 46% is ionized (the amine group is protenated and positively charged). In the blood at pH 7.4, 75% of the glucosamine is present as the neutral amine while only 25% is ionized. Since ionization or high polarity is usually an obstacle in the crossing of cellular membranes, the ability of glucosamine to exist predominantly in its less polar, un-ionized form in the small intestine and, even more so, in the blood contributes directly to its bioavailability. The specific salt form is relevant only as a convenient delivery vehicle with the proviso that the salt must readily dissolve (ionize) in stomach acid when ingested - the hydrochloride and the sulfate equally meet this requirement.

Meta analysis


This systematic review and meta-analysis found that chondroitin, glucosamine or a combination of both do not have a useful clinical effect in the treatment of osteoarthritis. The supplements were also not found to be harmful. This study benefited from an extensive search for studies on these supplements, and made good use of all the data available by combining results in the network meta-analysis.

However, as with all meta-analyses, the studies included varied in a number of ways, including the severity of the osteoarthritis studied, the main joint involved, or how long the patients were followed up for. This is called heterogeneity. Using the network meta-analysis, the researchers were able to combine evidence from different comparisons of the supplements. This means that the heterogeneity was more complex to calculate, but the researchers say it was low enough to allow them to combine the trials reliably.

A meta-analysis was needed as the randomised controlled trials involving these supplements were small. While it appears from this study that the effects of these supplements are limited, a small effect in a small group of patients could have had a relatively large effect on the overall results. A large randomised controlled trial on a clinically defined group of patients is the best way to assess the effectiveness of these treatments.

Glucosamine and chondroitin are not currently part of the treatment strategy for osteoarthritis recommended by NICE. Patients should consult their GP about the best pain-management options available to them.

Equine Doseages

While "exact" recommended dosages of many ingredients are not available, the following ingredient doses can be used as general guidelines for an average 1,100-pound horse, based on the results of scientific studies:

  • Glucosamine: Approximately 12 g of glucosamine hydrochloride (HCl) or 15 g of glucosamine sulfate per day (this is equivalent to approximately 10 g of glucosamine "free base" per horse per day, or the part that gets absorbed systemically).
  • Chondroitin sulfate: 2.4 g per horse per day.
  • ASU: 2,100 mg per horse per day in combination with glucosamine and chondroitin sulfate.
  • MSM: Up to 10 g per horse per day. Other things to look for:

Monday, 6 June 2011

Swear words

One month check up today am gutted.

Very little sign of healing but given extent of damage vet. thinks it is as to be expected. So all my hopes for the laser were just that hope not reality. We're no further forwards.

Vet thinks only time and icing really helps and mostly it is time.

So am going to send laser back and continue with icing.

Scan again in another month in the meantime continue with walking out for pick of grass and to stay in box until third scan.

Gutted my hope is shattered

Sunday, 5 June 2011

Day trip

Took Gill and Soly over to Hunters and bless his little cotton socks not been out for over a year but was Mr Cool Calm and Cucumber.

Loaded and travelled like a pro, went into warm up as though he does it every week, same with indoor.

Did two very pleasing tests.

Way to go King Solomon!

Friday, 3 June 2011

Nicky Desailly - Visit 8 - 3rd June

I am refusing to think the unthinkable!

So he's not loading legs equally which had become more apparent last few days. Sorted with H wave and massage. Told Nicky about sensitivity towards fetlock when doing tissue manipulation could be DDFT or could not be.

Me I'm going for now with the fact DDFT wasn't involved at last scan and as I wasn't doing tissue manipulation I have no idea if he was sensitive there back then so I'll wait until Monday for the second scan.

Wednesday, 1 June 2011

End of the rope

That's where I nearly am at the end of the rope.

He's been in for four weeks, he is an excellent boy in his box but it breaks my heart keeping him in and being unable to explain to him why he's not out in the fresh air with his buddy.

I take him out for a pick of grass and getting him out of the box stresses me, because he is understandably keen to get out he is contained (and in a bridle) but one miss step is what worries me.

I didn't realise how stressed I've been feeling until I took a call from Tony and he said 'I'm going to be late home I've run into the back of ...' and my heart started racing. Illogical as he was ringing me so clearly was OK. He'd actually run into the back of a a traffic jam (not literally) but those words set me off.

Pooh picked Fred's old and older fields and his new field to try and get some fresh air and destress.

Brought Fred up and tied him outside Chorrie's stable so they could mutual groom and the swallows flew in and sat on a beam singing away. I love to see and hear them. Came home parked up and walked to house to sound of blackbirds singing.