Page 278 - The Veterinary Care of the Horse
P. 278

Variable degrees of lameness. Many ponies and donkeys develop seedy toe which does
        •    not  cause  lameness  but  is  discovered  by  the  farrier  during  routine  trimming.  As  the

  VetBooks.ir  separation  becomes  more  extensive,  the  animal  may  experience  tender  feet.  Others
             become  acutely  lame  a  day  or  two  before  pus  bursts  out  at  the  coronary  band  if  an

             abscess has formed.
        •    Sensitivity to hoof testers in the region where an abscess is forming.

        •    A discharge of pus from the coronary band.

        •    If there is significant separation, the overlying hoof wall will sound hollow when tapped.



        Diagnosis


        The diagnosis is usually made on the clinical signs. If the condition is extensive, radiographs
        may be taken to assess the degree of separation of the hoof wall from the laminae. This also

        allows any changes to the pedal bone or its position within the hoof capsule from previous
        bouts of laminitis to be assessed.



        Treatment


        The key to successful treatment is prompt and adequate attention as soon as the condition is
        diagnosed.  If  the  condition  becomes  chronic,  extensive  areas  of  hoof  wall  may  be

        undermined. This means the weight of the horse will be supported by a considerably reduced
        number of laminae resulting in inflammation and lameness. Rotation of the pedal bone can

        occur.
        •    Any underlying conditions or predisposing factors should be treated. Long toes should be

             trimmed  and  in  previously  laminitic  animals,  the  foot  should  be  trimmed  to  restore  a
             parallel relationship between the front of the hoof capsule and the pedal bone.

        •    As  the  separation  is  usually  widest  near  the  ground  surface  and  narrows  towards  the

             coronet, it is often necessary to remove a portion of the hoof wall to allow access to all of
             the diseased tissue.

        •    All the dirt and any abnormal material are removed. In many cases, this is sufficient and
             no medical treatment is necessary.

        •    Any pus should be drained and all infected horn removed. When infection is present, the

             exposed insensitive laminae should be treated topically with a suitable hoof disinfectant.
        •    Once any infection has been dealt with, the foot should be kept clean and dry.

        •    A heart bar shoe may be used to provide support in cases where extensive areas of hoof

             wall have been resected. As many of these lesions occur at the toe, a shoe with a squared
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