Showing posts with label injury. Show all posts
Showing posts with label injury. Show all posts

Monday, July 6, 2020

Acute Injury

It's old news to those who follow me on Instagram, but Q and I suffered a slip/fall/crash 2½ weeks ago. Q is very fortunately fine beyond rattling her confidence. I on the other hand suffered an acute injury to my upper trapezius muscle. 

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I have no media to accompany this story, so have some random shots of the horses one pretty summer evening

I was on a ride with Kate and Dave when it happened. We reached one of our favorite gallop sections and I became a bit caught up in the moment, giggling as Dave and Stan rocketed past Q and I because Dave was making silly faces. I knew that there were pseudo water bars present in this area, but forgot in the moment. ...until Stan and Dave tripped slightly (but regained balance and momentum without issue) in front and to the right of Q and I. Fractions of a second later, we hit a slightly more uneven piece of ground. 

Q stutter-stepped as she encountered the uneven terrain. In her attempts to save us, her left foreleg slipped out from under her - and me. I was propelled unceremoniously over her left shoulder (a first!, it has always been the right side before now) and slammed into the mountainside. I essentially pile drove my left shoulder/neck into the turf and heard my neck (maybe other things?) crack 8-9 times. I quickly checked my CMS (circulation, motor, sensory) by wiggling all my fingers and toes and found everything to be in working order. In fact, one of my first thoughts once I had done that was, Wow, that was a shock, but it wasn't so bad at all! Not so different from my visits to the chiropractor...well, other than the suddenness and force of it all...

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I love her big ol' eyes. 

Within seconds of my unplanned dismount, I was up and mobile. Q was standing idly with Stan and Dave while Kate, who had witnessed the entire thing, gaped at me in abject horror before asking me multiple times if I was sure I was okay. In that moment, I truly felt fine. My shoulder was a touch tingly, but nothing too crazy. The bones seemed to be in fine order and there were no deformities anywhere between my neck and shoulder joint. All in all, I counted myself lucky. 

More importantly to me in that moment, Q checked out to be completely fine. She had a bit of mud on her left stocking, but that was it. The worst of it was that she seemed a bit alarmed/uncertain about me being on the ground. I can only assume that my coming off her her left shoulder surprised her. In the countless times I came off that mare during 2014-2015, it was always over her right shoulder. 

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He looks so great right now. I'm so freaking pleased.

I massaged my shoulder and surrounding muscles on and off as we rode for another 45 minutes. But by that evening, the pain in my shoulder had grown to a steady 4 on the pain scale. It would spike to a 5 or 6 if I did certain things. I dosed with NSAIDs and iced it and called it good. The pain was still present the next day, my range of motion (ROM) was further limited, and my shoulder had a "dropped" appearance that friends could see from a distance. Even Dave, who is notoriously bad at observing such deformities, could see a difference. 

By Sunday, I was highly suspect of a second degree AC injury. I continued NSAIDs, ice, and soaks in a cold river to ease the pain and inflammation and [slowly] one-armed all of my barn chores. I slept shittily Sunday night due to the pain waking me up multiple times and was in throbbing pain by Monday morning. At that point, I cried "uncle" and headed to the closest urgent care. I was checked over by a PA and sent to the hospital for x-rays. By Tuesday afternoon, the PA called me to let me know that my x-rays were clear and she was going to refer me to a physical therapist. My first appointment was set for 10 days later.

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The whole reason I flitted out to take photos of the horses in their temp fence grazing area this evening was because that gorgeous rainbow was cascading down behind them

In the 10 days leading up to that appointment, the pain was a steady 3-4 with spikes up to 5-6 if I pushed myself outside of my comfortable ROM...and my ROM became increasingly limited during that week. The only way I could sleep was if my shoulder was heavily iced. The NSAIDs helped, but not as much as the ice did. As soon as the ice pack warmed, I would wake up from the pain. Not an enjoyable experience! 

In the 2-3 days prior to my first PT appointment, I regained some of my ROM. I was still limited, but not as much as I had been. The pain was finally under control with the sole use of NSAIDs, too, which was a big relief. 

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His little cheek freckle has remained unchanged since I met him 15 years ago. I always wondered if it would evolve as he aged.

Upon arriving at the PT, I rehashed how the injury occurred, demonstrated my ROM, and discussed the limitations and pain I'd been experiencing since the crash. The PT assessed me and said that I'd suffered an acute injury to my upper trapezius. The muscle was "stuck" in a contracted state to protect itself and was the cause of all the referred pain I was experiencing throughout my whole neck/shoulder region. I knew it was knotted, and was incredibly relieved to hear that it was just that muscle and not the AC joint! My PT is confident I'll be back to normal in short order. In fact, he told me to not limit myself and noted that it's highly unlikely I will make it any worse. So that's pretty sweet! ]

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The teeny black tips on his ears in the summertime make me so happy. And I know many of you are a fan of his "lipstick" 

After receiving this news, I had the pleasure of experiencing one of the most uncomfortable therapies I've ever experienced: dry needling + electric stimulation. The logic behind it makes perfect sense to me and I'm happy to deal with the discomfort of the treatment because I do know it will help speed my recovery. But fuck, y'all. That shit sucks. The PT took time and care to insert three needles deep into my trap. All I can say is thank god I've had tattoos and acupuncture before because those experiences were the only thing keeping me from crying out more than I did as he placed the needles. 

Once the needles were placed, he hooked them up to electrical stimulation that then triggered the muscle to twitch on and off for the next 20 minutes or so. While bizarre, the twitching due to the electrical stimulation wasn't actually painful. Once the treatment was over, he removed the needles and had me lie with my shoulder on a vibrating ball for a few minutes. Then he sat me up and HOLY SHIT. I couldn't exactly turn around to confront him face-to-face, but I exclaimed, "Ohmygod what did you do to me," as I devolved into nervous laughter over my predicament. The PT laughed with me, then noted that yes, I would be sore. Really sore. Really, really sore for the next 24 hours or so. He applied CBD salve, told me to continue my NSAIDs as needed, MSM/arnica salve as desired, and to lay with some kind of ball under the muscle a few times a day until he sees me again next week.

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So happy to finally capture this little maneuver on camera! It always makes me giggle to watch them do this.

My trap was SO SWOLLEN AND ANGRY within 30 minutes of leaving PT. I wish I'd taken pictures! I couldn't help but laugh at myself every time I caught my reflection for the rest of that day. The swelling was absolutely comical.

Fortunately, by 72 hours post-PT, my shoulder was feeling the best it had felt since being injured. The pain no longer wakes me up at night, my ROM is vastly improved, and barn chores are a breeze again.

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Q and her minions...erm, I mean geldings.

I'm so grateful that the crash didn't result in worse injury for myself and Q. I'm especially happy that Q is okay. I've only ridden once (under Kate's watchful eye) since the incident, and am so very relieved to report that Q's confidence, which was really shaky immediately following the incident, seems to be right back to its normal level. She led half of our 90-minute, 4-mile ride without a single nervous step. (And that ride didn't bug my shoulder one bit!) I think Q and I both needed that time in the saddle to move forward. 

I hope to resume riding with my previous frequency over the next week or so! There are many adventures to be had through the rest of summer. Hopefully without further injury ;-)

Monday, January 9, 2017

Update on Q's Suspensory

I dropped Q off Thursday morning last week for her 120-day ultrasound appointment to wrap up our monitoring of her suspensory injury.

To recap in the most concise way possible: Q came up lame at the end of August and was diagnosed with lesions near the origin of her suspensory in her left hind on September 19. (Due to a wicked year of repeated abscesses in 2 out of 3 of my horses, I had suspected it was an abscess at first. But after she didn't regain soundness after blowing a massive abscess on her RF, off to the vet we went!)

The 60-day ultrasound appointment showed improvements though there was still disorganization in the pattern of fibers.

This most recent ultrasound however showed huge improvements!

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Q was very alarmed by the AllEarsApp

When I picked Q up, the vet was out to lunch, so I didn't get a complete download of information beyond the techs telling me, "We can't tell you much other than it's definitely looking better." And hey, that's all I needed to hear at the time! Trending toward "better" is all I care about. I don't mind it taking awhile so long as it is *improving*.

Due to some turnover at my vet's practice (her second vet is leaving/has been working at another job), they've been outstandingly busy for a few months as is wont to happen with these kinds of things. I didn't anticipate dropping by to get a download on information until Monday afternoon. However, to my surprise, my vet took a few minutes Sunday morning to call me and give me an update! She reported that Q looked a LOT better this time around and that it was very hard to see any disorganization in the fibers at all on this round of ultrasounds. HURRAH! She also told me she'd be attending a specialized lameness workshop in Lexington in coming weeks that was centered around suspensory injuries. She's got me and Q in mind as she plans to attend and I'm looking forward to hearing more about the latest and greatest in the realm of suspensory research.

I'm psyched to hear that Q's doing so well and hope she continues to heal and get stronger in coming months. So far she's had four complete months off due to this injury.

She'll get a year off from true work, but we'll be doing some short (5 to 10 minutes) in hand sessions once every week from here on out. These will not be anything exciting or crazy at all, but instead will serve mostly to remind the mare that she is NOT in charge. Her herd status coupled with the time off (read: complete freedom from anything beyond getting her hooves trimmed once every four weeks) has unfortunately resulted some very rude behaviors (e.g., biting me, excessive fidgeting when tied, protest to (read: pinned ears) having her feet handled/certain body parts groomed, and constant wide-eyed and ear-swiveling concern for where her herdmates are at all times) that I absolutely do not tolerate.

I'm so relieved we've had a nice linear healing trend through these first 4+ months following the injury. I hope that this trend will continue into the future.

Tuesday, September 20, 2016

Well, F*ck.

Monday Sept. 19 I hauled Q the 5 minutes to the vet. Dan met me there because he was totally game for a learning experience and hadn't seen a lameness exam before. I was psyched to have my farrier on board with all that's going on.

We ran through the gambit of things to begin problem solving. Hind end lameness exams take time!
  • History - Noticed her slightly off toward the end of September. Chalked it up to an abscess as it's been a bad year for them. Noted that she blew a HUGE abscess in her RF shortly after. Seemed okay after, but then still noticed slight lameness. Off at the walk on steep downhills, sound at the walk elsewhere. Sound at the trot going straight on the flat with good footing, off at the trot on a circle, especially to the left. Suspect something going on with LH.
  • Walk and trot outs - first straight out and back as one would do for an endurance vetting.Could see that she was uneven behind, but obviously, inconclusive as to what/why other than the LH looking suspicous.
  • Lunging - off slightly more to the left than the right, but still inconclusive (and she was not nearly as bad as she was for last week's video so it made things hard) beyond confirming it was something in the LH.
  • Flex tests - Negative for fetlock, positive for hock, negative for stifle. 
  • Hoof testers - Some sensitivity near toe of LH, but nothing super crazy.
  • Blocks - blocked the hoof and while there was some improvement, the lameness, while subtle, was still present. Tried to block her higher and she Wasn't Having It. And so in favor of not stressing us all or injuring my vet further (Q NAILED her finger, fortunately nothing else in her fit about attempts to block higher than the hoof!), we moved into x-rays.
  • X-rays - While there is some very mild arthritis forming in the joint at the hock, it is nothing crazy at all and not something my vet would expect her to be lame from. Hoof looked good, too. (Some, not all, of the x-rays included below.)
8_Tarsus_LAT
View 1
3_Tarsus_DP
View 2
4_Tarsus_DMPLO
View 3
10_Foot_LAT
View 1
12_Foot_DP
View 2
15_Navicular_60 Degree
View 3
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Hock shots
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Live action
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Dan holding the drunk while we x-ray so I could be more involved
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Quizzical ears


  •   Ultrasound - After many minutes with this, we found a small lesion toward the head/origin of the suspensory.

Well, fuck.


Silver linings?
  • While I hate this answer and it isn't what I was expecting in the slightest, at least I HAVE an answer and a plan of action to move forward with.
  • Caught it early and didn't ride the snot out of her and make it worse. I don't know if I feel better or worse about the fact that it happened in the field and not during competition?!
  • We've got plenty of time and can go slow. 
  • Taking time and going slow through rehab will give me time to work further on trust issues with this critter in hopes that some of her spookiness will be more subdued.
  • Gives more impetus to do dressage cross-training with her. Once back riding, we could easily spend months at the walk learning so much. 
  • While I'm crushed that I won't be doing any endurance for a year or so, my ultimate goal with this horse (or any endurance horse) has never been to win races or be at the top. My goal has always been health and soundness and longevity. This mare is 10. We have 4 years of successful endurance distance completions under our belts. With the ultimate longevity goal of Decade Team, *if things go well with rehab* I've got ample time to slowly work toward that goal still. 
I may wax and wane poetically on all of this with more time. But right now, this is where I'm at and it currently feels like a huge punch in the gut coupled with my heart being ripped out. I am both shocked, surprised, and incredibly saddened.

I am choosing to be optimistic and positive with my forward thinking on this ordeal - my personality is not one that does well falling down the "What If" Hole or living in the Doom and Gloom Dungeon, so being optimistic and positive is key! I've done (and continue to do) my reading to learn more.

I've already reached out and had answers from some long-time endurance riders about dealing with this from an endurance stand point. I'm certainly interested in hearing about success stories from others in any discipline. I recognize that the timeline of healing is fluid and there will be ups and downs along the way.

For now, it looks like Griffin and Stan will be getting a LOT more saddle time for the immediate and foreseeable future! Dressage and jumping competitions in the spring??

Thursday, March 5, 2015

Kenai: 5 Years & injury update

Happy 5th birthday to my favorite guy. The best years of my life have been those spent with you. You're my partner in crime for all things, and while I regret being away for work this year and not getting to spend the day with you, I know you're in good hands. As I write this, you're probably enjoying a great nap on that big comfy couch you love so much.




This year has been rough for you...and for me. We'd successfully rehabbed from your double cruciate ligament surgery by the time your birthday rolled around last year. But things took a turn when you pulled your groin in March. We rehabbed through that successfully, too, though. I even managed to take you on some low-intensity hikes into the crag the two times I went rock climbing.

By fall you were back at it, the highlight of outdoors activities was certainly the 10 mile hike through Dolly Sods at peak autumn. You were the absolutely epitome of the perfect off leash dog on that hike. You stayed within close sight the whole time, paused when Q and I paused, and rested when Q and I rested. You were hardly even sore the next day! I was thrilled.

But then November rolled around and you tweaked something in a bad way again. The way you presented led me to believe it must be your groin - again. Despite being cautious with our level of activity, crating you for a few weeks even, you just weren't bouncing back from this second mystery injury. I was heartbroken every time I had to leave you behind when I headed for an adventure - I still am.

Despite the addition of daily pain relievers and supplements, you weren't improved much in January. I gave in and took you to the vet for x-rays to see what was up. I figured you had a full groin tear and wanted confirmation on it...but what we found out blew both the vet's mind and my own.

You'd managed to do something my vet had never seen before - you fractured a small bone called the fabella in your right knee. This bone is surrounded by ligaments and is where the vet had blindly anchored the suture during your cruciate surgery nearly 18 months prior. Somehow, you'd exerted enough force on that leg that the suture pulled through the bone, fracturing it into two pieces and loosening the suture from the knee surgery in the process.

We still aren't sure how to proceed with your rehab. You received a joint injection and an adequan shot at the vet that day and are responding well to the pain relievers you've been on for a month now. I'm trying to keep you quiet, only allowing you to move about during your bathroom breaks during the day - no great activity outside that.

It's so hard though! You're my adventure dog. You've had it ingrained in you from the first day you came home with me that you get to go everywhere with me and do all the things. Not being active is as hard for you as it is for me.

I plan to take it slow with you this year. To get that boned healed and get you strong without surgery. A year of rehab is what we're looking at, Kenai. A year of slow nothing that builds to slow something that hopefully builds slowly back into you being able to come up on the mountain with the patrol by next January.

You get to be on house arrest with minimal activity through March and part of April. If you're doing well, we'll add low intensity strength building inside. If that goes well, we'll begin short walks. From there we'll build up the length, time, and intensity of our walks. We'll hike lots of hills and mountains so you really have to use that hind end.

I hope we'll get there...I really, really, really do.

Happy birthday, Kenai. I'm glad you're in my life.

Tuesday, April 15, 2014

Kenai: Injured again!

I don't think I've mentioned it on the blog, but Kenai's injured...again.

Fortunately [I'm fairly certain] it's not his knee(s) this time! If you recall, he had double cruciate ligament surgery on both knees (hind legs) in August. He rehabbed well, setting his own pace that was right on par with the recommendations. He had associated stiffness as we extended the length of activity, but that was finally beginning to fade. Other than *still* not having his hair regrown* from where it had been shaved (waist back) for the surgery, he was nearly back to normal!

However, about a month and a half ago, he ceased use of his left hind leg (the first night Mike and I rode the horses in the creek; I suspect he tweaked himself launching up and down the steep creek banks). Shit.

I gave him a couple days to see if he'd work through it; I've freaked out about enough things with my animals to now chill out about a lot of things for a day or two before flying into freak out mode - I like to try to prevent unnecessary rises in my stress level.

Sadly, there was minimal improvement after 3 days. I quit taking him to the barn and limited his turnout at the house to try to see if that would help him bounce back. Still no improvement over a 2-ish week period. My vet had even seen him (she was at the barn for another reason) in this time period. She recommended some NSAIDs and rest, noting that she really doubted it was his knees as she's yet to have a dog she's performed that operation on blow out a knee (and a lot of those dogs are bigger, heavier, and more active than Kenai has been of late!) I proceeded with his limited turnout situation, going so far as to bar him in a small room of the apartment away from the cats so he wouldn't be tempted to play with them.

Around the 2-week mark was when Mike and I headed to MD to visit Saiph and Charles. Saiph (a vet tech) pointed out the very obvious muscle wasting in that hind leg. She noted that it was very obvious that he hadn't been using it for a time. Ugh. I could totally see it. She noted though that she really didn't think it was his knee.

When we returned from MD Kenai went into crate rest. I was worried about the leg, but really couldn't afford a diagnostic search for a solution prior to my vacation. Instead, I began palpating the leg one evening while Kenai was lying down. I stretched it and moved it within his range of motion for the knee, doing a manner of things to softly manipulate his knee as I would a patient at the ski resort. No reactions at all. I palpated, moved, and manipulated his hip and palpated his femur, as well, all the while watching his face and body for any sign of distress/pain/irritation. Nothing.

And then I palpated his groin muscles, curious after the lecture at the AERC convention on these very injuries in horses. And guess what?

I got a reaction. A strong one at that! Kenai whipped around with a yelp and made a half-assed attempt to snap at me to get me to stop (which, of course, I'd already done). I let him stand up as he'd requested, move about, then asked him to lie down again so I could see if I could replicate the reaction. A 1x reaction could have been attributed to something else, and I needed to be more certain.

I palpated more gently this time, got another yelp of surprise and a grouchy husky stare. I softened my palpation even more, and received a very grouchy look from Kenai, who struggled to stand and escape my clutches by this point.

So, yeah, I was fairly confident about a groin injury by this point! Kenai's been on crate rest ever since.

I've been gone much of that period with my vacation and now travel for work, but he's starting to use the leg consistently at the walk. I haven't seen him exert himself at a speed greater than this, and for obvious reason!

So I'm hopeful that with more time, and yet more rehab *sigh*, he'll be back to normal again. We'll see.

From internet queries about groin injuries in canines, it sounds like they are more likely to reoccur in the future (?) once they've happened initially. Fortunately, much of the rehab is like what we did for his knees, so I'm comfortable with that.

I'm sad for Kenai that he's spent so much of this last year lamed up, but cautiously optimistic that after this rehab he'll be able to resume much of his normal activities (hiking, going to the barn, etc.). The only silver lining is that summer is almost upon us, and his summer activities are more minimal than his winter ones. Summer involves lots of swimming, too, so that will be beneficial.

So, my question to readers, any further advice for rehabbing a groin strain in a dog? We'll soon be past the crate rest and into limited activities to begin building back to normal. Suggestions? Recommendations?

*Prime example of why people should *never* shave a double-coated dog!!!! It is *not* guaranteed to grow back the same! Kenai has grown back some of the fluffy undercoat, but his guard hairs are beyond sparse. This SUCKS in the winter when he's out in the snow because he gets wet and snowballs/iceballs form all over his hind end. NO BUENO.


I swear the posts on my vacation to California are coming! =)

Friday, May 3, 2013

Healing

**Fair warning, there are photos of her healing wound at the end of this post. Dom made a great point to me the other day that I should post them so others can learn from them. I will insert a line of asterisks prior to posting the photos for those who can't handle that type of thing. (-: **

Q's first night of stall rest was rough. The morning I came to check on her she was a live wire. Upon Griffin joining her in her confinement she became a completely different patient. By day 3 of confinement I joked with her as I arrived, "Q is your spirit broken?" But then I took her outside to graze and she's on super-high-Q-alert mode. Nope. No broken spirit. I think she's merely conceded to her circumstances.

Evening of day three I took the below video. Somehow I always manage to be a bumbling fool in front of a camera - this is why my brother is in theatre and I am not! It does show how she's moving well despite the injury though. (If you look close you can see the drain in her left hind near the stifle still.)





The vet came 4 days post-hospital visit to remove the drain and give Q a second dosing of Excede (an intramuscualar antibiotic). My vet's first words when she got out of her truck were how awesome Q's wound looks, how awesome she looks moving, and that I would be back to riding her in no time at all. She thought I could probably do our race (Ride Between the Rivers) in early August if I did the 30 miles. While this is great news, I still dunno that I'll move that fast. I don't know a ton about ligament healing, but I don't want to move too fast and not ever have a sound horse again. Ultimately I'll listen to my horse and move forward as she feels better. My vet said 1 more week on stall rest and the would will be nearly closed, then she can go out (she's not a horse to run around the field much at all per my BO and her observations from her house that overlooks the farm). My vet also suggested that the next step of moving forward in the healing process will be to get her moving the joint with lunging exercises at the walk and trot over trot poles and cavalettis. Nothing crazy, but enough to make her really use her range of motion in that leg.

Another huge point worth stating - Q is being such a phenomenal patient - just...wow. Not what I expected from my typically high-strung little mare who hates to be inside! The needle administering the Excede was massive, the antibiotic looked to have the viscosity of glue, and she just stood there like a champ! She wiggled a bit for the second injection, but overall was SUCH a good girl.

My vet noted that she had scratches on her left hind leg so we shaved it in prep for me to treat it with a few things that apparently do a kickass job of ridding scratches. She was a little antsy for this which led to the vet just laughing at her. In past experiences with Q my vet knows that the little mare will come to anticipate things. Q will anticipate and fret about stuff and then dance a little for no reason. Its really silly. We all just tend to step back and let her do her thing for a few seconds. Once she realizes we're not out to get her she chills out and lets us proceed.

I got instructions for treating the scratches and instruction for cleaning her wound in coming days. If I can keep the part where the drain went out clean and open, things will heal up even better. I followed both sets of instructions the evening after the vet visit. Q did her silly anxiety dance for a bit, and then settled in, letting me clean, massage, and treat both her wound and the scratches. By the end of it she was even standing with all her weight on that left (injured) leg and cocking her right hoof. I'd say she feels pretty good!

Wednesday and Thursday evenings I even trusted her enough to just turn her out with halter and catch-rope (read: lead rope dragging) to graze while I cleaned the barn. She and Griffin, despite being turned in all day were so mellow the past several times out together that I was confident she'd do nothing. And she didn't....Wednesday night. Thursday night however her turnout buddy was Oliver and I got to see the crazy-horse he is deep deep down inside (seriously, this horse has always been super mellow) as he careened and cavorted like a complete and total madhorse around the barnyard. She ignored his antics almost the whole time. She's walk fast after him, but was mostly unconcerned. But then, yes THEN, he herded her out of the barnyard, into the front yard, and chaos ensued. She trotted and cantered like a little madhorse with him, and then cantered and galloped from the yard all the way to the opposite end of the barnyard again. -_- Oliver lost all of his volunteer stallrest duties and Griffin was re-appointed. She was sound on the leg after all of this nonsense, but it was enough to give me a mild heart attack.

Overall, I'm so happy (and relieved) that she's healing so well. She is young. She is fit. And because of those two things she'll move forward from this injury faster than another horse may. This experience has been stressful (and expensive), but I'm taking away a lot of learning from it.


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Day of injury; note the dark red dot along the bottom of the left corner; that is what
remains of the vein that was severed during the injury. So thankful it wasn't one of the
more obvious larger veins or arteries in that leg!!
Day of injury
Day of drain removal - pre-removal
Day of drain removal - pre-removal
Immediately post-removal of drain
Immediately post-removal of drain
1 day post-removal of drain
1 day after drain removal (everything always looks bad with a flash!) wet because I'd just cleaned it
The "drain" one day post-removal of the drain.

Monday, April 29, 2013

No Frills 30

Oh how I thought I would be writing a story so different from the one I'm about to tell. I've spent most of today recovering physically and mentally from yesterday's events. It was such a high-stress time that I didn't have much time to really sit around and let it sink in until now. I've slept 13 hours since finally getting home shortly after midnight last night. I've tended the mare twice, and now I sit here ready - I think - to tell this story.

: : : : :

Friday dawned early. I was to the barn by 7a to have Q ready for Jen's arrival between 7:30a-8a. I pulled her out of the field with little issue after the previous day's baby hormones. She was mostly back to herself it seemed. I gave her a flake of hay to encourage that good behavior and brushed her awhile as we waited on Jen.

A couple minutes before 8a Jen pulled in the drive. I could hear banging coming from the trailer and see it rocking behind her truck as she pulled up to the barn. She wasn't kidding, I thought, Eagle really does hate being on that damn trailer alone. We loaded up my water, hay, and saddle then moved to get Q loaded. She trotted around me like a little mad woman as I walked her to the rocking, banging, neighing trailer. Jen opened the window to grab her lead and tie it when she got on, and I sent her on. She self-loaded beautifully. I was so proud of her. Eagle immediately ceased all of his antics with his new lady friend aboard.

Jen showed me how her husband had built bunks in her small living quarters and she had plenty of room for all of my stuff + Kenai. We quickly took all of my things in my car and moved them to her truck/trailer and were on the road by 8:15a. Not too shabby.

We pulled into ridecamp right around 11a after only stopping one time along the way. Camp was small. Tight quarters. Designated parking places. Limited space for corrals. We were able to get camp set up pretty quickly though. We checked in after we'd settled camp and then sat around talking and snacking as we awaited the 3p vet-in. Q and Eagle fell in love pretty quick as they munched away on their alfalfa flakes. Jen ended up taking a nap and I sat reading and sunning myself. The weather was beautiful.

Q vetted in at 3a with all A's and a pulse rate of 52. She trotted out very nicely for me and didn't run the vet over. I was really proud of how well behaved she was for the entire check. Such a good girl.

: : : : :

Jen and I saddled up Eagle and Q and headed out with another rider to get in a few miles and see how the horses felt. We rode this whole time on gravel roads. I discovered that Q finds gravel roads very boring. The other two horses have really big trots. While Q absolutely can trot like that, too, she definitely prefers to just canter. It made me chuckle a bit. We did have a few stretches where everyone cantered, too. Q's inner competitive spirit came out as she surged past both of the other horses we were with. Each of us was laughing at her. She thinks she's such a hotshot sometimes.

About halfway through our ride, Jen really became concerned with Eagle. He was a little off on his left hind and she couldn't figure out why. She rides him barefoot, but puts shoes on him for really rocky rides like No Frills. She wondered if he was just mad about the shoes. He gets really angry anytime his tack is changed at all. He's been the hardest horse she's ever had to train out of hundreds she's started over the years for herself and others. He's a superstar though, so working through his difficulties has been worth it.

She had a vet look at him when we got back to camp and decided she wasn't going to run him the next day. He wasn't breaking over right on that left hind when he moved out at a walk. It wasn't noticeable until he walked downhill. The vet thought he might have felt a little heat in the fetlock, but it was so hard to tell. It was determined to likely be a minor sprain. He's set to run the 100 at the Biltmore FEI ride this weekend upcoming, so pulling him out of the running for the 30 was the safest bet.

The ride dinner and meeting went without issue and Jen and I were in the bunks for bed by 8p. The night was a little cold, but I slept fairly well despite it.

: : : : :

Saturday dawned earlier than I'd hoped. Jen and I were up around 5:30a. I putzed around for awhile not wanting to get out of bed and confront the cold. She assured me it wasn't too bad outside. I mustered up the
strength and got out of bed and headed to confront the day.

The 50s were set to start at 7a and the 30s at 9a. Talk about luxury distance! I gave Q her grain concoction and went up with Kenai to get myself a muffin from ride management. I went back to our camp to get my phone and then took Kenai on a walk for awhile away from camp so he could be off leash (he basically won't poop on leash). I nommed my muffin, drank some juice, and perused the internet with my phone while he explored for awhile and did his business. We went back to camp in time for me to tie him at our camp and go watch the 50 milers head out.

Jen left with the volunteers to go to the away vet check for the day right after the 50s left and I mosied back down to our camp to lazily get dressed and ready for my start. I rearranged and removed some of what I usually carry in my saddle bag to make it a little lighter, booted Q up, then tacked her up. She was a little antsy, not wanting to stand still, but no other antics as we awaited the start. I was really pleased with her.

Ride time reached 9a and the trails were opened. The front runners headed out and I ended up leaving with a small group of riders after that. I knew we were far from leaving camp last, but those leaving later weren't even mounted and I didn't much want to wait around, so off we went.

We had an easy trot up the gravel road to the top of the mountain where we veered left into the woods along the ridgeline. There were so many downed trees along the first mile of this trail. Q and I were having an absolute BLAST jumping them. I wish we hadn't been in a group of riders so I could have let her just tackle them all out. It was so much fun. Those jumps really pepped her up and got her into a great mindset for traveling along.

The ridgeline single track popped out at a firetower where we then followed along a FS road for awhile until turning back into the woods about a mile down the ridgeline. We were riding right along the WV-VA line. The vistas to our left were of VA and to our right were of WV. Not a cloud in the sky, a light breeze, and temps in the upper 60s. It was stunning. I was beyond happy and Q was moving out incredibly well.

The Virginia side; not the redbuds
in bloom at the valley-bottom
We crossed Rt. 55 and continued in the woods along the Tuscarora Trail that followed the stateline high up on a ridgeline. So. Flipping. Beautiful. Rocky, sure, but nothing too crazy. All typical for this part of the country.

Q was moving out beautifully. We had partnered up with another rider and her little Arab filly who was doing her first ride. Q and the filly made a great team. Both the other rider and I were snapping tons of photos as we trotted along. The pace was probably around 6-6½ mph. pretty quick but so much fun. There really weren't a lot of up and downs, just ridgeline riding with rocks to navigate.

We'd reached the rockiest section of the trail yet around 6 miles out. We'd slowed to a walk to let the horses navigate the terrain better. A rock lodged in the trail ahead like a step down looked like it would be pretty tricky to navigate. The filly in front of us put both her front feet on it and slid down. It looked rough and I hoped Q would do a better job of navigating it. I checked her speed to an even slower walk before she got to the rock. She got her front feet down it just fine, but then she got confused (I think?) with her hind feet. She lurched to the left as she took a misstep with the hinds and then as she walked away from it she was off in the back end.

I looked down to see blood on her left hind stocking. Fuck.

I got off and found a sizeable cut on the medial aspect of her left stifle. I grabbed a water bottle from my pack and flushed the wound within 60 seconds of it happening. I could see the fascia of muscle, but nothing crazy beyond that. A vein had been sliced, but it was small. Blood spurted from it all the same. I noted that the cut had missed a larger vein by less than a half inch and thanked my good fortune that it hadn't cut up there.

I told the lady on the filly that I was done and for her to head on. I pulled Q to the side of the trail, cursing myself for taking out the cravat I'd had in my saddle pack that morning. I zipped it open to find I did have a medical sponge/scrub, and an ace bandage. I tied Q to a tree alongside the trail and proceeded to try to wrap the cut.

Riders kept coming by and gasping at the amount of blood. It looked a lot worse than it really was because of her white stocking now being red. I was concerned, but not very worried. My medical training with ski patrol has taught me a lot about wounds and I was confident this was not a life threatening one - but it would be tricky to get it to clot because I couldn't get a bandage to wrap on the area.

Riders kept riding by, freaking out, asking if there was anything they could do, giving me vet wrap, asking my
The bandages a day later. These really emphasize the amount of blood.
number to report to management, etc. etc. Great folks. Big thanks to all who stopped to check on me and special thanks to the lady who held Q still for a bit while I tried to wrap the wound.

I realized after a few attempts that nothing was going to stay on the laceration because of its location. I opted to just start walking and get her to the vet check. We were 4 miles away. I flushed the wound once more and then started hiking.

She was sound on the leg and with time the bleeding slowed. The blood coagulated as it clotted around the wound and the vein. Q didn't seem to understand why we'd stopped, why I was walking, and why she couldn't keep going like she had been. She was completely unperturbed by the riders that passed and kept going. Walking up a few little hills along the ridgeline she tried to run me over so I finally opted to hop back up and ride for a bit.

I hopped back off a few minutes later, checked and flushed the wound again, and continued hiking. With time we reached the end of the ridgeline and headed down a super steep, rocky hill. Q was polite and respected my space as I scrambled down it not nearly as gracefully as she did. I even fell at one point, doing a front somersault and Q just stopped and looked down at me with a Well, that was graceful, Liz, now what exactly are you doing on the ground? look.

The steep ended at a gravel road about a mile out from the vet-check. Q's wound had stopped bleeding at this point. I hopped on Q and rode her up the road, wanting to get to the vet-check by the 11a cut off just in case the wound proved to be superficial and something we could continue with. (I really doubted it, but us reaching the vet-check by 11a was definitely feasible.) Our in time was 10:57a.

The in-timers were astonished by the blood down Q's leg. Even more than that though, they seemed surprised at my lack of great concern for it. I explained my ski patrol training to them, explained what the wound had appeared as, and told them why I wasn't super freaked. They just sort of nodded at me and I continued down to get Q's pulse. She was a little high, so I headed up to get her sponged off and find Jen to get her opinion.

Jen waved and came right over when she saw me. She agreed that as long as Q was sound that it certainly looked like a superficial wound that I could continue with (she's been around the block and then some with rides and I definitely trust her judgement). We sponged Q and she came down really quickly to 60 bpm. As Jen and I walked her down the hill we noted that she was a little off on that left hind. I wasn't too surprised and was happy that she was finally being honest about how it hurt instead of being superpony and pushing through. I called forward to the vets as we approached that I was done and we were going to need a ride back to camp to the treatment vet to get the wound looked at and stitched up. Her vet-out was Ds on impulsion, gait, and wounds, As on everything else.

With 10 miles, our attempt at the No Frills 30 was thwarted. It was starting to sink in that I wouldn't get to continue riding those beautiful trails that day and I was really sad about it. It was just so pretty! I had really been loving every second of our ride. I was really, really sad I wouldn't get to spend the rest of the day out there. Beyond my sadness though I was so thankful that she wasn't more seriously injured. That we would be able to get stitches, have a week or two off, and then plug away and be back at it for the Old Dominion in June.

I led Q back up to the area of the check that had food to get her something to eat before we headed back to ridecamp on the trailer. A volunteer got her some carrots (the biggest EVER) and some grain. She dug right in and I sat beside her while she ate, sipping on a bottle of water. I could hear other volunteers talking about "the rider with the cut horse" nearby. I guess they didn't notice how close I was. They were talking about how bad the horse looked but how awesome it was that the rider was a ski patroller and knew that the horse would be okay; they had a few other really nice things to say. Sometimes its nice to hear people say things like that. I was still sad at this point, but happy that others respected my decision-making skills.

: : : : :

Back at ridecamp, I dumped my stuff in a heap, unloaded Q, and headed over to the treatment vet. She had to finish checking on a horse from the 50 that had tied up (he ended up recovering and was okay) before she could assess Q. When she finished we moved Q to the shade, sedated her, and the vet set to inspecting the wound. She probed it and found that it the incision extended toward the ground under the skin about 1¼ inch. She was concerned that the joint might be compromised. It was hard to tell without radiographs and ultrasound if the joint had been compromised. If it had been affected, she would need to have surgery to have it levaged in order to minimize the chance of the joint losing functional capabilities.

Visible injury with dotted line
depicting the extent of the wound
What seemed like such a relatively minor injury just got really complicated.

The treatment vet noted that she could definitely stitch or staple it up, but she had to let me know about the risk of this. She offered to refer me to the equine hospital in Leesburg. I had her call the vet there and I talked to her, got price estimates for what could happen. Part of me wanted to go home to our normal vet, but she was out riding and didn't have cell service so I couldn't get ahold of her to get her opinion. I had the volunteers radio to the vet-check to get Jen to come back to ridecamp.

Waiting on Jen, I talked more with the vet about what could be happening and had her discuss my options again and again. I was really starting to get scared and was thankful I had on sunglasses to hide the tears that were forming. I really started to get scared that something serious was happening. Should I go to the vet hospital? Could I afford that? Was it worth it to potentially pump upwards of $6k into Q?

Jen arrived and assessed the situation. She called one of the other vets we both knew (the uncle to my normal vet, actually) and he noted that time was of the essence for these kinds of things. Jen told me that if this was Eagle she would definitely go to the hospital. "Okay," I said, "Then let's go."

The treatment vet called Leesburg to let them know we were coming. Jen and I packed up camp in record time. She put Eagle in the property owner's round pen. We loaded Q and headed out.

: : : : :

We were both so freaked the whole drive over. We tried to distract ourselves, but the looming question of how bad this actually was silenced our conversations frequently. I had messaged and called a multitude of friends letting them know what was happening, trying to get answers, and letting others know so they could send positive energy our way. (Thank you, thank you, thank you, all.)

With only one minor wrong turn ,we made it to the hospital. The team was awaiting our arrival and helped us unload Q and get her into the treatment room. I basically turned a very well-behaved Q over to their team and just watched answering their questions as they asked them. They ushered Jen and I out and prepped radiographs.

Jen and I wandered around the halls outside the room for what seemed like forever. She shared stories. I listened. We both danced around and contorted our bodies trying to figure out how in the hell Q hurt herself the way she did. We decided it must have been a stick or something similar.

I realized that whenever they called us back in I would find out news that could potentially change the rest of my life with this horse. It scared me to think about it that way, but the gravity of the moment wasn't lost on me.

And then they called us in.

In a British accent I heard the words, "Well, we didn't find anything wrong with the x-rays. The bones aren't compromised. The radiographs look really good."

RELIEF. Relief washed over me. They'd already shaved the area around the wound and were prepping it.

Sweet, sweet girl.
"So what's this mean?" I asked, "A week or two recovery and a month or so off?" "Yeah," he replied, "The wound extends a lot further than we thought, so probably a week on stall rest and 4-5 weeks until you put her back to work. *the doctor proceeds to insert his entire finger into Q's leg following the wound just under her skin and tracing it down her leg* I used my finger instead of the ultrasound to help save you money....*he makes an odd face as he's feeling something in her leg*...and it feels, hmm. *he mutters a few anatomy terms* Patellar ligament. She's got a knick on her patellar ligament, too."

"What's that mean?" I ask again. "Well, now we're looking at probably 2 weeks of stall rest and then 3 months off work to let that ligament heal completely," he tells me. Okay, I can handle that.  He continues, "So the way this wound is we're going to have to put a drain in. We're also not going to stitch the top closed because it will likely become very granular as it heals and would probably burst open in a few days anyway. The way it extends down her leg into this area *he points* we will need to put a drain in so that all the fluid can get out as its healing. The flap of skin hanging off of the upper part of the incision will likely die off." No surprises on that. Okay, sounds good.

Blue line shows where the injury extended
under the skin. The white is the drain.
Coagulated, dripping blood coming from
the point of exit.
The team inserted the drain (after the second doctor inserted her finger to feel the ligament that had been partially cut for learning purposes - in trying to find it she was fondling the top of Q's tibia...holy crap), prepped the leg up nice, and then left Jen and I with Q while they went to do paperwork. Jen's phone had been ringing off the hook with friends from home and from ridecamp calling to check up on Q. Between calls we discussed how lucky it was that nothing more had been affected by the cut and what the hell could have cut her that deep!? It almost had to have been a stick. And her ligament?! It cut her ligament!? How so very fortunate that nothing else happened!

Q woke up from the sedation, paperwork and instructions for care were given, and we loaded up (after a couple members of the team cooed over Kenai) and headed to get Eagle and go home.

: : : : :

We pulled into the barn around 10:30p. Fortunately for me (and Q) the foaling stall that had been set up for Calamity was never used (she had the foal in the round pen) and was prepped and ready for Q. I was able to put her in there, get all my stuff out of Jen's rig and into my car and be gone by 11p.


                                                                  SUCH A LONG DAY.

: : : : :

Sunday I went out to treat Q and give her bute once in the morning and once in the evening. D warned me that when she wen to check on her earlier this morning that Q tried to jump out of the stall when she opened the top of the door. I went down with this in mind and subdued her before any attempt at lift-off could be made. She. Was. WIRED.

I walked her around the barnyard for awhile letting her hand graze. I tied her outside and brought Griffin in
(since he was at the gate) to stand with her while I cleaned her stall. I decided to leave him in the barn in the round pen with her to help her not be so upset about being alone.

The swelling is localized around the wound, nothing crazy happening with the rest of the leg and she's walking sound on it. She's pissed she has to stay inside and doesn't really understand why. I did buy her a boombox though so she can have radio to listen to in addition to having Griffin in the barn with her. That little colt is worth his weight in gold.

When I went out tonight, Q was so much calmer than she'd been in the morning. I got both her and Griffin out, tied them, cleaned their areas, brushed them, cleaned Q's wound around the drain, buted her, fed them, put them back, turned the radio on and left.

This stall rest thing sucks, but I'm hoping we can get through it.
Time off riding/working and my whole summer season in the shitter sucks, but I'm so so so so thankful that she's not hurt worse. She's going to be okay. I'll be able to start working her late summer with the goal of trying the Fort Valley 30 at the end of October if things progress smoothly. She'll have two solid months off of riding and then in July I will start doing some light riding at the walk with a lot of bending and flexing exercises. Jen and I noted when she was on a hard level surface at the hospital that she's buck-kneed on her left front knee. Its not awful, but it is there. (This totally explains what I've been seeing in her hooves.) Jen noted that I need to be certain she's trotting both diagonals and cantering both leads because with time its likely she'll compensate for that leg with the opposite hind.  Gotta keep the little girl balanced!

I've recovered all day today and am finally able to wrap my mind around everything that's happened. It was intense yesterday. Really intense. I never in a million years thought I'd be going to the equine hospital. I'm just so so so very happy that fortune shined upon us and nothing super serious was wrong. I'm thankful for the expertise of the doctors at the hospital finding the ligament injury, too. If I'd proceeded with one of the other options I likely wouldn't have found out about the ligament and would have brought her back into work, too soon, potentially compromising the joint for life. What happened on the trail was a freak accident that could have happened to anyone. I'm just so thankful and fortunate that things weren't any worse than they were.

Love this sweet, sweet, honest little mare and I love that little colt who is taking his voluntary stall rest like a champ so far.

Watching the commotion Saturday morning