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!

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.

Quick Q Update

Q's ~60 day ultrasound was yesterday to see where we are with healing of her suspensory.

No huge miracles have occurred, but the suspensory is looking better and showing more organization. It is absolutely NOT worse. Improvement > worsening condition.

All she really needs is time it seems. So, while patience sucks, that's what we are doing! Two months down....ten to go.

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.)

View 1

View 2

View 3

View 1

View 2

View 3

Hock shots

Live action

Dan holding the drunk while we x-ray so I could be more involved

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??