Care of the Equine Athlete - ssequineclinic.com of the Equine Athlete Mark T. Reilly, DVM, Dipl....

Care of the Equine

Athlete

Mark T. Reilly, DVM, Dipl. ABVP (Equine)

Linda J. Cimetti, DVM

South Shore Equine Clinic

& Diagnostic Center

Care of the Equine Athlete

Care of the Equine Athlete

South Shore Equine Clinic & Diagnostic Center

151 Palmer Road Plympton, MA 02367

(781) 585-2611

www.ssequineclinic.com

Care of the Equine Athlete

Basic husbandry

Vaccines

Shoeing

Deworming

Dentistry

Care of the Equine Athlete

Basic husbandry

Vaccines

Shoeing

Deworming

Dentistry

Care of the Equine Athlete Timing of Vaccination

Spring

Fall

Prior to Shipping

Prior to Exposure

After Exposure

Annually vs. Biannually

vs. Tri-annually

Strategic VaccinationDiseases to vaccinate against :

Influenza

Rhinopneumonitis (Herpes)

Rabies

Eastern/Western Encephalitis

West Nile Encephalitis

Tetanus

Potomac Horse Fever

Strangles (Strep. Equi)

Care of the Equine Athlete

Basic husbandry

Vaccines

Shoeing

Deworming

Dentistry

Care of the Equine Athlete

Shoeing

4-6 weeks

Therapeutic

Prophylactic (Pads)

Discipline

Care of the Equine Athlete

Basic husbandry

Vaccines

Shoeing

Deworming

Dentistry

Care of the Equine Athlete

Deworming

Internal parasites (worms) can cause extensive internal and external damage to your horse

Annual intestinal parasite exam

Care of the Equine Athlete Basic husbandry

Vaccines

Shoeing

Deworming

Dentistry

Care of the Equine Athlete Performance

Dentistry

Floating the teeth to maximize

the performance of that

horse both in mastication

and when ridden

(differentiate from the practice

of simple removal of sharp

points)

Care of the Equine Athlete

Nutrition

Good quality forage

Grass Hay

Timothy/Alfalfa

Care of the Equine Athlete

Nutrition

Grain

Complete pelleted feeds

Sweet Feed

Specialized Diets

Fat/Carbs/Protein

Care of the Equine Athlete

Nutrition

Supplements

Joints

Muscles

Hoof

Vitamin Supplements

Blood builders

Care of the Equine Athlete

Nutrition

Joint Supplements

Chondroiten Sulfate

Glucosamine

MSM

PSGAGs

Ascorbic Acid

Hyaluronic Acid

Care of the Equine Athlete

Nutrition

Supplements – Muscle

Omega 3 Fatty Acids

High Fat (PSSM)

Creatine

MSM

Organozynol (Gamma

Grow)

Care of the Equine Athlete

Nutrition

Hoof Supplements

Methionine

Biotin

Zinc

Care of the Equine Athlete

Athletic Training

Veterinary Care /

Maintenance

Care of the Equine Athlete

Athletic Training

Care of the Equine Athlete

Athletic Training

Care of the Equine Athlete

Athletic Training

Care of the Equine Athlete Athletic Training

WALK

Care of the Equine Athlete

Athletic Training

TROT

Care of the Equine Athlete

Athletic Training

CANTER

Care of the Equine Athlete

Athletic Training

CANTER

Care of the Equine Athlete Athletic Training

TOPICAL TREATMENTS

Care of the Equine Athlete

Athletic Training

TOPICAL TREATMENTS

Care of the Equine Athlete

Athletic Training

TOPICAL TREATMENTS

Care of the Equine Athlete Athletic Training

TOPICAL TREATMENTS

Care of the Equine Athlete

Care of the Equine Athlete

Veterinary Care /

Maintenance

Care of the Equine Athlete

Veterinary Care /

Maintenance

Care of the Equine Athlete

Veterinary Care /

Maintenance

Diagnostics

Therapeutics

Prognostics

Care of the Equine Athlete

Veterinary Care /

Maintenance

Diagnostics

Physical exam

Lameness exam

Care of the Equine Athlete

Veterinary Care /

Maintenance

Diagnostics

Radiographs

Care of the Equine Athlete

Radiographs

Show primarily

bone pathology

Arthritis

OCD

Fractures

Care of the Equine Athlete

Radiographs

Bone evaluation

Local therapy

Medical

Surgical

Prognosticate

Care of the Equine Athlete

Veterinary Care /

Maintenance

Diagnostics

Ultrasound

Care of the Equine Athlete

Ultrasound

Shows primarily soft tissue structure

Tendons, ligaments

Joint surface evaluation/cartilage

Limitations

Soft tissues within the hoof

Care of the Equine Athlete

Advanced Diagnostics

Nuclear

Scintigraphy- Shows areas of active bone

or soft tissue remodeling

- Sensitive, not specific

Care of the Equine Athlete

Advanced Diagnostics

Magnetic Resonance

Imaging (MRI)

- Shows bone, tendon,

ligament, some cartilage

- Very sensitive and specific

Care of the Equine Athlete

MRI

Excellent for identifying

pathology within the

hoof

Targeted therapy

Care of the Equine Athlete

MRI

Identify lesions not

visible on radiographs

Cysts

Bone edema or

hemorrhage

Fractures

Care of the Equine Athlete

MRI

Identify lesions unable to

be visualized with

ultrasound in foot

DDFT

Impar Ligament

Collat. Sesamoidean

Ligament of Nav. Bone

Collateral Ligaments

Care of the Equine Athlete

MRI

Limited ability to

scan above fetlock

in standing horse

Cooperative

Height

Anesthetized

Care of the Equine Athlete

Advanced Diagnostics

Thermography

Sensitive, not

specific

Temperature

Dependent

Care of the Equine Athlete

Veterinary Care / Maintenance

Diagnostics

Therapeutics

Prognostics

Care of the Equine Athlete

Veterinary Care / Maintenance

Therapeutics

Systemic

Local

Care of the Equine Athlete

Therapeutics

Systemic - NSAIDs

Bute

Banamine

Ketofen

Robaxin

Care of the Equine Athlete

Therapeutics

Systemic - Joint TreatmentsPSGAG’s

Hyaluronic Acid

* Injectable glucosamine

≠ Adequan

Care of the Equine Athlete

Therapeutics

Local

Topical

Joint Injection

Soft tissue

Injection

Care of the Equine Athlete

Therapeutics

Local

Topical

Joint Injection

Soft tissue

Injection

Care of the Equine Athlete

Therapeutics

Local

Joint Injections

Care of the Equine Athlete

Local Therapeutics

Joint Injections

Combination HA/steroids

Hyaluronic Acid

Depo, Vetalog

Interlukin -1 Receptor Antagonist Protein (IRAP)

Care of the Equine Athlete

Therapeutics

Local

Joint Injections

Which joints?

With what?

Care of the Equine Athlete

Therapeutics

Local

Joint Injections

Which joints?

With what?

Example - hock

Care of the Equine Athlete

Therapeutics

Local

Focused

Extracorporeal

Shockwave Therapy

Improves blood flow

and speeds up healing

Care of the Equine Athlete

Focused

Extracorporeal

Shockwave Therapy

Soft tissue injuries,

hock arthritis,

ringbone, backs

Care of the Equine Athlete

Therapeutics

Local/Targeted

Soft Tissue

Injections – PRP

Platelet Rich Plasma

Care of the Equine Athlete

Therapeutics

PRP Injection

Local infiltration

of growth and

healing factors

Stagnant lesions

Care of the Equine Athlete

Therapeutics

Systemic

Local

Alternative

Chiropractic

Acupuncture

Mesotherapy

Care of the Equine Athlete

Therapeutics

Alternative

Systemic

Local

Care of the Equine Athlete

Veterinary Care /

Maintenance

Prognostics

Historical

Follow –Up

Care of the Equine Athlete

Prognostics

Adherence to

Rehabilitation Plan

is imperative for

treatment success!!

Care of the Equine Athlete

Care of the Equine Athlete

Questions? Comments?

REMINDERUpcoming client education seminar

Joint Disease and Non-Surgical Joint

Therapy

April 11, 2007, 5:30 pm