Care of the Equine Athlete - ssequineclinic.com 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

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

Linda J. Cimetti, DVM

South Shore Equine Clinic

& Diagnostic Center

Care of the Equine Athlete


South Shore Equine Clinic & Diagnostic Center

151 Palmer Road Plympton, MA 02367

(781) 585-2611

www.ssequineclinic.com


Basic husbandry

Vaccines

Shoeing

Deworming

Dentistry


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)


Basic husbandry

Vaccines

Shoeing

Deworming

Dentistry


Shoeing

4-6 weeks

Therapeutic

Prophylactic (Pads)

Discipline


Basic husbandry

Vaccines

Shoeing

Deworming

Dentistry


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)


Nutrition

Good quality forage

Grass Hay

Timothy/Alfalfa


Nutrition

Grain

Complete pelleted feeds

Sweet Feed

Specialized Diets

Fat/Carbs/Protein


Nutrition

Supplements

Joints

Muscles

Hoof

Vitamin Supplements

Blood builders


Nutrition

Joint Supplements

Chondroiten Sulfate

Glucosamine

MSM

PSGAGs

Ascorbic Acid

Hyaluronic Acid


Nutrition

Supplements – Muscle

Omega 3 Fatty Acids

High Fat (PSSM)

Creatine

MSM

Organozynol (Gamma

Grow)


Nutrition

Hoof Supplements

Methionine

Biotin

Zinc


Athletic Training

Veterinary Care /

Maintenance


Athletic Training


Athletic Training


Athletic Training

Care of the Equine Athlete Athletic Training

WALK


Athletic Training

TROT


Athletic Training

CANTER


Athletic Training

CANTER


TOPICAL TREATMENTS


Athletic Training

TOPICAL TREATMENTS


Athletic Training

TOPICAL TREATMENTS


TOPICAL TREATMENTS



Veterinary Care /

Maintenance


Veterinary Care /

Maintenance


Veterinary Care /

Maintenance

Diagnostics

Therapeutics

Prognostics


Veterinary Care /

Maintenance

Diagnostics

Physical exam

Lameness exam


Veterinary Care /

Maintenance

Diagnostics

Radiographs


Radiographs

Show primarily

bone pathology

Arthritis

OCD

Fractures


Radiographs

Bone evaluation

Local therapy

Medical

Surgical

Prognosticate


Veterinary Care /

Maintenance

Diagnostics

Ultrasound


Ultrasound

Shows primarily soft tissue structure

Tendons, ligaments

Joint surface evaluation/cartilage

Limitations

Soft tissues within the hoof


Advanced Diagnostics

Nuclear

Scintigraphy- Shows areas of active bone

or soft tissue remodeling

- Sensitive, not specific



Magnetic Resonance

Imaging (MRI)

- Shows bone, tendon,

ligament, some cartilage

- Very sensitive and specific


MRI

Excellent for identifying

pathology within the

hoof

Targeted therapy


MRI

Identify lesions not

visible on radiographs

Cysts

Bone edema or

hemorrhage

Fractures


MRI

Identify lesions unable to

be visualized with

ultrasound in foot

DDFT

Impar Ligament

Collat. Sesamoidean

Ligament of Nav. Bone

Collateral Ligaments


MRI

Limited ability to

scan above fetlock

in standing horse

Cooperative

Height

Anesthetized



Thermography

Sensitive, not

specific

Temperature

Dependent


Veterinary Care / Maintenance

Diagnostics

Therapeutics

Prognostics


Veterinary Care / Maintenance

Therapeutics

Systemic

Local


Therapeutics

Systemic - NSAIDs

Bute

Banamine

Ketofen

Robaxin


Therapeutics

Systemic - Joint TreatmentsPSGAG’s

Hyaluronic Acid

* Injectable glucosamine

≠ Adequan


Therapeutics

Local

Topical

Joint Injection

Soft tissue

Injection


Therapeutics

Local

Topical

Joint Injection

Soft tissue

Injection


Therapeutics

Local

Joint Injections


Local Therapeutics

Joint Injections

Combination HA/steroids

Hyaluronic Acid

Depo, Vetalog

Interlukin -1 Receptor Antagonist Protein (IRAP)


Therapeutics

Local

Joint Injections

Which joints?

With what?


Therapeutics

Local

Joint Injections

Which joints?

With what?

Example - hock


Therapeutics

Local

Focused

Extracorporeal

Shockwave Therapy

Improves blood flow

and speeds up healing


Focused

Extracorporeal

Shockwave Therapy

Soft tissue injuries,

hock arthritis,

ringbone, backs


Therapeutics

Local/Targeted

Soft Tissue

Injections – PRP

Platelet Rich Plasma


Therapeutics

PRP Injection

Local infiltration

of growth and

healing factors

Stagnant lesions


Therapeutics

Systemic

Local

Alternative

Chiropractic

Acupuncture

Mesotherapy


Therapeutics

Alternative

Systemic

Local


Veterinary Care /

Maintenance

Prognostics

Historical

Follow –Up


Prognostics

Adherence to

Rehabilitation Plan

is imperative for

treatment success!!



Questions? Comments?

REMINDERUpcoming client education seminar

Joint Disease and Non-Surgical Joint

Therapy

April 11, 2007, 5:30 pm

Documents

Care of the Equine Athlete - ssequineclinic.com of the Equine Athlete Mark T. Reilly, DVM, Dipl. ABVP (Equine) Linda J. Cimetti, DVM South Shore Equine Clinic & Diagnostic Center