SARAH: "I have a horse who was recently diagnosed
with navicular disorder.
Can you explain this in simple terms?
He's being managed by the farrier
and is currently sound and ridable.
Would any of your supplements serve my horse well?"
The reason I picked this question is my Quarter Horse,
Cody, who is going to be 28 April 1st, has had,
since he was probably six years old,
on and off lameness issues in his front end,
which was initially referred to as navicular disease.
Was then referred to as navicular syndrome,
and then by later vets and articles
that I was reading, caudal heel pain syndrome.
And so has a whole evolution of names and terminology.
And this is something that I've done a lot of reading on.
And I think there are a lot of people out there
who could benefit from hearing this answer.
DR LYDIA GRAY: Well, here's what I have found,
that navicular disease, it's generally
accepted that that refers to the actual navicular bone.
So progressive degeneration of the bone, usually because
of circulatory reasons.
When the term "navicular syndrome"
is used, then it refers to, like you said, can be heel pain,
it can be caudal third of the hoof pain,
it can be-- there's lots of terms for it,
but the point is it's more structures could
be involved than just the bone.
And what structures are we talking about?
And I don't know if you found this out,
but we use ultrasound.
We use x-rays or radiography.
MRI is very handy for this, and CAT
scans, to say that the coffin joint, the coffin
bone, the navicular bursa, which is a little fluid
filled sack between the navicular bone,
and the deep digital flexor tendon.
Could be that.
There's a couple of ligaments down there,
the impar ligament, the collateral sesamoidean
ligament.
So now we're learning through this enhanced imaging,
that we have now that we didn't have 10, 20, 30 years ago,
that it might not be the bone that's
causing horse's discomfort, usually in the front legs,
it could be one of these other structures.
And it could be a joint or soft tissue.
So now, the treatments that we've had, many of them
to increase circulation in the foot, some of them
for bone rebuilding, like the new bisphosphonates,
the Tildren and the Osphos.
If the problem isn't bone, then they're
not going to be helpful.
So my advice for anyone that's got a horse with navicular
is you've got to find out what structure
is affected, because you could be chasing squirrels.
Is that the saying?
You could be chasing things, and spending money,
and going around and around and not helping your horse
for a long time.
So that's why the ultrasound and the MRI,
it might seem like a lot of money upfront,
and a lot of work, because you have to go somewhere.
But it's worth it in the long run,
because they might say what your horse has
will be helped by a joint injection, tendon
support, something for the bursa specifically.
We need to get in there with some ingredients.
So there's lots of prescription medications
that your veterinarian can choose from, once they
know what the issue is.
And it will also help you tailor your supplement program
in conjunction with your veterinarian.
I think discomfort is something that we want to address,
no matter what it is.
So there's nonsteroidals for this
that can be given systemically or topically, like Surpass.
And then there's things people love,
Devil's Claw, and yucca, bromelain, MSM, Omega 3s hardly
ever wrong, maybe never wrong.
There's lots of ingredients.
And I would encourage you to go on our website
and read reviews, because I go on there and I read stuff.
And people choose maybe one of our SmartSupplements,
maybe another one, another brand,
and they found great success with their horse
in relieving discomfort.
So they're like "At least I can help manage him and not
have him feel so bad while we're working this out."
But you have to get your farrier involved
and work on trimming and shoeing,
and maybe a footing change, maybe a discipline change,
maybe you need to look at your turnout and your exercise
program.
So it's kind of a holistic view you have to take.
But we're learning, because of enhanced imaging,
there's a lot more to navicular than we used to think.
So there's lots out there.
I would encourage you to get a diagnosis.
SARAH: I strongly second that recommendation.
And I agree exactly with what you said.
It can seem intimidating upfront that getting
the right diagnosis seems really expensive.
Not more expensive than treating the wrong problem.
DR LYDIA GRAY: Exactly.
SARAH: I think that's good way to think of it.
DR LYDIA GRAY: Your horse will thank you.
SARAH: Yeah.
That's true.
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