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Oldies But Goodies: Care of the
Older Performance Horse
Kate Bremser, DVM
NCSU CVM Class of 2008
Mensa G and Michael Pollard – 16yo OTTB
Introduction
Action 42 – 20 yo Hanoverian
Falcon Flash – 22yo Australian TB
You Are What You Eat
• Nutrition - grain
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Higher demand for fat and protein
Proper vitamin and mineral balance
Adding calories +/- adding energy
Easy to chew
Easily digestible
You Are What You Eat
• Nutrition – Hay
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Easily chewed
Easily digestible
Calorie content
Sugar/Starch content
You Are What You Eat
• Supplements
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Joint
Gut Health
Skin/Coat
Hoof Health
Joint Maintenance
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Steroid Injections
IRAP
PRP
Adequan (Maybe?)
• Joint Supplements
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Adequan (Maybe?)
Legend
Polyglycan
Pentosan
Physical Exam/Wellness
• Vaccination Schedules
• Endocrine
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Bloodwork
Haircoat
Weight
Body shape
• Ocular Exam
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Lenticular sclerosis
Corpora Nigra atrophy
Corneal abnormalities
Tumor development
Physical Exam/Wellness
• Respiratory Exam
• GI exam?
▫ Enterolith
▫ Pedunculated lipoma
▫ Sand
• Limb anatomy
▫ Central sulcus depth - thrush
▫ Joint effusion
▫ Joint ROM
Fitness/Exercise
• Maintaining muscle mass
▫ 2-3 days/week
• Appropriate concussion for bone/tendon health
▫ Roadwork
▫ Uneven surfaces
• Strength training
▫ Hillwork
▫ Cavaletti
Dentistry
• Balance point maintenance with excessive wear
▫ Avoid changing table angle and grinding surface
• Check every 6 months
▫ Wave/step formation
▫ Missing/loose/broken teeth
• Check for hooks
• Don’t forget the incisors!
Shoeing
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Support
Balance
Correction
Non-conventional shoes
• Sigafoo
• Ground Control
• Epona
• Baseline films
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Palmar/plantar angle
Osteoarthritis/navicular changes
Digital cushion
Breakover
Alternative Therapy
• Mesotherapy
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Saline
B12
Carbocaine
Dexamethasone
Zeel
Alternative Therapy
• Chiropractics
Alternative Therapy
• Acupuncture
Rehabbing post Injury
Alvin – 9.11.2012
Rehab
Alvin 9-26-2012
Rehab
Alvin 10-29-2012
Rehab
Rehab
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Initial Injury September 2012
Stall rest – crosstied 4 months, loose 5 months
Handwalking started March 2013
Turnout April 2013
Under saddle May 2013
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30 days walk
30 days walk/trot
Added hill work
Added canter
Rehab Complete!
Alvin – back in competition April 2014
Questions?