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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 ▫ ▫ ▫ ▫ ▫ 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 ▫ ▫ ▫ ▫ Easily chewed Easily digestible Calorie content Sugar/Starch content You Are What You Eat • Supplements ▫ ▫ ▫ ▫ Joint Gut Health Skin/Coat Hoof Health Joint Maintenance • • • • Steroid Injections IRAP PRP Adequan (Maybe?) • Joint Supplements ▫ ▫ ▫ ▫ Adequan (Maybe?) Legend Polyglycan Pentosan Physical Exam/Wellness • Vaccination Schedules • Endocrine ▫ ▫ ▫ ▫ Bloodwork Haircoat Weight Body shape • Ocular Exam ▫ ▫ ▫ ▫ 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 • • • • Support Balance Correction Non-conventional shoes • Sigafoo • Ground Control • Epona • Baseline films ▫ ▫ ▫ ▫ Palmar/plantar angle Osteoarthritis/navicular changes Digital cushion Breakover Alternative Therapy • Mesotherapy ▫ ▫ ▫ ▫ ▫ 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 • • • • • Initial Injury September 2012 Stall rest – crosstied 4 months, loose 5 months Handwalking started March 2013 Turnout April 2013 Under saddle May 2013 ▫ ▫ ▫ ▫ 30 days walk 30 days walk/trot Added hill work Added canter Rehab Complete! Alvin – back in competition April 2014 Questions?
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