Re: WLD atomic growth

Subject:

Comments:
: These are all great ideas. I have had good results with full strength Nolvasan solution applied to the cleaned out area. Apply evry one to three days dependent on how clean the horse's envorinment is. This product is fully fungicidal, bactericidal, and virucidal at this strength. : M. W. Myers, D.V.M. : : : : : : I currently shoe a grade mare who has the dreaded : : : : : : WLD. She lives in, and works in sand. Re-sections : : : : : : have been unsuccessful. The upside is the tremendous : : : : : : hoof growth. She would be a great test horse : : : : : : for something blue or purple or pink, I don't care, : : : : : : as long as it might work. I would rather not : : : : : : re-section her again, as it is painful for her, : : : : : : and last time there was precious little to nail to. : : : : : : Any ideas out there??? : : : : : : : : : Hi Jim : : : : : Cutting it all away doesn't leave much to nail to but it : : : : : lets the air get to it. Theorically oxygen and fugus don't : : : : : mix. An alternative to cutting it all away is to clean : : : : : out all (as much as you get to) of the crumbly stuff with : : : : : hydrogen peroxide. Flush with water - if you don't the : : : : : next step acreates a bunch of heat. Get some Lime-Sulfur : : : : : solution at a nursery or hardware store (it's for fruit : : : : : trees with fungus) soak a cotton ball with the solution. : : : : : Fill up the crack (void) where the crumbly stuff was, with : : : : : the cotton ball(s) nail your shoe on. Wear rubber gloves. : : : : : The lime-sulfur stinks bad and I haven't had the : : : : : opportunity to read the material safety data sheet on the : : : : : stuff. : : : : Years ago before we knew what we were treating ( and probably wwhat we were doing) we had a similar refractory case like yours. Right or wrong we cleaned out the separation, dumped in iodine crystals and added turpentine. Besides the neat purple smoke the horse did really well with no deleterious effects. In theory there should be no down side as WLD affects the lamina externa and media, not any sensitive tissue. Try at your own risk though. : : : First, Dr Cohen it is always great to have a veterinarian here on the boards...:-) : : : Now I will share something I saw recently, (but have not tried). : : : At a lameness clinic here, two visiting vets from India had a neat whiteline technique. They cleaned out as far up the inner wall as they could, then dremmeled out a horizontal groove at the top of the infected area, and continued to dremmel and clean the whole affected layer under : : : the resulting "bridge" of wall that was left in place.The idea had some merit. This way a band of hoof wall is left intact horizontally across the bottom, to prevent de stabilization of the hoof medially/laterally, and the medication can be squirted through the hole, or soaked. It was a tedious procedure, requiring sedation of the horse and a lot of time, but we'll see how it works. it was on my vet's own poor "volunteer" horse. The mare gets used at clinics as a "test" dummy"....;-) Patty : : Similar to what you mentioned when I resect and debride these really bad WLD's and then am left with minimal wall or a freaked out owner that can't deal with the scary looking foot. I will reluctantly repair with equilox, grand champion, etc; but leave a quater inch gap between the synthetic and the remaining intact wall; so that the "leading edge" of the infection is left open and can still be treated topically.