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TOPIC: Possible NPA

Possible NPA 15 Oct 2009 23:37 #1

  • chad rice
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This horse has been on my books for awhile and I can not get anything done with this hind foot. After seeing the thread on NPA rads I asked the owner to get some and he declined because the horse is sound.

I suspect a neg. angle, but not sure how creative to get without rads. This is what I tried today.

Kerk SX7 with Xheavy wedge rim pad and ACS from appex back.

What else can I do?
http://horseshoes.com/forums/picture.php?albumid=298&pictureid=2621
http://horseshoes.com/forums/picture.php?albumid=298&pictureid=2622
http://horseshoes.com/forums/picture.php?albumid=298&pictureid=2627
http://horseshoes.com/forums/picture.php?albumid=298&pictureid=2629

Thanks, Chad
Chad Rice, CF
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RE:Possible NPA 18 Oct 2009 22:02 #2

  • mwmyersdvm
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A good plan, I just add a serious rockering of the toe. I will see if Baron can help me with a video morph I have of one I did with just a good trim, wedge pad and rockered toe. I will give it a go and if it doesn't work get some help.

M. W. Myers, D.V.M.
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RE:Possible NPA 18 Oct 2009 22:18 #3

  • mwmyersdvm
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This horse started with a negative four degree angle. These are on plain films so I don't have these readily available on my computer. I shod him with a two degree frog support wedge after improving the angle with a trim almost more than I felt comfortable with. A flat hind shoe with a rocker back to the quarter clips was applied. He is a pasture pet so if he is a little sore it is not a problem, but he wasn't in the least. The first picture shows a reset trim where he has improved considerably, but is still negative. This is about ten weeks into the therapy. The second image is a trim and shoeing 6 months later, this image taken right after removing the shoe. The last image is the trim before the shoe reset. He did some serious recovery as this horse had been shod at a negative angle for thirteen years according to the owner. She had always seen his hooves in their negative angle apppearance and she can't believe how they look today. Too bad she had to wait until he was twenty four years old to have him trimmed and shod correctly.

M. W. Myers, D.V.M.
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RE:Possible NPA 19 Oct 2009 00:10 #4

  • chad rice
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Thanks Dr. Myers for the response. I am not sure if this horse is neg. plantar or not, but always keeps small bulge in the middle of the dorsal wall, and when you line the hairline from the heels forward, it would hit the horse in the back 1/3 of his stomach.

I will try the rocker on the next reset.


What is causing the prolapse of the lat frog?

Thanks, Chad
Chad Rice, CF
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RE:Possible NPA 19 Oct 2009 00:35 #5

  • calshoer
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Doc, not to be TOOOO picky here..... but it appears that the horse was leaning forward on the last shot, the post trim, thereby making it *appear* that the plantar angle was a bit higher, as the heels were just about to lift off the plate?
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Patty Stiller CNBF,CLS
www.hoofcareonline.com
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RE:Possible NPA 20 Oct 2009 16:46 #6

  • mwmyersdvm
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The cannon is a bit forward on that last film. This poor guy has EPM on top of his hoof issues so he isn't easy to get still on the block. However, if you measure the toe depth and heel depth he has gained a bit of angle and the external appearance is quite remarkable. I don't remove much heel at his trims and they are moving back nicely. His hoof was on the block, but he could have gained a degree or two with an unloading. This was more of an example of what can be done simply with a proper trim and no real special package than a precise study. I will see if I can unearth his plain films and digitze them. The result is a good deal more spectacular.

M. W. Myers, D.V.M.
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RE:Possible NPA 21 Oct 2009 13:42 #7

chad rice wrote:
and when you line the hairline from the heels forward, it would hit the horse in the back 1/3 of his stomach.

I will try the rocker on the next reset.


What is causing the prolapse of the lat frog?

Thanks, Chad

Hi Chad, if it is hitting the back 1/3 of his stomach you can almost guarantee it is a negative palmar angle. Your shoeing was great, just remember to concentrate on the plane of trimming eg more toe less heel to compensate in these cases. Then rocker and wedge as Dr Myers suggested (great Rads and protocol on this Dr. Myers, well done)
Work towards bringing your coronary line to below the shoulder towards the ultimate which would be the in around the knee (carpus) area. You will see such a difference in your growth and foot strength once you help the PA.
It is hard to see any prolapse of the frog in the picture and the heel buttress looks good, is there a chance it wore it down on that side verses a prolapse.
Derek Poupard CJF, Dip WCF
www.quixshoe.com
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RE:Possible NPA 22 Oct 2009 00:06 #8

  • chad rice
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Thanks Derek, you may be right about the prolapse, he is probably hock sore or sore up higher and wearing the medial side.

I was trying to bring the heels back to widest point to keep them from rolling under, but should I leave them a tad longer in this instance?

Thanks Chad
Chad Rice, CF
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RE:Possible NPA 22 Oct 2009 11:49 #9

chad rice wrote:
Thanks Derek, you may be right about the prolapse, he is probably hock sore or sore up higher and wearing the medial side.

I was trying to bring the heels back to widest point to keep them from rolling under, but should I leave them a tad longer in this instance?

Thanks Chad

Chad, this is a tough one and is personal choice depending on your trimming protocol. I find that if my heel wall is straight and strong and can support the weight, and I need it, I leave it. If it is folding or rolling and I don't need it I will dress it down to a strong base of support.
The heels should not be trimmed below the ground surface of the frog. Ideally, the frog should be about level with the ground surface of the wall at the heels. This is an exert from Dr. Stephen O'Grady's Physiological Horseshoeing - An Overview from http://www.equipodiatry.com/physshoe.htm

I just think this horse needs more toe than heel trimmed to correct the NPA and then add a wedge with frog support if the foot is still in negative. Even further would be a rocker toe.
You are right there though with your support and wedge, each month the foot will respond positively
Derek Poupard CJF, Dip WCF
www.quixshoe.com
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RE:Possible NPA 24 Oct 2009 02:04 #10

  • chad rice
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Thanks Derek, I will take some pics at the next shoeing and show you how he is doing.


Thanks, Chad
Chad Rice, CF
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