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TOPIC: Abcess treatment questions? Need some clarification.

Abcess treatment questions? Need some clarification. 17 Aug 2010 19:00 #1

  • Peters Shoeing
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I usually like to get a vet involved for abcesses that break through the hoof wall before I am called. Of course, some vets treat this differently. On a case I am working on, the vet prefers to keep the horse barefoot and told me not to trim, but I think the hoof wall may need more support, was thinking straight bar shoe. The treatment for now is soaking by the owner. I also prefer the epsom salt soak, but also with sugardine poultice after opening the area or if the area has errupted on it's own. Is that the best plan of attack? I have heard of resections followed by Clean Trax soaking and also resections followed by Hot Soak and Poultice. Maybe some situations call for clean trax/white lightening?

I have read that antibiotics slow the healing and may slow the draining? I wanted to get some insight and explanation on that? I figured that abcess blow-out commonly warranted antibiotics to prevent tendon damage. Of course, that's up to a vet, but should it sometimes be part of the treatment or not that often?
Alan Peters
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RE:Abcess treatment questions? Need some clarification. 17 Aug 2010 20:02 #2

  • Jay Mickle
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Do a lot or a little. Likely makes no difference.
Jay Mickle
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RE:Abcess treatment questions? Need some clarification. 17 Aug 2010 21:23 #3

  • 13puppet
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The steps done by the owner following a Farrier relieving pressure are the most important. If the owner does nothing more than keeping it clean on a daily basis its far better than CLEAN TRAX or WHITE LIGHNTING once a week. IMO
Bo Crotta - Equine Specialist
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RE:Abcess treatment questions? Need some clarification. 18 Aug 2010 02:46 #4

  • Peters Shoeing
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Thanks guys, I agree, but I really only have a couple owners who keep up on it and clean it well. A lot of people dont take it that seriously freak when I talk about a resection.

Any idea on antibiotics slowing down draining?
Alan Peters
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RE:Abcess treatment questions? Need some clarification. 18 Aug 2010 03:16 #5

  • Alicia Thompson
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Around here protocol for an already burst abscess would be to help it drain,(animalintex pad, poultice/icthamol) then keep it clean and leave it alone.

Antibiotics are not the norm here for abscesses. Generally once they blow we encourage movement to get the hoof flexing some(to help push the **** out) keep it clean and don't worry other than ensuring while their is drainage you encourage the **** to drain, and you don't allow the open area to get dirty.

Wonder if it is a regional thing.
Forget thinking outside the box, instead realize there is no box.
- Alicia Thompson


http://thompsonfarrierservice.com
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RE:Abcess treatment questions? Need some clarification. 18 Aug 2010 04:49 #6

  • Peters Shoeing
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Maybe the antibiotics depend on climate and region. Not sure.

Never used ichthammol poultice, heard it works the same when mixed withe epsom. Might pick some up. :)
Alan Peters
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RE:Abcess treatment questions? Need some clarification. 18 Aug 2010 19:09 #7

  • mwmyersdvm
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The majority of the "abscesses" I see are related to flared hooves. These are not large obvious flares, but usually milder flares in working horses. This stress causes laminar injuries and these "abscesses" are actually soft tissue sequestrae that have liquified as the body tries to eject them. I prefer to radiograph the hoof to sort out any underlying balance problems and make sure these are addressed along with the usual relief of pressure, cleaning out the tract and promoting drainage until it heals. A number of horses will have underlying minor laminitic events that can lead to sequestration and drainage as well. Therapy to alleviate any metabolic causes of these situations will prevent recurrence as well as maintaining proper mechanics. I do not advocate leaving on a lot of hoof unless it is a correct fit for the horse in question. Unless it is due to a direct traumatic event, I rarely see a good hoof with an "abscess".

M. W. Myers, D.V.M.
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RE:Abcess treatment questions? Need some clarification. 19 Aug 2010 19:06 #8

  • Anthony_Lawrence
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Hey Doc Myers,

What's your opinion on the proportion of these types of abscesses as opposed to infectious abscesses?

In all the areas I've worked, most folks will call the farrier first when they suspect their horse has an abscess. The vast majority I see can be traced to the bottom of the foot via a crack or black track which leads be to believe they are from infection.

Those where I can't find a black track and suspect soft tissue sequestration, I hand-ball on to the vet... with most farriers doing pretty much the same.

I've had "discussions" on this point, ie is the cause of most abscesses infection or so called sterile abscesses. What do you think?
Ant.
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RE:Abcess treatment questions? Need some clarification. 21 Aug 2010 14:26 #9

  • mwmyersdvm
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Anthony_Lawrence wrote:
Hey Doc Myers,

What's your opinion on the proportion of these types of abscesses as opposed to infectious abscesses?

In all the areas I've worked, most folks will call the farrier first when they suspect their horse has an abscess. The vast majority I see can be traced to the bottom of the foot via a crack or black track which leads be to believe they are from infection.

Those where I can't find a black track and suspect soft tissue sequestration, I hand-ball on to the vet... with most farriers doing pretty much the same.

I've had "discussions" on this point, ie is the cause of most abscesses infection or so called sterile abscesses. What do you think?

The majority I see are from internal imbalance. The problem with the external black line or small hole 'entrance' is why did this area of the lamina become so comprimised that anything could enter? I radiograph as many as owners will allow since so many farriers and veterinarians will view these problems as minor and find flares in the majority as well as a number of other issues in varying degrees. The 'abscesses' tend not to return when these internal problems are cleared up. I can say this is not a coincidence as most of the ones presented to me are chronically recurring problems that cease when we get the hoof healthy.

M. W. Myers, D.V.M.
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