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Lameness Exam Should Start Long Before You Pick Up A Hoof

Harry Werner, an equine veterinarian from North Granby, Conn., and past president of the American Association of Equine Practitioners, believes that a thorough equine foot examination in lameness cases should begin long before you pick up the horse’s foot.

“The foot I’ve been told was affected may be the last thing I pick up,” Werner told attendees at the seventh annual International Hoof-Care Summit in Cincinnati, Ohio, on February 3. “I don’t want to go in with a preset notion of what the problem is. I’m going to look at the whole horse.”

Werner, who also delivered the Burney Chapman Memorial Lecture sponsored by Life Date Labs, Inc., says his system has evolved over 37 years. He credits many other veterinarians and farriers with contributing to its development. He notes that he’s been using the same pair of hoof testers for years and still considers them to be a very valuable asset.

“I’d rather lose my digital X-ray machine than my hoof testers,” he said. “It would be a big mistake to grab the digital X-ray machine before you grabbed your hoof testers.”

Other points Werner made regarding his presentation included:
o    “Keep a record of what you do and see. How you do it is less important than that you do it.”
o    “When I examine a horse, I start with a big view. I’m thinking about that horse and focusing on him before I even arrive at the barn.”
o    “Think about the intended use of the horse. Obviously all these horses are doing vastly different jobs, have vastly different needs as well as some similar needs. This has implications on how you handle any lameness.”
o    “If this horse is new to you ask about the horse’s history. Try to pin people down and get as much information as you can.”
o    “I never ask what is the problem. I ask them to describe the problem. If you ask a lot of horse owners what it the problem, you’ll be there forever. A lot of horse owners will give you 100 diagnosis.”
o    “In an ideal world, I don’t want to do a lameness exam within 72 hours of the last administration of a non-steroidal (drug).
o    “It’s important for us to use all of our senses and out sense of hearing is important. In some cases, if you shut your eyes and never saw the horse, your sense of hearing can tell you a horse does not have a normal or synchronized gait.”
o    “Pay attention to posture and gait. And it’s important to remember, there’s life above the coronet.”

More on Werner’s examination method will appear in the March 2010 issue of American Farriers Journal.



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COMMENTS: 4
Lameness Exam
Posted from: Cole, 2/13/10 at 5:54 PM CST
Good article. Reminded me of the old saying"the foot is the cause of lameness until proven otherwise" and about the rule of not jumping to treat a swelling carpus or fetlock without eliminating the foot first. You can guarantee that another practitioner will come along and use his hoof testers and make you look incompetent. Looking at the whole horse is good advice.
Posted from: gareth, 2/13/10 at 1:42 PM CST
Very good advice from a practitioner with huge experience. Agree with gaining as much information from the client/trainer before picking up foot as they will produce a greater insight into their horses problem than a rush to use the latest gadget at hand. we only see the equine on a scheduled visit or when in pain they see and ride every day, trust the owner but with an open mind. Look forward to the full report in the March issue.
Posted from: Gary, 2/13/10 at 1:23 PM CST
very good i agree
lameness exam
Posted from: peter, 2/13/10 at 12:38 PM CST
when i work on lame horses i exam the horse and then consult the vet if i cant spot wy its lame some horses seem like they are well shoed and trimet but after xray we spot at broken toe axe
it is a great tool to have an experince and deticatede vet to work alonge you on some cases
regard peter

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