CLIFFE EQUINE CLINIC MILL LANE, LAUGHTON Autumn Newsletter EAST SUSSEX, BN8 6AJ October 2008 UPDATES IN www.cliffeequine.co.uk (01323) 815120—24hr veterinary care BRIEF Allergic airway disease refresher Refresher on Allergic Airway Disease Cliffe Equine is Allergic airway disease (heaves; unless secondary pneumonia maintained at pasture with fresh now an RCVS recurrent airway obstruction has developed, but mild secon- grass as the source of roughage, Tier 2 accredited (RAO); COPD) is characterized dary infection is not uncommon. supplemented with pelleted practice and a by chronic cough, nasal dis- Diagnosis is done on the basis of feed. Round bale hay is particu- charge, & respiratory difficulty. history & physical exam findings. larly offensive to heavey horses, BEVA registered RAO in horses is most similar to Chest x-rays & endoscopy to & commonly causes treatment clinic for AI asthma in humans. Episodes of sample respiratory secretions failure for horses on pasture. heaves are usually seen when may be necessary in compli- Horses that must be stabled Special offers on horses are stabled, bedded on cated cases. should be maintained in a clean, supplements for straw & fed hay, whereas, elimi- The single most important treat- controlled environment & fed a nation of these factors results in ment for RAO is to improve the complete feed, eliminating the respiratory and remission of clinical signs. There need for roughage in the diet. environment, reducing dust & joint disease. is no breed or gender predilec- Hay cubes & hay silage may be mould exposure commonly tion, however, it is more com- found in hay & straw.. Medica- alternative acceptable, low- Cliffe Equine mon in middle aged & older tion will alleviate clinical signs of allergen roughage sources. News horses & there does appear to disease, however, respiratory Soaked hay is unacceptable for be a heritable component to disease will return after medica- highly sensitive horses. Stables this condition. tion is discontinued if the horse should not be in the same build- Case study: Tar- remains in a poor environment. ing as an indoor arena & hay sometatarsal Joint Horses with classic RAO have should not be stored overhead. flared nostrils & difficulty If possible, horses should be Disease in the Straw bedding should be breathing. Abdominal muscles avoided, it is best to use shred- Hock are used to help when there is ded paper or cardboard. difficulty breathing & over time Medical therapy consists of anti- VET CONTACTS produce the classic heave line. inflammatories & bronchodila- Mild to moderately affected tors. Medication may be given horses may present with mini- Karl Holliman by aerosol, oral or injectable mal clinical signs at rest, how- 07831 426949 methods. Aerosols are generally ever, coughing & exercise intol- more effective (when adminis- erance are seen during work. tered correctly) and safer for Sally Hall Horses do not have a fever, Heave line on the abdomen long-term use. 07736 630366 Egbert Willems 07717 803704 Cliffe Equine Clinic News Imogen Silhan-Sutton As many of you will have heard, little delayed again as she has now 07841 092364 John Daykin, senior partner at fractured her wrist! We wish her Cliffe Veterinary Group died a speedy recovery again & hope Jessica Dicks tragically last month. He had she will be back soon. venture. 07765711619 dedicated many years into the Fortunately for us, our current Finally, we are sad to announce practice & was known well by a seasonal locum, Jessica Dicks, that one of the vet team will be With special thanks great number of clients. We were whom I sure many of you now leaving us at the start of October to Vetoquinol for all shocked by the news & he will 2008. Ed Jose-Cunilleras who has know, will be staying on with us sponsoring October’s be greatly missed. been with us for the last couple of until December until we find the We were looking forward to the years is leaving us to return to latest additional to our team. edition of the Cliffe Equine newsletter. return of our head nurse, Penny Spain, taking a lecturing post at the Lastly, Anne Cownley & Cathy Brownings to work in the near University of Barcelona. We have Dawes are also departing for pas- future as she has been recovering greatly enjoyed having Ed working tures new so some new faces (and from her knee injury steadily. at Cliffe Equine & wish him & his voices) will soon be welcomed to Unfortunately, her return will be a family the best of luck in their new the office. SPECIAL OFFERS ON JOINT & RESPIRATORY SUPPLEMENTS As a follow up to the allergic airway and joint disease Organization talks, we are offering 10% off on all nutraceutical sup- plements bought from us for your horse or pony before CLIENT EDUCATION EVENING the start of December. Many thanks to the people who attended the either We stock a wide range of supplements, many of which are one of the client evenings. It is the first time we have not available through regular feed suppliers/tack shops. run two separate evenings with the same talks on the We only supply products we feel have good evidence dem- east and west sides of Sussex. We hope people will onstrating clinical improvement, e.g. the joint supplement find that one venue will be closer to them and Equi 4S and Equi HY120 4S, because of a better encourage people living on the further outreaches of bioavailability of the constituents necessary to improve- the practice area to come along. We hope everyone ment function and reduce inflammation in diseased/aged enjoyed the evening and took away some helpful tips joints. These supplements are especially useful before any and advice. Should anyone have ideas or requests for problems are found to maintain joint health and prevent future topics they would like an client evening on arthritic changes occurring. please ring Imogen on (01323) 815120. Don’t forget to keep checking the website frequently for details Another thing to consider when using supplements is and more information of upcoming events: whether a competition drug withdrawal period needs to be observed prior to an event. Many of the supplements we www.cliffeequine.co.uk supply are acceptable for use during competitions. For HORSE HEALTH PLANS example, Secreta Pro will provide excellent support for Don’t forget now is the time of year when the horse the respiratory system without enhancing athletic perform- health plans, launched last year are best done. The ance. plan provides a complete health care assessment of For help when choosing any feed supplement, please con- your horse or pony, including blood samples. The tact us at the clinic to discuss your horse’s requirements so plans helped to identify subtle abnormalities in the we can advise you of the best supplement choice for your early stages in many horses of all ages over the past individual case. 12 months which prevented future problems. The health plans also have extra benefits attached to them; such as: 10% off vaccinations done at the time; x-rays, at a price of £100 plus a visit charge. Should you like 10% off dental work performed within 6 weeks; 10% more information about this and to find out if it is suitable for off wormers purchased and discounted foot balance you, please ring Sally at the clinic on (01323) 815120. Case Study: Degenerative Joint Disease in the hock “Dora” was bought about 6 weeks ago to Several nerve blocks were performed to numb this area. After 15 minutes “Dora” use as a general purpose family cob. All numb the foot; pastern and fetlock region; was trotted up and an obvious left hind limb was going well until she started refusing at flexor tendons & suspensory ligament. None lameness was now apparent. The same jumps, putting in the occasional buck and of the blocks improved the action of the joint was blocked on the left hind leg. was difficult to get on the correct canter horse & the flexion tests remained positive. “Dora’s” gait had a much longer stride and lead. The tarsometatarsal joint of the right hind no lameness was evident at trot, even with “Dora” was examined at the clinic and was hock was injected with local anaesthetic to flexions. found to have a short, choppy stride in When “Dora” was put onto the lunge, she both hind legs but no obvious lameness at was no longer bunny hopping, had much walk or trot in a straight line or on circles smoother transitions & led on the correct on a hard surface. However, there were leg at all times. positive results to flexion tests of both Because of this response, radiographs of hind legs. both hocks were taken. Evidence of When examined on the lunge on a soft marked osteoarthritis in both the left & surface “Dora” did not seem to be able to right hock low motion joints with extensive canter easily, running the transition in to new bone formation was found, as is seen canter, striking off disunited repeatedly on on the x-ray shown. both reins & bunny-hopping frequently. The amount of destruction shown in this Physical examination showed that “Dora” case meant that joint arthrodesis, a surgery stood naturally with an hind limb, base- to fuse these joints together to prevent narrow stance. When observed from the further pain, was performed. The surgery side, she had an “elephant on a tub” was successful and “Dora” returned to full stance. No joint swellings were found or work only a few months later. The joint pain elicited on palpation of any part of the Right hock x-ray showing arthritic supplement Equi HY120 4S was prescribed limb. changes & new bone formation to maintain the health of her other joints.