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Roll has been coming along quite well with his White Line Disease. He has been growing a new foot at a rate of about 1/8” per week and is gaining ground. My Ranch Manager Chad had found some thrush around the frog during the morning check. He cleaned it and applied iodine to the area. However, we noticed that the lamina growing beneath the old hoof wall at the toe was beginning to curl upward. So, we contacted our veterinarian Greg Farrand to come out and take a look.
We had concerns that it would push on the old hoof wall which could put torque on the new hoof wall above and possibly cause it to begin to curl up as well. This would result in irregular hoof growth that could result in uneven pressure and an unbalanced foot. If this occurred, it would result in an imbalance throughout his entire body that could put 3000 lbs. of pressure on the damaged foot and impede our progress with him.
We went from changing the neoprene in his boot every other day to checking it twice a day to brush out any debris and to dry it off so it wouldn’t be SOAKING wet all the time.
We took off Roll’s boot and Greg began by testing the hardness of the new growth. We were concerned that it was getting a little soft with our wet spring weather after the snow had melted. It was sunny, warm and dry today, so when he tested the hardness with his little hammer, it was not as soft as we had thought a few days before.
Greg cut off the old dead lamina that was curling up and then trimmed back to healthy tissue. He did this to keep it from separating and tearing off which could possibly causing further problems.
After Greg pared off the dead curling lamina, he checked the sole growth for infection and there was none. Then he finished paring the dead lamina around the affected sole. Greg checked for a cavity between the new hoof growth and the old hoof growth to make sure everything was sound.
After paring what he did, we were left with healthy tissue and no further measures needed to be taken. He recommended that the farrier trim his heels down since he had not been trimmed since February 26th.
We are now scheduling our farrier, Dean Geesen, to come out to trim him again as soon as possible. We will continue the same protocol and be ready and flexible to promptly handle anything else that might come up in a timely fashion for the best results. Things are still looking positive.
We wanted Roll to go as long as possible in between trims because we didn’t want to put too many nail holes in his damaged right hind foot. Today Dean Geesen came out and trimmed the foot after our veterinarian had the opportunity to check the foot yesterday.
Things are looking very encouraging for Roll as long as we don’t hit any serious snags. The foot is growing at a rate of 1/8” per week and is producing healthy tissue and no more separation that we can tell. We opted to get him trimmed and then just wait another month and x-ray the foot again to make sure there are no hidden issues.
We were changing the boot every other day when the weather was drier, but now we are taking off the boot and cleaning the hoof twice a day, then blowing it dry with a hair dryer to help keep out the spring moisture that was beginning to produce thrush. The trimming gave us the opportunity to trim down the heels a bit to get him backed off his toe and to re-balance the foot. We are happy with his progress so far.
Roll continues to stay sound! The key to his entire treatment has been to frequently assess the progress and then be willing to be flexible in any changes to the treatment that we might have to do. Being proactive like this is definitely the key to success in Roll’s treatment!
On February 25, we discovered more White Line Disease on the medial side of the foot. We also discovered some strange growth that looked like new hoof growing out of the front of the coronet band and continuing around both sides of the hoof in a uniform fashion. It was pliable which caused some concern, so we opted to follow up with x-rays today.
We weren’t sure about what was really happening with this foot. So, we called veterinarian Greg Farrand to come to see this new development and get his input.
I clipped the area around the coronet band so we could see the new growth clearly.
When Greg saw this, he thought he could be trying to slough the involved hoof wall and trying to grow a new foot. We thought more x-rays would be in order to determine if the old hoof wall was dead tissue and if the new hoof wall was healthy and not detached.
Greg prepped the area with Barium/Mineral Oil beads to identify the band between the new growth and the old hoof wall so it would show up on the x-rays.
Roll was so sweet and cooperative as we asked him to get back up on his blocks again. He stood like a trooper! But then after going through our sequential training program, he should and does. The x-rays showed that the new hoof growth was healthy and that there was still live tissue in the old hoof wall. This was very encouraging news!
Roll has yet to have one lame day since he came to us, so we all agreed that things looked good…at least for now…and that we should continue forward with his boot and Styrofoam protection.
We realize through this treatment process that we need to be alert, notice when things change and be flexible and willing to alter our plans at every turn. Roll is certainly appreciative as are we for all your support and prayers! And he is appreciative for a lot of extra oats as well!!!
Our farrier, Dean Geesen, came to check Roll on February 5th and took off the protective tape and cardboard that we had protecting the exposed inner hoof. Our veterinarian, Greg Farrand suggested that we discontinue the Providone-Iodine treatment because he was afraid it might dry out the inner hoof wall too much and could cause deterioration and further damage. So we proceeded forward with just hosing the area every other day to keep it clean.
Dean arrived today at 10 a.m. and took off the shoe that had stayed on very well for the full seven weeks.
He began trimming the foot and found that Roll had contracted White Line on the medial side of the same foot, only it was not nearly as advanced as the lateral side that had been pared with the hoof wall removed.
Roll did have over a half inch of growth in the foot which was a good thing. He pared away the part of the hoof wall and dug out the White Line fungus. Then he noticed that Roll was growing rather odd looking tissue along the coronet band.
Dean said he had not ever seen anything like this, so we called Greg and he said he would not be able to come to us until the end of the day, so we put a pad over everything and taped it to his foot for protection until the vet could arrive and help us to assess these strange new developments.
Greg showed up a little after 5 o’clock p.m. and we began our discussion. Dean thought the foot might be dead after no sensitivity reaction to the hammer.
We were all concerned after removing the Styrofoam and tape that the issue with the coronet band would be serious, but upon inspection, Greg thought it looked like he was just trying to grow a new hoof. We opted to set a date next Tuesday to do x-rays to make sure that the new hoof was not separating.
Then we looked at the imprint of his foot on the Styrofoam that had been taped on all afternoon to see where the pressure points were and it looked like the way he stood on the foot had adequately supported the coffin bone.
Rather than using the tape to adhere the Styrofoam support, we decided to try using Rock’s old custom-made easy boots and just put the Styrofoam pad into the bottom of the boot. The boot fit and we cut the Styrofoam to fit inside of the boot. We will routinely check to make sure it stays thick enough to do it’s job and maintain the correct pressure to the bottom of his foot and change it as needed.
We determined that perhaps there was only nerve damage in the foot that was causing the non-reaction to the hammer. We agreed that there could still be adequate circulation to the foot or he would be lame if the hoof was dying. And, he has not had one lame day since he come to us in December of 2010.
We ended this session and all agreed to meet for the x-rays on Tuesday of next week to obtain more information and determine our plans going forward. The very last test was to see how he walked with the Styrofoam lined boot. We would need to check to make sure the straps don’t rub and cause an issue. If they do, we plan to pad them with rolled cotton. This is quite a setback, but there is still HOPE!!! Keep the prayers coming… they’re working!
We got the team together again today with Roll to assess what we were going to do going forward. The hoof wall did what we hoped it would for eight days and stayed intact with daily cleaning and new wraps, but it was now beginning to get stress marks at the heel. We knew that without adequate circulation to the area, it would no doubt begin to deteriorate. This bought us some time, however to brainstorm for a solution to the support problem going forward.
Our support team arrived including veterinarian Greg Farrand, farrier Dean Geesen, assistant farrier intern Lance, Ranch Manager Chad Leppert, assistant ranch manager Steve Leppert, my assistant Kristen Florence and me. We discussed whether or not to resect the hoof wall.
How we did this was an important consideration. The nippers could cause torque that might result in cracking. We discussed whether or not to use nippers only or a dremel, or both.
We discussed what kind of support would be needed from the shoe and we were concerned about the limitation for nailing the shoe onto the hoof since he does not have much foot left to nail to.
We finally decided to use both the nippers and the dremel. Dean first nipped away at the hoof wall in very small increments with both the straight nippers and then in the smaller areas with a rounded narrower nipper.
When he got all that he thought he could safely done with the nippers, we then went after the edge with the dremel to create a smoother line that would inhibit cracking.
Then Chad cut down the custom made the shoe to fit what was left of his foot. We opted not to go completely around the toe, leaving it and the left side open and covered the hoof across the heel instead.
Dean put a bead of borium on the shoe at the toe of his opposite foot for traction and it was useful the minute we took him out of the Tack Barn and onto the snow leading to his pen. As he stepped onto the slick snowy surface outside, the good foot did slip, but he was able to catch himself with the Borium bead.
We talked about doing a test to see what kind of circulation he had in the foot and decided it wasn’t really feasible to do it. Roll has side bones and ring bone in the foot and that alone would produce irregular circulation patterns in the foot. Therefore, the test really wouldn’t reveal anything that would be helpful at this point. We opted not to do it.
We also talked about doing an ultrasound on the connective tissue to make sure we had cleaned out all the fungus, but again, it really wouldn’t tell us anything that we didn’t already suspect to be true. The main concern was if there was any more fungus left in the foot, but after resecting the hoof wall and cleaning the affected area, we could see with our own eyes with the help of the x-rays that there was nothing left to ultrasound.
We put Roll’s foot onto the hoof stand, checked it once more and then Dean set the ¾ custom-made bar shoe with minimal nails that he and Chad had made.
He then taped cardboard over the affected area with gorilla tape to keep the glue away from it. Once that was in place, he then applied an extra-hardening glue to the bottom of the foot to hold the pad in place. This would lend more support to the hoof and allow it to do its job more closely to normal giving the sole and frog a more even surface of pressure.
Once the glue was in place, he put on a tough blue pad to provide some support to the sole and to help hold the shoe in place. Our veterinarian, Greg Farrand suggested that we brush out any dirt and debris that adhered to the foot every other day as the pad and cardboard were compromised. Then we would just cut new cardboard and wrap the tape back around the affected area to keep most of the debris out of the affected area.
We had to use both minimal nails and glue together to keep the shoe in place and we will try to go 7 weeks before re-shoeing if possible. Our local farrier supply house, “Oleo Acres” recommended using the supplement Hoof Power made by Delta Mustad Hoofcare Center in Forest Lake, Minnesota to help accelerate hoof growth. We opted to use Providone-Iodine to clean the affected area every other day as Greg said the concentrated “White Lightning” was better to use at the onset and for a shorter period of time. As we go forward, we will be sure to continue to share our experience with all of you. Please continue to keep Roll in your prayers.