*!ltiple racing /!ris$ictions have instit!te$ or are consi$ering reg!lations concerning when a horse can compete after being treate$( *ost are in the neighborhoo$ of seven $ays( The FE+ has $etermine$ that ESWT sho!l$ not be !se$ for five $ays prior to competition( This sho!l$ allow theanalgesia to regress( "$$itionally# the in$ications for shock wave therapy wo!l$ in$icate most horses sho!l$ be on a $ecrease$ level of activity while healing( The $ata in$icate that there are benefits associate$ with ESWT( "$$itional controlle$ st!$ies are in$icate$ to f!lly eval!ate this new therape!tic mo$ality( ,r( *cl!re is assistant professor at the +owa State University ollege of ;eterinary *e$icine an$has been a member of the ""E< since =22>
poste$: 1?=2?@66>( ast !p$ate$: 1?=2?@66>(
by Davi* W" !amey& D'#
David W. Ramey, DVMYou’ve decided to sell your horse and the potential buyer has sent a veterinarian to our farm to perform a purchase exam. As you stand beamin !ith satisfaction next to !ho you hope !ill be the ne! o!ner, the veterinarian pic"s up your horse’s left front le. #endin it at the "nee, he holds it for about $% seconds, returns it to the round and as"s that the horse be &oed do!n your asphalt drive. 'n astonishment,you !atch as the horse moves off most decidedly lame. What happened(What you have !itnessed is a phenomenon not necessarily of the veterinarian’s creation, but somethin that can sometimes occur follo!in a procedure called a forelimb flexion test. 'n a forelimb flexion test, various &oints and soft tissue structures of the lo!er limb are stretched and)or compressed for a brief period of time by bendin the limb. After!ard, the horse is immediately trotted off and observed for sins of lameness. *orelimb flexion tests !ere described in +!edish veterinary literature as early as -/. 0hey appear to have become an interal part of the evaluation of the horse intended for sale. 'n performin the tests, a veterinarian !ill li"ely pic" up the horse’s le and bend it, !ith the bendin force centerin around the fetloc" &oint. 1e or she !ill hold the le for a period of /% seconds to $% seconds, and then let o, as"in the horse to trot off immediately. 0he test is not unli"e !ht you miht experience if someone as"ed you to sit in a crouch for sixty seconds and then run riht off. 2sually, you can run off &ust fine, but occasionally, you miht experience some soreness or pain in the &oint that results in some initial stiffness !hen you first try to run. You may be normal or the soreness could sinal a problem 3such as a bad "nee4.