Navicular Disease

Ronak Kelaiya
Roll No. 25
Submitted To – Dr. N.R Padaliya

By Ronak Kelaiya 1
 Navicular Disease
• Navicular disease is generalized heel
pain due to problems with the navicular
bone.

• There are several possible causes of

pain in and around the navicular bone.

By Ronak Kelaiya 2
• Degenerative process that changes the
bone-initiation and progression of the
disease is a result of excessive and
prolonged forces of compression on the
bone

• Important factors- signalment,

conformation, and use

By Ronak Kelaiya 3
 Predisposing factors
• Poor hoof conformation
- Long toes and low heels
- Narrow upright feet
• Extreme work on hard surfaces
• Standing in stalls for extended periods
of time
• Improper trimming and shoeing

By Ronak Kelaiya 4
 Causes of navicular disease
Concussion or trauma of the navicular bone.
 Thinning and erosion of the cartilage.
 Degeneration of navicular bone.
 Injuries of navicular bone and surrounding
areas.

By Ronak Kelaiya 5
Arterial obstruction
• Strain
• Inflammation of the ligament can obstruct
these blood vessels and reduce blood
flow to and from the navicular bone.

By Ronak Kelaiya 6
Signs
Often a unilateral lameness, mild and intermittent
Tip toe gait
Several months of pain
Feet change shape
Short choppy strides
Diagnosis
Signs
Radiography
Ultrasonography

By Ronak Kelaiya 7
Lateral radiograph of the foot in the horse. A lytic defect is
present in the flexor surface of the navicular bone (arrow).
By Ronak Kelaiya 8
 Diagnostics

• Localization

• Palmar Digital Nerve block

-Mepivacaine: 1 -1.5ml /nerve

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Dyson- Radiographic Interpretation of the Navicular Bone. EVE 2008

By Ronak Kelaiya 17
Treatment
Management
Rest
Corrective shoeing
Mild exercise
Medication
* Vasodilators :- pentoxiphylline
* NSAID along with corticosteroids
Surgery :- Palmer digital neurectomy
Navicular bursal injection

By Ronak Kelaiya 18
 Shoeing
• Correct or preserve dorsopalmar and lateromedial foot
balance
• Hoof pastern angle should be straight
• Foot trimmed to maintain heel mass and shorten toe to
facilitate breakover
• Elevation of heel may relieve pressure from DDFT on
palmar aspect of navicular bone
• Egg bar shoe: greater surface area disperses forces.
-Of 55 horses with navicular disease 53% had
permanent pain relief of lameness after egg bar
shoes in 12-40 month follow up.
By Ronak Kelaiya 19
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 shoeing
• Key points:
• Correct and maintain dorsopalmar and
lateromedial balance
• Ease breakover
• Maintain heel mass
• Protect palmar aspect of the hoof from
concussion

By Ronak Kelaiya 22
 Medical therapies
• Intra-articular injection
• Intra-bursal injection
• Tilduronic acid (Tildren)
• NSAID’s
• Isoxuprine
-2.2% oral bioavailability

By Ronak Kelaiya 23
Treatment

By Ronak Kelaiya 24
 Natural balance shoes with a full wedge-pad
and dental impression material placed in the
Palmar aspect of the foot can also be used to
treat horses with navicular disease/syndrome.

Using egg-bar shoes is a common shoeing technique

to treat horses with navicular disease/syndrome.
By Ronak Kelaiya 25
Thank
you.....
By Ronak Kelaiya 26