“While you’re here…”
Yep give it a good clean so you can see what you are working with.
Great, so restore correct foot balance using the 5 step dutch method before assessing the lesions.
5 Step dutch method:
1. The length of the dorsal wall of the medial claw should be cut to
7.5 cm. The thickness of the sole at the apex should be ∼5–7 mm. The
horn beneath the bulbs should not be trimmed at this stage.
2. Both the sole and the heel of the lateral claw should be shortened to match the medial claw. When the heel of the lateral claw is significantly thicker than that of
the medial claw, excess horn should be removed to establish lateral
stability. If slight resilience in the sole is detectable on thumb pressure, no
more horn should be removed. The claw should be left flat from apex to
3. The central quadrant to the axial border of the sole is shaped to a gentle slope from the abaxial to the axial border.
4. Because >90% of lesions causing lameness are found in the sole of the
lateral hindclaw, the strategy is to transfer weight to the medial claw
by leaving it untouched while the thickness of the sole of the lateral
claw is reduced as much as is reasonable in the prebulbar and bulbar
5. Rough fragments of sole horn should be removed.
Think we nailed that one. What is this?
Any ideas on this one?
Well spotted Sinj, it’s a stone – also some dark areas need exploring on the contra-lateral claw.
So to summarise NSAIDs here, Meloxicam has a longer withdrawal (120d milk) than cheaper alternatives such as Ketoprofen which has 0 milk withdrawal. Carprofen has 0 milk withdrawal and a longer duration of action than flunixin/ketofen. Think about withdrawal and duration of action when deciding on a drug (and cost!).