Hallmarq Veterinary Imaging Looks at the Statistics of Equine Foot Lameness: New Diagnostics Document More Precise Damage to the Feet of Sport Horses

The only “sure thing” number in the horse world is that most of the horses treated for lameness have four feet. Statistics quoted in the horse world range from the antiquated to the inflated, and professionals around the world are calling for more accountability of claims quoted in sales pitches and more quantification of the numbers that are quoted.

Once upon a time, someone somewhere said that 90 percent of equine lameness is in the foot, but does anyone know the original source of that quote? Would you say that is still true today? We can diagnose lameness a lot more precisely now than ever before.

One thing we do know: Hallmarq reports that, worldwide, almost 80% of lame horses referred for MRI at equine hospitals equipped with their MRI units have a problem located in the foot.

Where do you look for numbers when you need to prove a point? There is no “Fact Book” of equine lameness that collects statistics in one place. Instead, we all tend to trust certain authors or universities or studies. And everyone seems to have healthy skepticism for “the Internet”.

The deep digital flexor tendon (DDFT) is the most common site of damage in the foot identified by standing MRI scanning of sport horses. As you know, this tendon runs down the leg and attaches to the bottom of the coffin bone (P3). The three arrows added to this scan are directing the eye to the DDFT which, in this Irish horse, has a lesion that looks like a split. Normally tendon would be solid black. (Photo courtesy of Troytown Equine Hospital, Co. Kildare, Ireland.)

But it’s not all black and white, as two recent studies pointed out. In 2004, England’s Sue Dyson FRCVS reviewed 199 foot lameness cases at the Animal Health Trust. These cases had been evaluated by magnetic resonance imaging (MRI) and her analysis of the data showed that 33 percent had deep digital flexor tendonitis and a total of 60 percent of cases had some form of abnormality of the deep digital flexor tendon (DDFT). Desmitis of a collateral ligament of the coffin joint was found on 15 percent of the MRIs; it should be noted that Dyson’s practice is heavy on referral sport horses.

A high percentage of lame horses in both Great Britain and the United States have been found to have damage to the deep digital flexor tendon within the foot when standing MRI scans were analyzed.

On the US side of the Atlantic, Rick Mitchell DVM of Fairfield Equine Associates in Connecticut did a similar review. He looked at the results of standing MRI in 98 American jumping and dressage horses with foot pain.

Mitchell found the most common defect in the lame American sport horses to be navicular bone lesions, which were seen in the Hallmarq MRI scans of 77 percent of the horses examined. But 64 percent of Mitchell’s horses had deep digital flexor tendon damage in the foot, as seen on their MRIs. Coffin joint collateral ligament damage was much less common in Mitchell’s group than in Dyson’s.

But the glaring damage to the tendon is a critical warning sign to sport horse owners and trainers on both sides of the Atlantic.

Ten years earlier, diagnosing damage to the tendon in the foot was almost impossible. Now, Dyson and Mitchell can even break down the tendon damage into types of injuries.

Dr Laurie Goodrich of Colorado State University College of Veterinary Medicine sums up the need for MRI when diagnosing horses with foot pain: “Of horses with caudal heel pain, 60 to 70 percent have soft tissue injuries that we won’t see with radiographs because they only determine bone structure.”

New imaging modalities like MRI are making earlier and more precise diagnoses possible; another number we like: information gleaned from images obtained via standing MRI resulted in a diagnosis in almost 90 percent of the cases referred, according to Hallmarq's data analysis of cases.

So, when you quote numbers in the equine lameness world, also mention your source, the year and the type of horses that were tallied. If the study covered a specific type of horses and if the study was conducted since the advent of diagnostic imaging like MRI, it may make your numbers mean a lot more. And someone else may end up quoting you.

To learn more:

The largest and most accessible body of quotable statistics is the U.S. Department of Agriculture’s National Animal Health Monitoring System (NAHMS) “Equine ’98 Study”, which collected facts and figures on the health of horses on farms and ranches in 28 states. This was amended by updates in 2000 and 2005.

USDA, 2000. Lameness and Laminitis in U.S. Horses. USDA:APHIS:VS, CEAH, National Animal Health Monitoring System. Fort Collins, CO. Link to free download: http://www.aphis.usda.gov/animal_health/nahms/equine/downloads/equine98/Equine98_dr_Lameness.pdf

Dyson, Murray. Lameness associated with foot pain: results of magnetic resonance imaging in 199 horses (January 2001- December 2003) and response to treatment. Equine Vet Journal, 2004

Mitchell, Edwards, et al. Standing MRI Lesions Identified in Jumping and Dressage Horses with Lameness Isolated to the Foot, AAEP Proceedings, 2006.

--------

Watch for more in the Hallmarq-sponsored article series on The Hoof Blog, and check their social media system and especially their info-deep web site for lots more information.

To learn more about Hallmarq Veterinary Imaging and standing MRI technology for horses:

• Become a fan  of the new Hallmarq Equine MRI Facebook page;

• Follow @HallmarqMRI on Twitter;

• Subscribe to the hallmarqvetimaging channel on YouTube.com;

• Watch for a growing equine distal limb Hallmarq MRI image gallery on Flickr.com;

• Visit the Hallmarq.net web site. (Plan to spend some time there!)

Tweet

AVMA's 2011 Model Veterinary Practice Act Process Will Be Open for Comments in January

"Moore's Shoeing Scene: The Veterinarian" was painted circa 1845 and holds a place of honor on the wall here at the Hoofcare and Lameness office. It was a gift from Walt Taylor many, many years ago and I never tire of looking at all the details (especially that dog!). But anyone visiting the office has trouble with it. They admire the print but when their eye falls on the title they don't understand. "Who's the veterinarian?" they ask. "Why is the focal point character working on a hoof?" This just proves the point that the precise definition of the veterinarian's role in the horse health scenario is far from a new topic. In the last 25 years, we've seen the emergence of diversified horsecare professions that never existed before. Farriers, on the other hand, pre-date veterinarians and once treated all ailments of the horse. At some point, farriers in Europe and North America relinquished the care of the horse and kept the hoof as their domain.

The following text is from a press release issued last week by the American Veterinary Medical Association (AVMA), which is integrally involved in state and national legislation regarding the practice of veterinary medicine and, overall, is influential in all matters related to animal care. Text in bold emphasized by the Hoof Blog so it will not be overlooked by those it may affect.

Do you have an idea on how animals can receive the best care from veterinarians and other members of the veterinary healthcare team? Early next year, you will have an opportunity to offer input that could help make your ideas a reality.

The American Veterinary Medical Association (AVMA) is soliciting public comments on its Model Veterinary Practice Act (MVPA). The current MVPA, which was last reviewed in 2003, includes sections on definitions, veterinary medical boards, licensing, client confidentiality, veterinary education, veterinary technicians and technologists, abandoned animals, and cruelty to animals, as well as other topics.

"This is an excellent opportunity for veterinarians, pet owners, the public, farmers or really anybody who cares about animals and veterinary medicine to offer input that will help guide the profession," says Dr. John Scamahorn, chair of the AVMA Model Veterinary Practice Act Task Force. "The Model Veterinary Practice Act is used by state legislatures and state veterinary licensing and exam boards to help shape the rules and laws that govern the practice of veterinary medicine."

The AVMA is issuing early notice of this public input period to encourage all interested parties to get involved and give informed comments. The current MVPA is available for public review on the AVMA website, at http://www.avma.org/issues/policy/mvpa.asp.

Organizations and individuals can contribute comments about the MVPA on the AVMA website during the 30-day public comment period, which is scheduled to start in January 2011. The AVMA requests that the comments submitted be specific and include suggested language for the new MVPA.

"The AVMA wanted to give notice of this public comment period as early as possible because we realize that there is a lot of interest in the Model Veterinary Practice Act, which is lengthy and contains many important provisions," explains Dr. Ron DeHaven, chief executive officer of the AVMA. "We feel it is important to alert stakeholders now so they can begin to review the many provisions of the act in advance of the comment period. Some organizations may even choose to meet and discuss the act in order to come to consensus on their comments, and we wanted to encourage and allow for these discussions about the future of veterinary medicine."

The first MVPA was created by the AVMA in the early 1960s. Over the years, it has been revised several times to reflect changes in the profession such as new technologies and techniques and even societal changes.

(end of text from the AVMA)

© Fran Jurga and Hoofcare Publishing; Fran Jurga's Hoof Blog is a between-issues news service for subscribers to Hoofcare and Lameness Journal. Please, no use without permission. You only need to ask. This blog may be read online at the blog page, checked via RSS feed, or received via a digest-type email (requires signup in box at top right of blog page). To subscribe to Hoofcare and Lameness (the journal), please visit the main site, www.hoofcare.com, where many educational products and media related to equine lameness and hoof science can be found. Questions or problems with this blog? Send email to blog@hoofcare.com.
 

Follow the Hoof Blog on Twitter: @HoofcareJournal

Join the Hoofcare + Lameness Facebook Page

Tweet

Hoof Pathologist and Educator Dr. Roy Pool Honored by American College of Veterinary Pathologists

Today the American College of Veterinary Pathologists (ACVP) will bestow an honorary membership to Roy R. Pool Jr., PhD DVM, director of the Surgical Pathology Service and director of the Osteopathology Specialty Service at the Texas A&M College of Veterinary Medicine & Biomedical Sciences (CVM).

This award -- only given to a select few individuals -- will be presented to Dr. Pool for his many important contributions to his professional discipline over his more than 40-year career as a veterinary musculoskeletal pathologist at the ACVP's annual meeting.

Honorary membership is bestowed upon a nonmember by a majority vote of the Council, and confirmed by a majority vote of the membership of the College.

Over the years Pool has contributed a great deal to the understanding of the causes and pathological diagnosis of musculoskeletal diseases of domestic animals. A list of his research topics includes research on many species and especially the pathogenesis of biomechanical lesions of bone, joints, tendons, and ligaments of athletic horses.

Pool is the last of the original five veterinary musculoskeletal pathologists still active today in academic practice in this country. He has taught numerous courses, in several veterinary institutions across the United States and Europe including the University of California at Davis, Cornell University, and Mississippi State University.

Dr. Pool was recruited by the Texas A&M seven years ago where, in addition to his diagnostic duties, he teaches lectures in his specialty to professional students in the veterinary curriculum.

"Although I am a clinical professor of pathology with primary diagnostic and teaching responsibilities, I continue to be involved in orthopedic research (e.g. healing of defects in articular cartilage and in tendons facilitated by stem cells)," said Pool.

I will never forget meeting Dr. Pool. He was so interested in Hoofcare and Lameness, and I was so interested in a project he was working on, related to navicular disease. One of the first sentences out of his mouth was, "I just love the navicular bone!" and I could tell he meant it. He went on to tell me that he had collected hundreds of them, and that he never tired of looking at them. Over the years, he also has never seemed to tire of answering my questions, and offering advice for deeper reading or where to find someone who might know the answer to my question.

Dr. Pool opened his lecture at the AAEP convention in San Francisco with one of the best lines ever: "Some people collect stamps. I collect navicular bones!"

Hoofcare and Lameness has tried to keep up with Dr. Pool's research. In 1996, Hoofcare published a summary of 15 years of his equine research, Equine Joint Mechanics: An AAEP/H&L Report, after his presentation at the AAEP convention in Lexington, Kentucky.

In the 1980s, Dr. Pool was the first to notice the incidence of what was then called degenerative suspensory ligament desmitis (DSLD) when he was at the University of California at Davis. What may have been an observation on his part helped veterinarian Jan Young DVM formulate the first articles on the conditon, which were published in Hoofcare and Lameness. In 2002, he was the co-author with Dr Jeanette Mero of the paper, Twenty Cases of Degenerative Suspensory Ligament Desmitis in Peruvian Paso Horses, presented at that year's AAEP Convention in Orlando, Florida.

Not only students and the research community have benefited from Dr. Pool's research, his studies and his affection for the navicular bone--we all have benefited from his generosity and his curiosity. We should all give him an award for helping us understand what happens when something goes wrong with the musculoskeletal systems of athletic horses.

Thanks to Texas A&M University for assistance with this article.

© Fran Jurga and Hoofcare Publishing; Fran Jurga's Hoof Blog is a between-issues news service for subscribers to Hoofcare and Lameness Journal. Please, no use without permission. You only need to ask. This blog may be read online at the blog page, checked via RSS feed, or received via a digest-type email (requires signup in box at top right of blog page). To subscribe to Hoofcare and Lameness (the journal), please visit the main site, www.hoofcare.com, where many educational products and media related to equine lameness and hoof science can be found. Questions or problems with this blog? Send email to blog@hoofcare.com.

Follow the Hoof Blog on Twitter: @HoofcareJournal

Join the Hoofcare + Lameness Facebook Page

Tweet

Hallmarq Veterinary Imaging Presents Dr Sue Dyson's Patient, A Showjumper Who Wanted to Stay on the Left Lead

Sue Dyson, FRCVS, is Senior Orthopaedic Clinician in the Centre for Equine Studies at the Animal Health Trust in Newmarket, England. The Animal Health Trust (AHT) operates a referral clinic for cases of lameness in sport horses, which is Dyson's specialty. AHT has advanced diagnostic imaging capabilities that are usually not available in equine veterinary hospitals.

Dr Sue Dyson of the Animal Health Trust is Newmarket, England performs systematic lameness exams on horses referred to the clinic for diagnosis or treatment. (Sue Dyson/Hoofcare Publishing image)

Imagine Sue Dyson examining Thomas, a five-year-old warmblood, who competes in low-level showjumping.

Thomas was referred to the Animal Health Trust because he was reluctant to land from a fence with the right forelimb leading. He had become awkward turning to the left and sometimes felt "pottery" (unlevel or unstable) in front. Thomas's vet had detected some swelling in the region of the left front foot's coffin joint, just above the coronary band. He was sound on a straight line but on a circle he showed left forelimb lameness on the left rein, which was worse on a firm surface that a soft one.

Nerve blocks were used to desensitize the back of the foot and this eliminated the left forelimb lameness. On a separate occasion, an injection of a local anesthetic into the coffin joint also made Thomas sound.

The impar ligament of the navicular bone is known as the Distal Sesamoidean Impar Ligament or DSIL. It anchors the navicular bone by connecting it to the coffin bone (P3). This ligament is very deep inside the foot and is not visible on a radiograph. (HC Biovision plastination image, uesd with permission)

X-rays of the foot were taken, but the vet saw no abnormalities. The vet explained that although primary injuries of the coffin joint can occur, a positive response to nerve-blocking did not rule out the possibility of injury to one of the other related structures.

A treatment plan devised by the horse's regular vet directed that Thomas’s coffin joint was treated with an injection of corticosteroids and hyaluronan, which made him sound within a few days and able to resume full work. He continued to progress well for about six weeks but clinical signs recurred. Never blocks were repeated and yielded similar results.

This MRI shows what a normal, undamaged DSIL looks like. It appears like a solid bank of white leading from the navicular bone to the inside of the coffin bone. The veterinarian interpreting the MRI would hope to see the DSIL looking the one in this image. (Hallmarq reference image)

The vet examined the collateral ligaments of the coffin joint, just above the coronary band, and could see no abnormalities. It was therefore suggested that an MRI scan should be carried out to try to establish a more definitive diagnosis. MRI often identifies injuries which are invisible when using other techniques such as x-rays or ultrasound, particularly when the problem is in the foot.

The MRI scan, performed at the Animal Health Trust, revealed that Thomas had sustained an avulsion fracture—an injury to the bone in a place where a tendon or ligament attaches to it—at one side of the attachment of the distal sesamoidean impar ligament to the pedal (coffin) bone. Clearly this was a problem that was going to require rest before Thomas would happily swap leads again.

Damaged DSIL: Deciding to look into the foot in search of a root cause of the lameness was delayed for months with this horse, while the vet treated what might be the horse's problem. This type of injury is relatively rare but can be diagnosed through advanced imaging. The MRI showed that the foot was damaged in the region of the distal sesamoidean impar ligament (DSIL) in the navicular zone. Compare this reference image with the other images of the DSIL in this blog. (Image courtesy of Dr Martinelli, California Equine Orthopedics)

Thomas's case study is a sponsored blog post in cooperation with Hallmarq Veterinary Imaging.

Watch for more in the Hallmarq-sponsored article series on The Hoof Blog, and check their social media system and especially their info-deep web site for lots more information.

To learn more about Hallmarq Veterinary Imaging and standing MRI technology for horses:

• Become a fan  of the new Hallmarq Equine MRI Facebook page;
• Follow @HallmarqMRI on Twitter;
• Subscribe to the hallmarqvetimaging channel on YouTube.com;
• Watch for a growing equine distal limb Hallmarq MRI image gallery on Flickr.com;
• Visit the Hallmarq.net web site. (Plan to spend some time there!)


MRI images used in this article were provided by Hallmarq as examples and are not the actual radiographs from Thomas's file.

This case study originally was written for an article on lameness in Horse and Hound Magazine.

Follow the Hoof Blog on Twitter: @HoofcareJournal

Join the Hoofcare + Lameness Facebook Page

Tweet

Moyer's AAEP Presidency Means Temporary Changes at Texas A&M Vet School

(press release edited for space restrictions) 

Dr. William Moyer, professor and department head of the Large Animal Clinical Sciences Department (LACS) of the Texas A & M College of Veterinary Medicine and Biomedical Sciences (CVM), will become the next president of theAmerican Association of Equine Practitioners (AAEP) in December 2010. While Moyer goes on administrative leave to fulfill his duties with the AAEP, Dr. Allen Roussel, professor and associate department head at veterinary college, will become the acting department head of the LACS on September 1, 2010 until January 1, 2012.

"This is the greatest honor I have ever received," explains Moyer. "I have been a member of AAEP since 1969. AAEP has set the ground work for a lot of other organizations of its kind. It was the first to have a motto, and it is one of the only organizations that is very progressive in dealing with all issues of the horse world. Personally, AAEP is my window to the world I work in. I am very grateful to Dr. Roussel for fulfilling the responsibilities of my current position while I execute my role with the AAEP."

AAEP's mission statement is "to improve the health and welfare of the horse, to further the professional development of its members, and to provide resources and leadership for the benefit of the equine industry." AAEP encompasses all aspects of the horse industry. Moyer is currently president elect of the AAEP. He received his DVM from Colorado State University in 1970. He has been the department head of the Large Animal Clinical Sciences Department for 17 years. He also holds memberships in the American Veterinary Medical Association, Association for the Advancement of Sports Potential, Association of American Veterinary Medical Colleges, Association of Equine Sports Medicine, and the Texas Veterinary Medical Association.

"Dr. Moyer's rise to the presidency of the largest, most influential equine veterinary organization in the world speaks volumes about his success as an influential leader and the regard in which he is held in the profession," said Dr. Eleanor Green, Carl B. King dean of veterinary medicine at Texas A & M.  "The AAEP presidency is one of the greatest honors, opportunities, and responsibilities an equine veterinarian can achieve.  We are all very proud of Dr. Moyer."

"As AAEP President, Dr. Moyer will advance both the AAEP and Texas A & M University," Green continued.  "In recognition of the growing responsibilities and time commitment associated with AAEP Presidency, Texas A & M fully supports Dr. Moyer and encourages him to focus his talents and energies on his presidency during his term.  So how can the Department of Large Animal Clinical Sciences continue to flourish during this period?  Dr. Moyer fully supports Dr. Allen Roussel in serving as Acting Department Head.  What speaks volumes about Dr. Moyer's selfless nature and his well-known advocacy for and faith in his faculty is that he has entrusted the department completely to Dr. Roussel.  He has made it clear that he wants Dr. Roussel to lead the department as if he were the permanent department head until his return.

"Dr. Roussel is up for the challenge.  He has demonstrated excellent leadership as Associate Department Head and has been working side-by-side with Dr. Moyer over the last few months.  One can almost hear Dr. Roussel saying, 'Put me in coach.'  Because of unselfish dedication of both of these leaders, the department will not merely be held together, it will continue to drive forward."

Hoof Blog note: Among his many other accomplishments, Dr. Moyer is co-author of A Guide to Equine Joint Injection and Regional Anesthesia, our current bestselling book. Sadly, it has gone out-of-print and we are down to the last copies. If you need one, please go to our order page and make sure you get one before they are gone.

Also: Dr. Green knows what she's talking about; she was AAEP President in 2008.

© Fran Jurga and Hoofcare Publishing Fran Jurga's Hoof Blog is a between-issues news service for subscribers to Hoofcare and Lameness Journal. Please, no use without permission. You only need to ask. This blog may be read online at the blog page, checked via RSS feed, or received via a digest-type email (requires signup in box at top right of blog page). To subscribe to Hoofcare and Lameness (the journal), please visit the main site, www.hoofcare.com, where many educational products and media related to equine lameness and hoof science can be found. Questions or problems with this blog? Send email to blog@hoofcare.com.

Follow the Hoof Blog on Twitter: @HoofcareJournal

Join the Hoofcare and Lameness Facebook Page

Equine Imaging: Hallmarq's Standing MRI Expertise Accessible Through Hoof Blog Alliance

This video, produced by Hallmarq Veterinary Imaging, details the procedure involved in preparing for and executing a standing MRI as practiced by Sarah E. Powell, MA, VetMB, MRCVS in the Hallmarq suite at Rossdales Equine Diagnostic Centre in Newmarket, England.

Get ready for some exciting new additions to the Hoof Blog. Over the next few weeks, the H-Blog will present information for and with the assistance of Hallmarq Veterinary Imaging, a company that is recognized as the worldwide leader in standing-MRI imaging of the horse's lower limb.

Now that 14 leading North American university and private equine hospitals are equipped with specialized Hallmarq magnetic resonance imaging (MRI) units for hoof imaging, there is a "need to know" in the horse owner, trainer, technician, therapist and farrier sectors about what this type of veterinary diagnostic imaging involves and what its value to the horse can be. Worldwide, almost 50 Hallmarq lower limb imaging suites are in use; images of almost 20,000 equine lameness cases have been archived in the company's central database. But what does that mean to a horse in my care, or in yours?

Why does a veterinarian need an MRI if a radiograph has already been taken? An MRI looks literally "into the foot" from different angles and reveals the condition of soft tissue structures, such as tendons, ligaments, and hard-to-view points like the navicular bursa. A radiograph's weaknesses are an MRI's strengths. MRI results are especially valuable for making a prognosis for a performance-related injury. (Hallmarq image)

With Hallmarq's expertise and vast database of images, we will be helping to de-mystify where, when and how MRI fits into the bigger picture of horse foot injury imaging and explaining specific foot problems that are especially well-suited for detailed soft-tissue analysis using MRI technology. Hallmarq's unit, as you will see in this video, also allows the horse to be imaged while standing, so that only sedation is required rather than subjecting the horse to the risks of general anesthesia.

That's the process, and while we all are interested in the end results, it's important to know what can be done to best prepare horses for an MRI appointment and to appreciate the valuable information that MRI might provide. Information from leading clinics and lameness specialists will provide insights and perhaps give insight to what the future may hold.

Watch for more in the Hallmarq-sponsored article series this summer, and check their social media system and especially their info-deep web site for lots more information.

To learn more about Hallmarq Veterinary Imaging and standing MRI technology for horses:

• Become a fan  of the new Hallmarq Equine MRI Facebook page;
• Follow @HallmarqMRI on Twitter;
• Subscribe to the hallmarqvetimaging channel on YouTube.com;
• Watch for a growing equine distal limb Hallmarq MRI image gallery on Flickr.com;
• Visit the Hallmarq.net web site. (Plan to spend some time there!)

--------

About Hoof Blog sponsored articles: From time to time, the HOOF BLOG publishes articles made possible by the sponsorship of industry partners and advertisers. These articles will always be clearly marked as sponsored content. They are developed and created by Hoofcare Publishing in collaboration with the sponsor. Only articles clearly marked as sponsored content have commercial affiliations. Sponsored content opportunities are available to companies whose programs, events or products are relevant to the educational mission of Hoofcare Publishing and the interests of its subscribers. Please email Hoofcare more information on sponsorship opportunities.

Virginia Tech Hires Full-Time Farrier for Veterinary College Post

20 January 2010 | Fran Jurga's Hoof Blog at Hoofcare.com

Travis Burns will leave his employment with the multi-farrier practice Forging Ahead in Round Hill, Virginia to become the full-time farrier at the veterinary college at Virginia Tech. He's shown here with one of his favorite horses, a big-footed barefoot fellow named Gumpy. (Hoofcare & Lameness photo)

This announcement was received this week from the
Virginia-Maryland Regional College of Veterinary Medicine at Virginia Tech University in Blacksburg, Virginia; thanks to Drs. R. Scott Pleasant (far left) and David Hodgson (near left) for their assistance. (University announcement text in red)

We are very pleased to announce that Travis Burns, of Marshall, Virginia, has joined the Virginia-Maryland Regional College of Veterinary Medicine at Virginia Tech as a full-time farrier.

Burns’ arrival in February will allow the College to provide complete equine podiatry services through the Veterinary Teaching Hospital. In his position, Travis will assist the equine faculty in building on the service, education, and community engagement strengths of the College. We believe that Travis’s special skills, knowledge, and experience will be a great resource for our students and regional horse owners, farriers, and veterinarians.

Proper management and care of a horse’s hooves is essential to the overall health of the animal, according to Dr. David Hodgson, head of the Department of Large Animal Clinical Sciences. “Properly trimmed and balanced hooves and correctly fitting shoes are essential to preventing lameness and other maladies in horses,” said Hodgson. “The addition of Travis to our department and hospital further enhances the overall preventive healthcare package we are able to offer our patients, clients and referring veterinarians. We are very pleased to welcome him and plan for him to enhance our ties to the local community of farriers. Travis will be working closely with Dr. Scott Pleasant and other members of our veterinary team. Dr. Pleasant is one of the leading veterinary exponents for the advancement of hoof care in horses. ”

Travis’s interest in horseshoeing began at an early age while working with horses at his uncle’s riding stable in North Carolina. He attended farrier school in the winter of 2002 and then continued to shoe horses while attending college. He graduated from North Carolina State University in 2006 with a Bachelor’s degree in Animal Science. In 2007, Travis was accepted into a one-year internship program at Forging Ahead, an elite multi-farrier practice in Northern Virginia. Upon completion of the internship program, based on his outstanding ability, Travis was retained at Forging Ahead as an associate farrier.

Travis recently achieved Certified Journeyman Farrier certification by the American Farrier's Association, the highest level of certification granted by the organization.

(end of Virginia Tech document)

Hoofcare and Lameness would like to congratulate both Travis Burns and Virginia Tech for the new directions each of them is taking (and taking together). While Travis is heading into a new area, there is no doubt he gives a lot of credit to the formal internship program that he completed at Forging Ahead; he was later hired on as an associate farrier there. The fact that he would be an AFA Journeyman and be considered for this position at the vet school so early in his career is testimony to the program that Paul Goodness has designed at Forging Ahead for farriers who want to seriously accelerate their careers working on top sport horses or specializing in lameness. While not everyone can be an intern at Forging Ahead, the program can be emulated by others, and hopefully more internships for working professional farriers will be offered in the future.

How does Paul Goodness feel about losing his protege? "I think it's so great," he said in a phone interview this morning, "that Virginia Tech would choose a young, talented farrier like Travis. He'll go far in this industry. They are starting with a clean slate, by hiring someone who wants to help horses and make a positive difference on many fronts. This is a step forward for the farrier-vet world. I will be able to stay in touch with Travis and send him cases from Leesburg. (Note: Marion duPont Scott Equine Medical Center in Leesburg, Virginia, which is affiliated with Virginia Tech and where Paul is the farrier).

"It's not a crisis here at Forging Ahead. It's true, 2009 wasn't the best year for us, and I'm sure not the best year for most farrier businesses," he continued thoughtfully. "But we've already picked up new clients this month and I don't feel like I need to be running back and forth to Florida. Scott and I have full books, all day, just here at the shop with haul-ins. We're predicting a big year and an influx of foreign riders to the area to train and compete before heading to Kentucky for WEG in the fall. The farrier business should be just fine, as should be the lameness referrals."

Here's a re-post of the NBC News segment taped at Forging Ahead about the internship program during the run-up to the Kentucky Derby last April:

, ,Please allow time for NBC's "Thank Goodness" video to load. Click the play icon to begin.

Links to more articles about Forging Ahead:
Link to Internship Program Announcement in 2007
Link to "Friends at Work" About Forging Ahead in 2009
Link to Forging Ahead web site

In 2009, Travis attended the Fifth International Equine Conference on Laminitis and Diseases of the Foot in West Palm Beach, Florida and the North East Association of Equine Practitioners Conference in Ledyard, Connecticut. He also was a guest presenter at one of our Hoofcare@Saratoga evenings last August in Saratoga Springs, New York, where he presented Forging Ahead's clever reverse Mustad glue-on shoe for laminitis therapy.

While I was working on this announcement, several people forwarded to me links to a story that was published around the country today, via Associated Press, and most notably on the ABC News and National Public Radio web sites. The article features Jason Wilson-Maki, farrier at Texas A&M University, along with a brief mention of Michael Wildenstein, farrier at Cornell.

There are many hardworking farriers at vet schools around North America, including Jason and Michael, whether full-time employees or contract service providers. I'm sorry to say that I don't know who they all are, so if you work for or with a vet school, please contact The Hoof Blog so we can keep a list.

And today we can add Travis Burns to that list of farriers...and Virginia to the list of vet schools that has one.

© Fran Jurga and Hoofcare Publishing. Please, no use without permission. You only need to ask.

Fran Jurga's Hoof Blog is a between-issues news service for subscribers to Hoofcare and Lameness Journal. This blog may be read online at the blog page, checked via RSS feed, or received via a digest-type email (requires signup in box at top right of blog page).

To subscribe to Hoofcare and Lameness (the journal), please visit the main site, www.hoofcare.com, where many educational products and media related to equine lameness and hoof science can be found.

Questions or problems with this blog? Send email to blog@hoofcare.com.

Texas A&M Adds Full-Time Farrier to Hospital Staff

by Fran Jurga | 17 September 2009 | Fran Jurga's Hoof Blog

Jason Wilson-Maki is the first resident farrier at Texas A&M University College of Veterinary Medicine's Large Animal Hospital.

The following article is provided by Angela Clendenin of Texas A&M University. I don't think I know Jason Wilson-Maki, but wish him the best of luck in his new position and congratulate A&M for taking the important step of hiring a full-time farrier. Photographs were also provided by A&M.

COLLEGE STATION, TX –A certain specialization that is often overlooked or unknown by many people today is that of a farrier. A farrier’s job is to provide shoes for horses, and to work on their hoof problems. The Texas A&M College of Veterinary Medicine & Biomedical Sciences does a lot of work on lame horses, and a big part of treatment for horses’ hooves often requires therapeutic shoeing, and a specialist who knows what to do.

“For years, Texas A&M has had a farrier contract on an 'as needed' basis,” said Dr. Kent Carter, Professor of Equine Lameness and Chief of Medicine at the Texas A&M College of Veterinary Medicine Large Animal Hospital. “The problem with this type of contract is that we don’t always know when we are going to need a farrier and that makes us unable to provide full service to our clients.”

One year ago the faculty decided to do more towards pursuing a full time farrier to provide a better resource for our clients as well as a better teaching and learning environment for professional veterinary students.

“We set out on a national search for a full-time farrier and received a tremendous response,” said Carter. “There were 30 or 40 applicants who were narrowed down to 12, and finally we interviewed 5 of them. Jason Wilson-Maki had the most outstanding interview.”

A native of Ohio and a 1997 graduate of the Heartland Horseshoeing School, Jason was qualified for the job because of his previous experience and teaching. He also has a double certification in the American Farrier’s Association and the Farrier’s Guild (Guild of Professional Farriers). He showed great enthusiasm about horses and teaching during his interview and began work at the Texas A&M College of Veterinary Medicine during October of 2008.

Wilson-Maki feels that one of the greatest benefits of working as a farrier at a vet hospital, as opposed to being self-employed, is that working with so many veterinarians eliminates the guesswork, and is of greater benefit to the horses.

“Having a diagnosis and a prescription reduces the amount of trial and error required to improve an animal’s performance or soundness” said Wilson-Maki. “Moreover, the direct communication between the clinicians and myself benefits the animal by reducing the risk of a miscommunication. If I have any technical or application concerns, these issues can be discussed. This facilitates an individualized, comprehensive treatment for the animal which accomplishes the goals of the attending clinician and stays in step with the fundamental principles of sound farriery. This team approach is a great joy for me.”

Since such a huge part of an equine veterinarian’s career has to do with providing the physical skills needed to handle problematic hooves, Wilson-Maki’s expertise has taken the veterinary medical students’ education to the next level.

Jason Maki and Dr. Kent Carter (far right) with Texas A&M vet students.

“It has been such an enjoyable experience interacting with the vet students,” said Wilson-Maki. “It is great to be able to see the light go on in their heads when applying certain aspects that they have been taught, but have not been able to apply until now. The students are constantly challenging me with questions that I must sometimes pause to think about the answer! Working at the CVM has truly been the best experience of my life.”

From enhancing veterinary medical education to providing value added service for clients, the farrier service at the veterinary medical teaching hospital has given the clinicians at the CVM another tool for helping their patients.

“Having a full-time farrier on staff has been extremely beneficial” said Carter. “We are able to provide a more consistent and thorough job for clients, as well as a better learning experience for students pursuing their veterinary degrees.”

© Fran Jurga and Hoofcare Publishing. No use without permission. You only need to ask. Fran Jurga's Hoof Blog is a between-issues news service for subscribers to Hoofcare and Lameness Journal. This blog may be read online at the blog page, checked via RSS feed, or received via a digest-type email (requires signup in box at top right of blog page). To subscribe to Hoofcare and Lameness (the journal), please visit the main site, www.hoofcare.com, where many educational products and media related to equine lameness and hoof science can be found. Questions or problems with this blog? Send email to blog@hoofcare.com.

Oklahoma Uprising? Rodeo Star Arrest for Illegal Equine Dentistry Sends Horse Owners to State Capitol

by Fran Jurga | 8 April 2009 | Fran Jurga's Hoof Blog


They say "Don't mess with Texas," but I think there's a PS implied in there: "Or Oklahoma, neither."

I don't usually have much news from Oklahoma but between last year's disease outbreak there, horseshoeing school owner Reggie Kester's recent death, and philanthropist Madeleine Pickens's withdrawal of her multi-million dollar donation to the Oklahoma State vet school because they use live animals to teach surgery, I am singing the Broadway theme song.

Add in the growing popularity of Oklahoma veterinarian Dr. Michael Steward's clog treatment for laminitis, the recent banning of cloned Quarter horses from the state's racetracks and the stiffening of the state's veterinary practice act to classify non-veterinary tooth floating as a felony and I feel like I may as well move there just to report on the news.

But I won't be packing a tooth rasp.

And isn't it tornado season?

In a nutshell, to bring you up to date: Oklahoma's state legislature in 2008 voted to re-classify dentistry work by a non-veterinarian as a felony. It was formerly a misdemeanor. But would they actually arrest someone for illegal tooth floating?

And, if so, which of the state's twenty-odd horse dentists would be targeted?

We found out last month. National Finals Rodeo saddle bronc star Bobby Griswold apparently picks up some money on the side by doing teeth; his downfall came when he sedated a horse and did dental work for an undercover investigator for the Oklahoma State Board of Veterinary Medical Examiners.

That's the first part of the story and it reads like a tv script: the first person arrested in Oklahoma for violating the beefed-up law just happened to be a celebrity. A celebrity who may be turning into a folk hero if you read the barrel racing and rodeo magazines and web sites.

I think there is interesting information in Bobby Griswold's biography: his town was hit by an F5 tornado in 1999, then five years later, in 2004, another tornado hit his new property in a new town. And now, five years again later, he's caught up in a whirlwind, of a different sort. And tornado season is just beginning.

The rest of this story is that, according to an article in today's edition of the Oklahoman, about 50 horse owners "stormed" the state Capitol yesterday and a state legislator filed an amendment to the veterinary statutes.

To quote the newspaper:
"This amendment would allow equine dentistry and other animal procedures, such as shoeing hooves and transferring embryos in cattle, to be done without a veterinary license. Those practices now fall under the supervision of the state Board of Veterinary Examiners. The amendment would put them under the state Agriculture, Food and Forestry Department."

That's the first time I have seen a reference to shoeing in this matter, and it certainly got my attention. Then I re-read it and, being the editor I am, realized that it technically meant shoeing hooves of cattle, which may or may not have been the intent of the writer.

The rally was organized by the Institute for Justice, an organization that has been actively challenging veterinary practice acts in states like Maryland, where a massage therapist stood up for her rights to rub horses.

Somehow, I don't think this is the end to this story. Stay tuned!

Please read information from many different sources before you make up your mind on this complex issue...and please be sure to stay abreast of developments and changes in legislation status affecting the care and health of animals--and who can do what to them, and where and how--in any state where you work on, show, breed, ride, buy or sell horses.

Click here for information from the Oklahoma Veterinary Medical Association (not the state regulatory board, but the association of veterinarians) about equine dentistry and regulations in the state.
Click here for an article in the Journal-Record about the new legislation and the Institute for Justice's involvement.
Click here for the Oklahoman's account of the horse owners' rally and new legislation.
Click here for the Oklahoman's account of Bobby Griswold's arrest for violating the Veterinary Practice Act, complete with mug shot.
Click here for Bobby Griswold's defense fund home page.


© Fran Jurga and Hoofcare Publishing. No use without permission. You only need to ask. Fran Jurga's Hoof Blog is a between-issues news service for subscribers to Hoofcare and Lameness Journal. This blog may be read online at the blog page, checked via RSS feed, or received via a digest-type email (requires signup in box at top right of blog page). To subscribe to Hoofcare and Lameness (the journal), please visit the main site, www.hoofcare.com, where many educational products and media related to equine lameness and hoof science can be found. Questions or problems with this blog? Send email to blog@hoofcare.com.

Working with Horses: Veterinary Practice Acts Defended in Courts

What color is your state? Blue states allow non-vet equine dentists to work on horses; orange states allow non-vet equine massage therapists to work on horses; striped states allow both professions to work independently of veterinarians; white states have either not modified their veterinary practice laws to allow dentists and massage therapists to work or have possibly not adopted the AVMA's newest model veterinary practice act, which tightens restrictions on the definition of veterinary care of animals. Some states may be more permissive, others may be tolerant but have restrictions, such as IAED certification for non-vet dentists, but charges against a non-vet are often based on complaints from horse owners or veterinarians, so everyone is still subject to discipline. In most states there are high fines and criminal statutes for practicing veterinary medicine without proper licensing. Even a a person with a DVM degree is subject to prosecution or discipline if he or she is not licensed to work in a given state. (Map: JAVMA)

An article in the upcoming October 15th edition of the Journal of the American Veterinary Medical Association (JAVMA) summarizes the ongoing legal confrontations going on in Texas and Maryland between state veterinary medical boards and legal consultants defending equine massage therapists and horse dentists.

A third lawsuit, questioning the legality of the veterinary practice act in Minnesota, resulted in a court decision in favor of the vet board in that state, and against the rights of an individual to earn a living as a horse dentist.

In each case, the non-veterinarian practitioners have been represented by the Institute for Justice, a civil liberties law concern in Arlington, Virginia. At question is the right of individuals to continue to earn a living, when their occupation has been redefined as within the scope of veterinary medicine under the new vet practice acts adopted in some states.

Five states--New Hampshire, Georgia, South Carolina, Pennsylvania, and Oregon--have amended vet practice acts that allow non-vet dentists and massage therapists to work legally.

In many cases, the affected parties have held up horse shoeing (and trimming) as examples of an unregulated field that is allowed to continue without interference by state veterinary boards.

In some other states, horse owners have organized to legally challenge state veterinary boards, charging that they have the right to hire whatever practitioner they wish to care or treat their animals. In Florida, a proposed state law allowing horse owners to choose their practitioners failed to pass the state legislature.

In the case of the Minnesota dentist who protested the law, he would have been allowed to continue working if he had become certified by the International Association of Equine Dentistry (IAED), but he did not want to go through the certification process.

The Institute for Justice defends the rights of individuals to pursue their chosen professions.

Reading this article, and perusing the map of US states that have granted concessions to non-vet dentists and massage therapists is recommended for anyone who makes his or her living working with horses.

What's especially interesting is that the problems seem to be centered on horse care rather than all species of animals.

From the court documents in Minnesota, as quoted by the AVMA: "The state may legitimately exercise its police power to protect public health, safety, or welfare through the regulation of occupations that require specialized training or skill and the public will benefit from assurance of initial or continuing occupational ability ... Veterinarians are the natural group to provide education and training with respect to the overall health and anatomy of animals."

Click here to read the upcoming JAVMA article.

Click here to visit the International Association for Equine Dentistry, whose certification is recnognized in Minnesota.

Click here to meet Mercedes Clemens, the certified massage therapist in Maryland who is no longer allowed to work on horses.

© Fran Jurga and Hoofcare Publishing. No use without permission. This blog post was originally published on 3 October 2008 at http://www.hoofcare.blogspot.com.

Fran Jurga's Hoof Blog is a between-issues news service for subscribers to Hoofcare and Lameness Journal. This blog may be read online or received via a daily email through an automated delivery service.

To subscribe to Hoofcare and Lameness, please visit our main site, www.hoofcare.com, where many educational products and media related to equine lameness and hoof science can be found.

Questions or problems with this blog? Send email to blog@hoofcare.com.

Comments to individual posts are welcome; please click on the comment icon at the bottom of the post.

Vets in Court: Charges Cleared in Fracture Case; Non-vet Witnesses Testimony Not Relevant

LONDON, ENGLAND (May 31) -- The Disciplinary Committee of the Royal College of Veterinary Surgeons last week dismissed a case against a veterinary surgeon having found that her actions during the treatment of an injured horse did not amount to serious professional misconduct.

Margarida dos Santos Correia MRCVS was practising at the Lady Dane Veterinary Centre in Faversham, England at the time of the incident. She was attending a Thoroughbred gelding called Prune that had a puncture wound on his hind leg, causing increasingly severe lameness, swelling and seepage.

The charge faced by Dr Correia was that, having identified that Prune was severely lame in his left hind leg and that it might be fractured, she caused Prune to be transported some 50 miles to a referral centre, without providing adequate physical support.

During the hearing the Committee heard that when Dr Correia first examined Prune, she had not ruled out a fracture, but decided that cellulitis from the puncture wound was more likely. It was alleged by lay witnesses that she did not examine the horse properly three days later and that, prior to transportation, she again failed to palpate the leg properly.

The Committee, however, preferred Dr Correia's evidence that she examined the leg properly on all three occasions; further, it accepted that a lay witness could easily have mistaken stance-related distortion for displacement.

The Committee stated that it was sure there was neither a detectable limb fracture, nor visible distortion to show that a fracture had occurred; it noted the opinion of both expert witnesses that this was not unusual in a non-displaced unicortical fracture and that sometimes, even with the benefit of a radiograph, it could be an impossible fracture to detect. It agreed that Dr Correia's diagnosis of cellulitis was consistent with the symptoms presented at the time.

Professor Derek Knottenbelt MRCVS, expert witness for the RCVS, described the case as a very difficult one for Correia - a "young and relatively inexperienced veterinary surgeon" - to face so early in her career. He stated that, "cellulitis is far and away more common than tibial fracture," adding, "[Correia] made a genuine error of judgment that she is unlikely to make again".

The Committee heard that Dr Correia had spoken by telephone with a senior colleague who had agreed with her diagnosis, but had not been talked through the protocol for transporting a horse so injured. It found it a "matter of great regret" that this colleague did not see fit to examine Prune himself, before allowing him to be moved.

Both experts agreed that transportation in 'Robert Jones' bandages with splints applied by an inexperienced person such as Correia possibly could result in more harm than good. Neither Correia's senior colleague, nor the equine referral clinic, had suggested to Dr Correia that she employ any such protective procedure.

Alison Bruce, chairing the Disciplinary Committee, said: "We wholeheartedly concur with the expert witness for the Respondent, Professor Tim Greet FRCVS, when he concludes in his report that: 'Under such circumstances, it is my opinion that Dr Correia's actions could not, at any time, be construed as demonstrating seriously deficient professional care, nor was her conduct disgraceful in a professional respect.' The case is dismissed."