Clog on Clog: Removable System for Laminitis

The Steward Clog is less of a product than a concept. Dr Michael Steward in Oklahoma has created a unique, affordable and simple system for helping foundered horses. We hear about good results with the system from vets and farriers all over the world.

The idea of a pivot point rather than a supportive platform is a leap of faith that is difficult for many to make. And we usually don't make those types of leaps until we've tried everything else. If there is one thing that the last ten years of experimental farriery has proven it is that removing resistance can have as therapeutic an effect as adding stability, which was the old-school 1990s way approach to laminitis (and still works for a lot of professionals).

People call here and ask "Where can we buy those Steward clogs?" The answer is the whole point: you can't. Dr Steward has nothing to sell. The Steward clog is an idea, a system that you can probably make yourself out of scrap materials found in any barn or garage.

The "system" is actually just a block of wood. Period. You use screws or glue to attach it to the foot. Period. Dr Steward says that the bottom of the clog needs to mirror the shape of the coffin bone (P-3) and be correctly positioned beneath the bone. Period.

It's been five years now since Dr Steward presented the concept at the 2003 AAEP Convention in New Orleans and in that time, a lot of clever people have put their minds to ingenious ways to use or attach the clog. As long as you keep it simple, it seems to be a viable option for lots of horses, and sometimes the only option for people without the budgets for designer heartbars and rainbow "packages" of impression material.

EDSS, makers of the Natural Balance shoe, originally introduced me to the Steward Clog, and then they went one step further and started "manufacturing" a plastic clog.

Now our British friend David Nicholls AWCF has gone a step further. Perhaps some owners would balk at allowing a farrier to twist screws into a horse's foot, or perhaps the sole needs to be cleansed or medicated. In that case, David's clog:clog solution was to screw the plastic EDSS version of the Steward Clog to a Dallmer clog, which is sort of an exterior-strap plastic hoof boot. No doubt, the clog could probably be attached to any hoof boot, if you remember that the placement of the clog is critical. Normally, the clog is a 24/7 sort of a regimen, not something that is put on or taken off, but Dr Steward would have great advice there, I'm sure. Strapping on a laminitis support device gives you a test phase that allows you to go to Plan B if the horse doesn't like it.

David writes, "This equine patient did not respond well to wearing glue on heart bar shoes and the veterinarian cut a hole in the sole of this foot. He wanted a removable system so he could continue to treat this foot.The pink EDSS Impression Material is placed into the least painful areas of the rear of the foot. The other foot had a clog nailed on. Once the sole issues had been dealt with, I removed the Dr Steward EDSS clog from the Dallmer clog (too many clogs here!) and nailed it back onto the now-healed foot. The equine patient never looked back and has returned to its previous job as a riding horse. This case was a referral so once it was sound and shod I did not see it again."

Thanks to David and TFP for these photos and for having such an innovative shoeing practice, thanks to Cody at EDSS for introducing me to the clogs at the Equine Affaire in Ohio a few years ago, and especially thanks to Dr Steward for spending a lot of time on the phone with me...and for having a great idea, one which he is happy to share. And that great idea is one that anyone with the most basic home-maintenance tools, even in the most remote part of the world, can use to help a horse, once he or she grasps the concept. (And until or unless you do, don't try it!)

TO LEARN MORE, read "How to Construct and Apply Atraumatic Therapeutic Shoes to Treat Acute or Chronic Laminitis in the Horse" by M. L. Steward in Proceedings of the 49th Annual Convention of the American Association of Equine Practitioners, 2003 or read the "Going Dutch" article by Holly Clanahan about clogs used by Dr Steward on foundered Quarter horses in the January 2008 edition of America's Horse, published by the AQHA.

Olympics' Head Farrier Is On His Way to Hong Kong

It's a long, long way from Mold, Wales to Hong Kong, China. But Welsh farrier Ian Hughes already knows the way. (University of Liverpool Equine Hospital photo)

Lameness specialist Ian Hughes of Wales is farrier at the Ashbrook Equine Hospital in Cheshire, England, as well as the farrier and lecturer on farriery at the University of Liverpool's equine hospital. It wasn't easy for him to take nine weeks out of his life and head to Hong Kong...but he's now on his way! 

Ian left on a long, long flight today and by tomorrow will be setting up the forge and shoeing clinic where he  will be working as official farrier for both the Olympics and Paralympics. British farrier Kelvin Lymer and the Hong Kong Jockey Club's Greg Murray will join Ian during the Games, but Ian will also be staying on to be the farrier for the Paralympics in September. 

The horses start arriving in Hong Kong later this week, and Ian wants to make sure that he has the forge up and operating in case he is needed. While some countries send a farrier, many do not, so Ian should have plenty to do, with 240 horses expected for the Games and 78 for the Paralympics.

Hong Kong has been getting ready for Ian, whose vast orders for supplies were shipped months ago from Europe. Ian was the farrier for the "Test Event" in Hong Kong last summer, so he has worked in the new forge. He has done some work on redesigning things, and expects that the forge will have air-conditioning on the shoeing floor this year, although not in the forge itself.

Getting on the plane for Hong Kong means a huge logistics task for Ian--not in relation to the Games, but in relation to his business at home. In addition to serving the vet hospital in Cheshire and the University's hospital, Ian has a regular client list based all over the countryside.

"Trying to organise your business and livelihood to withstand the main person to go away for nine weeks with no input at all has proven as difficult as organising the Farriery Department (for the Olympics)," Ian said yesterday in an email.

"At least with Hong Kong you are only dealing with half a dozen people and their ideas and thoughts," he went on. "With my business, we literally have hundreds of clients all concerned that their horse or pony will continue to get the best attention."

Security is very high in Hong Kong and Ian must be careful what he says by email and telephone, but you should be hearing from him and the other farriers from time to time over the next few months via the Hoof Blog. 

Ian is a specialist in lameness and does a lot of research, as well. He was a co-author of a paper published recently in the Equine Veterinary Journal on (hoof) wall strip surgery.

Congratulations to Ian and all the farriers who are making the trip to Hong Kong. Watch for more news from them as it comes in! Please understand that professional standards prevent them for discussing the horses they work on while the Games are on. Likewise, Ian is not open about the brand names of products that he ordered to be shipped over.

Newmarket Equine Hospital Rises on the English Heath as Thoroughbreds Gallop By

British horses are conditioned by long gallops on the hilly terrain of the "heath" that surrounds the town of Newmarket, the main training center for flat racing. Horses can gallop on the heath or on all-weather (artificial surface) strips, like this one. The heath goes on for miles and miles. So do the horses. (Greenwood Ellis photo)

The British equine veterinary practice of Greenwood Ellis & Partners is currently building a unique center of veterinary services just outside Newmarket, the Thoroughbred training capital in Suffolk. The practice claims that its new Newmarket Equine Hospital (NEH) will be "the largest and most modern private equine hospital in Europe ".

The hospital will gather all specialities of the equine veterinary profession in a purpose-built, state-of-the-art facility. Greenwood Ellis & Partners have been based at Reynolds House on Newmarket High Street since the early 1900s and have built up a world-class reputation for dedicated and high-quality equine veterinary care. The practice intends to occupy the new facility and expand within it by autumn of this year.

Located by the landmark of the "stallion statue roundabout" near the July racecourse, NEH will be at the center of the racing headquarters with the two racecourses, the training grounds, racing stables and stud farms all within close proximity and with direct access to the local major highways.

As part of the expansion of the practice, a new website has been launched, using the services of a consortium of talented people in and around the town, led by the Blue Lizard group. The new website outlines the current and future services and technologies.

The website features a hospital development blog, together with a photo gallery, to describe the progress of the new hospital as it progresses from a green field to its current state of near completion. Other sections outline employment opportunities, such as the internship program and veterinary positions available at NEH, as well as work experience and non-veterinary vacancies.

The full website can be viewed at www.newmarketequinehospital.com

Barefoot Racing in California? State Board Seeks More Time for Input, But Bans Heel Nerving and Steroids

A decision had been due in California last week about a proposed rule change that would allow Thoroughbred horses to race barefoot at the state’s tracks, all of which have recently been converted to artificial surfaces.

At yesterday’s meeting at Del Mar Racetrack near San Diego, the CHRB sent two the regulatory amendment back out for 15-day public notice with minor changes to the texts. The Board indicated it would suspend the portion of the rule that requires horses to be shod, as long as it is publicly noted in the official program. The memo from the CHRB indicated that a public hearing will be held.

Vice Chairman Richard Harris noted that while this proposal to allow horses to race unshod has been around for some time. He said that the installation of synthetic surfaces in California has helped push it forward because some horses appear to be training better without shoes on the new surfaces.

The amendment would allow a horse to race unshod if the trainer feels the horse might run better without shoes. Any changes would be noted on the official program.

According to the CHRB, the issue was first raised by the California Thoroughbred Trainers at a meeting of the CHRB Medication Committee last November. CTT Executive Director Ed Halpern indicated there had been sentiment among some trainers “for a long time to allow horses to race unshod, but with the introduction of synthetic tracks, the idea has gained support for moving forward. Some horses are more comfortable without shoes.”

Dr. Diane Isbell, one of the CHRB’s official veterinarians, provided some details during a special meeting on February 20 that focused on synthetic surfaces. Dr. Isbell was among seven veterinarians on a panel that discussed the safety of synthetic surfaces in terms of injuries to horses.

“We have much sounder horses (on the synthetic surface at Golden Gate Fields) and I’m finding that we have a lot less joint filling in the horses on pre-race (examinations) than we do when we have the sealed surfaces,” explained Dr. Isbell. She went on to say, “What we’ve found with the synthetic surfaces is the foot does not have the slip that it had with the dirt surface.”

Dr. Isbell continued, “A number of trainers in Northern California are starting to train their horses barefoot. There are an increasing number of trainers doing that (and those horses are) working as well or better as they did when they had shoes on. We do know from research work that the bare foot is better able to utilize the internal shock absorption system of the horse, which does help to take some of the stress off the legs.”

Dr. Isbell did not give a reference for that research.

If the regulation change passes, the official program will note when any horse adds or removes shoes. To date, the CHRB has heard no testimony in opposition to allowing horses to race unshod.

Written comments should be addressed to: Harold Coburn, Regulation Analyst, California Horse Racing Board, 1010 Hurley
Way, Suite 300. Sacramento, CA 95825.

For additional details, he can be reached at (916) 263- 6397 or Fax (916) 263-6022 or e-mail (harolda@chrb.ca.gov).

Most states and racing jurisdictions require horses to be shod. Kentucky Derby and Preakness winner Big Brown recently spent a few weeks barefoot while in light exercise at Aqueduct, but has since had glue-on shoes re-applied, according to hoof repair consultant Ian McKinlay.

Standardbred farrier Conny Svensson recalled in an article recently that he pulled the shoes on champion Moni Maker in 2000 when she she raced in France. She went out and trotted the fastest mile in European history. A few weeks later, the trainer gambled and tried it again when she was racing in Italy. She broke stride and was eliminated.

Artificial arena surfaces have been detrimental to the hooves of some unshod sport horses, although ill effects of racing surfaces have not been reported, perhaps because horses in most states are required to be shod. Farrier Bob Pethick in New Jersey documented the deterioration of hoof wall thickness in a barefoot warmblood when it was moved to a new stable with a more abrasive indoor arena surface. The case was documented in Hoofcare and Lameness Journal, issue #78. Click here to read the article online.

In other news, California added horsewoman and celebrity Bo Derek to the Board, banned the four major steroids from use on racehorses in the state, and unanimously adopted a regulatory amendment prohibiting posterior digital neurectomies, or “heel nerving.” Any horse that undergoes such a procedure after October 1, 2008, will be prohibited from racing. This prohibition was opposed by the Thoroughbred Owners of California, which believes California should wait for a national policy.

Hoofcare at Saratoga: Calendar of Tuesday Events Beginning July 29th

Saratoga Springs, New York -- Beginning July 29 Please attend any or all of these casual, summer-style educational events. All events are on Tuesdays. Admission is free. Tuesday, July 29 (evening) RIDE ON Exhibit Preview at National Museum of Racing with speakers Donald Walsh DVM (laminitis) and Allie Hayes (anatomical aftermath of hoof and leg injury), who are featured in this new museum exhibit on horse health, lameness, and laminitis. Comments by trainer Michael Dickinson and farrier Michael Wildenstein; meet exhibit curator Beth Shaffer. The Parting Glass Pub will still be open for dinner after this event. Tuesday August 5 (evening) RACETRACK Shoeing at the Parting Glass with Grayson Jockey Club Welfare and Safety Summit Shoeing Committee to share new research, view new high-tech videos of different shoes on different surfaces, and discuss toe grab and shoeing rules. "Mad Genius" trainer Michael Dickinson, developer of Tapeta surfaces, will also speak. Tuesday August 12 at the National Museum of Racing (afteroon) sponsored by LIFE DATA LABS and at the Parting Glass (evening). Racing surfaces and hoof cracks, wall separations, with racetrack surface researcher Dr Mick Peterson, Thoroughbred hoof repair specialist Ian McKinlay, and Swedish Standardbred shoeing specialist Conny Svensson. Tuesday August 19 (evening) at the Parting Glass; program led by Michael Wildenstein FWCF (Hons), Cornell University, plus special guests to end the series. The Parting Glass is located at 40 Lake Avenue (one block off Broadway) in Saratoga Springs. Dinner is available at the Parting Glass at a reasonable cost. The National Museum of Racing is on Union Avenue, opposite the main entrance to the track. Out of town? Call the Comfort Inn and ask for the "Hoofcare" special rate: (518) 587-6244. The nearest airport is Albany, New York. For more information: please don't call the Museum or the Parting Glass!  Visit http://www.hoofcare.blogspot.com for updates and announcements. Speakers and programs subject to cancellation or change without notice. Presented with the help of CCE Equine and Equilite, Maker of Sore No More Liniment. Special thanks to Freida Garrison and Jim Santore and the Parting Glass Pub. Sponsorship opportunities available for some events, please inquire.

Another Word About Toe Grabs

Unless you are embedded in the world of horseshoes, you might not know what a toe grab is. It is cleat, basically, that protrudes from the toe area of a horse shoe. Many people believe that horses need something to push off from, particularly when leaving the gate, and the toe grab was designed to do that.

Toe grabs come in many lengths. The most extreme are Louisiana and Quarter horse toe grabs. Most racehorses wear regular or low-toe shoes if they have toe grabs, and most of them are on the hind feet.

Toe grabs are an adaptation of toe calks used on draft and driving horses that had to go over ice and snow in the old days. Part of a horse's maintenance in the winter included sharpening the calks. One of the major advances in horseshoeing in the late 19th century was the invention of the removable heel calk, which caused such a stir in American industry that federal intervention was needed! (But that's another story...)

Shoes are available with traction devices on the heels and they can also be added to the shoes if the track is slick or wet. Calks can also be forged or the tip of the heel of a race plate can be bent at an angle.

It is often said that the United States is the only country that allows toe grabs, and that is untrue. First of all, most racing around the world is on grass courses, especially Europe and Australia. Horsemen and horseshoers in those country are pretty horrified by the idea of toe grabs, but they also do not race on dirt.

Dave Erb of Victory Racing Plates shared with me a good rule of thumb. I asked him what countries allowed toe grabs. He said, "Anyplace with the word 'America' in it: North America, South America, Central America."

I've never forgotten that.

I think that the shoe manufacturers are a wealth of information about what works and what doesn't. I hope they will get involved in these discussions about shoeing rule changes and join us in Saratoga next month.

Note: "Hoofcare@Saratoga" will host two sessions specifically on racehorse shoes in the news. On August 5th, members of the Grayson Jockey Club Welfare and Safety of the Racehorse Summit's Shoeing Committee will present new research and answer questions from 7 p.m. on at the Parting Pub in Saratoga Springs, NY. On August 12, a double session at both the National Museum of Racing (in the afternoon) and the Parting Glass (in the evening) will cover racing surfaces and hoof injuries.

Please see these other posts for more on toe grab rules; please note that most of the activity has occurred within 30 days of the recommendation from the Jockey Club:

(today)Hoofcare@Saratoga Event Series topics, week by week by 2008

(yesterday)Keeneland and Turfway ban toe grabs and traction on front and hind shoes

(July 16, 2008)Penn National Gaming Tracks to Ban Toe Grabs and Traction on Front Shoes

(July 14, 2008)Kentucky Horse Racing Commission Announces Plan to Ban Traction and Grabs on Front Shoes

(June 18, 2008) Jockey Club Calls for States for Nationwide Ban on Grabs and Traction on Front Shoes

(June 4, 2008) ESPN video clip with Belmont shoer Tim Shortell on basic racetrack shoeing and shoes

(April 30, 2008) Kentucky Derby: Shoewear of the Fast and Famous

(March 13, 2008) Shoes and Surfaces at the Grayson Jockey Club Foundation's 2008 Welfare and Safety Summit

(February 21, 2008) California Reports on Horses Since Toe Grab Ban, Switch to Artificial Tracks

(June 2007) Indiana Bans Toe Grabs in Response to GJC WSS Recommendation
(June 2007) 2007 Grayson Jockey Club Foundation Welfare and Safety Summit Shoeing
Committee

(May 2007) State Racing Commissioners Encouraged to Ban Toe Grabs