NORTHEAST ASSOCIATION OF EQUINE PRACTITIONERS from our practice to yours emagazine THE SCIENCE OF HORSESHOEING: FACT VS FICTION DIAGNOSIS AND TREATMENT OF SACROILIAC JOINT DISEASE MANAGING STRANGLES OUTBREAKS VETERINARIANS DEALING WITH DISSATISFIED CLIENTS NEAEP SESSIONS AND SPEAKERS September 2020 www.theneaep.com OPEN SEPTEMBER 23RD THROUGH DECEMBER 31ST! NETWORKING 100+ HOURS OF OPPORTUNITIESNortheast Association CE CREDITS of Equine Practioners WWW.THENEAEP.COM NEAEP full page mag ad symposium registration opens promo.indd 1 2020-07-21 3:36:23 PM THE CLINICIAN SEPTEMBER 2020 Volume 10, Number 8 Special Edition September 2020 Executive Committee Board Of Directors President Ronald B. Gaeta, DVM Veterinary Industry Council Rep Jim Zeliff, DVM, MBA Dunbarton Equine Mr. Keith Wacker Allegheny Equine Associates Sound Technologies Inc. Sasha Hill, DVM Vice President Cleveland Equine Clinic Farrier Industry Council Rep Sarah Cohen, DVM Stuart Muir, NZCEF, CJF, DIPWCF, APF Miller and Associates Remco van der Linden Podiatry Department, Delta Mustad Hoofcare Center Inc. Treasurer Rood and Riddle Equine Hospital Gregory S. Staller, DVM Christopher Penola, APF Executive Director/CEO Running ‘S’ Equine Veterinary Services Christopher Penola Farrier Services David G. Dawson Past-President Bob Pethick, APF, CJF Raul J. Bras DVM, CJF, APF Bedminster Forge Podiatry Department, Katherine Chope, VMD, DACVSMR Rood and Riddle Equine Hospital Tufts University contents The Science of Horseshoeing: 6 Fact vs Fiction Diagnosis and Treatment of 11 Sacroiliac Joint Disease 26 Managing Strangles Outbreaks 30 Veterinarians Dealing with Dissatisfied Clients 33 NEAEP Sessions and Speakers The Clinician 3 THE CLINICIAN SEPTEMBER 2020 From Our Practice to Yours President’s Letter Greetings fellow practitioners, Like many of you, I have been enjoying the opening week of the NEAEP Virtual Symposium: From Our Practice to Yours. The board of directors and the virtual education committee have been working around the clock to provide interesting and innovative ways to bring you quality continuing education credits. We’re all a bit sad to have missed our annual opening reception in Saratoga Springs, but we had a great virtual opening reception and plan to continue with these weekly lounge events. While it won’t be quite the same as being together in person, we hope you are able to utilize the networking tools in our symposium platform to sit down and have a drink or a snack and catch up with your colleagues. Make sure to mark your calendars for Wednesday evenings to participate in the virtual lounge with our speakers for live question and answer sessions. You can view their presentations at any time, but you’ll only have one opportunity to ask your questions to the speakers in real time. If you have any questions about the symposium please do not hesitate to contact the office. Remember you can register at any time! Regards, Dr. Jim Zeliff President Northeast Association of Equine Practitioners The Clinician 4 There’s nothing else like it. Over the past 30 years, Adequan® i.m. (polysulfated glycosaminoglycan) has been administered millions of times1 to treat degenerative joint disease, and with good reason. From day one, it’s been the only FDA-Approved equine PSGAG joint treatment available, and the only one proven to.2, 3 Reduce inflammation Restore synovial joint lubrication Repair joint cartilage Reverse the disease cycle When you start with it early and stay with it as needed, horses may enjoy greater mobility over a lifetime.2, 4, 5 Discover if Adequan is the right choice. Talk to your American Regent Animal Health sales representative or call (800) 458-0163 to order. BRIEF SUMMARY: Prior to use please consult the product insert, a summary of which follows: CAUTION: Federal law restricts this drug to use by or on the order of a licensed veterinarian. INDICATIONS: Adequan® i.m. is recommended for the intramuscular treatment of non-infectious degenerative and/or traumatic joint dysfunction and associated lameness of the carpal and hock joints in horses. CONTRAINDICATIONS: There are no known contraindications to the use of intramuscular Polysulfated Glycosaminoglycan. WARNINGS: Do not use in horses intended for human consumption. Not for use in humans. Keep this and all medications out of the reach of children. PRECAUTIONS: The safe use of Adequan® i.m. in horses used for breeding purposes, during pregnancy, or in lactating mares has not been evaluated. For customer care, or to obtain product information, visit www.adequan.com. To report an adverse event please contact American Regent, Inc. at (800) 734-9236 or email [email protected]. Please see Full Prescribing Information at www.adequan.com. www.adequan.com 1 Data on file. 2 Adequan® i.m. Package Insert, Rev 1/19. 3 Burba DJ, Collier MA, DeBault LE, Hanson-Painton O, Thompson HC, Holder CL: In vivo kinetic study on uptake and distribution of intramuscular tritium-labeled polysulfated glycosaminoglycan in equine body fluid compartments and articular cartilage in an osteochondral defect model.J Equine Vet Sci 1993; 13: 696-703. 4 Kim DY, Taylor HW, Moore RM, Paulsen DB, Cho DY. Articular chondrocyte apoptosis in equine osteoarthritis. The Veterinary Journal 2003; 166: 52-57. 5 McIlwraith CW, Frisbie DD, Kawcak CE, van Weeren PR. Joint Disease in the Horse.St. Louis, MO: Elsevier, 2016; 33-48. All trademarks are the property of American Regent, Inc. © 2020, American Regent, Inc. PP-AI-US-0372 02/2020 6424 Clinician Trade Ad .indd 1 9/15/20 10:56 AM THE CLINICIAN SEPTEMBER 2020 NEAEP The Science of Horseshoeing: Fact vs Fiction WillIam Moyer, DVM, ACVSMR Billings, Montana INTRODUCTION would have to be in place to answer the question: l Approximately 100 horses (preferably the same breed and age) The application of “devices” placed on the bottom of horse’s feet (leather, wood, bronze, iron, synthetics, even gold!) is an ancient who, in fact, have a con- firmed diagnosis of navicular disease. I practice. I believe it safe to say that trimming and shoeing is both think one can understand that alone is an difficult task. l “art and science.” Foot problem are frequent and as such some are A means would have to be in place to record and grade the caused by trimming and shoeing and some are solved via trimming degree of lameness. This requires video taping and at least three and shoeing. Unfortunately useful research, employing strict lameness evaluators each of whom would do their own scientific technique, is reasonably limited for a variety of reasons individual grading. l (access to re- search dollars, animal welfare issues, and limited A farrier (not several) would do the shoeing so as to avoid research personnel). Thus often what we “think we know” is based differences in technique). Half the population would be shod on experience, interest, history (anecdotal information), and with a selected flat shoe and half would be shod influences also known as marketing. This presentation is simply with a raised heel (the degree of rise designed to help those who are interested in discerning fact from would be the same for those horses). l fiction. It is not intended to lessen the strength and usefulness of All the “research” horses would experience but is focused on “why we believe what we believe” and be on the same property, the influence of marketing. same feeding schedule, and same exercise program. RESEARCH l At a designated time Research is defined as the systematic investigation into and the (to be determined study of materials and sources in order to establish facts and reach by the design of the accurate conclusions. Useful attempts at research regardless of the program) all horses subject and question being pursued is an onerous task requiring would be examined sufficient numbers, accurate equipment, expert personnel, and for lameness in the clearly sufficient financial support. The goal is the truth, getting same manner as the there requires very strict adherence to eliminate a variety of initial examination variables which would or could influence the outcome. utilizing the same A way to understand the task will be through an example. The graders. Ideally that “made up” question being pursued is: does raising the heels of a should be done multiple horse with known navicular disease work?” Thus the following with multiple re-sets. 6 www.theneaep.com 585-205-5122 American Association of Equine Veterinary Technicians A community of individuals who are committed to making a difference in the life of our equine patients and their owners. From the beginning, the purpose of the AAEVT has been simple: to provide premium continuing education, create a thriving community, and to advocate for the entire equine veterinary health care team. AAEVT Membership includes: EDUCATION – access to premium opportunities. such as our Annual Conference, Regional Educational Events, topic focused forums, and our Online Certificate Academy. TRAINING – we believe hands-on experience is the best way to learn new skills and we provide focused wet lab events with industry leading speakers and instructors. COMMUNITY – we are a professional community of equine veterinary: technicians, assistants, staff, and students. Together, we grow, learn, and create a bond that makes a difference. CAREER CENTER – our Career Center is a one-stop resource to find new opportunities in the equine industry. ADVOCACY – your AAEVT membership gives a voice to our profession. Together, we’re continuing to advocate for the entire equine veterinary health care team. We believe that success starts with community. Come join us. www.AAEVT.org AAEVT-fullpg07-2020.indd 1 7/30/20 11:11 AM THE CLINICIAN SEPTEMBER 2020 l Data submitted would be collated Thus one can understand the complexity of and undertaking as and statistically worked to well as the cost. Equine research is expensive and time consuming; decide the outcome.