Quality diagnostics are paramount to providing appropriate treatment
in order to speed recovery, and to optimize a horse's chance of making a
full recovery.
Prepurchase Examination
The financial and emotional investment of buying a horse
can be significant. A prepurchase examination (PPE) is a specialized
examination that looks closely at all systems of the horse. It helps to
identify problems, or potential problems, with the horse performing
its intended function. The examination is tailored to each horse and
buyers needs. It can be as simple as a thorough physical, lameness, and
neurologic evaluation. Or, more comprehensive to include any or all of
the following diagnostic modalities: radiographs, ultrasound, drug
testing and other blood work, endoscopic evaluation of the upper and
lower airways and the stomach, bone scan or even MRI.
Lameness or Poor Performance Examination
This evaluation incorporates thorough palpation of the horse,
watching the horse in motion through various gaits on several surfaces,
flexion tests, and joint or nerve blocks to attempt to localize the area
of discomfort. Digital radiography and ultrasound are the mainstay of
imaging for lameness problems. However, multiple limb lamenesses, or
horses with multiple areas of lameness in a single limb, may need
nuclear scintigraphy to identify all areas of inflammation and pain.
Nuclear scintigraphy is an excellent screening tool to identify all
areas of inflammation in the horse's skeleton. MRI is used to acquire
very detailed information about a portion of the limb that has been
identified as the area of pain. Most training problems and poor
performance in the elite equine athlete are caused by pain. We
specialize in identifying those pain problems; thus, making training
easier and preventing injuries to other parts of the horse's body which
can occur secondary to protecting these painful areas.
Gastroscopy
Endoscopic examination of the stomach is used to evaluate
the horse for the presence of stomach (gastric) ulcers or stomach
tumors. Gastric ulcers are a common cause of poor performance and/or
recurrent colic in the horse.
Endoscopy
Videoendoscopy allows direct visualization of the upper
airway, guttural pouches, esophagus, bladder, and other areas of the
body. It allows us to evaluate these areas for the presence of disease,
dysfunction, or masses. Some surgical procedures can be performed
endoscopically, including endoscopic laser surgery. Many performance
horses are prone to problems involving the upper respiratory tract. Most
of these upper respiratory problems cause partial obstruction of the
airway, leading to inability of the horse to take in adequate oxygen
during exercise. Most of these problems can be corrected surgically.
Neurologic Evaluations
A normal functioning nervous system is very important
regardless of the level of athletic performance. Neurologic problems can
originate anywhere from the brain to the spinal cord down to the level
of individual nerves. The goal of neurologic evaluations is to localize
where the problem is, determine what is causing the problem, and provide
treatment options. Some cases may require radiographs or a myelogram,
while others may need a cerebrospinal fluid (CSF) tap or biopsy sample.