Thursday 30 July 2015

It's good to therm...

Hi Everyone!

I have some good news I want to share with you all... I FINALLY have a thermal imaging camera after a 2 month wait!
I'm currently using a P620 for now!

Ok well it's not actually mine as mine is still in the process of being made, it is one my tutor has kindly lent me so I can work on my case studies. 

So now that I have a camera, I have been out practising, practising and practising! I have 10 case studies which I need to submit and be approved for me to complete the final part of my qualification as an Equine Thermography Technician. So far I have done some scans on the lovely Jack, Lucy and Tigger and I have loved every minute of it! I'm so lucky to have some really supportive people around me entrusting me with their gorgeous horses and ponies to complete my case studies and help me reach my goals of working with horses and not spreadsheets!

Jack

So what actually is thermography?

It is a non-invasive modality which has the ability to provide instant results and ensure both horse, handler and technician remain safe. 

Predominately used as a screening tool in the racing industry in the 1960's and over the course of the past five decades the technology has drastically improved as has the standardisation in the technique used to apply this tool. Thermal imaging has since taken the equestrian industry by storm and is proving to be an extremely valuable instrument when it comes to injuries, rehabilitation, prevention and pre-purchase examinations. 

Using an high quality infra-red camera, a qualified technician has the ability to capture real time heat maps in the form of a thermogram. 

A thermogram is a pictorial representation of the surface temperature of the horse in question. 

By measuring the surface temperature of the horses skin, we are able to identify any changes to the vascular, muscular, skeletal and nervous systems as we can view any inflammation going on underneath the skin which is undetectable to the human hand or eye. Research has shown that a temperature difference of as little as 0.5 degrees celsius is enough to need further investigation via a vet.

Thermography has also been proven to detect damage in structures up to three weeks before the horse shows any signs of lameness! How incredible is that?!

The reason the camera has the ability to detect any damage whether it is once the lameness has already occurred or during a period of accumulative damage before a structure stops functioning fully is because the damage will have triggered an inflammatory response in the body whereby, cells are sent to the area of injury to repair and protect the body. This process causes an increase in blood flow which means an increase in heat, this can then be viewed using the infra-red camera! 
Lucy

The job of the technician is ultimately to capture thermograms and analyse bilateral heat patterns within the horse and highlight areas of inflammation in a report.

I must stress that a thermographer doesn't have the ability to diagnose any issues that your horse may (or may not) have, that is down to your vet to do and your vet will always remain responsible for the horse.

If your vet is trained in thermography he/she can interpret the results, if they aren't a qualified veterinary thermographer it is possible to send the results to someone who is so they can interpret them and communicate any findings directly to your vet. 

As I highlighted above thermography is great for injuries, rehabilitation, prevention and or pre-purchase examination. 

A case study was carried out on a horse who had sustained a fall whilst out competing due to the slip of its hind left limb. The horse was not lame as this was previously ruled out by a vet, however, the image highlighted a slightly higher thermal reading for the muscles on the left gluteal than on the right and generally overall, the back appeared to show a lot more thermal activity due to the inflammation. In this case, thermography was able to assist in the diagnosis of the muscle damage and the horse was then scheduled in to see a physiotherapist. 
Once the physiotherapist had visited the horse and manipulated the muscles in the back, thermal imaging was carried out 30 minutes post treatment, then again at 75 minutes and 120 minutes. Each thermogram post treatment showed signs of improvement as the muscles began to relax and rehydrate. This supports the aspect in which thermography is useful for rehabilitation purposes.

Thermography has also been sanctioned by the FEI to screen horses during competition and to see whether their legs have been tampered with. Pepper spray irritates the skin making it very sensitive should it come into contact which anything such as a pole, and it causes inflammation which can be picked up by the camera. The limbs are then swabbed and tested.

Tigger


In my eyes thermography is such a valuable tool whether it's for veterinary or human use. I'm so passionate about - can you tell? haha!


Would you use thermal imaging? What are your views on it?


Leave a comment and let me know! :)




Jess x
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Tuesday 21 July 2015

A place you must visit...




If there is one place you need to visit at some point in your life it has to be Croatia, especially Plitvice National Park. It has to be one of the most naturally beautiful places I have ever had the privilege of going to. The pictures really do not do it justice however, I just had to share it with you all! (even if it was on my equestrian blog)


Jess x
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Friday 10 July 2015

No Foot - No Horse

I just want to start with apologising with the lack of posts over the past week. I have been rather busy working, looking after Toby-Wan-Kenobi for my friend Laura whilst she is holiday, attending a business presentation for my up and coming business (one of two - eeks!), my boyfriends birthday meal and preparing for our holiday to Croatia - tomorrow!!

I should be packing right now but I'm having serious blogging withdrawal symptoms, it's just so addictive!

About two weeks ago I attended part two of the lameness workshop ran by one of the top vets at my local equine veterinarian practise - Alasdair Topp. The first part was on was on the lameness examination process, what the vet will do any why (I've covered this in a post previously if you would like to read it). This workshop was on forelimb lameness and we were to cover the whole limb in the two hour slot. 



It's safe to say we didn't and we only just managed to cover the foot! I learnt so much and I really just wanted to share it will you all. 


In this post I am going to keep it bite size and start with covering abscesses and solar penetrations. 

Hoof Abscess


An abscess is a localised accumulation of pus between the germinal and keratinised layers of the epithelium. This causes an increase in pressure within the foot and can bring on acute lameness. The extra pressure in the hoof may cause further separation of the epithelum and burst out of the coronary band as the build up will try and break out of the foot at the weakest point. 
Signs you may notice are: an increase in temperature in the affected foot, an increased digital pulse and/or swelling around the coronary band.

Abscess Causes
  • Solar penetration 
  • Microfracture on the white line
  • Nail bind - where a farrier has got too close with a nail
  • Dirt and bacteria have gotten into the hoof via a crack and caused an infection

Diagnosis and treatment

With the use of hoof testers your vet will be able to isolate where the pain is coming from alternatively, a nerve block could be used to localise the lameness.
Your vet will look to establish drainage without damaging the corium as this will cause bleeding and slow down the healing process. It may be necessary to remove a small section of wall to help with the drainage. Once the abscess has been drained you should see a rapid improvement in the horse and it will be a case of poulticing and/or tubbing the foot to keep it dry and clean until it has healed.

Photo - Equi-ads

Solar Penetrations

A foreign object which has penetrated through the sole of the hoof. These can be potentially serious/life threatening and may cause damage to the following structures:
  • Navicular Bursa
  • Digital Flexor Tendon Sheath
  • Deep Digital Flexor Tendon
  • Coffin Joint
  • Pedal Bone
If your horse suffers from a solar penetration it is very important that you leave the foreign object in the foot until the vet arrives. Leaving the object in the foot will allow the vet to see where the object has gone in, at what angle and which structures will be damaged. It will reduce further damage to the foot by trying to pull it out and it will more importantly reduce the amount of blood flow if the injury is severe.

Solar penetrations can cause:
  • Severe lameness
  • Increased digital pulse
  • Heat in the foot
  • Swelling up the leg
  • Systemic signs (such as an increase in temperature overall or the horses seems off) if deeper structures have been damaged. 

Diagnosis and Treatment

As with abscesses, your vet may use hoof testers and/or use a nerve block if the object is no longer there to try and locate the pain. X-rays with the use of contrast media at the entrance of the wound or an MRI scan could be used to see how deep and exact location of the injury. By using an MRI scan your vet will be able to identify whether the Deep Digital Flexor Tendon has been damaged.
Depending on the seriousness of the injury there are a number of treatments available from flushing out the wound, packing it and keeping it dry along with a course of antibiotics to requiring surgery to remove dead bone fractured off the pedal bone from a solar penetration injury. 

Photo - EquiPodiatory


Other topics covered in the workshop were: 
  • Quittor
  • Kertoma
  • White line disease
  • Canker
  • Hoof wall cracks
  • Laminitis
  • Navicular Disease
  • Osteoarthritis
  • Fractures
  • Collateral Ligament Desmitis
  • Digital Flexor Tendon Sheath

Which of the above topics would should I cover next? 


My boy Bailey had his share of foot issues, he suffered with an abscess at one point and collateral ligament desmitis which sadly never healed. 

Has anyone's horse suffered with any of the above issues? If so, leave a comment and share your experience! 



Jess x







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