Important Knowledge On Navicular Syndrome

By Toni Vang


There are certain kinds of diseases that affect horses while remain unknown in donkeys and ponies. One such example is the navicular syndrome. This condition is a major cause of chronic forelimb lameness in horses, especially those used for athletic purposes. The condition is degenerative and involves loss of medullary architecture, bone sclerosis, traumatic, fibrillation, and enthesiophyte formation. The disease was discovered long ago and continues to be a problem to date.

The syndrome results from complex pathogenesis rather than a particular disease entity. However, researchers link biochemical and vascular components to it. Additionally, there is a belief that the disease could be hereditary following the decrease in cases after stallions with the conditions were disallowed certification for breeding. The condition seems to be characteristic in mature horses because it does not appear until the animal is 8 to 10 years old.

Level of lameness and disease process seem to get influenced by the conformation of distal limbs. Among the major causes for the problem include long toes, excess pressure on the hoof-pastern, and underrun heels. The happening of aforementioned factors result in excess pressure on the flexor tendon and navicular bone. Damage of the navicular bursitis and the fibrocartilage are additional conditions that can occur.

The disease entails several stages, with the final ones getting much worse. Seasonal lameness can be observed during the first phases, but no head nod can be seen because of the bilateral nature of this illness. Moving the animal in circular motion worsens the situation and makes symptoms more visible. Shortened strides are also another characteristic symptom observable during the initial stages.

Age and breed of an animal are some of the factors based on when making a diagnosis. Performing a lameness examination should show a characteristic to palmar digital nerve anesthesia by the animal. Some studies only revealed 11% of positive results from hoof testers, making the test to be regarded as not sufficient in all cases. Anesthesia of navicular bursa seems to be the most effective and precise diagnosis process. However, owing to the amount of pain involved and the complexity of the injection, this process is not performed during lameness examination.

The chronic and degenerative nature of the condition makes it impossible to cure, especially if the damage done is already too much. However, it can be managed very well in some animals. Treatments that are commonly used are administration of NSAID and use of corrective shoes. Of the many NSAID available, phenylbutazone is the commonest. Phenylbutazone presents a lot of adverse effects such as GI and renal injury and should always be used with care.

The efficiency of drugs is also limited and in cases where lameness is severe, rest is the most recommended idea. Besides drugs, measures of foot care are also helpful. The hooves could be trimmed and shoed to restore the normal balance and alignment of phalangeal. The efficiency of the shoes can be determined after two weeks.

One should seek help immediately the condition is discovered. Severe cases can completely disable the animal. There is a lot of pain associated with the disorder and that should always be taken into account.




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