Re: [RC] the healing process and proud flesh - Steven ProeHi Folks; This is what I have done after Trooper jumped a 4 foot Boulder at the top of Squaw Peak on Tevis. After Trooper "We" pulled this little stunt, I still recall asking him, "How" we got away with that jump. He was fine until Robinson Flat, where we were pulled as he was off a little. I could not find what was hurting him nor could the ride vet's (But again they didn't have a bunch of time at Robinson). I took my Partner back home and used a hose to hydro his legs, still showed a little off for a week. All of this time I was treating with Hydro and a poultice as the Right rear was the injured leg just above the fetlock. I also was giving him Penicillin injections as a precautionary treatment as there was swelling and heat. I hydro'd him three times a day and changed the light wrap each time and a poultice at night for a week. As I was doing the Hydro one day, to my surprise and awe', I observed a two and a half inch by 6 " piece by 3/4" part of Troopers leg peel off and fall to the ground. Apparently we smacked it on the boulder and it had caused this part of his leg to sustain a major injury that then Necropsied. I could see all the way inside of Troopers leg with all of the associated parts it was as if I was looking at one of the Charts on the Wall in a Doctors and Vet's office as well as many reference book's. After I recovered from this shock, (Trooper didn't flinch at all). I continued the hydro treatment, except now I was using after the initial hydro, with cold water. ( This appears to actually work to suppress any nerve pain) as I did not use any type of medication to sedate trooper. It is my opinion that when you sedate, it may allow the "patient to feel better that they really are and they may be more active(read!,cause additional injury)). I then used a solution of dilute bedine and a little dose of salt dissolved in the solution. ( I recall that one time I mixed salt in either the bedadine or iodine and used too much and it ruined the solution) sorry I can't recall this part but no big deal, use less salt and all is well. I used this solution and a piece of terry cloth that had a rough texture to use as a light abrasive daily to scrub any Proud flesh that started to form daily. I would use the terry cloth daily to remove any appearance of proud flesh that was appearing. I debreaded the impacted area until I could see the new pink flesh that was lightly oozing/weeping blood. You are able to see this happening in my/our case on a daily basis( the new skin filling in the effected area), it appears that none of the tendons or ligaments or other internal leg parts were impacted. After a month of this treatment with a light wrap to keep the wound clean all was well. ( After the first week I progressively applied more pressure on the wound area to keep that area from swelling ). I had noticed that this swelling,was occurring and my vet had suggested this treatment. It worked just fine. Trooper after that "Accident" has won some rides, finished Tevis twice and is still a wonderful Sound partner. I hope this helps, each injury is different but in my case this has been what worked for us. Troopers right rear leg is a little larger and if you look close you can see that the hair has grown in as if he has had a bad hair transplant. Steven Proe ----- Original Message ----- From: <spiritwood@xxxxxxxxx> To: <ridecamp@xxxxxxxxxxxxx> Sent: Sunday, July 18, 2004 8:31 AM Subject: [RC] the healing process and proud flesh Hi, I am looking for some helpful advice on the best way to help a slow healing deep cut wound on the front of a rear ankle. For background, this mare cut the front of her ankle the last weekend in June. Vet came out and stitched it up on both sides but couldn't do the middle as a piece of skin was missing. Wound is right over the ankle where it bends on the front. Well, for 5 days horse got SMZ antibiotics and ankle looked good. WHen the medicine was finished, things started to go bad. We were able to keep the wound wrapped and clean but it seemed to be oozing and looked like it was starting to swell. After another day or so, ankle was visibly swollen and vet was called out to recheck it. By the time vet came out ankle has swollen enough to have popped most of the stitches out. Now horse(mare, need I say more), was having no more of all this messing with her now very sore leg. We were able to remove the rest of the stitches, hose out the wound and squirt betadine in the general direction of her now kicking foot, but are no longer able to wrap the leg as she has had enough! Vet did put her back on the SMZ for 10 days this time, with injectable Gentamycin once daily for 5 days which the horse doesn't mind. Now we are on the last day of the SMZ and the leg wound does seem to be healing from the inside out but very slowly. Mare has been kept in since we couldn't wrap her anymore, with twice daily hosing of wound and betadine, now followed up by some Wonder dust powder to help keep things dry and hopefully prevent some of the proud flesh. Flies don't seem to be bothering the leg either. Now I am trying to figure out the best way to manage this horse. My questions are" Would it be all right to turn this horse back out on pasture when its not muddy since she does allow us to hose and clean the wound daily! What is the best way to continue treatment and help prevent or limit the amount of proud flesh? What is the best product to use on the still open area that will probably take some time to completly heal shut? Should I ask the vet(new grad) for any additional antibiotics since the wound is still open? Help, my daughter is driving me nuts as this is her endurance horse who has done one very tough 50 and now is so out of shape and continuing to loose weight as she is missing out on most of the grass since she is still staying in the stall. Becky and Rave (a very opinionated mare) -------------------------------------------------------------------- mail2web - Check your email from the web at http://mail2web.com/ . Ridecamp is a service of Endurance Net, http://www.endurance.net. Information, Policy, Disclaimer: http://www.endurance.net/Ridecamp Subscribe/Unsubscribe http://www.endurance.net/ridecamp/logon.asp Ride Long and Ride Safe!! =-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-= Ridecamp is a service of Endurance Net, http://www.endurance.net. 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