|
on be drawn, because of the
aversion many horses have to submitting to palpation of the tendons even
when they are in a normal condition.
Supporting-leg-lameness is present and varies in degree with the
intensity of the pain caused by weight bearing. In many instances, as
soon as the subject has traveled a considerable distance, lameness
diminishes or discontinues. As soon as the affected animal is permitted
to stand long enough to "cool out" there is a return of the lameness,
which is then marked.
No difficulty is encountered in making a practical diagnosis in
tendinitis; that is, one may fail to readily recognize the extent of the
involvement as it affects the superficial flexor tendon, for instance,
but this has no practical bearing on the prognosis and treatment, when
existing inflammation of the deep flexor is recognized.
The course of each tendon is readily outlined by palpation; all parts
are easily manipulated; and with experience one may readily recognize
the extent and degree of the inflammation.
Treatment.--In some cases of acute tendinitis, pain is intense and the
application of cold packs during this stage is very beneficial in that
pain is controlled and inflammation subsides. The extremity may be
bandaged with a liberal quantity of absorbent cotton or with woolen
material. Ice water is then poured around the bandaged member every
fifteen minutes and this should be continued for about forty-eight
hours. In some cases this treatment is not necessary for more than
twelve hours; at the end of this length of time, pain has subsided and
the acute stage of inflammation has passed or its intensity has been
diminished.
Following the application of cold packs, the use of a poultice such as
some of the sterile, medicated muds, is of marked benefit. The author
has made use of tincture of iodin and glycerin in the proportion of one
part of iodin to seven parts glycerin, with very satisfactory results.
This combination is hygroscopic, anodyne and antiseptic and is easily
applied. A liberal quantity is directly applied all around the affected
tendons and the leg covered with a heavy layer of cotton, and this is
snugly held in position with bandages. The application may be used once
or twice daily, or if it is thought necessary, an attendant may pour a
quantity of the iodized-glycerin around the leg and under the bandage
once daily without removing the cotton and bandage. Needless to say,
absolute rest is impe
|