Fitness/Exercise Maintaining muscle mass ▫2-3 days/week Appropriate concussion for bone/tendon health ▫Roadwork ▫Uneven surfaces Strength training ▫Hillwork ▫Cavaletti
Dentistry Balance point maintenance with excessive wear ▫Avoid changing table angle and grinding surface Check every 6 months ▫Wave/step formation ▫Missing/loose/broken teeth Check for hooks Don’t forget the incisors!
Shoeing Support Balance Correction Non-conventional shoes Sigafoo Ground Control Epona Baseline films ▫Palmar/plantar angle ▫Osteoarthritis/navicular changes ▫Digital cushion ▫Breakover
Alternative Therapy Mesotherapy ▫Saline ▫B12 ▫Carbocaine ▫Dexamethasone ▫Zeel
Initial Injury September 2012 Stall rest – crosstied 4 months, loose 5 months Handwalking started March 2013 Turnout April 2013 Under saddle May 2013 ▫30 days walk ▫30 days walk/trot ▫Added hill work ▫Added canter
Rehab Complete! Alvin – back in competition April 2014