Tinker

Re: Ms Jemma Naughton (Tinker) Subjective: Tinker was seen for an initial assessment following a period of lameness observed following a night in the field. Tinker has been examined and is currently on NSAID medication. Tinker is having light turnout. In stance, right shoulder is weaker, good posture. Gait: Walk shows straight movement on two tracks. Tracking up with hindlimbs, increased barrel visibility to the left. Left hip hike and audible intermittent toe scuffing right hindlimb. Elevated head carriage and forelimb bilateral stride shortening. Trot exacerbated the head carriage and bracing of the forelimbs. Reduced metacarpophalageal drop LF – indicating reduced weight bearing. Objective: Left poll and brachiocephalicus showing increased tension and activation – restricting forelimb retraction and lateral neck mobility to right. Left trapezius inflamed and restricting protraction right forelimb. Left hoof capsule restricted and crepitus in metacarpophalangeal joint. Bilateral lumbar trigger points and tension. Hindlimb protraction restricted bilaterally. Following the session the head position lowered and there was increased weight bearing on the left forelimb. Lameness observed in trot once compensatory bracing was removed. Tinker has been advised to continue in some light controlled walk to encourage mobility of the restricted joints and to approach the overseeing veterinarian for additional pain assessment. Kindest Regards Becky Black BSc (Hons) AdvCertVPhys RCH ClinEd(AccMdx) MIRVAP www.horsestohoundsphysio.co.uk