As soon as he saw the swelling, Dr. Tolley had a good idea of what was wrong, but an ultrasound was needed to determine the degree of the injury in order to formulate a treatment plan. The good news is that the damage is so small that Dr. Tolley had a hard time finding it. And even though he landed on a questionable dark area, he was the first to admit that the ultrasound machine is not his specialty as he doesn't see a ton of sport horses on a daily basis.
Even without being an ultrasound expert, he felt that the spot was questionable enough to take it seriously. He had no issue with me pursing a second opinion, but I don't need to do that. Dr. Tolley tends toward the conservative end of things which means he gives the worst case scenario and outlines an appropriate treatment plan. So if that dark spot isn't tendon damage, we're certainly not going to hurt Speedy or make the condition worse by treating it as a minor bow.
So for now, here's Dr. Tolley's treatment plan:
- A pressure bandage (hello, my old friend) changed every other day for the next four weeks. During the first week, I'll slather Speedy's leg with Furacin wrapped in plastic with the pressure bandage on top. He'll also get 2 grams of Bute daily during the first week. The following three weeks, the bandage will be dry.
- At the end of the month, we'll ultrasound the leg again. Given that the damage to the tendon was so small, there is a chance that Speedy will be allowed to go back to work. If there is even a question about the health of the tendon though, Dr. Tolley would like to do a gello cast for two weeks followed by a second gello cast for another two weeks.
- Again, based on the results of a third ultrasound, Speedy would then either go back to work or get two months of rest.
Look out, Izzy, you've been called up!