symptoms as before assert themselves, and the veterinary
surgeon is called in.
With a history such as we have given the veterinarian's suspicions are
aroused. He has the animal trotted, and may notice at this stage that there
is an inclination to go on the toes, that the lame limb or limbs are not
put forward freely, and that progression is stilty and uncertain; it
is such, in fact, as to at once suggest the possibility of corns being
present.
In some cases there is just the suspicion of a limp with one limb, and
this only at intervals during the trot. At one moment the veterinarian
is positive that he sees the animal going lame; at another he is just as
confident he sees him coming towards him sound.
Nothing is found in the limb--neither heat, tenderness, nor swelling. There
is nothing in the gait (either a limited movement of the radius, or a
circular sweep with the leg) to indicate shoulder or other lameness, and
the veterinary surgeon, by eliminative evidence, is bound to conclude that
the trouble is in the foot.
The foot is then examined--pared, percussed, pinched, and in other ways
manipulated--but nothing further is forthcoming. In such a case the
veterinary surgeon is wise to declare the abortive result of his
examination, to hint darkly of his suspicions, and to suggest a second
examination at some future date. It may be that two, three, four, or even
more, such examinations are necessary before he can justly pronounce a
positive verdict.
Later he is enabled to do this by an increase in the severity of the
symptoms, and by the changes that take place in the form of the foot.
The lameness is now more marked, and the 'pointing' in the stable more
frequent. With regard to the latter symptom, it has been seriously
discussed whether the horse with navicular disease points with the heel
elevated or with it pressed to the ground. In either case, of course, the
limb is advanced; but while some hold that the phalangeal articulations are
flexed and the heel slightly raised, in order to relieve the pressure of
the perforans tendon on the affected area, and so obtain ease, there are
others who hold that the heel is pressed firmly to the ground in order to
deaden the pain. It may be, and most probably is, that both are right; but,
in our opinion, there is no doubt whatever that pointing with the heel
elevated is by far the most common.
The lameness is now excessive, and is especially noticeable when the animal
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