Analyze Diet
PloS one2022; 17(6); e0269532; doi: 10.1371/journal.pone.0269532

Mechanical nociceptive assessment of the equine hoof after navicular bursa anesthetic infiltration validated by bursography.

Abstract: The analgesic specificity of navicular bursa (NB) anesthetic infiltration is still questionable. The study aimed to determine the mechanical nociceptive threshold of non-specific analgesia in the dorsal lamellar stratum, as well as in the sole, coronary band, and heel bulbs of the hoof, after navicular bursa anesthetic infiltration. Six healthy horses with no clinical or radiographic changes of the digits and no communication between the NB and the distal interphalangeal joint, were used. After random selection, the NB of one of the forelimbs was infiltrated with 2% lidocaine and the contralateral one with lactated ringer's solution. Contrast was added to confirm radiographic infiltration. The mechanical nociceptive threshold was determined using a portable pressure dynamometer, before and at various times after the infiltration, in 10 points of the hoof. The effects of time and treatment were verified by ANOVA (P0.05) in all regions evaluated. However, in one of the six hooves that receives lidocaine, complete absence of response to the painful stimulus (maximum force of 6 Kg over an area of 38.46 mm2, for a maximum of 4 seconds) was observed in the dorsal lamellae between 30 and 60 min after infiltration. In conclusion, lidocaine infiltration of NB did not promote significant increases in the nociceptive threshold of the sole, coronary band, bulbs of the heel and dorsal lamellae clinically healthy horses. However, the occurrence of analgesia in one of the six hooves subjected to NB anesthesia indicates that the technique may not be fully specific in few horses.
Publication Date: 2022-06-07 PubMed ID: 35671268PubMed Central: PMC9173607DOI: 10.1371/journal.pone.0269532Google Scholar: Lookup
The Equine Research Bank provides access to a large database of publicly available scientific literature. Inclusion in the Research Bank does not imply endorsement of study methods or findings by Mad Barn.
  • Journal Article
  • Research Support
  • Non-U.S. Gov't

Summary

This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.

The research article investigates how applying anesthetic to an area of the horse’s hoof known as the ‘navicular bursa’ affects the horse’s sensitivity to pain in various regions of the hoof. The results suggest that the procedure may not specifically target the pain, as only one of six horses showed total absence of pain response after application.

Objective of the Study

  • The goal of this study was to evaluate the specific effect of anesthetic injected into the navicular bursa (NB) of a horse’s hoof. The authors aimed to determine whether this procedure specifically reduces pain or has a broader, non-specific effect across various regions of the hoof.

Methodology

  • The research used six healthy horses with no prior conditions or deformities in their hooves.
  • In each horse, one of the forelimbs’ NB was injected with 2% lidocaine (an anesthetic), while the other forelimb was injected with a lactated ringer’s solution as a control.
  • A contrast agent was included in the injections to allow the researchers to verify the infiltration via radiography.
  • The horse’s sensitivity to pain, or ‘mechanical nociceptive threshold’, was measured before and at different points in time after the injections. This was performed across 10 different points on the horse’s hoof using a specialized device called a portable pressure dynamometer.

Results of the Study

  • Across the different regions of the hoof that were evaluated, the data showed no notable differences in pain sensitivity before and after the lidocaine injection in most subjects.
  • However, in one of the six horses, an absence of response to pain was observed in a specific region of the hoof (the dorsal lamellae) between 30 to 60 minutes after the injection.

Conclusion

  • The study concluded that lidocaine injections into the NB did not result in a significant reduction in pain sensitivity across the hoof in healthy horses.
  • Despite this, the fact that one horse did demonstrate a reduction in pain sensitivity suggests that this technique might not be fully specific in all horses.

The results of this study contribute to our understanding of equine anesthesia and pain management, indicating that different horses may respond differently to the same anesthetic procedure. Therefore, more research is needed to optimize pain management procedures for horses in veterinary practice.

Cite This Article

APA
Cota LO, Malacarne BD, Dias LA, Neto ACP, Kneipp MLA, Cavalcante MA, Cunha MSLD, Paz CFR, Carvalho AM, Faleiros RR, Xavier ABDS. (2022). Mechanical nociceptive assessment of the equine hoof after navicular bursa anesthetic infiltration validated by bursography. PLoS One, 17(6), e0269532. https://doi.org/10.1371/journal.pone.0269532

Publication

ISSN: 1932-6203
NlmUniqueID: 101285081
Country: United States
Language: English
Volume: 17
Issue: 6
Pages: e0269532
PII: e0269532

Researcher Affiliations

Cota, Letícia de Oliveira
  • Department Veterinary Clinic and Surgery, EQUINOVA Research Group, Veterinary School, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
Malacarne, Bruno Dondoni
  • Department Veterinary Clinic and Surgery, EQUINOVA Research Group, Veterinary School, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
Dias, Lucas Antunes
  • Department Veterinary Clinic and Surgery, EQUINOVA Research Group, Veterinary School, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
Neto, Antônio Catunda Pinho
  • Department Veterinary Clinic and Surgery, EQUINOVA Research Group, Veterinary School, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
Kneipp, Maria Luiza Arruda
  • Department Veterinary Clinic and Surgery, EQUINOVA Research Group, Veterinary School, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
Cavalcante, Marina Alcântara
  • Department Veterinary Clinic and Surgery, EQUINOVA Research Group, Veterinary School, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
Cunha, Marina de Souza Luz da
  • Department Veterinary Clinic and Surgery, EQUINOVA Research Group, Veterinary School, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
Paz, Cahuê Francisco Rosa
  • Department Veterinary Clinic and Surgery, EQUINOVA Research Group, Veterinary School, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
Carvalho, Armando de Mattos
  • Department Veterinary Clinic and Surgery, EQUINOVA Research Group, Veterinary School, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
Faleiros, Rafael Resende
  • Department Veterinary Clinic and Surgery, EQUINOVA Research Group, Veterinary School, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
  • National Council for Scientific and Technological Development - CNPq, Brasília, Distrito Federal, Brazil.
Xavier, Andressa Batista da Silveira
  • Department Veterinary Clinic and Surgery, EQUINOVA Research Group, Veterinary School, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.

MeSH Terms

  • Anesthetics, Local
  • Animals
  • Bursa, Synovial
  • Forelimb
  • Hoof and Claw / diagnostic imaging
  • Horse Diseases / drug therapy
  • Horses
  • Lidocaine / pharmacology
  • Lidocaine / therapeutic use
  • Nociception
  • Pain / drug therapy

Conflict of Interest Statement

The authors have declared that no competing interests exist.

References

This article includes 35 references
  1. Schumacher J, Taylor DR, Schramme MC, Schumacher J. Localization of Pain in the Equine Foot Emphasizing the Physical Examination and Analgesic Techniques.. AAEP Proceedings 2012; 58: 138–156.
  2. Schumacher J, Shramme MC, Schumacher J, Degraves J. Diagnostic analgesia of the equine digit.. Equine Veterinary Education 2013; 25: 408–421.
  3. Schumacher J, Schramme M. Diagnostic and Regional Surgical Anesthesia of the limbs and axial skeleton.. In: Equine Surgery. 4a Ed. Elsevier, St. Louis. 2018; 1220–1227.
  4. Adams OR. Lameness in Horses.. 3a Ed. Philadelphia, PA, USA, 1974. pp. 91–118.
  5. Schumacher J, Steiger R, Schumacher J, de Graves F, Schramme M, Smith R, Coker M. Effects of analgesia of the distal interphalangeal joint or palmar digital nerves on lameness caused by solar pain in horses.. Vet Surg 2000 Jan-Feb;29(1):54-8.
  6. Easter JE, Watkins JP, Stephens SL, Carter GK, Hague BA, Dutton DW. Effects of regional anesthesia on experimentally induced coffin joint synovitis.. In: Proceedings of Annual Convention of American Association of Equine Practitioners, San Antonio, USA. 2000; 214–216.
  7. Paz CF, Magalhães JF, Mendes HM, Rocha Junior S, Belknap JK, Alves GE, Faleiros RR. Mechanical nociceptive thresholds of dorsal laminae in horses after local anaesthesia of the palmar digital nerves or dorsal branches of the digital nerve.. Vet J 2016 Aug;214:102-8.
    doi: 10.1016/j.tvjl.2016.05.005pubmed: 27387735google scholar: lookup
  8. Bowker RM, Linder K, Sonea IM, Holland RE. Sensory innervation of the navicular bone and bursa in the foal.. Equine Vet J 1995 Jan;27(1):60-5.
  9. Dyson SJ, Kidd L. A comparison of responses to analgesia of the navicular bursa and intra-articular analgesia of the distal interphalangeal joint in 59 horses.. Equine Vet J 1993 Mar;25(2):93-8.
  10. Pleasant RS, Moll HD, Ley WB, Lessard P, Warnick LD. Intra-articular anesthesia of the distal interphalangeal joint alleviates lameness associated with the navicular bursa in horses.. Vet Surg 1997 Mar-Apr;26(2):137-40.
  11. Schumacher J, Schumacher J, de Graves F, Steiger R, Schramme M, Smith R, Coker M. A comparison of the effects of two volumes of local analgesic solution in the distal interphalangeal joint of horses with lameness caused by solar toe or solar heel pain.. Equine Vet J 2001 May;33(3):265-8.
    pubmed: 11352348doi: 10.2746/042516401776249778google scholar: lookup
  12. Dyson S, Murray R, Schramme M, Branch M. Lameness in 46 horses associated with deep digital flexor tendonitis in the digit: diagnosis confirmed with magnetic resonance imaging.. Equine Vet J 2003 Nov;35(7):681-90.
    doi: 10.2746/042516403775696294pubmed: 14649360google scholar: lookup
  13. Malacarne BD, Cota LO, Neto ACP, Paz CFR, Dias LA, Corrêa MG, Carvalho AM, Faleiros RR, Xavier ABS. Mechanical nociceptive assessment of the equine hoof following distal interphalangeal joint intra-articular anesthesia.. PeerJ 2020;8:e9469.
    pmc: PMC7427544pubmed: 32864201doi: 10.7717/peerj.9469google scholar: lookup
  14. Schumacher J, Schumacher J, de Graves F, Schramme M, Smith R, Coker M, Steiger R. A comparison of the effects of local analgesic solution in the navicular bursa of horses with lameness caused by solar toe or solar heel pain.. Equine Vet J 2001 Jul;33(4):386-9.
    pubmed: 11469772doi: 10.2746/042516401776249543google scholar: lookup
  15. Sardari K, Kazemi H, Mohri M. Effects of analgesia of the distal interphalangeal joint and navicular bursa on experimental lameness caused by solar pain in horses.. J Vet Med A Physiol Pathol Clin Med 2002 Nov;49(9):478-81.
  16. Dyson SD, Murray RC, Schramme MC, Branch MV. Magnetic Resonance Imaging in 18 Horses with Palmar Foot Pain.. AAEP Proceedings 2002; 48: 145–154.
  17. Dyson SJ. The puzzle of distal interphalangeal joint pain.. Equine Veterinary Education 1998; 10: 119–125.
  18. Karikoski NP, McGowan CM, Singer ER, Asplin KE, Tulamo RM, Patterson-Kane JC. Pathology of Natural Cases of Equine Endocrinopathic Laminitis Associated With Hyperinsulinemia.. Vet Pathol 2015 Sep;52(5):945-56.
    doi: 10.1177/0300985814549212pubmed: 25232034google scholar: lookup
  19. Kaneps AJ. Diagnosis of lameness.. In: Hinchcliff K, Geor R. Equine Sports Medicine & Surgery. 2a Ed. Sauders Elsevier. 2014; 239–250.
  20. Verschooten T, Desmet P, Peremans K, Picavet T. Navicular disease in the horse: the effect of controlled intrabursal corticoid injection.. Journal Equine Veterinary Science 1991; 11: 316–320.
  21. Poletto PR, Gil Coury HJC, Walsh IAP, Mattielo-Rosa SM. Correlação entre métodos de auto-relato e testes provocativos de avaliação da dor em indivíduos portadores de distúrbios osteomusculares relacionados ao trabalho.. Brazilian Journal of Physical Therapy 2004; 8: 223–229.
  22. Zarucco L, Driessen B, Scandella M, Cozzi F, Cantile C. Sensory nerve conduction and nociception in the equine lower forelimb during perineural bupivacaine infusion along the palmar nerves.. Can J Vet Res 2010 Oct;74(4):305-13.
    pmc: PMC2949344pubmed: 21197231
  23. Jordana M, Martens A, Duchateau L, Vanderperren K, Saunders J, Oosterlinck M, Pille F. Distal limb desensitisation following analgesia of the digital flexor tendon sheath in horses using four different techniques.. Equine Vet J 2014 Jul;46(4):488-93.
    doi: 10.1111/evj.12186pubmed: 24033590google scholar: lookup
  24. Keegan KG, Wilson DA, Kreeger JM, Ellersieck MR, Kuo KC, Li Z. Local distribution of mepivacaine after distal interphalangeal joint injection in horses.. Am J Vet Res 1996 Apr;57(4):422-6.
    pubmed: 8712501
  25. Gough MR, Mayhew G, Munroe GA. Diffusion of mepivacaine between adjacent synovial structures in the horse. Part 1: forelimb foot and carpus.. Equine Vet J 2002 Jan;34(1):80-4.
    doi: 10.2746/042516402776181097pubmed: 11817556google scholar: lookup
  26. Manfredi JM, Boyce M, Malone ED, Anderson C, Anderson LB, Trumble TN. Steroid diffusion into the navicular bursa occurs in horses affected by palmar foot pain.. Vet Rec 2012 Dec 22-29;171(25):642.
    doi: 10.1136/vr.101075pubmed: 23136308google scholar: lookup
  27. Sack WO. Nerve distribution in the metacarpus and front digit of the horse.. J Am Vet Med Assoc 1975 Aug 15;167(4):298-305.
    pubmed: 1150524
  28. Hoerdemann M, Smith RL, Hosgood G. Duration of action of mepivacaine and lidocaine in equine palmar digital perineural blocks in an experimental lameness model.. Vet Surg 2017 Oct;46(7):986-993.
    doi: 10.1111/vsu.12689pubmed: 28703891google scholar: lookup
  29. Dyson SJ. Subjective and quantitative scintigraphic assessment of the equine foot and its relationship with foot pain.. Equine Vet J 2002 Mar;34(2):164-70.
    pubmed: 11902759doi: 10.2746/042516402776767231google scholar: lookup
  30. Turner TA. Use of Navicular Bursography in 97 Horses.. AAEP Proceedings 1998; 44: 227–229.
  31. Kent Allen A, Johns S, Norvall A, Breen M. How to Perform Direct Digital Radiography-Guided Navicular Bursa Injection.. AAEP Proceedings 2012; 58: 392–396.
  32. Daniel AJ, Goodrich LR, Barrett MF, Werpy NM, Morley PS, McIlwraith CW. An optimised injection technique for the navicular bursa that avoids the deep digital flexor tendon.. Equine Vet J 2016 Mar;48(2):159-64.
    doi: 10.1111/evj.12402pubmed: 25537027google scholar: lookup
  33. Nottrott K, De Guio C, Khairoun A, Schramme M. An ultrasound-guided, tendon-sparing, lateral approach to injection of the navicular bursa.. Equine Vet J 2017 Sep;49(5):655-661.
    doi: 10.1111/evj.12673pubmed: 28128875google scholar: lookup
  34. Hontoir F, Paques F, Simon V, Balau B, Nicaise C, Clegg P, Dugdale A, Vandeweerd JM. Is the T-ligament a ligament? A histological study in equine cadaver forelimbs.. Res Vet Sci 2020 Oct;132:10-16.
    doi: 10.1016/j.rvsc.2020.05.018pubmed: 32470846google scholar: lookup
  35. Haussler KK. Pressure Algometry for the Detection of Mechanical Nociceptive Thresholds in Horses.. Animals (Basel) 2020 Nov 24;10(12).
    pmc: PMC7760268pubmed: 33255216doi: 10.3390/ani10122195google scholar: lookup

Citations

This article has been cited 0 times.