orthopedic diseases in horses

7/25/2019 Orthopedic Diseases in Horses

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DIAGNOSIS AND TREATMENT OFDIAGNOSIS AND TREATMENT OF

ORTHOPEDIC DISEASESORTHOPEDIC DISEASES

IN HORSESIN HORSES

Francesco LONGOFrancesco LONGO

DVM, Repr. Sp.DVM, Repr. Sp.

S.I.A.V. It.V.A.S.S.I.A.V. It.V.A.S.(Ita!an(Ita!anVeter!nar" Ac#p#nct#re Soc!et"$Veter!nar" Ac#p#nct#re Soc!et"$

Forence Ita"Forence Ita"

on%o.a%o&et'ata)a!.co)on%o.a%o&et'ata)a!.co)

***.s!a&+!t&as.or%***.s!a&+!t&as.or%
mailto:[email protected]:[email protected]://www.siav-itvas.org/http://www.siav-itvas.org/http://www.siav-itvas.org/mailto:[email protected]


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ORTHOPEDIC DISEASES IN HORSESORTHOPEDIC DISEASES IN HORSES

HEAGRAM - L/HEAGRAM - L/

00 He trea1s #pon t2e ta! o3He trea1s #pon t2e ta! o3t2e t!%er 4#t !t 1oes not 4!tet2e t!%er 4#t !t 1oes not 4!te

2!). S#ccess2!). S#ccess.5.5


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00T2e 6!1ne"s r#e t2e *!.T2e 6!1ne"s r#e t2e *!.

72en ener%" an1 *! are72en ener%" an1 *! are

#n!te1, t2e" 3or) 4one an1#n!te1, t2e" 3or) 4one an1

)arro*, an1 t2en t2e)arro*, an1 t2en t2e

p2"s!ca 4o1" an1 t2ep2"s!ca 4o1" an1 t2e

or%ans.or%ans.55

((

So 7en, 89$So 7en, 89$


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MOVEMENTMOVEMENT


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GV : + G; 9< G; :- G; := ;L 8- GV : + G; 9< G; :- G; := ;L 8-

;L 89 + 6I 8 G; =- + ;L 8>;L 89 + 6I 8 G; =- + ;L 8>

GV - + GV < GV -= GV -8 GV 9GV - + GV < GV -= GV -8 GV 9

SI - LI -- L/ > TH ? SI : SI -SI - LI -- L/ > TH ? SI : SI -


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00;ra!n, )arro*, 4ones,;ra!n, )arro*, 4ones,

&esses, %a 4a11er an1&esses, %a 4a11er an1#ter#s are %enerate1 4" t2e#ter#s are %enerate1 4" t2eener%" o3 t2e Eart2@ t2e" areener%" o3 t2e Eart2@ t2e" are4o*es *!t2 a spec!a roe4o*es *!t2 a spec!a roe

t2e" store *!t2o#t ao*!n%t2e" store *!t2o#t ao*!n%3o* to t2e eBter!or. T2e!r3o* to t2e eBter!or. T2e!rna)e !s ! Hen% ! F#na)e !s ! Hen% ! F#55

((

So 7en, --$So 7en, --$


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00T2e 6!1ne"s are t2eT2e 6!1ne"s are t2ereceptaces o3 or!%!nareceptaces o3 or!%!na

ener%", t2e essence o3 4oo1ener%", t2e essence o3 4oo1an1 o3 a )atter t2atan1 o3 a )atter t2at

creates@ on t2e eBter!or t2e"creates@ on t2e eBter!or t2e"

are re&eae1 !n t2e 2a!rs, onare re&eae1 !n t2e 2a!rs, ont2e !nter!or !n t2e 4ones.5t2e !nter!or !n t2e 4ones.5

((

So 7en,


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00At t2e creat!on o3 4e!n%, t2ereAt t2e creat!on o3 4e!n%, t2ere

!s 3!rst t2e &!ta essence, t2en!s 3!rst t2e &!ta essence, t2en

t2e 4ra!n an1 t2e )arro* aret2e 4ra!n an1 t2e )arro* are

3or)e1. T2e 4ones ater 3or)3or)e1. T2e 4ones ater 3or)

a 3ra)e*or 3or t2e 4ra!na 3ra)e*or 3or t2e 4ra!n

an1 t2e )arro*.an1 t2e )arro*.55

((

So 7en, -$So 7en, -$


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00T2e )#sces an1 t2e 4ones are !n, t2eT2e )#sces an1 t2e 4ones are !n, t2eep!1er)!s an1 t2e connect!&e t!ss#eep!1er)!s an1 t2e connect!&e t!ss#e

an%.5an%.5

(L!n% S2#, 8$(L!n% S2#, 8$

00For aton" o3 t2e 4ones, !nsert t2eFor aton" o3 t2e 4ones, !nsert t2enee1e, eep!n% !t stra!%2t, as 3ar asnee1e, eep!n% !t stra!%2t, as 3ar as

t2e 4one, an1 t2e p# t2e nee1e o#tt2e 4one, an1 t2e p# t2e nee1e o#tstra!%2t. T2!s !s t2e *a" to act on t2estra!%2t. T2!s !s t2e *a" to act on t2e

6!1ne"s.6!1ne"s.55

(L!n% S2#, >$(L!n% S2#, >$


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SI HENSI HEN

Wang ZhenWang Zhen Inspection Inspection

Wn ZhenWn Zhen Auscultation and Olfaction Auscultation and Olfaction

Wn ZhenWn Zhen Inquiry Inquiry

Chu ZhenChu Zhen Palpation Palpation


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CH/ HENCH/ HEN

PALPATIONPALPATION


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S2an% Han L#nS2an% Han L#n

8 1!33erent c!n!ca p!ct#res8 1!33erent c!n!ca p!ct#res

!n reat!on to t2e 8 ener%"!n reat!on to t2e 8 ener%"e&ese&es


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TAI ANGTAI ANG


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TAI ANGTAI ANG

SI ;LSI ;L

;L - ;L 8>;L - ;L 8>

SI : ;L 89SI : ;L 89


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St!33 necSt!33 nec

A&ers!on to co1A&ers!on to co1

P#se s#per3!c!aP#se s#per3!c!a


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SHAO ANGSHAO ANG


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SHAO ANGSHAO ANG

TH G;TH G;

TH 9- G; ==TH 9- G; ==

TH ? G; =-TH ? G; =-


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Dr" t2roatDr" t2roat

Sta%%er!n% %a!tSta%%er!n% %a!t

P#se t2rea1" or 3!neP#se t2rea1" or 3!ne


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SHO/LDERSHO/LDER

M#sc#ar 2"potrop2"M#sc#ar 2"potrop2"

;!c!p!ta 4#rs!t!s;!c!p!ta 4#rs!t!s

O)art2r!t!sO)art2r!t!s


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SHO/LDERSHO/LDER

D!a%nost!c Po!ntsD!a%nost!c Po!nts

TH -? (TH -? (T!an L!aoT!an L!ao$$

G; 9- (G; 9- (!an !n%!an !n%$$ TH -= (TH -= (!an L!ao!an L!ao$$


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SHO/LDERSHO/LDER


SI < (SI < (!an 2en!an 2en$$ SI - (SI - (Nao S2#Nao S2#$$

SI -- (SI -- (T!an on%T!an on%$$ SI -9 (SI -9 (;!n% Fen%;!n% Fen%$$ SI -: (SI -: (# #an# #an$$

SI -= (SI -= (!an 7a! S2#!an 7a! S2#$$


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SHO/LDERSHO/LDER


LI -8 (LI -8 (# G## G#$$


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SHO/LDERSHO/LDER

Treat)entTreat)ent

ST : (ST : (T!ao 6#T!ao 6#$$

;L 89 (;L 89 (S2en Ma!S2en Ma!$$

;L 8- (;L 8- (P#s2enP#s2en$$G; 9< (G; 9< (# #!ao# #!ao$$

SI - (SI - (Nao S2#Nao S2#$$

TH ? (TH ? (7a! G#an7a! G#an$$


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FOREARMFOREARM

Ra1!a ner&e para"s!sRa1!a ner&e para"s!s

Oecranon 4#rs!t!s (s2oe 4o!Oecranon 4#rs!t!s (s2oe 4o!or cappe1 e4o*$or cappe1 e4o*$


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FOREARMFOREARM

Treat)entTreat)ent

LI - (LI - (S2an% an%S2an% an%$$

LI = (LI = (He G#He G#$$

LI 8 (LI 8 (P!an L!P!an L!$$

LI - (LI - (S2# San L!S2# San L!$$

LI -- (LI -- (# C2!# C2!$$


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FOREARMFOREARM

Treat)entTreat)ent

L#n H#an C2!ao T! FaL#n H#an C2!ao T! Fa


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CARP/SCARP/S

Carpa art2r!t!sCarpa art2r!t!s

Fract#resFract#res

H"%ro)a (H"%ro)a (cappe1 neecappe1 nee$$


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CARP/SCARP/S


6nee Po!nt6nee Po!nt

LI -> (LI -> (T!an D!n%T!an D!n%$$ST - (ST - (S2#! T#S2#! T#$$


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CARP/SCARP/S

Treat)entTreat)ent

L/ > (L/ > (L!e #eL!e #e$ + 6I 8 ($ + 6I 8 (aoao

Ha!Ha!$$

L/ > ;L -:JL/ > ;L -:J


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CANNON ;ONECANNON ;ONE

Metacarpa per!ost!t!sMetacarpa per!ost!t!s

(K4#ce1 s2!ns$(K4#ce1 s2!ns$

Sp!ntsSp!ntsMetacarpa 3ract#resMetacarpa 3ract#res


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S2!n Po!ntS2!n Po!nt

Locate1 4et*eenLocate1 4et*eenTH -? (TH -? (T!an L!aoT!an L!ao$ an1$ an1

TH -8 (TH -8 (T!an o#T!an o#$$


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Treat)entTreat)ent

HT < (HT < (S2ao C2on%S2ao C2on%$$

TH ? (TH ? (7a! G#an7a! G#an$$G; 9< (G; 9< (# # L!ao# # L!ao$$

G; =- (G; =- (# L!n !# L!n !$$


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TENDON CONDITIONSTENDON CONDITIONS

Tenos"no&!t!sTenos"no&!t!s

S#spensor" !%a)ent 1es)!t!sS#spensor" !%a)ent 1es)!t!s


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TENDON CONDITIONSTENDON CONDITIONS

React!&e Area on NecReact!&e Area on Nec

(at C 9 e&e$(at C 9 e&e$


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FETLOC6FETLOC6

ProB!)a sesa)o!1 4oneProB!)a sesa)o!1 4one

3ract#re3ract#re

C2!p 3ract#res o3 t2e proB!)aC2!p 3ract#res o3 t2e proB!)a

ep!p2"s!s o3 t2e 3!rst p2aanBep!p2"s!s o3 t2e 3!rst p2aanB

Sesa)o!1!t!sSesa)o!1!t!s


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FETLOC6FETLOC6


LI -8 (LI -8 (# G## G#$$


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FETLOC6FETLOC6

Treat)entTreat)ent

S! G#anS! G#an

E33ect!&eness o3 Treat)ent !sE33ect!&eness o3 Treat)ent !sStat!st!ca" S!%n!3!cantJStat!st!ca" S!%n!3!cantJ


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PASTERNPASTERN

R!n%4oneR!n%4one


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PASTERNPASTERN

Treat)entTreat)ent

HT < (HT < (S2ao C2on%S2ao C2on%$$


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HIPHIP

Troc2anter!c 4#rs!t!sTroc2anter!c 4#rs!t!s


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HIPHIPD!a%nost!c Po!ntsD!a%nost!c Po!nts

G; : (G; : (H#an T!aoH#an T!ao$$

;L :> (;L :> (!n Men!n Men$$

ST :- (ST :- (;! G#an;! G#an$$;L :? (;L :? (H#! an%H#! an%$$


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HIPHIP

Treat)entTreat)ent

ao ;a! H#!ao ;a! H#!

S2ens2#S2ens2#

Pect!ne#s )#sce )assa%ePect!ne#s )#sce )assa%e


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THIGHTHIGH

Cr#ra para"s!sCr#ra para"s!s

M"o%o4!n#r!aM"o%o4!n#r!a

LR LR


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THIGHTHIGHD!a%nost!c Po!ntsD!a%nost!c Po!nts

;L 99 (;L 99 (San !ao S2#San !ao S2#$$

G; :- (G; :- (Fen% S2!Fen% S2!$$


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THIGHTHIGH

Treat)entTreat)ent

TH ? (TH ? (7a! G#an7a! G#an$$

G; =- (G; =- (# L!n!# L!n!$$

G; := (G; := (an% L!n% #anan% L!n% #an$$ TH 9- (TH 9- (Er MenEr Men$$

G; == (G; == (# !ao !n# !ao !n$$


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STIFLESTIFLE

/p*ar1 3!Bat!on o3 t2e patea/p*ar1 3!Bat!on o3 t2e patea

C2on1ro)aac!a o3 t2e pateaC2on1ro)aac!a o3 t2e patea

Gon!t!sGon!t!s


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STIFLESTIFLE

ST !n&o&e)entST !n&o&e)ent

;L 9- CV -9 ST 9?J;L 9- CV -9 ST 9?J


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STIFLESTIFLED!a%nost!c Po!ntsD!a%nost!c Po!nts

;L :> (;L :> (!n Men!n Men$$

;L : (;L : (F# !F# !$$

;L :< (;L :< (7e! an%7e! an%$$ST - (ST - (S2#! T#S2#! T#$$


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STIFLESTIFLE

Treat)entTreat)ent

;L 89 (;L 89 (S2en)a!S2en)a!$$

;L ?< (;L ?< (F# an%F# an%$$

SI : (SI : (Ho# !Ho# !$$

Loca Ac#po!ntsLoca Ac#po!nts


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51/108




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HINDLEGHINDLEG

Separat!on o3 t2e 3!4#aSeparat!on o3 t2e 3!4#a


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G OS S O


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DIAGNOSIS AND TREATMENT OF


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HOC6HOC6

;one spa&!n;one spa&!n

C#r4C#r4

Cappe1 2ocCappe1 2oc

Ten1os"no&!t!s o3 t2e tarsaTen1os"no&!t!s o3 t2e tarsas2eat2 (t2ro#%2p!n$s2eat2 (t2ro#%2p!n$

Str!n%2atStr!n%2at


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HOC6HOC6


;L :? (;L :? (H#! an%H#! an%$$

;L = (;L = (7e! 2on%7e! 2on%$$

G; :: (G; :: (! an% G#an! an% G#an$$


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HOC6HOC6

Treat)entTreat)ent

6I 8 (6I 8 (2ao Ha!2ao Ha!$$

6I (6I (!ao !n!ao !n$$L/ > (L/ > (L!e #eL!e #e$$


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FOOTFOOT

SAND CRAC6SSAND CRAC6S HOOF 7ALL RINGSHOOF 7ALL RINGS

CAN6ERCAN6ER

/NG/AL CARTILAGE OSSIFICATION/NG/AL CARTILAGE OSSIFICATION LAMINITISLAMINITIS

NAVIC/LAR DISEASENAVIC/LAR DISEASE


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FOOTFOOT

LRLR Sprea1 o3 ! to t2eSprea1 o3 ! to t2eEBtre)!t!esEBtre)!t!es

SP Trop2!c No#r!s2)ent SP Trop2!c No#r!s2)ent Ma!nta!n!n% S2apeMa!nta!n!n% S2ape

TH) G# ! Mana%e)entTH) G# ! Mana%e)ent


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FOOTFOOT


LI - (LI - (F# T#F# T#$$

Area o3 React!&!t" (4et*eenArea o3 React!&!t" (4et*een

C- C9$C- C9$


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FOOTFOOTNa&!c#!t!s Treat)entNa&!c#!t!s Treat)ent

V ;ranc2 o3 C2on% Ma!V ;ranc2 o3 C2on% Ma!

SP = ;L -- ST :> 6I -- SP = ;L -- ST :> 6I --

6I 8 M!n% (Lao$ Tan%6I 8 M!n% (Lao$ Tan%

SP = ST : 6I -- CV 9SP = ST : 6I -- CV 9


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FOOTFOOT

Treat)entTreat)ent

T!n%T!n%

!an T! Men At t2e center o3 t2e 4#4s o3 t2e 2ee on!an T! Men At t2e center o3 t2e 4#4s o3 t2e 2ee on

t2e 3ore!)4t2e 3ore!)4

Ho# T! Men At t2e center o3 t2e 4#4s o3 t2e 2ee onHo# T! Men At t2e center o3 t2e 4#4s o3 t2e 2ee on

t2e 2!n1!)4t2e 2!n1!)4 M!n% Tan% At t2e center o3 t2e 1epress!on 4et*eenM!n% Tan% At t2e center o3 t2e 1epress!on 4et*een

t2e 4#4s o3 t2e 2ee on t2e 3ore!)4t2e 4#4s o3 t2e 2ee on t2e 3ore!)4

Lao Tan% At t2e center o3 t2e 1epress!on 4et*eenLao Tan% At t2e center o3 t2e 1epress!on 4et*een

t2e 4#4s o3 t2e 2ee on t2e 2!n1!)4t2e 4#4s o3 t2e 2ee on t2e 2!n1!)4


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HEADHEAD

MO/THMO/TH


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HEADHEAD

MO/THMO/TH

Treat)entTreat)ent



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HEADHEAD

TEMPOROMANDI;/LAR OINTTEMPOROMANDI;/LAR OINT


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HEADHEAD



ST 8 (ST 8 (!a C2e!a C2e$$

TH -> (TH -> (! Fen%! Fen%$$G; 9 (G; 9 (Fen% C2!Fen% C2!$$


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HEADHEAD


Treat)entTreat)ent


IN TANGIN TANG

TAI ANGTAI ANG


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VERTE;RAL COL/MNVERTE;RAL COL/MN

00T2e Go&ernor Vesse r#ns 3ro) t2eT2e Go&ernor Vesse r#ns 3ro) t2eo*er port!on o3 t2e 4o1", at t2e e&eo*er port!on o3 t2e 4o1", at t2e e&e

o3 t2e H#! !n (CV -$, !t penetrates t2eo3 t2e H#! !n (CV -$, !t penetrates t2e

&erte4ra co#)n an1 arr!&es at Fen%&erte4ra co#)n an1 arr!&es at Fen%

F# (GV -8$, *2ere !t enters an1F# (GV -8$, *2ere !t enters an1)o&es !nto t2e 4ra!n5)o&es !nto t2e 4ra!n5

(( Nan !n%, 9$Nan !n%, 9$


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VERTE;RAL COL/MNVERTE;RAL COL/MN

GV - (GV - (C2an% !an%C2an% !an%$$

7e! !an7e! !an


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CERVICAL REGIONCERVICAL REGION

Verte4ra S#4#Bat!onsVerte4ra S#4#Bat!ons

7o44er S"n1ro)e7o44er S"n1ro)e


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CERVICAL REGIONCERVICAL REGIOND!a%nost!c Po!ntsD!a%nost!c Po!nts

;L - (;L - (T!an 2#T!an 2#$$

TH -8 (TH -8 (T!an o#T!an o#$$

SI -8 (SI -8 (T!an C2#an%T!an C2#an%$$ LI - (LI - (F# T#F# T#$$


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CERVICAL REGIONCERVICAL REGION

Treat)entTreat)ent

!# 7e!!# 7e!


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THORACIC REGIONTHORACIC REGION

Verte4ra S#4#Bat!onsVerte4ra S#4#Bat!ons


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THORACIC REGIONTHORACIC REGION

Treat)entTreat)ent

H*ato !a!H*ato !a!


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L/M;AR REGIONL/M;AR REGION

C2ron!c L#)4ar Pa!n S"n1ro)eC2ron!c L#)4ar Pa!n S"n1ro)e

En1ocr!ne S"n1ro)eEn1ocr!ne S"n1ro)e


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SACRAL REGIONSACRAL REGION

Mapos!t!onsMapos!t!ons


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SACRAL REGIONSACRAL REGION

Treat)entTreat)ent

ao ;a! H#!ao ;a! H#!

;L :- (;L :- (S2an% L!aoS2an% L!ao$$

;L :9 (;L :9 (C! L!aoC! L!ao$$

;L :: (;L :: (2on% L!ao2on% L!ao$$

;L := (;L := (!a L!ao!a L!ao$$


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COCCGEAL REGIONCOCCGEAL REGION

Treat)entTreat)ent

7e! Gen (7e! Gen (acupoint on the ventralacupoint on the ventralaspect of the tail e!een Co" Co#aspect of the tail e!een Co" Co#$$

7e! ;en (7e! ;en (acupoint on the ventralacupoint on the ventralaspect of the tail appro$i%ately & c%aspect of the tail appro$i%ately & c%

fro% the asefro% the ase$$

7e! !an (7e! !an (acupoint located at the tipacupoint located at the tipof the tailof the tail$$


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COCCGEAL REGIONCOCCGEAL REGION

Treat)entTreat)ent

;L :? (;L :? (H#! an%H#! an%$$


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HEMOAC/P/NCT/REHEMOAC/P/NCT/RE


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HEMOAC/P/NCT/RE HEMOAC/P/NCT/RE

;L -> ;L - ;L 9;L -> ;L - ;L 9


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PREVENTIONPREVENTION


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F/NCTIONAL GMNASTICSF/NCTIONAL GMNASTICS

DIETDIET


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CEREALSCEREALS

o ;ARLE;ARLE

o CORNCORN

o OATSOATS


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;ARLE;ARLE

Intense st!)#at!n% e33ect 3or t2eIntense st!)#at!n% e33ect 3or t2e

!))#ne s"ste)!))#ne s"ste)

Re%#ates estro%en pro1#ct!onRe%#ates estro%en pro1#ct!on

Gaacto%en!c e33ectGaacto%en!c e33ect

Hor1e!n aao!1Hor1e!n aao!1

po1op2e%)at!t!spo1op2e%)at!t!s

a)!n!t!sa)!n!t!s


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DIAGNOSIS AND TREATMENT OF ORTHOPEDICDIAGNOSIS AND TREATMENT OF ORTHOPEDIC

DISEASES IN HORSESDISEASES IN HORSES

CORNCORN

Mo1erat!n% e33ect on t2eMo1erat!n% e33ect on t2e)eta4o!s))eta4o!s)

So*s t2"ro!1 3#nct!onSo*s t2"ro!1 3#nct!on



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OATSOATS

A&en!n st!)#ates t2"ro!1A&en!n st!)#ates t2"ro!1act!&!t"act!&!t"

Part!c#ar" r!c2 !n &!ta)!ns an1Part!c#ar" r!c2 !n &!ta)!ns an1

)!neras)!neras

7ean!n% cots7ean!n% cots

Gro*!n% an!)asGro*!n% an!)asD#r!n% actat!onD#r!n% actat!on

O1er an!)asO1er an!)as


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OATSOATS

C# =9


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OATSOATS

C# =9


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OATSOATS

D!#ret!c E33ectD!#ret!c E33ect

E)o!ent E33ectE)o!ent E33ect

Der)oprotect!&e e33ectDer)oprotect!&e e33ect


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MASSAGEMASSAGE


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00T2e *2oe 4o1" !s a 2an1 an1 t2eT2e *2oe 4o1" !s a 2an1 an1 t2e

2an1 !s not a 2an152an1 !s not a 2an15

Force

Magnetic field

Current


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G OS S O O O C


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DIAGNOSIS AND TREATMENT OF ORTHOPEDIC


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G OS S O O O CDIAGNOSIS AND TREATMENT OF ORTHOPEDIC


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