Total Equine Veterinary Associates

08/10/2023

Catch Dr. Sallie Hyman of Total Equine Veterinary Associates talking about the Care of the Pleasure Horse on "Horses in the Morning", the world's leading daily morning podcast for the horse community with listeners in over 90 countries.

Click to listen:
https://horsesinthemorning.com/trail-horse-care-and-weird-news-for-august-9-2023-by-kemin-equine/

The attached pictures are to help you navigate to the podcast.

Horses in the Morning

Trail Horse Care and Weird News for August 9, 2023 by Kemin EquineAug 9, 2023 Happy 15 year anniversary to the Horse Radio Network. Dr. Sallie Hyman joins us to talk about caring for pleasure/trail horses that are in light sporadic work. Of course we end with some Weird News. Listen in… HORSES IN ...

08/05/2023

Well done to Dr Hyman and Dr Joyce for again being selected Northern Virginia magazine equine veterinarians of the year.

This is Dr Joyce's 7th year in a row and Dr Hyman's fourth year. Both remained very appreciative of their colleagues' and community's support.

Nominations for this distinction begin with selection by other local equine veterinarians and then there is both public and private voting.

Additional congratulations to the other equine veterinarians selected. TEVA is honored to be amongst this group.

Check out the magazine while you're standing in line at the grocery store.

07/17/2023

Need a Chiro?

TEVA now offers veterinary medical manipulation (VMM), commonly referred to as chiro(practic) or osteo(pathy).

Dr. Care recently completed this vigorous program at Chi University in Ocala, Florida. We're super proud of her and this outstanding accomplishment.

Medical manipulation uses gentle movements to correct restrictions and reestablish normal range of motion. Restrictions are very common and can come from your horse’s everyday life and riding work. Restrictions and trigger points result in chronic pain, nervous system dysfunction, lameness, and decreased performance.

Chiropractic therapy can help tune up and maintain your athlete.

Medical manipulation is a great treatment to keep your horse happy, healthy, and performing at their top potential.

Contact TEVA now to schedule an appointment with Dr. Care!
703-505-2320 call/text or
[email protected]

TEVA's Complete Holistic Services:

Chiro (VMM/Osteo): $179, with Dr. Care.

Acupuncture: $179, with either Dr. Coppelman and Dr. Hyman.

Massage (Tui Na): $179, with Dr. Hyman.

Total Equine Veterinary Associates

07/16/2023

The awesome crew of TEVA, NEFC, and NEC make up the greatest team!!

This group makes it all work for the betterment of every horse they support. They care, they are compassionate, and they sincerely believe that every horse deserves their very best effort for you and your horse.

We were able to enjoy some "Polo at the Park" on our home turf at Morven Park.

Rain cut it a little short yet it was really wonderful to be together.

Total Equine Veterinary Associates NOVA Equestrian Center (NEC) NOVA Equine Fitness Center Morven Park, Leesburg

07/03/2023

A little something about a big accomplishment for Barbados.

Barbados Equestrian Association

A wonderful article in today’s EASY MAGAZINE about the Archers-the mother and daughter Equestrian Stars, who not only conquered the CAC Games but also actively participate in Polo and other equestrian sports. Well done ladies! 👏🌟🇧🇧

06/23/2023

Some interesting CAC Games tidbits:

https://en.m.wikipedia.org/wiki/Central_American_and_Caribbean_Games

All the horses were accepted at the 1st Jog. Dressage starts at 6pm tomorrow, CC at 0800 Sunday, Jumping at 6pm Monday.

Our horses have never been fitter or healthier, and our riders are equally prepared.

Go Barbados!

06/22/2023

CAC Games midweek update. The horses and riders are acclimating to the heat and boarding conditions. The venue is coming together with 24-hour work crews. 1st FEI jog is tomorrow Friday at 10am.

My favorite Team Mexico Veterinarians are here and it's super great catching up with them. Their barn aisle decorations make ours look like kids play.

We shifted hotels last night into the Games hotel. Lots of teams of lots of countries here.

We're keeping the horses hydrated and happy. It's fascinating how pampered they are: massage, lasers, physio, baths, hoof care, combing and brushing, meals to order, and so much pampering. 👑🐎

06/20/2023

LET'S GO BARBADOS! 💪🇧🇧🐴

TEVA and Dr Jay Joyce representing Barbados at the Central American and Caribbean (CAC) Games as Team Veterinarian for this small, yet immensely impressive and driven group of riders. I am beyond fortunate to be here amongst these athletes and friends.

Aiming to improve on our 2019 Bronze medal performance in Eventing in Bogota, Colombia, our post-covid team is even more ready!

Barbados has 2 dressage riders (Roberta Foster on Chic and Mackenzie Manning on Rue) and 2 eventers (Monique Archer on Cami and Zoe Archer on Millridge).

This competition is the precursor to the Pan Am Games in the fall, then on to the Paris 2024 Olympics.

This amazing group has already conquered travel delays, storm cancellations, administrative holds at the airport, non-potable water in stabling, dead cell phones, an under-construction venue, 1 hour Uber or shuttle rides to/from the horses, 95 degree buggy days, language barriers, and undrinkable water in Santo Domingo. The upcoming competition days will be easy compared to the hurdles overcome already.

The horses and riders remain enthusiastic, focused, and healthy. They are ready to face giants like Mexico and Colombia starting Saturday. Our underdog spirit is infectious, and the spirit of the Games continues to rise.

The majority of the CAC Games are in El Salador. Only Taekwondo, modern pentathlon, equestrian, racquetball, canoeing, field hockey and clay pigeon needed hosting by another country. Sadly, no proper athlete's village or opening ceremony for us in DR.

More to follow as the official jog is Friday, Dressage Saturday, cross country Sunday, jumping Monday evening.

Cheers!

Total Equine Veterinary Associates NOVA Equine Fitness Center NOVA Equestrian Center - NEC Barbados Equestrian Association

06/08/2023

Staying indoors is a great opportunity to work on things like stretching and other in-stall exercises like tail pulls and back lifts.

Learn how air quality issues such as wildfire smoke and pollution can affect equine respiratory health.

05/05/2023

Let's get into the Kentucky Derby spirit!

While my "Jukebox Aviator" isn't actually that cool, Paula is a "Proud Catastrophe" and I shouldn't really comment beyond this to keep the weekend civil 😃

Bonus: Watch the Coronation throughout Derby day.

https://www.telegraph.co.uk/royal-family/2023/05/05/king-charles-coronation-weekend-guide-what-time-when/

05/04/2023

Some morning continuing education at the Goodstone Inn & Restaurant with Dr. Sallie Hyman and her assistant for a couple weeks, Brooke Fletcher, and Dr Jay Joyce. We had an informative session with several other local equine veterinarians. Always great to catch up with other horse vet friends.

Thank you Dechra US for the breakfast and opportunity to learn.

Osphos, a new FDA approved Pentosan, and updates on the various regenerative joint therapies were the highlights.

Summarizing:
1. Anything derived from the horse's blood, processed onsite in the centrifuge, and injected back into the horse's joint is a gazzilion times more effective than just steroids on a million different levels.

2. We need to use Osphos more frequently than yearly- like twice a year has superior results.

3. Pentosan rocks! Recent research is very positive and it will disrupt the current intramuscular arthritis management option. Look for its release in a few weeks.

Total Equine Veterinary Associates

Dr. Care was called away for an urgent horse call, and Dr. Coppelman is in MN working at the veterinary school as a staff surgeon this week (more about her time away later).

04/02/2023

The 2023 Spring Trials are in full swing at Morven Park! What started out as a rainy Saturday morning has turned into a beautiful weekend of Eventing.

Dr. Care is on site all weekend for any of your veterinary needs and oversee horse emergencies. Stop by the vet truck and say hi!

Thank you Dr. Care for your commitment to the sport, all the horses, and the people that love them.


Total Equine Veterinary Associates
NOVA Equestrian Center (NEC) NOVA Equine Fitness Center Morven Park International Equestrian Center NOVA Equestrian Center - NEC Erin Gilmore Photography

04/02/2023

Dr Hyman had a busy day today. April 1st always brings the strangest of appointments.

https://us17.campaign-archive.com/?e=0d9aaed7a1&u=ac3d4cf4ec952f337af6c619f&id=4973957d22

03/13/2023

TEVA’s very own Dr. Gabrielle Care was interviewed by first graders from Countryside Elementary School (CES). In this video—created by Danielle Sullivan, a first-grade teacher at CES—Ms. Sullivan asks Dr. Care the first grader questions while they are at Loudoun Therapeutic Riding looking over “Rory” and “Fabio.” We're so proud to have Dr. Care on our team – be sure to check out their video!

🐴 𝗟𝗲𝗮𝗿𝗻 𝗺𝗼𝗿𝗲 𝗮𝗯𝗼𝘂𝘁 𝗗𝗿. 𝗖𝗮𝗿𝗲 𝗵𝗲𝗿𝗲: https://www.totalequinevets.com/about-us/team-teva/our-veterinarians/dr-gabrielle-care
🐴 𝗜𝗳 𝘆𝗼𝘂 𝗳𝗲𝗲𝗹 𝘆𝗼𝘂𝗿 𝗵𝗼𝗿𝘀𝗲 𝗻𝗲𝗲𝗱𝘀 𝘁𝗼 𝗯𝗲 𝗰𝗵𝗲𝗰𝗸𝗲𝗱 𝗼𝘂𝘁, 𝙍𝙚𝙦𝙪𝙚𝙨𝙩 𝙖𝙣 𝘼𝙥𝙥𝙤𝙞𝙣𝙩𝙢𝙚𝙣𝙩: https://www.totalequinevets.com/contact-us

03/06/2023

Cushing’s disease, also known as Pituitary Pars Intermedia Dysfunction (PPID), affects the endocrine system of the horse. PPID is more common in older equines, with a documented prevalence of approximately 20% (1 of 5) in horses 15 years and older. Disease prevalence increases to 30% (1 of 3) in horses over 30 years of age. Horses younger than 15 can develop PPID. There is no apparent breed or s*x predilection, and the only documented risk factor for development of PPID is advancing age.

Just like heart disease, high cholesterol, and diabetes in people, earlier recognition and management of this disease is critical. Waiting until your horses’ hair coat is overly long is too late. It’s not just a long hair coat; it’s not shedding out well. Also, early cases can present as poor performance or tendon/ligament injuries.

TEVA now recommends testing horses aged 15 and older. Testing for Cushing’s using a TRH Stimulation Test can detect disease earlier than just a baseline ACTH Test. This test is recommended for younger horses and suspected cases that have a borderline ACTH level.

🐴 𝗜𝗳 𝘆𝗼𝘂 𝗳𝗲𝗲𝗹 𝘆𝗼𝘂𝗿 𝗵𝗼𝗿𝘀𝗲 𝗻𝗲𝗲𝗱𝘀 𝘁𝗼 𝗯𝗲 𝗰𝗵𝗲𝗰𝗸𝗲𝗱 𝗼𝘂𝘁, 𝙍𝙚𝙦𝙪𝙚𝙨𝙩 𝙖𝙣 𝘼𝙥𝙥𝙤𝙞𝙣𝙩𝙢𝙚𝙣𝙩: https://www.totalequinevets.com/contact-us

02/27/2023

Vote for TEVA in Best of Loudoun, Veterinary Practice.

While small animal practices dominate this category, you'll see TEVA is the only 'exclusively equine' practice represented.

Show your support for the entire equestrian community - vote for TEVA!

https://loom.ly/3oLj7zA

Vote for your favorite people, places, and business in Loudoun County!

02/16/2023

Congratulations to Dr. Joyce for this outstanding achievement! 🍻

Dr. Jay recently earned his Certification in Equine Rehabilitation and Performance Veterinarian (CERPV).

After nearly a year of studying, case reports, online courses, webinars, wet labs, and exams, the official process is complete - yet his teaching to you has just begun.

At recent Performance Evaluations, you may have heard Dr. Jay talk about re-awakening nerve-muscle pathways, range of motion exercises, the right amount of time to ice versus apply heat, perturbations, stall exercises, stretching, and more.

Better and earlier recognition of performance issues begins with a skilled team. So the addition of this performance horse & rehabilitation certification, having board-certified veterinarians and acupuncturists like Dr. Hyman and Dr. Coppelman, access to the NOVA Equine Fitness Center water treadmill based at the NOVA Equestrian Center, Dr. Care working toward her chiropractic certification, and all the technology that TEVA vets carry - all of this embodies our expanding vision to provide the most comprehensive and holistic care imaginable throughout a greater portion of your horse's life so you and your riding partner are able to fulfill your goals successfully.

Lameness is usually not the result of a single bad step. Lameness is usually the culmination of 10,000 not quite right steps. We can help you identify some issues before they are problems. This applies to every ridden horse regardless of discipline or level of use.

Let's try to skip the Lameness Exam option. Preventing lameness and preserving soundness are more desirable than fixing it. Preventative approaches are less expensive and extend your horse's serviceable years.

Call for a Performance Evaluation with any of the TEVA veterinarians (usually coupled with a computerized Lameness Locator gait anaysis).

Again, congratulations to Dr Jay for his Certification in this emerging field!

Call today before your horse takes another just not quite right step!

703-505-2320 (call or text)
[email protected]

www.totalequinevets.com

02/14/2023

Happy Valentine's Day to all our clients, supporters, family, and friends!
We ❤️ you all for allowing us to do what we LOVE!

🐴 𝗜𝗳 𝘆𝗼𝘂 𝗳𝗲𝗲𝗹 𝘆𝗼𝘂𝗿 𝗵𝗼𝗿𝘀𝗲 𝗻𝗲𝗲𝗱𝘀 𝘀𝗼𝗺𝗲 𝗧𝗘𝗩𝗔 𝗹𝗼𝘃𝗲, 𝙍𝙚𝙦𝙪𝙚𝙨𝙩 𝙖𝙣 𝘼𝙥𝙥𝙤𝙞𝙣𝙩𝙢𝙚𝙣𝙩: https://www.totalequinevets.com/contact-us

01/28/2023

Stay vigilant Virginia.

3 horses at a barn in Roanoke County, Virginia, are positive for EHM, with 2 additional cases suspected and 28 horses exposed.

01/26/2023

Brilliant representation! This is why we work so hard keeping horses sound. And should injury occur, we want to prevent it from happening again with the best healing under ideal conditions. Love the toothpicks!

12/31/2022

At TEVA, we genuinely appreciate your support, trust, and confidence over the years. We are forever grateful for the opportunity to serve you and your horses.
As we embark on a New Year, we remain committed to you and continue our mission to keep your horses healthy for life.
We wish you – and your horses – peace, joy, health, and prosperity this holiday season and throughout the coming year.
Here's to a Happy and Healthy 2023 from all of us at Total Equine Veterinary Associates!

12/25/2022

Season's Greetings! We would like to express our warmest wishes to you, your family, and your horses during this wonderful time of year.
We value your patronage and appreciate your continued confidence in us.
All of us at Total Equine Veterinary Associates wish you a very enjoyable Holiday Season!

12/14/2022

What a great group and great night at the Harry Potter: A Forbidden Forest Experience !!

Combining the TEVA, NEC, and NEFC teams was a ton of fun. We started with a Harry Potter themed potluck, followed by the walk thru the Park, then returning for post-Park fun where we started.

Winner of the Harry Potter Sorting Hat contest was Dr. Sallie Hyman who was unanimously voted as a Slytherin by all 27 present.

As a whole, it's hard to imagine a better team. A team brought together to provide you exemplary horse care - from veterinary, to emergency, to performance, to boarding, rehab, reconditioning, and fitness. Every member here is committed to you and your horse. 🙏

Happy Holidays from Total Equine Veterinary Associates , NOVA Equestrian Center (NEC), and NOVA Equine Fitness Center . Be safe and enjoy your friends, family, and coworkers!

We had a couple teammates that couldn't join us. Saddened to miss them as school and life always get in the way. 🥂 we missed you.

12/11/2022

From our friends and colleagues at Hagyard Equine Medical Institute . For now, look closely at where your cubes are from and possibly inspect some cubes. There is not a list of possibly affected brands yet. We will let you know more as more information is released. Be smart about what you read and share.

INFECTIOUS DISEASE ALERT

Dr. Nathan Slovis our infectious disease chairman has been consulting with several of his colleagues in Texas and Louisiana about a PRESUMPTIVE botulism outbreak associated with Hay Cubes manufactured in Colorado.

Both Farms used the same source for the hay cubes.

We have heard that other states that MAY have farms affected as well.

The hay cubes appear to have been contaminated with dead animal carcasses (Images Attached from one of the farms affected that used the hay cubes)

Botulism

Definition/Overview

Botulism is a neuromuscular disease characterized by flaccid paralysis that is caused by neurotoxins produced by strains of Clostridium botulinum. Horses are one of the most susceptible species, with both individual and group outbreaks reported.

Etiology

Clostridium botulinum is a Gram positive, spore forming anaerobic bacterium. Spores are found in the soil throughout most of the world with the distribution of strains dependent on temperature and soil pH. Eight serotypes of botulinum neurotoxin exist and are labeled A, B, C1, C 2 , D, E, F and G, all of which have similar toxicity. There is geographic variation in the predominant serotypes. In North America, botulism in horses is most often caused by type B toxin and less often by toxin types A and C1.

Pathophysiology

There are two main forms of botulism. Toxicoinfectious botulism, also known as ‘shaker-foal syndrome’ occurs almost exclusively foals as a result of overgrowth of C. botulinum in the intestinal tract, followed by production of neurotoxins. The disease most often affects fast growing foals from 1-2 months of age, although cases outside this age range have been seen. The mature, protective gastrointestinal microflora of adult horses typically prevents overgrowth of C. botulinum following ingestion.

In adult horses, botulism occurs following ingestion of pre-formed toxins in feed. Spoiled hay or silage are most commonly implicated in botulism caused by types A and B. Silage with a pH greater than 4.5 is favorable for sporulation and toxin production. This is known as “forage poisoning”. It has also been suggested that birds may be able to carry preformed toxin from carrion to the feed of horses. Type C botulism is associated with ingestion of feed or water contaminated by the carcass of a rodent or other small animal. Less commonly, botulism can occur when neurotoxins are produced in wounds infected with C. botulinum. Proliferation of C. botulinum type B organisms in gastric ulcers, foci of hepatic necrosis, abscesses in the navel or lungs and wounds in skin and muscle have been associated with toxicoinfectious botulism.

The third less common form of botulism is associated with the infection of wounds with C. botulinum

Botulinum neurotoxins bind to presynaptic membranes at neuromuscular junctions, irreversibly blocking the release of the neurotransmitter acetylcholine resulting in flaccid paralysis. Botulinum neurotoxin has also been linked to equine grass sickness.

Clinical presentation

The clinical picture of symmetrical flaccid paralysis is consistent, with the onset and rate of progression dependent on the amount of toxin that is absorbed. The initial clinical signs include dysphagia with apparent excess salivation, weak eyelid tone, weak tail tone and exercise intolerance. Affected animals also spend increased amounts of time resting due to generalized muscle weakness, which is also associated with tremors, carpal buckling and ataxia. Pharyngeal and lingual paralysis causes marked dysphagia and predisposes to aspiration pneumonia. The affected animals tend to quid their food. Paralysis of the diaphragm and intercostal muscles results in an increased respiratory rate and decreased chest wall expansion. Severely affected animals die from respiratory paralysis and cardiac failure.

Differential Diagnosis

Differential diagnoses for botulism include viral causes of encephalitis, protozoal causes of encephalomyelitis, and toxic causes of sudden death or neurologic dysfunction.

Diagnosis

Botulism should be suspected in animals with flaccid paralysis displaying the above clinical signs. Botulinum toxin does not affect the central nervous system but does affect the cranial nerves; thus symmetrical cranial nerve deficits in an animal with normal mentation can help differentiate botulism from other disorders. Botulism is often a clinical diagnosis. Definitive diagnosis can be achieved by the mouse inoculation test using serum or gastrointestinal contents. However, horses are extremely sensitive to the toxin and this test is often negative. The traditional mouse bioassay identifies Clostridium botulinum in only about 30% of f***s collected from adult horses with clinical disease. If the toxin is demonstrated with mouse inoculation, the serotype can be determined through inoculation of mice passively protected with different serotypes of antitoxin. Detection of antibody titers in a recovering unvaccinated horse is also evidence for the diagnosis of botulism. Demonstration of spores in the intestine is not diagnostic, as they can be ingested and observed as contaminants.

Quantitative real-time PCR (qPCR) test for the detection of Clostridium botulinum neurotoxins in equine diagnostic samples (F***s or Food Samples) are available. . This assay tends to be more economical, time efficient and sensitive than the traditional mouse bioassay

Management

Immediate treatment with a polyvalent antitoxin prevents binding of the toxin to presynaptic membranes. However, antitoxin cannot reactivate neuromuscular junctions that have already been affected. Thus, antitoxin administration may have little effect in animals that are severely affected. Generally, only one dose (200ml of antiserum to foals (30,000 IU) or 500ml (70,000 IU) to adults of antitoxin is needed and provides passive protection for up to two months.

Antibiotics should be administered if toxicoinfectious botulism is suspected or if here is secondary lesions such as aspiration pneumonia or decubital ulcers. Antibiotics that can cause neuromuscular blockade and possibly exacerbate clinical signs such as aminoglycosides should be avoided and neurostimulants such as neostigmine should not be used. Good nursing care including the provision of a deep bed and a quiet environment are essential. Frequent turning of recumbent animals, nasogastric feeding and fluid support for animals with pharyngeal and lingual paralysis, frequent catheterization of the urinary bladder, application of ophthalmic ointments and ventilatory support may all be required.

If botulism is suspected to have been caused by ingestion of preformed toxin in feed, an alternate feed source should be provided while the origin is investigated. Potentially contaminated feeds.

Prognosis

A survival rate of 88% has been reported in foals with toxicoinfectious botulism that were provided with intensive nursing care (including mechanical ventilation and botulism antitoxin). However, this type of treatment is not available in all areas and is quite expensive. Without aggressive supportive care, the mortality rate is high, with death usually occurring 1-3 days after the onset of clinical signs.

The prognosis is variable in adult horses that have ingested pre-formed toxin, depending on the amount of toxin absorbed and the severity of clinical signs. Mildly affected animals may recover with minimal treatment while severely affected animals that become recumbent have a poor prognosis. The mortality rate has been reported to be as high as 90% in recumbent adult horses, with death occurring within hours of the appearance of signs. In animals that survive, complete recovery is most common. Development of full muscular strength takes weeks to months. Persistent tongue weakness not affecting the ability to eat has been reported.

Prevention

Type B toxoid is available and should be used in areas in which type B botulism is Vaccination is particularly important in areas where neonatal botulism occurs. Widespread vaccination of mares in certain high-risk areas has dramatically decreased the incidence of neonatal botulism. An initial series of three vaccinations a month apart followed by annual boosters has been recommended. Pregnant mares should receive a booster four weeks prior to foaling to ensure adequate antibody levels in colostrum. Type B vaccine only provides protection against type B toxin. There is no cross protection against type C toxin and type C toxoid is not licensed for use in North America.

Silage, haylage and other fermented feeds should not be fed to horses because of the risk of botulism.

REFERENCES

1) Wilkins PA, Palmer JE. Botulism in foals less than 6 months of age: 30 cases (1989‑2002).J Vet Intern Med;(2003);17;5:702‑707



2) Wilkins PA, Palmer JE. Mechanical ventilation in foals with botulism: 9 cases (1989‑2002). J Vet Intern Med;(2003);17;5:708‑712



3) Junaine M. Hunter, DVM, Barton W. Rohrback, VMD, MPH et at. Round Bale Grass Hay: A Risk Factor for Botulism in Horses Compend Contin Educ Pract Vet;(2002);24;2:166‑166



4) Schoenbaum MA, Hall SM, G***k RD, Grant K, Jenny AL, Schiefer TJ, Sciglibaglio P, Whitlock RH. An outbreak of type C botulism in 12 horses and a mule. J Am Vet Med Assoc;(2000);217;3:365‑8



5) S. H. GUDMUNDSSON. Type B botulinum intoxication in horses: case report and literature review. Equine Vet Educ;(1997);9;3:156‑159





6) H. Kinde et al. Clostridium botulinum type‑C intoxication associated with consumption of processed alfalfa hay cubes in horses. J Am Vet Med Assoc;(Sept 15, 1991);199;6:742‑746

12/09/2022

Get your helmets on!

And an air vest while you're at it.

Be safe! Be even safer! Set an example for our younger riders.

After two years of research, the Virginia Tech's nationally renowned helmet lab has released ratings for equestrian sports — which are responsible for more emergency room visits for head injury than any sport in the U.S.

12/08/2022

𝙋𝙤𝙞𝙣𝙨𝙚𝙩𝙩𝙞𝙖, 𝙃𝙤𝙡𝙡𝙮, 𝙈𝙞𝙨𝙩𝙡𝙚𝙩𝙤𝙚, 𝙔𝙚𝙬, 𝙊𝙧𝙣𝙖𝙢𝙚𝙣𝙩𝙨, 𝙏𝙞𝙣𝙨𝙚𝙡, 𝙂𝙖𝙧𝙡𝙖𝙣𝙙, & 𝘾𝙝𝙧𝙞𝙨𝙩𝙢𝙖𝙨 𝙇𝙞𝙜𝙝𝙩𝙨
➡️ 𝗪𝗵𝗮𝘁 𝗱𝗼 𝘁𝗵𝗲𝘀𝗲 𝗵𝗮𝘃𝗲 𝗶𝗻 𝗰𝗼𝗺𝗺𝗼𝗻?
They are all Traditional Christmas decorations, but they are also hazardous to horses if you’re not careful. Learn more so you can avoid dealing with holiday toxicities and hazards this holiday season: https://www.totalequinevets.com/client-center/resources/TEVApedia/equine-holiday-hazards
The holidays should be a time of fun and festivities. With a little knowledge, you can make the holidays safe for you and your horse. 🎄

12/04/2022

Certification in Equine Rehabilitation and Performance Veterinary Medicine (CERPV)- almost done!

"PRE-HABILITATION" - as an evolving mindset to detect subtle body changes and minor physical adaptations so that we may initiate exercises and strategies before they escalate to lameness or discomfort.

Better understanding of "Why did this injury happen?" is a part of PRE-HABILITATION and helps us identify earlier intervention opportunities. Tense trigger points, performance stretching, fascia release, relieving restrictions, perturbation exercises, local vibration, re-engaging nerve pathways, and stabilization pads - these are all important to your horse's well-being that we should talk about.

Dr. Joyce has just 28 more online hours of videos and a challenging proctored final examination in January then he complete his Certification in Equine Rehabilitation and Performance Veterinary Medicine (CERPV) from Chi University in Florida. CERPV is a several-month course of study - a mix of many online modules and tests as well as two intense visits to Chi University for hands-on and laboratory application.

This visit involved even more on recognition of saddle fitting issues, performance horse shoeing updates, improving conditioning and rehab techniques, pain management, and maximizing injury healing to optimize outcome - all were further addressed this session.

This CERPV program is ONLY taught to veterinarians and is the most comprehensive and advanced program offered with specific emphasis on performance sport horse medicine and rehabilitation. Chi University offers the most instruction in injury prevention, the early diagnosis of performance deficits, how to correct them, and rehabilitation after injury.

After nearly a year of successfully working on real-world cases at NEC/NEFC, this certification further embodies TEVA's commitment to ensuring that our practical experiences match the latest in academics and science. We do this to provide your horses the greatest opportunity for prevention, a sustained riding career, and the fullest recovery from injury.

As a practice, we're seeking to raise the region's available on- and off-farm resources in lameness, rehabilitation, reconditioning, and preservation of soundness. TEVA sets the highest bar with qualified veterinarians to help you achieve your equestrian goals.

With our 2 board-certified Diplomates (Drs. Hyman and Coppelman) and Dr. Joyce soon "Certified in Equine Rehab and Performance" (CERPV), the TEVA team is more fully prepared to help you from initial injury to veterinary intervention and through all phases of recovery. Additionally, Drs. Hyman and Coppleman are Chi University certified graduates in Acupuncture (E is also Advanced), and Dr. Hyman is certified in Muscle Manipulation (Tui-Na massage). And Dr. Care has begun her Chiropractic (Veterinary Medical Manipulation) qualifications.

TEVA remains steadfast in its commitment to you by continually learning, adapting the latest techniques, and employing the most modern technologies.

"Consider that most injuries are not due to a bad step. They are the result of 10,000 not very good steps." --Dr Carla Pasteur, DVM, MSTCVM, CVA, CVTP, CVMMP, CVSMT, CERP

NOVA Equine Fitness Center NOVA Equestrian Center (NEC) Total Equine Veterinary Associates