Acupuncture therapy was used to successfully treat what the owners thought to be a behaviour problem. The pelvis (sacro-iliac joint) was treated the first time after which the reflexes of the pelvis (sacro-iliac joint) improved a lot, but were still a bit too slow. The second treatment plan was not realized because the pony had no pain nor a behaviour problem anymore and the child that was riding him was only 6 years old. I thought the pony might get to be too wild when I should treat him a second time. The pony is still doing fine and the treatment was 4 months ago.
An almost 4 year old pony fell over when he jumped a hurdle and bend his neck completely (180°). After about 1½ month he just wanted to walk and if trot or canter were asked he did not want to move anymore. He just abated. They owners asked me to look at the pony because they thought it was a behaviour problem and they wanted me to treat it with acupuncture.
The complaint is that the pony abates when trot or canter are asked. Walking is the only thing the pony wants to do. The child that is riding the pony (the pony is too small to put an adult or a older child on his back) is only 6 years old and just started riding. The pony has to become 4 years, and is only about 9 months under the sadle. Not an ideal combination and it was unclear if it was a behaviour problem that the young child could not handle or that the pony was in pain because of the fall 1½ month before.
The pony has a Yang personality, is self confident, young (almost 4 years), has an acute problem. He thinks everybody is oke, and during the investigations he is in between easy going and putting things his way. He can get excited and irritated, but this happens only after a long time.
Investigation of the neck showed that the neck could bent without any difficulty to both sides. The spine was not sensitive and bending the body to both sides was easy and normal. The muscles of the back were supple. The lumbar reflex was a bit too slow. The reflex to test the sacro-iliac joint was deviating. If the line along the caudal part of the biceps was followed the reflex slowed down enormously and was too weak. The bending of the pelvis was almost impossible and could only be done for a few mm’s.There were no deviations to tongue coating or moist. The tongue size was a bit small, a bit too short and the color was a bit pale. There was a bit watery excretion out of the nose (both sides). None of the Back Shu points or Mu Alarm points were sensitive, had a depression, were cold or hot. The smaller and a bit too pale tongue indicate a Qi and/or Blood Deficiency. The clear, watery nasal discharge indicates a Cold pattern.Treatment is aimed to invigorate Qi and Blood and to dispel the Cold.Because of the trauma of the fall the Qi flow is blocked in the sacro-iliac joint , which leads to Qi stagnation (pain) and reduced flexibility of the sacro-iliac joint (stiffness).
The western diagnosis whould be that the sacro-iliac joint was affected. The owners wanted to make as little costs as possible, so a ultrasound examination was not done.
CONVENTIONAL WESTERN TREATMENT
Treatment of the affected saro-iliac joint would be an ultrasound guided injection of the sacro-iliac joint with a corticosteroid (triamcinolone) combined with hyaluron acid after which a 5 day box rest period would be prescribed followed by a slow starting to work again with the riding of long lines and big circles in the beginning and just walking and trot (the first week riding).
The pony was treated with acupuncture needles that were left in place for 20 minutes. Acupuncture points that were used are: BL10, BL40, BL27, GB41, ST36, ST40, ST 43, BL17, BL11 and GB39.
With respect to riding the advice was given to return the pony gradually to normal riding frequency and intensity over a period of 2 weeks.
I checked the pony after 2 weeks. The pony was doing fine. He was working normally and did not protest anymore if he was asked to trot or canter. The lumbar reflex was normal. The reflexes of the pelvis (sacro-iliac joint) improved a lot, but were still a bit too slow. The second treatment plan was not realized because the pony showed no pain nor a “behaviour” problem anymore and the child that was riding him was only 6 years old. I thought the pony might get to be too wild when I should treat him a second time. There was no watery discharge from the nose anymore. The pony is still doing fine and the treatment was 4 months ago.