Z-Bar Shoeing Demonstrates Potential for Long-Term Foot Pain Management during an Exercise Training Regimen in a Show Jumping Pony with Uniaxial Palmar Pain.

Z-bar shoeing has been implemented to relieve uniaxial palmar pain arising from the structures in the affected region. However, there have been no reports on the long-term application of the z-bar shoe during exercise training regimens. A 10-year-old mixed-breed show jumping pony presented with an occasional short stride and abnormal rhythm while turning during routine exercise for three months. Gait analysis conducted by trotting off on both hard and soft surfaces showed no lameness in the straight line on both types of surfaces. However, right forelimb lameness was detected with moderate and slight pain accompanying hard surface lunging in clockwise and counterclockwise directions, respectively. Sequential examination of uniaxial perineural anaesthesia confirmed that the pony suffered from medial palmar pain on the right foreleg. Mild distal border irregularity of the navicular bone was also observed radiographically. The z-bar shoe was designed relative to the palmar digital anaesthesia and subsequently applied on the lame leg. The pony demonstrated a marked reduction in lameness severity immediately post-Z-bar shoeing. Physical exercise was resumed a few days after the shoeing practice. The pony underwent routine exercise training while continuously fitting with the Z-bar shoe for 24 weeks without recurrent lameness or complications. Application of z-bar shoe showed the potential for long-term foot pain management during an exercise training regimen in a show jumping pony with uniaxial palmar pain.