From: George Eby (coldcure@realtime.com) Subject: Navicular Disease- curable! View: Complete Thread (2 articles) Original Format Newsgroups: rec.equestrian Date: 1996/09/29
Is Navicular Disease in Horses Curable? Probably!
by George Eby, 2109 Paramount Avenue Austin, Texas 78704 e-mail coldcure@coldcure.com voice/fax 442-2933
Is navicular disease curable? From a historical perspective, it is not. Steel egg bar shoes, more upright shoeing, and isoxoprine are the best bets in the early stages, with nerving performed in the later stages. Eventually, the horse becomes no longer usable, remains a cripple for the rest of its life, or is euthanized. The navicular bone of a horse acts as a fulcrum over which tendons from the back of the leg attach to the coffin bone in the foot. This fulcrum is subject to both compressive and surface shear forces. That navicular disease in horses starts as result of a trauma, over exertion, malnutrition and combinations is well accepted. However, positively charged, trivalent aluminum ions (Al3+) is one important previously unrecognized cause of bone resorption and osteomalacia (bone softening, crushing, and breaking in mature vertebrates not associated with Vitamin D deficiency), and in particular the loss of surface bone. Aluminum ions in bone cause bone pain and proximal myopathy (disorders of adjoining muscles).(ref 1) The similarities in surface bone loss caused by aluminum ion compared to surface bone loss in navicular disease sound strikingly similar. Aluminum is the third most abundant element on the surface of the Earth. It has been held captive in rock biologically unavailable for 3 billion years. Industrialization has resulted in acid rains that have decreased the pH of lake waters to the point where Al3+ is leached out of rocks and soil. Horses can also pick up biologically available aluminum from plants and grasses. In the case of horses with aluminum shoes, acidification from urine could leach out Al3+ from the shoe and be directly absorbed into the feet. Aluminum ion has no role in vertebrate life-forms, and is always considered a toxin. Aluminum is a group IIIa element under boron in the periodic table of the elements. In some complex boron-containing biomolecules, boron prevents bone resorption in laboratory animals, exactly the reverse of aluminum, however it has some neurotoxicity. Below aluminum in the periodic table is gallium, a liquid metal at room temperature. Gallium, in considerable excess of aluminum, effectively competes with aluminum for absorption in bone and displaces aluminum, similar to the way that immunoregulatory zinc replaces carcinogenic cadmium found in tobacco smoke. According to Raymond P. Warrell, Jr., M.D., of the Memorial Sloan Kettering Cancer Center, in New York City, elemental gallium and its various compounds are potent inhibitors of bone resorption that acts to maintain or restore bone mass. By virtue of these biological effects, gallium compounds (mainly gallium nitrate) are useful treatments for a variety of human diseases that are characterized by accelerated bone loss, including cancer-related hypercalcemia, bone metastases, Paget's disease, and post menopausal osteoporosis.(REF 2) Gallium nitrate in appropriate dosages is considered a safe and highly effective agent in reducing accelerated bone loss in both cancer and metabolic bone disease, and in restoration of bone mass. Gallium nitrate converts blood hypercalcemia into hypocalcemia, resulting in a marked reduction in urinary calcium. It causes a higher accretion rate of radio-labeled calcium into bone, suggesting gallium nitrate enhanced mineralization of newly forming bone rather than simply acting to decrease physiologic resorption. Gallium concentrates in the metabolically active metaphysis (end), and notably in the epiphyseal region of bones along with calcium strengthening bone.(REF 2) Dr. Warrell suggested to me by telephone in August, 1996, that a navicular horse would reasonably benefit from a 250 mg oral dose of gallium nitrate per day as an adjunct to standard treatments and reduced work. He could not predict a time period for recovery. Consequently, an X-ray exam should be performed at the start of treatment, days 30, 60, 120, 180 and 365 until the literature establishes the average recovery time. Bone pain (lameness) will disappear much sooner than complete bone repair, consequently, training and exertion should be limited until X-ray examination shows recovery is complete. Gallium nitrate by the Aldridge Corporation is available in reagent grade (99.99% pure) from many chemical supply houses in bulk form. It would seem that aluminum shoes could be a contributing factor to navicular disease and their non-use should be considered. Switching to steel egg bar shoes also could be beneficial by eliminating a possible source of Al3+ ion. _______________________ (1) Alfrey Allen C., M.D. (1995) "Toxicity of Detrimental Metal Ions - Aluminum", (Guy Berthon, editor), Handbook of Metal-Ligand Interactions in Biological Fluids - Bioinorganic Medicine, Volume 2, Marcel Dekker, Inc., New York.
(2) Warrell, Raymond P., M.D., "Gallium for Treatment of Bone Diseases", ibid. -- GEORGE EBY RESEARCH 2109 Paramount Avenue, Austin, TX 78704 US voice/fax 512-442-2933 coldcure.com e-mail coldcure@coldcure.com |