Chronic Progressive Lymphedema

Chronic Progressive Lymphedema
Treatment Case Study TIME LINE
On April, 27th 2016, Cytowave treatments were started on a Friesian stallion for Chronic Progressive Lymphedema
(CPL). The following therapy report represents the first ninety (90) day case study period.
All documentation was reported by Emily Jewell, owner of Keegan and Grace & Beauty Farms, and John Dovenmuehle,
Cytowave Equine Therapy representative. Photographs taken by Emily Jewell.
HISTORY OF SUBJECT:
Horse: Keegan, Friesian stallion
Age: 13 years old
Height: 16.3 hands
Weight: 1400 Lbs.
Owners: Emily and Mike Jewell
Grace and Beauty Farms
Carlisle, IN.
Environmental Conditions:
Keegan kept in dry stall area. Stall is exceptionally neat and cleaned every day.
Treatments are in the Farrier area of barn with Keegan standing on rubber pads.
Exercise: Daily exercise in round pen. Clean dry area.
Emily has owned Keegan since his birth and has trained him for show events and movies. He is considered a
member of her family, which of course he is. Emily first noticed signs of CPL when Keegan was around 5-6 years
old. Small nodules had appeared on Keegan’s rear legs, behind the hoofs. The symptoms spread from the right
rear leg to the left rear leg, then progressed to the two front legs.
The right rear leg has three (3) larger nodules and a large fold under the nodules. The left rear leg has two (2)
larger nodules and a smaller fold under the nodules.
The two front legs have small lesions with small nodules on both legs. The front legs are not in the trial program
but we are observing them to see if there are improvements without treatment.
OBJECTIVE:
We determined that Keegan was in the second stages of the disease. Our first objective was to reduce inflammation
by increasing circulation and lymphatic flow. We also wanted to relieve any soreness and pain in the rear
legs and to make Keegan comfortable and give his body a chance to begin healing naturally.
Currently Cytowave therapy does not have a pre-set program for CPL so we determined the best program would
be aimed at controlling CPL by reducing inflammation. Treatments for this objective are to run continuously
for two (2) weeks. We discussed the results of the treatments daily and based off of our results, set up the next
treatments.