Digital Radiography is essential in the field as an equine practitioner. Probably the most important tool a veterinarian has along with ultrasound. Town and Country Veterinary Service employs the use of two state of the art wireless digital direct radiography units (DR). These wireless units are extremely fast at acquiring images which provide on-site high quality diagnostics. DR radiography allows for faster in field diagnosis and treatment which is important when trying to get your equine athlete functioning at 100%. TCVS has kept abreast with the changes in technology providing its patients with the most up-to-date diagnostic tools.
High resolution portable digital ultrasonic imaging is one of the pillars of diagnostics in the field. The ability to image soft tissue structures as well as joint spaces and surfaces is extremely important while at the farm. Tendon, ligament and muscle evaluation is essential when trying to diagnose lameness or the origin of pain, particularly in the distal limb of our equine athletes. Neck, back and sacral iliac ultrasound imaging is also useful in diagnosing arthritis associated with these areas and guiding subsequent therapeutic measures to help treat these areas. For instance, ultrasound guided injection of cervical facets (vertebral joints of the neck) and sacral iliac joints (SI) can often be performed at the stable. Abdominal ultrasound can also be utilized on site especially for colic cases to help determine the origin and or severity of the colic. The ultimate goal is speedy diagnosis and treatment
In House Laboratory Services
As part of TCVS complete veterinary medical package, we offer an in-house laboratory. We have the capability of performing complete blood counts (CBC), serum chemistry profiles, and fibrinogen tests (indicator of inflammation or infection). We also provide in-house fecal testing, using the modified McMasters technique for equine, and fecal floatations for camelids and small ruminants. In addition we also offer microscopic evaluation for skin parasites and fungus as well as urinalysis.
*Any lab work not performed in-house is sent to appropriate laboratories
TCVS offers minor routine surgeries in the field such as routine castrations, wound repairs, mass removal, and enuclations (eye removal).
TCVS puts paramount importance in preventative care to keep your horses and farm animals healthy. We offer a full range of preventative care such as physical exams, vaccinations, health certificates, Coggins testing, microchipping, dental care,
de-worming, nutrition assessment, routine bloodwork, respiratory exams, neurologic exams, ophthalmic exams, and herd management.
An annual physical exam looks at all of the body systems (eyes, heart, lungs, gastrointestinal, musculoskeletal, oral exam), and can be added onto your regular scheduled vaccine visit!
TCVS combines many years of equine experience to diagnose lameness whether it be your backyard companion or your competitive athlete. Lameness evaluation includes a basic lameness exam with hands on palpation, hoof testers, dynamic movement in hand and under saddle and flexion tests. To further localize the source of pain nerve blocks and joint blocks may be performed. We also use digital radiographs and digital ultrasonography on the farm to aid in identifying the source of lameness.
Once a lameness is identified, we will work with you and your goals to return your horse to full soundness using exercise rehabilitation, regenerative medicine (IRAP, PRP, stem cells), Tildren, steroid injections, and/or shockwave therapy.
We offer reproductive services for all large animals. This includes reproductive soundness exams, pregnancy checks with a specialized reproductive ultrasound, as well as prenatal and postnatal emergencies. Also, once your little one is on the ground we offer neonatal exams to ensure mom and baby are doing well.
Upper Airway Endoscopy
TCVS has a 1 meter endoscope which allows us to examine the nasal passages, upper airway, and guttural pouches for abnormalities while on the farm.
IRAP stands for Interleukin Receptor Antagonist Protein. This is an anti-inflammatory protein, which counteracts the effects of the inflammatory protein Interleukin-1 (IL-1). IL-1 is a destructive protein produced in joints in response to injury or Arthritis, resulting in cartilage damage, pain, and/or lameness. The procedure requires blood to be collected from the jugular vein and incubated in special syringes for 24 hours. The white blood cells in the sample are stimulated to produce IRAP. Centrifugation separates the protein rich serum from the cells. Maintaining a sterile environment for the serum, it is then stored and frozen for later use in the inflamed joint or joints of interest. Therapy usually requires 3 to 5 injections with IRAP, 1-2 weeks apart. The advantage to this treatment is that the blood drawn and subsequent injections can be done on the farm. The protein is a product of the animal’s own body.
Radial or focused shockwave stimulates the healing process primarily in damaged ligaments and tendons. The Shockwave is a high intensity pulse which is generated by a hand held probe on the skin. The wave promotes healing by increasing blood flow to the targeted area of concern.
The purchase exam is highly recommended for any horse sale, as all horses are a significant financial investment. The exam is tailored to the buyer’s needs and any specific information the buyer would like to investigate. It is not a “pass/fail” exam. It is designed to collect as much information on the horse’s current health status to help the buyer make a more informed purchase decision.
The purchase exam is basically a very thorough physical exam and lameness exam. The purchase veterinarian is hired and paid by the purchaser/buyer. The veterinarian should be impartial and have no financial stake in the sale. The buyer owns the rights to the obtained information, including radiographic images (x rays), ultrasounds, and blood test results. These terms may be modified at the buyer and sellers agreement.
To help keep your aged equine companions in great condition through their later years we offer specialized senior horse care. This includes a yearly physical exam, screening for Cushing’s Disease (ACTH testing), routine blood work, individualized targeted de-worming program, nutrition assessment, and oral exam with dental floating as needed.
TCVS offers oral exams with teeth floating as indicated using a power rotary float as well as hand floats. We even have a separate speculum and hand floats for minis. Digital radiographs are used to examine dental abnormalities and we perform simple extractions of molars, incisors, wolf teeth and caps. We also offer dental exams for farms animals too.
In House Laboratory Services
Upper Airway Endoscopy
98 Ford Road, Suite 3A
Denville, NJ 07834