After 25+ years of being a general medicine equine practice Burlington Equine has evolved to one that focuses on equine sports medicine cases. As we enter 2014, this will be the sixth year that we have grown into a busy Sports Medicine practice managed by Dr. Randy Frantz. The practice utilizes diagnostic procedures with some of the most advanced equipment available to ambulatory practices today: Digital X-ray, Digital Ultrasound, Video Endoscopy, Shockwave Therapy, Laser Treatments and Thermography. The use of alternative medicine procedures: Acupuncture, Chiropractic and Mesotherapy are essential additions for diagnostics and therapeutic options. In addition newer techniques involving regenerative therapy: Stem Cells, PRP and IRAP are being incorporated into treatments. By focusing on lameness and performance limiting issues the practice is able to provide more in-depth work ups for these problems. These have long been an interest of Dr. Frantz and devoting the time and energy toward diagnosing and resolving them is one of the main goals of the practice.
At this point Dr. Randy Frantz, a 1988 graduate of North Carolina State University College of Veterinary Medicine, is the only Veterinarian working at Burlington Equine. He completed certification in Acupuncture in 1993 and completed the Chiropractic program several years later. The use of alternative medicine has complemented the traditional veterinary procedures for years and has been a staple at Burlington Equine for the past 21 years. Presently Dr. Frantz has been pursuing certification under the International Society of Equine Locomotor Pathology (ISELP).
The office is staffed by Susan Boardman, a Veterinary Technician, and Linda Light. Susan usually accompanies Dr.Frantz on appointments as well as assisting with with cases at the clinic.
Both Susan and Linda are horse owners. Susan has successfully trained and competed with her horse Pavarotti through Grand Prix. Currently Susan has a 7 year old Hanoverian mare, Flori, that she is training for a career in Dressage.In 2009 Flori was evaluated by the American Hanoverian Society and placed 5th in the country after the mare inspection. In 2010 Flori was reserve champion mare at the mare performance test at River House Hanoverians. That score landed her second in the country. In 2011 she continued to perform well. She won almost every center line and was reserve or high point champion at all the shows. She is a great hack horse and is enjoying learning how to jump as well. Pavarotti continues to be shown at Intermediate I and II and is a great school master in Massachusetts.
Linda has a young horse, Lily, that she acquired in 2009. Lily is a 6 year old Trakehner mare that Linda has started training. She is currently being boarded at NorthFork Farm in Charlotte and the under saddle work is proceeding well. In 2011 Lily was entered in the American Trakehner Association inspection in Vermont and was High Point Trakehner Mare in the country at that time. By the end of 2011 she was ranked 8th in the country; a very notable accomplishment.
As of February 2014 the website has had new information added. There are descriptions of services offered through the practice plus articles written on selected subjects. Periodically information will be added. I am always interested in hearing from any of you if you would like another subject explored or would like further explanation, please do not hesitate to contact us.
Almost every year Dr. Frantz attends the American Association of Equine Practitioners (AAEP) conference. This is the largest all equine conference drawing veterinarians from all over the U.S. plus there are a number of equine veterinarians from around the world that attend. The newest research is presented along with the results of clinical trials. This information provides the basis for what equine veterinarians use in our practices and how we approach various cases. With the wide variety of equine veterinarians that attend AAEP, every discipline is represented making for many interesting discussions. The approach and expectations for me with a hind limb lameness in a dressage horse may be very different from what a veterinarian may expect that works with rodeo horses in New Mexico or the veterinarian in Tennessee that primarily works with gaited horses.
Most subjects pertaining to horse healthcare were discussed at the conference with particular emphasis on lameness issues. A review of information on laminitis was explored fully, diagnostic and treatment approaches were discussed with many conditions and the newer medications and supplements being used were also evaluated. In addition new information on diagnosing and treating joint disease was presented. Over the past few years MRI has become commonplace in the diagnostic work-up of lameness cases at referral institutions. Since last year we have expanded our treatment abilities at Burlington Equine and more horses are being evaluated with MRI at referral hospitals.
New Lameness Based Organization
In 2010 Dr. Frantz joined ISELP (The International Society for Equine Locomotor Pathology), which is an international collection of equine veterinarians that focuses on the problem of lameness in the equine athlete. The stated goal is to provide contemporary knowledge and techniques in the continually evolving field of equine locomotor analysis which will better prepare the equine clinician to understand and manage lameness conditions in the equine athlete. The program involves 8 modules that are instructed by equine veterinarians considered experts in equine lameness: Dr. Denoix from France, Dr. Rick Mitchell from Fairfield Equine in Connecticut and Dr. Kent Allen from Virginia Equine Imaging in Virginia. The modules are held in various locations in the US and Europe, and provide detailed information on the newest diagnostic and therapeutic techniques for various parts of the horse anatomy involved in lameness problems. Once the 8 modules are completed there will be an exam administered which will permit the passing clinician to reach diplomat status. These 3 day modules involve presentations, anatomical dissection, and extensive use of an ultrasound for the individual areas:
Distal Frontlimb: foot, pastern, fetlock joint
Middle Frontlimb: palmar fetlock, metacarpus and tendons, carpus, carpal canal
Proximal Frontlimb:forearm, elbow and shoulder
Distal Hindlimb: foot, pastern, fetlock, metatarsus
Middle Hindlimb: hock and suspensory ligament
Proximal Hindlimb: stifle and thigh
Neck and Thoracolumbar area (Back)
Lumbosacral area and Pelvis
Of course not everyone would be as excited to spend 3 days just discussing lameness issues originating from the foot or from the neck and withers area, but this type of detail will be a huge benefit to my clients and patients.
Dr. Frantz has completed the following regions:
Neck and Thoracolumbar area
Shoulder, Elbow and Forearm
Foot and Pastern
Lumbosacral and Pelvis
Stifle and Upper Limb
Through 2014-2015 Dr. Frantz will continue to attend ISELP meetings primarily on the East Coast at Fairfield Equine, Virginia Equine Imaging and Haygard-Davidson-McGee.
Besides understanding the interrelationships between structures involved in a lameness much of the information is focused on better techniques with digital radiography and ultrasound. Being able to better image the affected area is integral to getting a complete diagnosis and formulating the best therapeutic plan. We have come a long way in a fairly short period of time and incorporating this information into my practice has been a huge benefit. Advanced diagnostics such as MRI and Nuclear Scintigraphy are still recommended, but we have been able to achieve diagnoses here without referring cases that would have had to go to referral centers in the past.