How do you know when bumblefoot treatment can be stopped?

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cymbaline

Crowing
10 Years
Jan 31, 2012
704
706
272
central WV
It sounds like a dumb question, I know, but here's the story:
3-4 weeks ago, I noticed my Pekin, Ziggy, was limping really bad. I soaked her feet in warm water, cleaned them up, and picked at a few dark spots, but didn't see anything that bad. Her ankle was pretty swollen though. She was still limping a few days later, so I do the same thing and pick a little more, and pulled a 1/2 long barberry thorn straight out of her foot! The sore on the bottom of her foot was small, like smaller than the diameter of a pencil eraser, and not swollen around it. IMG_20200412_205826~(1).jpg (this pic was a couple days after I pulled the thorn out). I started her on amoxicillin for about week and kept up with the cleaning while she stayed in my living room on a blanket with a neoprene bootie on.
During that week (Thursday maybe?) I find my Rose standing in their own on one leg. Upon further inspection, she has what appears to be a traditional bumblefoot lesion. *Sigh* In the 8 years I've had ducks I've never had a case of bumblefoot, and now I've got two?
So I do the soak and clean and pick for a few days, but can't get into it like I could with Ziggy, and figure that's a sign I shouldn't dig further. But she's not eating much at all. And Ziggy's ankle is still super swollen. :( So Monday I haul them over to the vet, who I was just sure was going to keep them, but she debrided and flushed the spots and gave me antibiotics and Meloxicam and sent us home, with orders to flush the wounds with chlorhexidine twice daily and keep them clean and dry the rest of the time.
A few days of coaxing and then forcing the antibiotics and I just gave up. They weren't eating their favorites that I'd put them in, and sometimes refusing food altogether (probably bc they didn't trust it not to have medicine in it, lol). From my hours of reading, systemic antibiotics aren't always necessary with this, but eating is always necessary. :hmm Continued the twice daily flushing though, and after a few days of keeping them dry, started letting them have a bath (because again, all my reading says warm soaks are an important part of treatment). Never can find anything to pull out of Rose's foot. A day or two ago, I got another little chunk out of Ziggy (had gotten a bit out before), and it seemed like there was some fibrous in there but she was DONE laying on her back and letting me pick, so I let her be. Put them in the bath this afternoon with the intention of taking some pics after and asking for advice on what I saw yesterday. Picked a little at Ziggy's scab, and then sliced horizontally with a razor blade, just enough to slice the scab off, and there it was - THE KERNEL that everyone is always talking about.:eek: IMG_20200426_195312~(1).jpg Plucked it out and flushed the hole and held some gauze on it, then bandaged with a betadine covered gauze pad, wrapped with vet wrap, and put her bootie back on. And FYI, for anyone that's wondering...I'm sure the "surgery" hurts, but she cries and groans and kicks 3 times worse when I try to put that bootie on her, every time:gig
So - my questions now are:
If Rose's scab is healing up, she isn't limping, she's eating normally again, but she still has a lump on the top/side of her "toe"...is she good to go back outside once the scab is completely gone, under a watchful eye? Or should I really get in there and try to get at whatever that lump is? It's pretty firm, but you can barely tell it's there from the bottom, I'm afraid I'd have to go way too deep for a home surgery.
IMG_20200426_180254.jpg IMG_20200426_180044.jpg
And for Ziggy, does the kernel ever come back? Or if I keep it clean, should it finally just heal up now? And do you think it was the cause of the swollen ankle? IMG_20200426_180836.jpg
The swelling is very squishy, if that helps. Her appetite hasn't dwindled in the slightest through all this - she's a pig, lol. And she still walks plenty, just less and with a limp after a few hours of running around the yard.
I also noticed tricide neo foot soaks were often a recommended treatment, so I've ordered that, it should be here tomorrow. Any other advice, anything I should be doing differently?
 
I feel your pain, as I'm dealing with two and a possible third case of the cursed bumble. It seems like you're doing all the right things. You are way above and beyond me with bringing your ducks inside - very sweet of you. I am just bandaging them and letting them stay where they are. I think others here can give you better advice, but if Ziggy's ankle is still swollen and she starts limping after running around the yard, just keep her in a smaller area until she heals. I just went through a limp with my pekin. There was no swelling, but she was having a hard time walking. It was easy with her because she just laid down most of the time, but I didn't let her run around the yard as I knew she would just follow the other ducks. When I let my ducks "free-range", I set up a small fenced in area in the grass where she didn't have to walk far, and she mostly just laid there while they foraged around her.
 
Oops, hit send before I was read. It took a few weeks for her to get back to normal, and I was giving the vitamin B complex every day to strengthen her legs.

Is your duck's antibiotic oral or pill? I know it's hard to give them medicine. I'm actually going to the vet this morning about bumble foot :(
 
Oops, hit send before I was read. It took a few weeks for her to get back to normal, and I was giving the vitamin B complex every day to strengthen her legs.

Is your duck's antibiotic oral or pill? I know it's hard to give them medicine. I'm actually going to the vet this morning about bumble foot :(
Yeah, I almost piggy-backed on your post bc our situations were pretty similar, lol.
I got to thinking last night after I posted and I left a lot of my treatment out. I've been giving b-vitamins too, figure it might help, couldn't hurt. I guess I was more wondering if the swelling meant there was still infection, or if it would just take a while to subside?

Ziggy is over 8 lbs, so I was supposed to crush 1/5 of a pill and give it to her. Rose is just over 3 lbs so hers was 1.5cc of liquid (a syringe and a half - I think the vet said Ziggy's would have been like 5 syringes...not fun.) Maybe it's just that this one (SMZ TMP, aka Bactrim) tastes bad? I don't remember ever having this much trouble dosing them before. Ziggy ate the amoxicillin-laced food for days...can't recall at the moment what else they've been on before.
 
I feel your pain. I have a bumblefoot girl right now and she’s not going to the vet until tomorrow.

I have had several bumblefoot cases in the past, and antibiotics and anti inflammatory are the usual care.

My vet gives me injectable antibiotics....much easier than pills or liquid.

its no joy having to give medicine to a duck!
 
@cymbaline - I think we have the same question. My girl Poppy had a bumble and I thought it was taken care of - the swelling flattened and she was walking about much better. Then a couple weeks after ignoring it I saw it swollen again and started over. I thought I got the kernel, so feel like I might be doing the "surgery" wrong and just not getting it all? So frustrating! It's been 7 weeks since her first bumble. I'll be showing the vet a picture of her foot this morning so I'll let you know what he says about that question.

My duck Poppy, who was barely walking and who I made the appointment for, is hobbling around much more energetically. I was convinced I got the kernel also when I went into her scab about 5 days ago, but it's still swollen, though not as bad at the point of entry as it was, however that whole side of the foot pad is swollen.

My first ever cast of bumble was on one of my pekins last fall. I noticed it really early on. I never cut into it. I soaked her twice a day and applied neosporin - no bandaging at all. The scab wasn't going away, so I got her all prepped for the "surgery" and as I carefully pulled the scab off the only thing underneath was beautiful healed skin. I guess I was really lucky that time!
 
Giving the ducks meds can be so hard. I had to give my duck Penny so many rounds of antibiotics as we were trying to figure out a mystery skin condition she has. I find pills the easiest after I learned how to give them. Rather than crush them on food, give it straight down her throat and keep her food a happy thing. Cover the pill in olive oil to help it slide down easier, cut your pointer finger nail very short so you don't scratch the duck. Hold her tail towards you and open the beak, then hold the tongue down and you can pop the pill towards her throat. Liquids are harder because it seems to always dribble out the side of their mouth. I always gave peas after medicine. I hope yours gets back to eating soon!
 
I just returned from taking Polly to the vet. I was a bit thrown off because they never mentioned on the phone that I couldn't come inside to see the vet - the world is over-the-top right now, arghh! And so I didn't get to see what he did or show him my picture of Poppy. The encouraging part was that he said her foot didn't look bad, he pulled the scab off and cleaned underneath and said there is just some residual infection in the surrounding tissues, but it was not worrisome. He told me not to dig in there anymore but to treat the area twice a day by cleaning with warm water and applying neosporin. He said that every three days I can soak it in a diluted iodine solution. He prescribed an oral antibiotic (clavamox) which I will give both my ducks for ten days. I don't feel like I got a clear answer on what to do different about what seems to be the reoccuring infection in Poppy. He indicated it was probably the same thing - some residual infection in the surrounding tissues. I guess I'll continue to soak and medicate them both and try to keep their feet on soft ground. When I let them out to play in the yard they love going in the wood chips, and also walk over some gravel. I just don't know if I have to cut this off all together. He did say that the bandage can be good and bad. If the bandage gets wet and dirty, then it's worse than not having a bandage. At this point I think I'm going to leave it off as even when I put a little baggie around their bandaged foot, it always still got wet inside.
 
I just returned from taking Polly to the vet. I was a bit thrown off because they never mentioned on the phone that I couldn't come inside to see the vet - the world is over-the-top right now, arghh! And so I didn't get to see what he did or show him my picture of Poppy. The encouraging part was that he said her foot didn't look bad, he pulled the scab off and cleaned underneath and said there is just some residual infection in the surrounding tissues, but it was not worrisome. He told me not to dig in there anymore but to treat the area twice a day by cleaning with warm water and applying neosporin. He said that every three days I can soak it in a diluted iodine solution. He prescribed an oral antibiotic (clavamox) which I will give both my ducks for ten days. I don't feel like I got a clear answer on what to do different about what seems to be the reoccuring infection in Poppy. He indicated it was probably the same thing - some residual infection in the surrounding tissues. I guess I'll continue to soak and medicate them both and try to keep their feet on soft ground. When I let them out to play in the yard they love going in the wood chips, and also walk over some gravel. I just don't know if I have to cut this off all together. He did say that the bandage can be good and bad. If the bandage gets wet and dirty, then it's worse than not having a bandage. At this point I think I'm going to leave it off as even when I put a little baggie around their bandaged foot, it always still got wet inside.
Thanks for letting me know what your vet said. You're right, we do have some very similar questions, and it's nice to get another professional's opinion bc as helpful as my vet is sometimes, I get the feeling ducks are not exactly her area of expertise, even though she's by far the most knowledgeable one within probably an hour's drive from here. Sadly, I guess the answer is this ordeal not be over for Ziggy just yet :hmm I'm still curious about the Rose though. The lump is more pronounced today...not larger really, just the edges are more clearly defined. Man I hope it's not the kernel that far up in her foot :(
Clavamox seems to be a very good choice for bumblefoot treatment from what I've read. And you're far braver than I am with the pill dosing, lol.
I read numerous accounts of tricide-neo soaks working wonders - I received my packet today and Ziggy got her first soak this evening. I'll let you know if it helps.
I know what you mean about keeping their feet clean and dry...it's next to impossible.
 
So I'm still just as confused. :confused:
The spot on Ziggy's foot has healed up completely, but her ankle is still very swollen and she still limps around badly. IMG_20200507_193434.jpg IMG_20200507_193324.jpg

Rose's scab isn't completely gone, but I can't get into it to clean it anymore (it was always difficult, like there wasn't really a pocket of infection or anything under the scab - never did get any kernel or nastiness out of it). She still has a lump that's visible from the top, but has no trouble getting around, no limp at all. IMG_20200507_193130~(1).jpg IMG_20200507_193056.jpg
With no open sores, after a few days I just didn't see the point in keeping them confined indoors so I put them back with the other ducks yesterday, so at least they're happy now.
Has anyone seen either of these situations before? A swollen joint after the bumblefoot is healed, or a hard lump only visible from the top?
 

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