treatment is not instigated early and effectively, a traumatised
joint unfortunately often remains inflamed and the inflammatory
cascade soon spirals like a snowball down a mountain (many people
would have heard me talk about the “slippery slope” of joint
degeneration) towards osteoarthritis where we still have no options
of treatment and certainly have lost the horse from competitive
accordingly believes that this vicious cycle must be broken before
being firmly established and that the joint can often help itself
regenerate if treated aggressively early enough and managed
Various medications are available for joint treatment, varying from
corticosteroids to hyaluronate, polysulphated glycosoaminoglycans
and the more recently developed group of medications classified as
regenerative medicine (IRAP and PRP, see separate headings).
Corticosteroids are frequently used in the treatment of joint
disease, predominantly early cases of traumatic joint inflammation
where the inflammatory cycle has to be broken fast and effectively.
Used correctly and in combination with correct management, this
group of products still provides the strongest anti-inflammatory
effect in joint.
has used Adequan (a poluysulphated glycoseaminoglycan) extensively
for more than 25 years and has published and lectured extensively on
its use in joint disease, predominantly the coffin joint and
navicular bursa. This study was published in Equine Veterinary
Journal in 2007 and was highlighted and discussed (Kester, News
Hour) at the American Association of Equine Practitioners Congress
in 2007 as a publication of distinction. Unfortunately, production
difficulties has meant that this product has been unavailable in
has equally strong views on rehabilitation of joints following
either surgery or joint injections. He strongly believes that
training of athletes should never be stopped but altered and
targeted to the rehabilitation needs of the injured structure(s).
Turn-out in paddocks does not figure in this regime, because it is
non-controllable and non-quantifiable. Alternatively, controlled
exercise (hand walking, horse walker, water treadmill etc.) are
used to “tease” the injured structure(s) back to work as soon as
possible and under the same loading pattern as will be required when
in full training.
'Blejan Ehyre’, National Hunt
racehorse underwent carpal arthroscopy due to bone infection as a