This was absolutely the most logical, well-laid out, easy to understand explanation of joint injections I have ever heard. Thank you so much. I think my horses would thank you too if they could.
Thanks Carmi! Are you familiar with our podcast? It's called "Straight from the Horse Doctor's Mouth" and you can find it on Spotify, Apple Podcasts, or any other podcast app. It's a great free resource for horse owners.
Really enjoyed this vlog Had my boy injected about five months ago in the ankle and coffin because of arthritis both front feet and he still doing great
Really informative. thank you. My cob has chronic lyme disease so biologics are out. He has had sij, hips, shoulder bursae and coffin joints injected once over the last few years. His bones are good but his aspirated fluid is pink due to synovitis. He is due this week for coffin joint injections for the second time in 19 months so I'm so glad to have watched this. I'm wondering about Arthramid this time as usually use steroid with HA.
I'm not sure if Arthramid, or similar products, are the answer, but I would definitely be talking with your veterinarian, and probably Arthramid, and some veterinarians who research Lyme, and joint responses. It may be very helpful, but I'm unsure.
Don't do that! The only thing we inject into septic hocks are lots of sterile fluids that we flush in and out, and antibiotics. If needed, you could do Arthramid a few weeks after, once everything is calmed down.
@@SpringhillEquineVet My daughter’s horse Lil Man is at the University of Missouri following “maintenance” type of hock injections that were done on July 20th. On the 23rd he was clearly lame. One of the options she was given was to try Arthimid, but she opted to have the surgical flush instead, and if that doesn’t help they’ll be trying an alcohol flush. They have been flushing and flushing, which he was showing improvement, but then he began to decline by not wanting to put weight on that leg. This morning they did the surgical flush, a very aggressive invasive flush, where they put him under, and laid him down to flush his hock. He is recovering and doing good, standing up, and I will be visiting him tomorrow. No words can really even begin to encompass how this situation feels, it’s the most vulnerable experience that I have ever been in with a horse. My daughter recalls that this vet accidentally poked him in the hock with a needle while getting in position to place the needle in his hock. She said Lil Man popped his head up. When you said you get a new needle out if it’s been in the air too long, that’s more like it!! My daughter is 17, and is in the middle of a huge life lesson. Her horse is the one teacher that hopefully will be able to get through to her. He is giving me reason to think differently as well. I think we need to respect horses more by ask ourselves what are we doing!? Why are we injecting their joints? Is this fair to the animal? Do horses really love the sports as much as we do? I sure hope so, but what if they don’t?
No, it can't make it through the digestive system, and even if it did, the body would never deposit it in the joints. Direct injection is the only way to get that done. Don't be fooled by fancy advertising ;-)
The medication stays in the joint for 30 - 40 days. The goal with this is to keep the joint happier for longer periods of time, even after the drug is gone. Most horses are improved for 8 - 12 months.
I'm not a huge fan of any of the systemic injections or supplements for joints. I find they don't get me much. I do much better instituting a quality strength and conditioning program, along with great shoeing.
In general I don't recommend supplements. There is some work to show products like Forcyte may reduce joint inflammation, but none of them do a spectacular job. I would much rather work on a program that emphasizes correct use of the limb, good fitness, and great shoeing.
@@SpringhillEquineVet yes:) new trainer and new direction. Agree. Have seen amazing difference trying to help him and me ride properly. We went back to basics and basically restarted. Riding with a trainer that does biomechanics::)) I have a much happier horse! Love your podcast and thank you for all you do🥰
What would you do with a distal intertarsal joint that is partially fused? Also, do all steroids cause mineralization in the joint? Thank you so very much!!
That is one joint that I inject with steroids. The hock joints handle steroids better than most other joints because they are big, flat joints that have very little motion. We aren't worried about preserving the cartilage. We actually want it to go away in this case. Steroids do cause mineralization of the joint and joint capsule over time. In the case of lower hock joints, that's sort of what we're going for! However, these joints will never fully fuse on their own. This means if your horse isn't responding well, or for very long, to injections it is time to pursue other options. For hock joints this is surgical or chemical fusion. Both should be discussed with your veterinarian, and a veterinary surgeon to help you find the best choice for your horse.
This was absolutely the most logical, well-laid out, easy to understand explanation of joint injections I have ever heard. Thank you so much. I think my horses would thank you too if they could.
My horse just got injections yesterday, and I'm brand new to this all. I appreciate all the information!
Thanks Carmi! Are you familiar with our podcast? It's called "Straight from the Horse Doctor's Mouth" and you can find it on Spotify, Apple Podcasts, or any other podcast app. It's a great free resource for horse owners.
@@SpringhillEquineVet I'll check it out!
My horse is being prescribed injections in the hocks, I was so thrilled to come across this video from your team! Thank you so much♥️♥️
Really enjoyed this vlog
Had my boy injected about five months ago in the ankle and coffin because of arthritis both front feet and he still doing great
Really informative. thank you. My cob has chronic lyme disease so biologics are out. He has had sij, hips, shoulder bursae and coffin joints injected once over the last few years. His bones are good but his aspirated fluid is pink due to synovitis. He is due this week for coffin joint injections for the second time in 19 months so I'm so glad to have watched this. I'm wondering about Arthramid this time as usually use steroid with HA.
I'm not sure if Arthramid, or similar products, are the answer, but I would definitely be talking with your veterinarian, and probably Arthramid, and some veterinarians who research Lyme, and joint responses. It may be very helpful, but I'm unsure.
Great informative video! What are your thoughts on injecting Arthrimid into a septic hock?
Don't do that! The only thing we inject into septic hocks are lots of sterile fluids that we flush in and out, and antibiotics. If needed, you could do Arthramid a few weeks after, once everything is calmed down.
@@SpringhillEquineVet My daughter’s horse Lil Man is at the University of Missouri following “maintenance” type of hock injections that were done on July 20th. On the 23rd he was clearly lame. One of the options she was given was to try Arthimid, but she opted to have the surgical flush instead, and if that doesn’t help they’ll be trying an alcohol flush. They have been flushing and flushing, which he was showing improvement, but then he began to decline by not wanting to put weight on that leg. This morning they did the surgical flush, a very aggressive invasive flush, where they put him under, and laid him down to flush his hock. He is recovering and doing good, standing up, and I will be visiting him tomorrow. No words can really even begin to encompass how this situation feels, it’s the most vulnerable experience that I have ever been in with a horse. My daughter recalls that this vet accidentally poked him in the hock with a needle while getting in position to place the needle in his hock. She said Lil Man popped his head up. When you said you get a new needle out if it’s been in the air too long, that’s more like it!! My daughter is 17, and is in the middle of a huge life lesson. Her horse is the one teacher that hopefully will be able to get through to her. He is giving me reason to think differently as well. I think we need to respect horses more by ask ourselves what are we doing!? Why are we injecting their joints? Is this fair to the animal? Do horses really love the sports as much as we do? I sure hope so, but what if they don’t?
Great video, very informative and easy to follow!👌When injecting the carpal joint do you inject the radiocarpal or intercarpal area more often?
Thank you so much for this very informative video! Do you feel like hyaluronic acid fed as a joint supplement is effective?
No, it can't make it through the digestive system, and even if it did, the body would never deposit it in the joints. Direct injection is the only way to get that done. Don't be fooled by fancy advertising ;-)
Thank you so much for the quick reply! ❤
Do we know how long Depo medrols affects last in the hock?
By lasts i mean how long is it clinically effectiveness noted?
The medication stays in the joint for 30 - 40 days. The goal with this is to keep the joint happier for longer periods of time, even after the drug is gone. Most horses are improved for 8 - 12 months.
Super thanks !
Have you heard of using Gel50 and Polyglycan IV? Any opinions on either product?
I'm not a huge fan of any of the systemic injections or supplements for joints. I find they don't get me much. I do much better instituting a quality strength and conditioning program, along with great shoeing.
Hi, what’s your thoughts on glucosamine DM? Worth taking or not?
In general I don't recommend supplements. There is some work to show products like Forcyte may reduce joint inflammation, but none of them do a spectacular job. I would much rather work on a program that emphasizes correct use of the limb, good fitness, and great shoeing.
@@SpringhillEquineVet yes:) new trainer and new direction. Agree. Have seen amazing difference trying to help him and me ride properly.
We went back to basics and basically restarted. Riding with a trainer that does biomechanics::)) I have a much happier horse!
Love your podcast and thank you for all you do🥰
@@SpringhillEquineVet
What would you do with a distal intertarsal joint that is partially fused? Also, do all steroids cause mineralization in the joint? Thank you so very much!!
That is one joint that I inject with steroids. The hock joints handle steroids better than most other joints because they are big, flat joints that have very little motion. We aren't worried about preserving the cartilage. We actually want it to go away in this case. Steroids do cause mineralization of the joint and joint capsule over time. In the case of lower hock joints, that's sort of what we're going for! However, these joints will never fully fuse on their own. This means if your horse isn't responding well, or for very long, to injections it is time to pursue other options. For hock joints this is surgical or chemical fusion. Both should be discussed with your veterinarian, and a veterinary surgeon to help you find the best choice for your horse.
@@SpringhillEquineVet Thank you so much! I really appreciate it!
Do you guys ever use Deca or NPP for your horses joints?
we didn't cover those products here as they are less common in our population of horses, but yes we have used them on very specific issues.
@@SpringhillEquineVet thanks for taking the time to respond
Thank you