What To Expect With Hock Injections? - Page 2

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What To Expect With Hock Injections?

This is a discussion on What To Expect With Hock Injections? within the Horse Health forums, part of the Keeping and Caring for Horses category
  • Recovery after hock injections in horse
  • Inject 2 spots on each hock?

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    02-25-2014, 04:00 PM
JMO I would try the injections and see how they work. If it is bone spavin and there is no upper joint involvement, the prognosis can be quite good once the lower joints have fused. There are many schools of thoughts on fusing the joints, surgical, chemical, letting the horse fuse, supporting the fusion with drugs, etc..
Talk to your vet about the long term fusion plan. If you are not competing, plan to be using NSAIDs to relieve pain while the joints are fusing. You might also look into Legend IV to aid the fusion process. If you can manage the inflammation and pain with IV legend (cheaper than IA) then you may not have to do another joint injection.
The thought behind the joint injections and steroid use is to immediately eliminate inflammation. Then you can manage it with oral NSAIDs and IV Legend/HA.

Please keep in mind oral HA does nothing and is a complete waste of money. He will just have poop full of HA. Only IV and IA HA works.

Good luck!

ETA IA = intra-articular = joint injections.
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    02-28-2014, 07:39 AM
As for long term soundness, no one will be able to tell you that. As anebel said, bone fusion might relieve some of the pain.
But my question would be why the horse is having bone problems at such a young age, and whether other joints might be affected. Poor conformation? Genetic predisposition? Worked too hard too young? None of the above? Only a vet can answer that.

Did you have a pre-purchase exam done? With x-rays? If not, and you are considering not keeping the horse, that's where I'd start (despite the fact that he's already purchased), to see what the status quo is. After that the vet might be able to make a prognosis for long term soundness.
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    03-15-2014, 09:53 PM
UPDATE: Rio has been seen by the vet and chiropractor. Chiro adjusted him couple weeks ago or so. Improved as he was out but didn't fix the issue. His lameness was finally diagnosed after his 3rd lameness exam. He was finally lame enough the vet could nerve block him and ultrasound. It is his suspensory ligament and is proximal suspensory desmitis (PSD) with 10-15% of the area affected in his right hind. His current treatment plan includes stall rest, shock wave therapy, and physical therapy for rehabilitation following rest. Doc did say he expects him to make a full recovery but they do have surgical procedures for those who don't respond to treatment. Not sure how feasible that will be for us but trying to take it one day at a time.
    03-15-2014, 11:00 PM
Originally Posted by Phura    
Is there rest after the injections? How does the process work? Are they sore afterward, etc?
You will need to rest him for a couple of days with no riding, but after that you should be good. We do them all the time at the clinic where I work, and that is the advice they give.
    03-17-2014, 09:45 PM
I see that you've found the answer and I certainly hope that your horse recovers fully and y'all are back to work ASAP, though it may seem like waiting forever...

On the subject of hock injections, as a cutting horse futurity specialist, this is something I've had a little experience with.

First of all, in my experience, hocks are MOST COMMONLY injected on young horses. As has been said, once the joints have fused, the soreness becomes less likely, though it certainly can still occur. In fact, in my biz, if they haven't had their hocks injected by mid 3 year old year, they probably aren't very good or very athletic.
The steroidal route is quicker acting and will relieve pain more effectively, but it is eventually degenerative to a joint, so it's not recommended to be repeated often. If your horse simply got sore and it looks like a one time thing, because your type of riding isn't usually hard on the hocks, have no worries, an injection of steroid or two will have no negative long term effects.
HA is my preference and while it won't relieve the pain as quickly, it is better at relieving the actual issues within the joint that cause the pain. In my biz as with reiners, we're likely going to have to inject hocks several times, and most of us use HA.
We do generally give them a day or two off, but do turn them out to move around. By three-four days, they are back to a full work load.
If your horse is with a GOOD trainer who has a lot of feel, they'll be able to tell the horse is getting sore well before a lameness test would show it. I'd sure prefer to deal with it early, as they are bound to begin compensating for the pain elsewhere and you can wind up with multiple, seemingly unrelated sore areas all from trying to keep weight off of the sore hock or stifle, or whatever.

On a side note, I can tell you one thing that I have changed that has made a significant difference in the number and regularity of my horses getting sore. While I have no science to back this up, it sure seems to have been a big deal. I don't lope my colts nearly as much. To warm up I usually long trot them, and for just a few circles in each direction and then we get right to it. Many cutting/reining/western pleasureless barns will have a routine going and people employed who do nothing but lope horses for 20-30 minutes before the trainer gets on. IMO all of the stress on that inside of hock of all of those repetitions in all of those circles is what really tears them up. Mine still stop and turn just as much, and are really on their hocks, but I can say that my hock injections are down by at least 50% since I stopped all of that loping.

Again, if I had one get sore and had a big show with lots of $$$$ on the line in 12 days, I'd go with a Steroid.
    03-17-2014, 09:53 PM
You shouldn't bathe the horse for a day after getting their hocks done. My vet tells me to resume regular exercise after 5 days. You can do light work after a 2 day turnout though. But do not turn the horse for the first 24 hours if it is raining.

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