Advances in Lameness Diagnosis and Management

Ocean State Equine Associates2205 Providence Pike

North Smithfield, RI 02896

www.oceanstateequine.com

Diagnostics

Digital Radiography

Advantages

SpeedEfficiency – fewer retakesResolutionStorage/Sharing

Ultrasound

Soft tissuesJointsRecent advancesHealing assessmentGuided injections

Diagnostics

Magnetic Resonance Imaging (MRI)

MRI – Different Types

Advantages

Can see bone, cartilage and soft tissueNon-invasiveNo radiation exposure

Disadvantages

Not a screening toolLimited by the horse’s size+/- General anesthesiaCost

Advances in Therapy

Extracorporeal shockwave therapy

ESWT - Indications

Ligament injuries at insertionsTendon injuriesSplintsHeel painBack problems

Mesotherapy

Management of chronic painNeck/Back problems

Platelet-Rich Plasma

Stall-side procedureContains growth factorsSuitable for tendon/ligament injuriesRecent injuries are best

IRAP/Autologous Conditioned Serum

Stall-side procedureMultiple treatments neededBest for arthritisVery encouraging long-term effectsNo withdrawal time

Stem Cell Therapy

Different Types

Stem Cell Therapy Indications

Tendon/Ligament InjuriesArthritisOCD?Laminitis/COPD

Regenerative Treatments – What to expect

Improved but not faster healingMust be combined with well designed rehabilitation

Tildren

Used as an osteoporosis treatment in humansHas proved useful in treatment of navicular disease, back problems and bone spavin