Lameness is the most common cause of poor performance in the equine athlete. We will work with you to identify the cause of lameness or poor performance and to develop a treatment and rehabilitation plan. We take into account the history of the horse and the presenting complaint, a thorough physical exam, gait evaluation, flexion tests, and diagnostic nerve or joint blocks in order to localize the source of lameness. We then perform imaging (radiographs and/or ultrasound) to determine the cause. Finally, we combine all of the information gathered to develop a treatment and rehabilitation plan suited to the individual horse and rider/owner.
We can diagnose the majority of lameness cases at your farm. Haul in cases are welcome from our local clients and from those outside of our practice area.
Our state of the art digital X-ray system provides excellent image quality. We assess the bone structure and joints to accurately diagnose the cause of lameness and determine prognosis. We also use X-rays to follow the progression of an injury or disease process.
Digital ultrasound uses noninvasive sound waves to form an image of soft tissue structures and boney surfaces. This allows us to identify injuries, determine prognosis, and monitor healing during the course of rehabilitation. Ultrasound is also used to accurately inject cervical (neck) and thoracolumbar (back) facets, sacroiliac joints, and soft tissue injuries with appropriate therapy. In addition to imaging tendons, ligaments, and joint surfaces, we use ultrasonography to image the thorax and abdomen in cases of respiratory disease, colic and other GI abnormalities, hernias, umbilical infections, and reproduction.
We offer upper airway and gastric endoscopy. Upper airway endoscopy is the only accurate way to asses a horse’s airway function. Common performance limiting conditions that we diagnose include laryngeal paralysis, dorsal displacement of the soft palate, epiglottic entrapment and guttural pouch disease. We also provide gastric endoscopy to diagnose stomach ulcers, a common cause of poor performance.
• Therapeutic joint injections
• Ultrasound guided sacroiliac and thoracolumbar injections (back)
• Ultrasound guided cervical facet injections (neck)
• Extracorporeal shockwave therapy
• Regenerative therapy
• Tildren and Osphos
In addition to traditional options, we are excited to be able to offer regenerative therapy for treatment of osteoarthritis and joint and soft tissue injuries. These treatment options allow us to treat your horse with cells and proteins produced by the horse, minimizing the use of medications such as steroids.
IRAP is a protein produced by your horse’s own body and works by fighting inflammation and helping to control pain. We draw blood from your horse into a syringe containing chromium beads. The syringe is spun in a centrifuge then incubated. The final product (IRAP) is separated and stored in a freezer. We can then inject it into the affected joint(s). IRAP is a useful treatment in management of osteoarthritis with positive results.
PRP consists of platelets and proteins found in your horse’s blood stream. The platelets and proteins promote healing of injuries, most commonly soft tissue injuries in tendons or ligaments. PRP results in better repair of injured areas, thus increasing the chance of returning to previous levels of work and decreasing the chance of reinjury. We draw blood from your horse and spin it in a centrifuge to isolate the desired product. It is then injected into the injured area.
Autologous cellular therapy, or Prostride, is a product produced from the horse’s own blood within 20 minutes. 60 ml of blood are drawn and put through a patented process that results in 2-3 mls of solution containing anti-inflammatory proteins, including IRAP, PRP, and white blood cells that have been re-programmed to produce more anti-inflammatory proteins and to increase the health of the joint. In early stage osteoarthritis, Prostride therapy has been able to regenerate cartilage. In all stages of osteoarthritis and inflammation, Prostride has been used as a potent anti-inflammatory that improves the health of the joint and increases the comfort of the horses for at least up to one year in most cases.
These stem cells are derived from the dental pulp of foal teeth. These undifferentiated cells come from young animals and have the potential to turn into whatever type of cell is required. They are stimulated to differentiate based on the location and environment of injection. Stem cells are more commonly used in soft tissue injuries to promote proper, functional healing. In addition to stem cells, the solution also contains anti-inflammatory proteins, making it a good treatment for joints as well. The advantages of dental pulp derived stem cells is speed (we usually get the cells within 24 hours of ordering) and not having to put the horse through the process of harvesting the cells from either their fat or sternum.
400 ml of blood are drawn from the horse and shipped to the laboratory. There, the blood is put through the same process as IRAP, but in addition, undergoes exposure to specific wavelengths of light to induce other anti-inflammatory proteins such as IL-10 and some growth factors, while inhibiting pro-inflammatory proteins. IL-10 is a potent anti-inflammatory protein that helps to halt the inflammatory process, thus making the horse more comfortable and improving the health of the joint. This process yields an average of 40 4-5ml doses that can be frozen and used for up to one year. ACS can be used in joints, IV, lungs via nebulizer, and other specific areas of inflammation that require treatment.