would like to make several recommendations pursuant to the treatment
your horse just received for intermittent upward patellar fixation.
A combination of 2% iodine in a vehicle of almond oil was infused
into both medial and middle distal patellar ligaments (see diagram
above). An analgesic (pain killer) was administered along with
the sedative to reduce discomfort during the procedure. No
more medication for discomfort is recommended.
the use of antiinflammatory medications (such as Phenylbutazone,
Banamine, Ketofen, Aspirin, and Dexamethasone) for at
least 30 days post-treatment unless absolutely necessary (such
as during an episode of colic). These medications will counteract
the effect of the treatment.
do not bathe your horse for 24 hours following the procedure. Although the inject portals seal very quickly, we request that
they not come in contact with water for at least 24 hours, as
this may increase the chance for contamination.
your horse MOVING! The injections are designed to create inflammation. Therefore,
moderate to severe discomfort following the treatment is
Pain may make your horse unwilling to move. However, the more
your horse stands still the worse the pain and stiffness will
get. We highly encourage you to keep your horse moving as
much as possible during the first 36-48 hours post-treatment.
This will dramatically reduce pain, stiffness, and unwillingness
exercising your horse immediately. When your
horse wakes up from the sedative (which takes about 20 minutes),
we recommend lunging at a walk/ trot for 10-15 minutes in each
direction*. After lunging, turn your horse out (versus putting
them in a stall) so they can continue to move around. Lunge them
again every 2 hours until you go to bed, at which time we prefer
that they be turned out overnight.
The following morning,
lunge your horse again every 2 hours until they appear ridable.
Some horses are ridable after the first lunging of the day. Begin
riding as soon as they appear ready. Remember, some heat and swelling
(edema) in the stifle area(s) is expected following this procedure,
but should dissipate within 3-5 days.
and/ or cross-train your horse for at least 30-45 days.
We recommend a minimum of 45-60 minutes
of work at least 5-6 days/week
during the 30-45 day post-treatment period. Walk/ trot/ canter
up hills as much as possible. The steeper and longer the hills,
the better. Ride on a loose rein so your horse can adjust to his
“new” stifles at his/her own pace. We suggest that
you avoid ring work for at least 2 weeks, as the initial inflammatory
reaction makes this difficult for your horse. Wait 4-6
weeks before assessing improvement, as it often takes
this long for your horse to adapt.
call you an average of once weekly to check on progress.