Coffin Joint Injections
would like to make several recommendations pursuant to the treatment
your horse just received for coffin joint and/ or navicular inflammation.
A combination of both short- and long-acting steroid as well as
a synthetic hyaluronan were infused into the distal interphalangeal
(DIP or “coffin”) joint(s). In regard to horses with
navicular inflammation, the coffin joint provides us with an avenue
or portal through which we can effectively deliver medication
to the back of the foot. An analgesic (pain killer) was administered
along with the sedative to reduce discomfort during the procedure,
and 2 grams phenylbutazone was administered intravenously to reduce
discomfort over the next 12-24 hours. No more medication for discomfort
bandage(s) in 18-24 hours. Following treatment, we applied
light bandages over the injection sites to discourage contact
with shavings, manure, urine, etc. These wraps only need to stay
on for about 10-15 minutes and may come off on their own. If they
are still intact 18-24 hours after treatment please remove them.
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 further increase the chance for contamination.
exercise gradually. The presence of medication
in your horse’s joints can result in mild discomfort that
can last for several days. Therefore, we suggest giving your horse
some time off prior to resuming normal exercise. This will allow
the medication to take effect as well as the secondary problems
(such as back soreness) to subside.
rest ONLY for 24 hours after injection. After 24 hours,
turnout is permitted.
recommend not exercising/ riding the horse on the day of
as well as the 2 days following treatment (i.e. a
total of three days).
may resume light work (i.e. walking and trotting on a loose
rein) during the subsequent 2 days (i.e. day 3 and 4 post-injection).
exercise may resume on the fifth post-injection day.
the injection site(s) for increased swelling, heat, pain, or any other
Please call IMMEDIATELY if any questions or concerns arise: 678-867-2577.
performance: determine 1) the DEGREE and 2) the DURATION of improvement.
Your horse’s response to the injections will play a large
part in helping us develop a future performance maintenance regimen.
The effect of the medication typically maximizes in 2 weeks post-injection,
so wait 2-4 weeks to assess the initial response.
call you an average of once weekly to check on progress.