We would like to make several recommendations
pursuant to the treatment your horse just received for distal
tarsitis (hock soreness). A combination of both short- and long-acting
steroid as well as a synthetic hyaluronan were infused into both
distal intertarsal and tarsometatarsal joints (i.e. the two bottom
joints of the hock; see diagram above). 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 is required.
Please 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.
Resume exercise gradually.
The presence of medication in your horse’s joints can
result in mild discomfort that can last for several days. Therefore,
giving your horse some time off prior to resuming normal exercise.
This will allow the medication to take effect as well as the
problems (such as back soreness) to subside.
recommend not exercising the horse on the day of treatment
as well as the 2 days following treatment (i.e. a total of three
days). Turnout is permitted during this time.(1)
You may resume light work (i.e.walking and trotting
on a loose rein) during the following 2 days (i.e. day 3 and 4 post-injection).
Normal exercise may resume on the fifth post-injection
(1) If it is raining outside, we do not recommend turnout during
the first 24 hours post-injection, as the water may contaminate
the injection sites.
(2) If secondary problems (such as back soreness or thoracic
suspensory desmitis) are severe, we may recommend more time
off prior to resuming exercise.
Monitor the injection site(s) for increased swelling, heat,
pain, or any other abnormality(ies). Please call IMMEDIATELY if any questions or concerns arise: OFFICE: 678-867-2577; DR. GRISEL'S CELL: 706-658-4713.
Monitor 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.
We will call you an average of once weekly to check on progress.
To learn more about DISTAL TARSITIS please click HERE.