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  1. #1
    Join Date
    Jan. 9, 2013
    Location
    New Jersey
    Posts
    5

    Default Peri-articular Ringbone Treatment

    Hey COTH!

    My horse, a 16 year old Percheron x Thoroughbred gelding, has moderate-to-severe periarticular ringbone in both front pasterns. I've owned him for four and a half years, and prior to this winter, he's been almost perfectly sound (he did have two months of unsoundness a few summers ago). However, since late October, he's been off. Some days it's a clear grade 3, most days he's between a grade 1 and nothing, and some days it's between grade 1-2.

    Right now, my vet has me icing him and painting the area with a DMSO+Absorbine gel and working him lightly under saddle. As of this past week, he's been only lame when counterbending (to look at all of the scary things on the wall of the arena!) and only at a trot. He feels like he's 98% there - but I'm wondering if anyone has any ideas for treatments to get him over that last hump to soundness.

    The tricky part is that it's periarticular, so joint injections don't seem like they'd be worth the trouble. I'm not sure if there IS anything more to do, but I figured I'd post here to see if anyone has any input.



  2. #2
    Join Date
    May. 20, 2005
    Location
    Thousand Oaks, CA
    Posts
    896

    Default

    Shockwave therapy and a course of Pentosan. Initially did three sessions two weeks apart and he has only needed one additional treatment since then. He was a grade 3 at diagnosis after a trip in the turnout.



  3. #3
    Join Date
    Jul. 10, 2003
    Location
    Where is gets way too cold
    Posts
    3,157

    Default

    My mare responded well to injections of depo-medrol and HA, around the lesions.
    *CrowneDragon*
    As Peter, Paul, and Mary say, a dragon lives forever.



  4. #4
    Join Date
    Dec. 27, 2001
    Location
    Washington, DC
    Posts
    6,483

    Default

    Shockwave very much worth a try.
    The big man -- no longer an only child

    His new little brother



  5. #5
    Join Date
    Apr. 14, 2001
    Location
    Fort Collins, CO
    Posts
    16,258

    Default

    I'd also try using Surpass rather than DMSO and Absorbine.


    1 members found this post helpful.

  6. #6
    Join Date
    Sep. 5, 2004
    Location
    Charleston, SC
    Posts
    1,272

    Default

    Have you tried Tildren?
    Fullcirclefarmsc.com



  7. #7
    Join Date
    Feb. 18, 2006
    Location
    east central Illinois and working north to the 'burbs
    Posts
    3,836

    Default

    Keep the toe short, the phalangeal lever on the high side(ie: ease breakover). If he's barefoot, ease his breakover all around the edge by rolling it. If he's shod, do the same and/or use a half-round shoe. It sounds as though the periarticular ringbone has progressed and there may be some articular ringbone present.



  8. #8
    Join Date
    Feb. 15, 2004
    Location
    Ontario
    Posts
    7,692

    Default

    If you can get him on Previcox, do it. My mare has the same thing (clyde x). She is trimmed the way R. Burten is suggesting and it helps. She has been semi-retired since the diagnosis in 04. She was a jumper. Until she got on Previcox, my daughter did not ride her any more. But now, with Previcox, she is sound (esp. in snow!!) mostly when the ground is softer. Still, it made quite a difference, but we did not keep jumping her either. We decided to give her a good retirement (she is 21 this year) and she mostly trail rides now.
    We compared xrays two years ago (2006 and 2011) and the vet was pleased to see no major change.



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