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Horse worse after SI injection??

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  • Horse worse after SI injection??

    My horse had his SI injected last week (it’s been 8 days) and he’s actually WORSE than before his injections

    He was sound before his injection, but had a short r lead canter, and his lead changes were getting sticky - he’s had his SI done in the past with good outcomes and it’d been over a year since it was done. He was extremely sore on palpation when vet came out as well.

    After injection horse had 4 full days off, light hack on day 5 and didn’t feel great when he first came out but worked out of it. Day 6 I wasn’t able to ride him but was told the same - started on funky but worked out of it.
    He had yesterday off, and today he felt pretty bad! Very very stiff and short.
    Chiro was out today as well and said he was VERY sore in his SI and that it was a really good thing we had them injected. Also mentioned some type of layer that was over the SI?

    Any feedback or experience with this? Could the injection just have aggregated the SI and he’ll feel better soon? We texted vet and he wants us to send a video tomorrow. Fingers crossed this is nothing serious!
    He knows when you're happy, He knows when you're comfortable, He knows when you're confident, And he ALWAYS knows when you have carrots

  • #2
    It is a little bit soon for the steroid to have full effect. Sometimes, mine is quite sore to palpate for a week. This last time not so much, but who knows.

    Perhaps Robaxin could help or even shockwave. But if he started out "extremely sore" before injections, I'd take it easy for 2 weeks before getting too upset about it. But yes, do send videos to your vet in the meantime.


    • #3
      As a person who has had my SI injected, I can tell you that you do feel all that extra fluid jammed into too small of a space for it for several days--which makes you guard yourself quite carefully. Then you wake up one day and realize that it doesn't hurt any more...

      Good that the vet is on board, but don't panic yet.


      • #4
        Is he feeling WORSE or just not better?

        My horse seems to get relief from icing his SI. Sometimes I'll slap poultice on the area as well or liniment. Long walks to warm up would help too!


        • #5
          Have you seen the needle?

          It's quite big

          Give it a bit more time -- one of my geldings had his SI injected and was very sore over his back the following week. He had two weeks off, then was put back into work and felt super. I agree with the others that it's too soon to tell.
          AETERNUM VALE, INVICTUS - 7/10/2012


          • #6
            My vet said to wait at least 2 weeks, maybe almost 3 before I should expect to see any improvement from SI injections. And like others have said, its quite an insult to that joint to stick giant needles and fluid into a small space, so I'd wait at least another week before worrying too much.
            Here Be Dragons: My blog about venturing beyond the lower levels as a dressage amateur.


            • #7
              I also agree that it takes about 2 weeks for my gelding with DSLD to show improvement after his SI injections. He's never been particularly guarded of the area as mentioned in other comments but he will still palpate sore in the SI area. He's retired so he is not in work but was always handwalked for a week after any injection.

              If you can recall vividly that your guy had better reaction previously, tell your vet. It can't hurt to speak with them. It's an extremely precise procedure so there's always a chance it was less accurate than a previous injection. Fingers crossed that you see improvement in a few more days. ♥


              • #8
                When I had an SI injected earlier this year the vet said they do sometimes feel worse before they feel better. She also said it could be 2-3 weeks to see results.
                Building and Managing the Small Horse Farm:


                • #9
                  Yes. However, it was because it wasn't diagnosed correctly. My horse had injured her SI ligament---there was no bony involvement. So the SI injection didn't help, and in her case, it made her more uncomfortable. Once we knew it was a ligament----she was on a plan for stall rest and a very specific rehab program. She healed up and has never had another SI issue. But I would never inject again without much more thorough diagnostics.


                  • #10
                    Agree with others. Give it more time. It does get a little worse before it gets better. It's worth the wait.
                    "Do what you can't do"