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 Off the Wall Wacky
Posts: 2981
   
Location: Louisiana | Looking for a few opinions. Of course I'll bring this up with my vet, but I like hearing from y'all too!! :)
My good horse is currently just getting ponied until I have him injected in the spring. He needs right knee, RF coffin, both hocks, and both stifles.
I was talking to someone I really look up to as a barrel racer. She told me I shouldn't have all of them done at once. That it's too much cortisone in his system. She advised doing knee and hocks, then 3-4 weeks later doing coffin and stifles.
Opinions??
This is something I hadn't heard about before. Although I've never had a horse need so much at once. |
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 Expert
Posts: 5293
| My vet doesn't even like to do both my horse's hocks at the same time. She wants them a week apart. Said that if he had a reaction or something it could be catastrophic if he would get them in both. He needs his coffin done as well so we offset them. Coffin is once to twice a year and same for hocks. We do them opposite of each other. |
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The Advice Guru
Posts: 6419
| If your vet uses steroids, depending on the concentration, and the volume of steroids, the horse can founder severely. There is a maximum dose.
I wouldn't suggest cortisone, depo, or betamethasone in any joint, as it does destroy what cartilage is left. The metabolites also prevents the healing process for a long period of time. This can prevent the fusion of hocks, both natural and surgical.
Trimisclione is the only steroid that has proven on supporting cartilage healing. |
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Off the Wall Wacky
Posts: 2981
Location: Louisiana | Thank y'all.
We didn't get to the actual topic of going through with the injections that day. So I don't know if he would've done everything then or not. He knew it was my off season and I wanted to space out the X-rays so my bill wasn't astronomical. College budget over here!!
I know what he needs and am saving my money while letting him take life easy.
Flitastic, that's a good point about infection as well.
I will definitely be reading on this topic further. And discussing it with my vet.
I love BHW!! |
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Elite Veteran
Posts: 1131
| We injected the mare in my prof picture this past spring in her hocks and coffins and she had no reactions to it, and felt the best she had in years a few days later. |
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 Mature beyond Years
Posts: 10780
Location: North of the 49th Parallel | I know my vet wouldn't do teeth and injections at the same time because of a higher risk of infection and told me he wouldn't do multiples at once either. I get it but it made me a little mad because my horse is a very expensive drunk and goes through sedation like its water. College budget! He did however not charge me for every office/haul in fee I made. |
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 Ms. Poutability
Posts: 2362
Location: In my own world | Vets don't like to stack steroids. That's a lot done at once and even if you put 4 weeks in between that could still be a lot of steroids depending on the dosage. Most important is how often do you have to do these injections? |
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Off the Wall Wacky
Posts: 2981
Location: Louisiana | livinonlove&horses - 2015-12-02 10:31 AM Vets don't like to stack steroids. That's a lot done at once and even if you put 4 weeks in between that could still be a lot of steroids depending on the dosage. Most important is how often do you have to do these injections?
Well the coffin and knee will likely be 6 months.
The hocks and stifles, we're not sure. I've never had his hocks done before, but he thinks those will also be 6 months. I think I may get longer out of my hock injections. Stifles were clean on X-ray but very sore, he's been compensating from the hocks. I'm thinking I may go ahead and have his hocks done first, about a month before I start legging him back up. Maybe the stifles will feel better on their own? He's also getting Previcox.
I feel like I can always inject later if he needs it.
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 Jr. Detective
Location: Beggs, OK | cheryl makofka - 2015-11-27 4:39 PM If your vet uses steroids, depending on the concentration, and the volume of steroids, the horse can founder severely. There is a maximum dose. I wouldn't suggest cortisone, depo, or betamethasone in any joint, as it does destroy what cartilage is left. The metabolites also prevents the healing process for a long period of time. This can prevent the fusion of hocks, both natural and surgical. Trimisclione is the only steroid that has proven on supporting cartilage healing.
Triamcinolone -aka- Vetalog and Hylartin V have worked well for us for years.
I agree that you should stagger your injections for sure. Steroids will suppress the immune system and open them up to EPM flare-ups, as well as other risks. Take your time and use process of elimination beginning with the area with the most inflammation. |
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Off the Wall Wacky
Posts: 2981
Location: Louisiana | rachellyn80 - 2015-12-02 10:49 AM
cheryl makofka - 2015-11-27 4:39 PM If your vet uses steroids, depending on the concentration, and the volume of steroids, the horse can founder severely. There is a maximum dose. I wouldn't suggest cortisone, depo, or betamethasone in any joint, as it does destroy what cartilage is left. The metabolites also prevents the healing process for a long period of time. This can prevent the fusion of hocks, both natural and surgical. Trimisclione is the only steroid that has proven on supporting cartilage healing.
Triamcinolone -aka- Vetalog and Hylartin V have worked well for us for years.
I agree that you should stagger your injections for sure. Steroids will suppress the immune system and open them up to EPM flare-ups, as well as other risks. Take your time and use process of elimination beginning with the area with the most inflammation.
Thank you. My husband and I have already discussed it and decided. He's getting his hocks done after Christmas. That will give him at least a month of turnout time to see how his stifles are. The next injection will be knee and coffin when I start riding. I'll have the vet check him for stifle soreness and go from there at that point.
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BHW's Simon Cowell
Location: The Saudia Arabia of Wind Energy, Western Oklahoma | That is a lot of stuff to get injected. Hope he is a good one. LOL I would be careful on injecting the knee or stifle very many times. You won't have any thing left after too many times in those joints. |
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 Extreme Veteran
Posts: 456
Location: SW MO | rachellyn80 - 2015-12-02 10:49 AM
cheryl makofka - 2015-11-27 4:39 PM If your vet uses steroids, depending on the concentration, and the volume of steroids, the horse can founder severely. There is a maximum dose. I wouldn't suggest cortisone, depo, or betamethasone in any joint, as it does destroy what cartilage is left. The metabolites also prevents the healing process for a long period of time. This can prevent the fusion of hocks, both natural and surgical. Trimisclione is the only steroid that has proven on supporting cartilage healing.
Triamcinolone -aka- Vetalog and Hylartin V have worked well for us for years.
I agree that you should stagger your injections for sure. Steroids will suppress the immune system and open them up to EPM flare-ups, as well as other risks. Take your time and use process of elimination beginning with the area with the most inflammation.
Can you tell me who does your injections? looking for a vet who will inject that verses the standard cortisone combo many use in my area? TIA |
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 Born not Made
Posts: 2937
Location: North Dakota | My vet will do hocks and stifles at the same time, and I know plenty of other people that do that same.
However, if I were you, I would also stagger them. Maybe do the back of the horse first, as you suggested, and then focus on the front.
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Off the Wall Wacky
Posts: 2981
Location: Louisiana | ksjackofalltrades - 2015-12-02 12:03 PM
That is a lot of stuff to get injected. Hope he is a good one. LOL I would be careful on injecting the knee or stifle very many times. You won't have any thing left after too many times in those joints.
He is in my eyes! Lol. When he's on he makes me happy winning money around here at the ammy rodeos. When he's off, he's still honest but doesn't clock.
The knee has only been injected once, two years ago. The injection really lasted about a year, and then my old vet kept insisting it was fine.
New vet thinks 6 months on all, but I'm thinking I can get more. I do know his coffin joint is going to be every 6 months.
His hocks showed no real progression from 2 years ago to now. So I'm thinking I'll get more than 6 months. He didn't really get hock sore until I started hauling him heavy.
We're going to try everything and see what happens.
If he runs great and wins money we'll keep on. If he doesn't win checks, idk. He'll likely be a super pretty pasture ornament. He isn't going anywhere regardless.
My husband says they're money pits anyway, so whatever. He isn't one that can be thrown out in the pasture. He has to eat everyday, and have baths, and be under a fan in the summer. So he'd be a pricey pasture pet haha.
I can say he will not be run in pain. He'll get what he needs, or he won't run. |
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Too many joint injections at once?