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 You get what you give
Posts: 13030
   
Location: Texas | I have a question for those of you who have had a horse diagnosed with bone edema via MRI-
Where was the bone edema located?
How long did they tell you to expect to be off your horse?
What additional treatment options were you given in addition to stall rest ( like OSPHOS or Tildren, joint injections, etc)
How long were you actually off your horse?
Thanks! And for the other resident vets on BHW please share your thoughts as well! |
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  Whack and Roll
Posts: 6342
Location: NE Texas | I had a mare several years ago that had microfractures and severe bone edema throughout her P2. She was on stall rest for 6 months due to the severity and weakening of the bone, did a second MRI at the end of that time to be sure it was healed. |
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 It Goes On
Posts: 2262
Location: Muskogee, OK | Most of the bone edema cases that I've seen diagnosed via MRI have been navicular bone related- the rest periods were always significantly less than if there were soft tissue lesions as well- it was very rare to see a case with just bone edema, but it did happen occasionally. An osteoclast inhibitor was always recommended- the surgeon that performed most of the MRI's at Oakridge in OK (where I worked out of vet school) always seemed to recommend Tildren over Osphos.
Other areas we would see bone edema changes on MRI were distal hock joints (usually found when imaging proximal suspensory area), as well as in the fetlock. But large majority of bone edema findings were always the navicular bone. |
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 Did I miss the party?
Posts: 3864
| I had one. Pain was pinpointed to knee with no findings via x-ray and ultrasound. Took him for MRI which revealed severe bone edema/bone bruising on top of cannon bone.
Expected time off was 6-8 months. Took 10 months.
Stall rest and Tildren was treatment protocol.
Edited for spelling
Edited by barrelracinbroke 2018-09-05 4:59 PM
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 Expert
Posts: 3782
Location: Gainesville, TX | Interesting post. I don't know much about it as I have not had one MRI'd but I will definitely be watching to see what others say. I saw where someone recommended aspirin to increase blood flow in some of my research on it. |
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The Advice Guru
Posts: 6419
| Are you talking in the periosteum?
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Whack and Roll
Posts: 6342
Location: NE Texas | Adding to my post above, I did not use any other type of biophosphonate treatment or anything other than stall rest and time. Granted, this was over 10 years ago prior to the popularity of the use of Tildren, Osphos, etc. Even now, I wouldn't be willing to use that in my case, as the long term effects of those drugs are unknown and when Rood and Riddle writes that they wish they'd never heard of them, that's enough for me. Time alone should allow most of these issues to resolve with proper stall rest and limited activity. I'm not willing to compromise long term bone health for a month or so quicker recovery. |
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You get what you give
Posts: 13030
Location: Texas | cheryl makofka - 2018-09-06 11:14 PM
Are you talking in the periosteum?
No, i am not.
Periosteum is a layer of connective tissue over the bone, it’s not bone.
Edited by casualdust07 2018-09-07 11:54 AM
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Folks on-line