Equine Joint Injections - Good or Bad?

"You want to do what to my horse? Oh, I don't believe in joint injections. My grand prix jumper competed until he was 23-years-old and never needed his joints injected."


I'll go ahead and say it. Although I shouldn't judge, my mind starts going in all directions at such a bold statement. I can't help but think, that horse must have been a freak of nature to have felt that good for so long at such an upper level of competition. Or... I wonder how lame that horse was while it was competing at age 23? Or... She must of had great success with other less invasive treatments.. Or... So the horse wasn't injected, but how many pain medications did it receive at the shows?


I listen to something along these lines almost every day. I am an equine veterinarian that focuses in sports medicine. This controversial topic is not an easy nor a simple discussion with my clients.


So, are they good or bad?


If you are an equine competitor, no doubt you have had a horse injected or know another that has. Most would agree that joint injections among the equestrian horse show community have become somewhat "trendy." They've also received a bad reputation. Some would consider the use of this treatment last minute or at the event as a gain in advantage over another competitor with a less "souped up" horse. And in this case, I would agree, joint injections... very bad.


More commonly, you hear the story of the horse that had a joint injected with corticosteroids every 2 months just so it could continue showing... yes, very bad.


The use of this modality to mask pain when a more severe underlying pathology exists forces the horse to use itself harder when otherwise the horse might guard this area and thereby protect itself from further injury.


Comparatively, a competitor that schedules routine veterinary visits to evaluate soundness, rule out injury versus inflammation, and utilizes joint injections prior to an event in this manner... very good.


A horse doesn't have to be "head bobbing" lame to warrant routine soundness checks throughout the year. You would be surprised how many horse owners do not contribute performance issues to subtle lameness. More often it's not that they don't recognize it, it's that they mis-label the condition. I know several horse owners that won't acknowledge that their horse is lame unless it is head bobbing or unable to bear weight in one limb. Instead they describe a horse that is "stiff" or are unwilling to perform certain maneuvers. Let me be blunt, whatever words you want to use to describe it, these issues are in fact a form of lameness.

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