My horse is showing some signs of needing his neck injected again. Mostly loss of ROM and some muscle tightness. He has never acted painful to ROM tests (just seems stuck or tries to cheat), and so we often just judge on behavioral/performance signs and confirm some joint effusion on ultrasound.
Because he has more ROM difficulties to the left, even though that is his dominant “hand”, he will lose forward to the left and get heavy/stiff when on the left rein, particularly in canter (if he will canter at all).
I dont really get any any response from shockwave, Adequan, NSAIDs or anything. He does get Adequan for other body parts. What helps the most is acupuncture with e-stim in various points in the neck. He really responds well. Improves ROM and rideability. But, it gets to be increasingly short-term when it’s time for steroids.
Because he just got over a ulcer flare in response to hock injections and had a major ulcer flare last year following neck injections (first time for such a reaction to steroid), I am hesitant.
The acupuncture treatment and corresponding chiro evaluation costs $85-95 and I do it approx once a month. Previous treatment only seemed to last 2 weeks. He just got done again, and chiro vet had me get a cheap milli / micro amperage e-stim unit to use with pads. It’s similar to the unit she uses with the needles, but I’m not going to try to do acupuncture myself. She showed me some settings to try.
I’ve done FES in the past (person with the unit here is $$$$), and way back in the day, I used a physiotherapy e-stim unit on horses, but we seemed to target muscle trigger point type stuff.
Anyone use use this therapy have any input, tips, or suggestions? I’m trying to see if I can extend the benefits of the acupuncture. Vet suggested using it 2-3x a week.