Possible bowed or strained tendon???

My 4yo turned up with a swollen leg last night. It looks like it could be bowed. Only enough she is not lame which was a SHOCKER!!! She is usually lame for just about anything!!! I feel like she would be lame if it were bowed! I cold hosed it , put her in the stall and gave her 3grams of bute (spread out into 3 feedings). My vet said that it looks suspiciously but that we need a us to know for sure. I just can’t believe that she bowed it if she isn’t lame. To put it in perspective she had a cut the size of a quarter on her leg and she was lame for 1 week!! Help me!!!

(I am new to the chronofhorse forum

Treat it aggressively for a week–strict stall rest, cold hose, ice, 2g bute BID, and wrap overnight. Ice or cold hose 17min every single waking hour. See what you have after a week of that. If not worlds better, do the ultrasound. If I had extra money to burn I’d go straight to the ultrasound, but I usually don’t. A lot of things can look like a bow but aren’t. Bowed tendons are, thankfully, pretty unusual, especially off the track.

2 Likes

Could be a splint brewing, but you`ll get more info over in the Horse Care forum.

1 Like

Untrue, according to studies – a variety of flexor tendon injuries are fairly prevalent across disciplines, including pleasure horses.

Also, horses CAN be sound with a bowed tendon. Soundness does not rule this out.

Sounds like you are working with a vet who has seen the leg, and I agree with everyone else with stall rest/Bute/ice/wrapping. If this does not resolve the issue soon, an ultrasound is warranted.

1 Like

Sure. Right, bowed tendons happen all the time. Not.

“A variety of flexor tendon injuries” =/= a bowed tendon. Good lord.

1 Like

Welcome to the Forums. We moved your thread over to the Horse Care forum where it’s a better fit.

Thanks!
Mod 1

Add me to the group that considers tendon and ligament injuries to be maddeningly common among all disciplines not that it matters. Get the ultrasound and go from there.

2 Likes

If it’s fresh, it’s not that unusual for her not to be lame, especially on bute. It could also just be a strain to the tendon or tendon sheath. If it looks so suspicious, treat it as a bow till you can get the u/s. (stall rest, ice/cold hose, wrapping)

1 Like

So basically everyone.

Let’s be clear–a BOWED tendon is a rarity off the track.

Tendon strains and general tendon injuries are very common in horses. THe vast majority of which respond positively to treatment and allow the horse to return to regular work, at its previous level (unless we are talking about the super big sticks here).

There is no need to make the OP hysterical. OP: it is very unlikely that your horse BOWED a tendon. It is very likely that your horse injured her tendon or various associated supportive soft tissue structure in her lower leg. You treat them all the same, as discussed.

If she does not respond to treatment and improve within a week or two, you might want to consider an ultrasound. But an ultrasound is not usually necessary for a minor soft tissue strain as it can be extremely expensive and will not change the aftercare recommendations.

Tendon issues require a brief period of stall rest (+ice +NSAIDS) followed by a longer period of very controlled exercise; handwalking, under saddle walking, progressing to trotting of long walls/straight lines, walking corners, and absolutely NO turnout or lunging of any kind. The controlled exercise is slowly increased until the horse is sound in regular flat work and the tendon is cold and set.

Cold hosing is best, ice therapy is second best. Both are most effective post-controlled exercise. Cold therapy should be aggressive, 17 minutes every waking hour–or as often as possible, never applied more then 45 min apart.

If the tendon area is not swollen, wrapping is not necessary. Wrapping is not benign, and horse can actually BOW from a bad wrap job (bandage bow!). So if a caretaker is not confident in their wrapping prowess, the horse can and should remain unwrapped.

Horse can also become dependent on wraps if wrapped too much/too often, leaving them stocked up overnight if not wrapped–for the rest of their life. If a horse has been wrapped for a long period of time, they will need to be weaned off wrapping. Something to keep in mind when deciding to wrap or not. It is not always a good thing to wrap.

1 Like

Horrific, irresponsibly bad advise Sswor. I hope the OP has enough sense not to listen to you. You may be gifted with an eye that allows you to discern a strain from a more serious injury but that is not something that most mortals have so you ultrasound and figure out what is going on before you take a minor injury and half ass it into a career ender.

https://aaep.org/horsehealth/healing-bowed-tendon

https://avmajournals.avma.org/doi/abs/10.2460/javma.243.8.1162

https://aaep.org/sites/default/files/issues/proceedings-08proceedings-z9100108000464.pdf

Bowed tendons occur in all types of horses. Many performance horses do quite well after proper healing. OP very well may not be dealing with a bow, but if so, it’s worth early detection and treatment.

Always better to have a wider differential list and advise a “better safe than sorry” approach when none of us have seen the horse in question.

Have a great night!

1 Like