Looking for any feedback, experiences etc…
I have a horse getting Pro Stride injections in hock joints, and maybe a few other areas next week.
What should I expect for post injections. Similar to steroid injections?
To those of you that had horses done with PS… did you feel that you got your moneys worth? How old was the horse you had done?
clients horse at a barn i worked at. head trainer had his right stifle injected with prostride every few months to keep him sound and steroids once a year. seemed to help him and kept him sound. was a sale horse i was told 16 years by the vet but the seller insisted he was 14. was doing 1.20-1.30 probably should’ve been coming down but they wanted to get what they paid for him
I did it on my 13 year old gelding and it’s been fantastic. Same exact post-injection procedures except that for prostride there is not the immediate difference you may feel from regular injections when you get back on your horse (because there is no steroid) - the effects kind of ramp up over a period of 3-4 weeks post-injection. Regular hock injections were not lasting more than 6 months so my vet and I decided to switch to prostride instead. One injection has lasted us 12 months and counting, and it wasn’t that much more costly than the regular injections so I’d say I’ve gotten my money’s worth out of it.
What are everyone’s thoughts on Pro Stride having regenerative effects on young horses?
Only difference in terms of post injection protocol is that you don’t give any NSAIDS after pro stride. My vet typically gives banamine for 2 days post steroid/HA injections.
Give it to 8 year old with arthritis from a clubbed foot. It has a better effect than I’ve seen with “regular” joint injections, and lasts longer, too. I don’t know about it having regen. effects on youngsters. You would have to talk to the manufacturer about that…
Gave ProStride to my guy for a RF hoof lameness/navicular syndrome? Didn’t help. A later MRI revealed a lot of little niggly issues going on, but none strong enough to warrant clinical lameness. Inflammation was present though, so something was going on – just maybe not anything ProStride could address.
My 15 yr old mare has a bone spur and DJD in one of her fetlocks, originally diagnosed when she was 9. She started getting yearly steroid injections into that joint when she was around 12. In 2018, the steroid injection did not help her, so my vet suggested prostride. My vet did 2 rounds about 4 months apart (that was the plan- used the same extracted whatever it is- PRP + Interleukin). My horse was quite lame prior to the first injection. She showed improvement after a few days, then we did about 6 weeks of flat work before going back to jumping. I was very happy with the treatment and results, I’ll likely do another round before show season 2020, which will be about 1 year out from the second shot. I wish I had known about it sooner due to the potential healing effects it can have in joints.
Some vets I know tend to do the opposite. There is a slightly elevated risk of a flare reaction from some biologics like Pro Stride. So they are more likely to give NSAIDs than using steroid and/or HA.
The price tag is not small. If you are doing multiple joints, you might want to ask your vet how much that is going to cost before you use Pro Stride everywhere. A friend of mine recently had quite a sticker shock. She was kind of expecting more of an IRAP type cost, one big fee but multiple injections out of one blood collection. Not so much with Pro Stride. Both are more expensive than steroid. But of course you should also only put in so much steroid in one go.
I don’t personally know anyone who has used it in the hocks. But also most of the hock cases I’m closely familiar with doesn’t really have advanced disease. Maybe mild OA or just inflammation without really any noticeable changes. I have seen it used in stifles and coffin joints with some success. So, the vets tend to go with triamcinolone (usually avoiding Depo Medrol here due to it being unkind to cartilage over time).
Curious, I know costs vary by area but generally, how much % more expensive is Prostride, IRAP, PRP than standard HA/Steroid injections (was quoted around $800 to do his hocks). I’m awaiting the vet’s response to my email.
Interesting! My vet believes that tamping that initial inflammatory reaction to prostride decreases the effectiveness.
I know that my vet usually does banamine IV after steroid injections and that she gave bute IV after the PS.
Reviving this thread and wondering if you ever found something that worked for your horse?
This sounds like the same situation for husband’s horse in his RF coffin. We’ve done steroid injections, Renovo and Noltrex and nothing has seemed to fully resolve.
Vet is now recommending ProStride as potentially next option.
My horse has a broken coffin bone that extends into the joint, and the surgeon recommended ProStride as her first choice of an injection. My local vet doesn’t have that, though, so the surgeon said to go with PRP. I think it’s making a difference. Could be that or just time since the surgery and screw insertion, who knows.
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