SI vs hock injections?

[tipzythegreat]

I would be concerned for a proximal suspensory issue - if her hocks are clean I don’t see why she’d need them injected. Trying Adequan is not too invasive and is worth a try I’d think though.

My guy has proximal suspensory injuries and SI soreness. I’d say these two are often related.

I wouldn’t inject the hock because if it suspensory, the injection trickles down and makes the suspensory feel better. It is short lived and the horse can end up causing a bigger injury consequently.

An SI injection I’ve done for my horse and it make him more comfortable. Even if you resolve the root of the problem, it’ll take some time for that SI soreness to go away. Sometimes you just need a one-time injection to help with inflammation.

[Atlas_Shrugged]

@Atlas Shrugged

I find that when I have hock injections on my horse, I wind up having SI done shortly thereafter- or vice versa - For as I tend to one problem, the other can become more pronounced. Have you tried Robaxin for the back? I have a giant WB and had the hardest time finding a saddle that would not interfere with his shoulder (he’s a hunter, from a dressage breeder)- finally had to buy him a Stubben that did the trick - amazing how he stopped being ‘girthy’ once the shoulder was freed up. I realize this is a dressage forum, so maybe it isn’t an issue.

Another point is that in the NE we get Lyme and if you inject while they have it the injections won’t last long- so I treat with Doxy first, generally twice a year

[leheath]

Thought I’d update this thread given several people expressed interest and offered helpful suggestions. I got a referral to a lameness specialist clinic. He did a very comprehensive lameness exam and there was nothing of significance other than he said she had less flexibility in her pelvis than would be expected (he commented that she’d pass a standard PPE!). Right hind hock maybe flexed 0.5/5, all other joints/legs flexed clean. We x-rayed the entire back and neck with nothing notable identified. We then did a bone scan (nuclear scintigraphy). All results were in the mild or mild-to-moderate category. No evidence of suspensory issues. Left hock lit up (unexpected as she has shown some signs of soreness in the right hock, which was clean when x-rayed) so we x-rayed it and it was clean. Both SI joints lit up, which is most consistent with the history and clinical exam findings. Vet’s recommendation is to inject both hocks and SI and see if that improves the behavioral issues and I have agreed to this approach.

Lyme disease and EPM are not common in our area (was in PNW, now SoCal), but I will request testing for them if this diagnosis/treatment doesn’t make any difference.

[IPEsq]

Thanks for posting. Please keep us updated. It is helpful to see how these cases turn out!

[dog_amp_horsemom]

when I bought my gelding two years ago , he hadn’t been ridden much in the year prior and it was difficult to maintain the canter and to get the right lead. I chose to do the Adequan injections and was very happy with the results.