What type of sesamoid involvement (any avulsions) and on which leg? Tear %?
Suspensory injuries are very varied in their prognosis. It depends on the type of injury and which limb, if any avulsions/sesamoid fractures are involved, the horse and how it handles its newly restrictive lifestyle (is she a good patient?), how well the initial healing process goes, and whether or not the horse has access to major medical treatment/care as well as quality farrier care… many front suspensories are causes by incorrect angles up front IME.
Inflammation and heat is not uncommon in branch tears. You’re only at a month. These things take a long time - as in a year to two years long. However long it takes to “heal”, multiply that for the “rehab” - so if it takes 2 months to heal, consider you will be looking at minimum 4 months for careful rehabilitation. Take it slow.
If you are looking to manage pain look into previcox and/or devil’s claw & yucca to help with inflammation. You could consider Platinum Performance CJ as well, I put any horse on it any time there is a soft tissue injury… it really helps them recover, reconstruct, and keep the inflammation down. You can also look into SmartFlex Rehab. Also consider drugs for the rehab - ace or resperine if she is not a good patient.
Unfortunately if you are a student and you can’t afford the PRP/shockwave, that is okay but you are looking at “controlled conservative management” over “medical/technological management”. There isn’t anything wrong about that, I myself have been in the same position.
Personally I would not ice, I don’t think it’s conclusive to healing. JMHO. I would Surpass on days that she is very inflamed and look into a joint/anti-flam supplement like mentioned above. Wrap 12hrs on/off as you are doing.
So much of the prognosis depends on how good of a patient the horse is… really… It can be so heartbreaking but we can’t explain to them “you need to be quiet for 10 months in a stall” - they just don’t get it – and they can and do hurt themselves in stalls if they are not feeling like their lives are enriched or entertaining.
How is she handling her new lifestyle? Is she quiet or is she very active? Some horses are much better (and in turn, give themselves a much better prognosis) if they are provided with an outlet - sometimes it’s as simple as making a 4x4 "outdoor stall’… sometimes you have to just turn them out and see what Dr Green does.
Without knowing more I would say that we generally only wrap the first few weeks/month, and after that it depends on the injury’s severity. Usually we see handwalking by six weeks.
FWIW, my late TB sustained a RF suspensory injury, it was a full tear. We tried the traditional controlled management, this was before PRP/shockwave and he just about crawled out of his skin within a few days… He was so unhandleable that it was no question that he was doing more damage to his injury being in a stall than he was being out. We turned him out to 24/7 pasture and he had about 18 months completely off from work… and then about 6 months of VERY regimented and careful work with no cantering… but he enjoyed a long (12+ years) and successful career as a low level eventer after the injury. With him I firmly believe that because he was quiet on T/O and was a sensible horse, he was able to recondition the limb and it never, ever bothered him again. He didn’t have the scope for much over Training eventing but he was able to train and work hard as Pony Club horse & eventing partner for years.