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Discussion on Tendon injury above the knee
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Member:
mhorse
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Posted on Sunday, Sep 16, 2012 - 10:35 pm:
Hi DrO,
I have been reading your articles on tendonitis. I have an 18 y/o TB that was injured this spring. He 1st presented with a swollen knee and was diagnosed as having a strain. After several weeks of cold therapy I noticed a lump above his knee toward the outside. My vet ultrasounded him and said he had a bowed tendon with 45% damage. He was put out on a small pasture as per the vets advice. My question is does the same prognosis and treatment apply with this location of injury? My vet said it was an unusual location for a bow and I haven't found much info that talks about this specific location of bow. Any experience with? The best we could figure was he did it while pawing on the stall wall.
Thanks, mhorse
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Moderator:
DrO
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Posted on Wednesday, Sep 19, 2012 - 5:28 pm:
Hello mhorse,
Tendonitis of the carpal and digital extensors even with complete rupture are pretty common and have a good prognosis of return to previous exercise levels. If not ruptured they tend to heal well with paddock rest over a 8 week period. Sometimes it takes a little longer. Often a permanent swelling will remain.
DrO
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Member:
mhorse
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Posted on Monday, Oct 1, 2012 - 9:23 pm:
Hi DrO,
My horse has had this injury for 6 months and I have seen little improvement. It feels the same and he is still lame when lunged. He does not show any pain response when I pick up his hoof but that is the only improvement I have observed. Have you or anyone else heard of Runners Relief? It is suppose to speed the healing of tendonitis. Thank you, mhorse
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Moderator:
DrO
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Posted on Tuesday, Oct 2, 2012 - 7:50 am:
No I have not heard of this. I would have the source of pain reevaluated and if the knee appears to be the cause, radiographs might be helpful. Does this knee have full flexion?
DrO
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Member:
mhorse
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Posted on Tuesday, Oct 2, 2012 - 8:12 pm:
I discovered the injury when lifting the horses leg and a significant pain response was noted. He no longer has the pain with flexion and he appears sound in the pasture. It is just when I attempt to lunge him that he is noticeably lame and the last time there was heat on the bow. I have not noticed any change in the size of the bow since it was first noted. This Runners Relief is touted as an all natural cure for tendonitis.
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Moderator:
DrO
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Posted on Wednesday, Oct 10, 2012 - 7:13 pm:
Since this has been going on since the spring I would have him reevaluated. This tendon is not a weight bearing structure and continued lameness may be from elsewhere. If the horse is still painful from a extensor tendonitis or tenosynovitis, which would be very unusual, paddock rest is the main cure. If there has been poor healing of the tendon or tendon sheath surgery may be a option depending on which of the extensors is involved and the nature of the lesions.
DrO
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Member:
mhorse
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Posted on Friday, Nov 2, 2012 - 9:55 pm:
Hi Dr Oglesby,
I took your advice and had a second opinion on my horses continued lameness. This vet agreed and didn't think the lameness was from the tendon but from the knee. She thought he had a "dry knee" and recommended joint supplements all winter then an injection this spring. She said go ahead and ride him lightly. Wish now I had taken him months ago.
Thank you,
Mary Anderson
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Moderator:
DrO
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Posted on Wednesday, Nov 7, 2012 - 6:09 pm:
Sounds good Mary.
DrO
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