Horse Veterinary

Horse Veterinary Questions? Ask an Equine Vet.

Ask a Veterinarian,
Get an Answer ASAP!

Horse Veterinary
This answer was rated:

2 year old gelding in training for cutting. Just switched

2 year old gelding in...
2 year old gelding in training for cutting. Just switched trainers, when he arrived at new trainers had difficulty going to the left this was new. Vet asscoiated with this trainer brought in and assessed gelding. Injected SI joints anterior and posterior BL using aseptic technique and US for needle placement, also did hocks. Horse tranqed for procedure, used a combination of NexHA, and triamcinoloe injected interarticularly. As far as I know nothing used prior to this to alleviate obvious pain. Concerns about steroid use and the NexHA any information on the use of these drugs for same would be appreciated. Sire is Neat Little Cat, and Dam is Hewlett Me do it a daughter of Docsonita and grandaughter of Sonita's Last.
Show More
Show Less
Ask Your Own Horse Veterinary Question
Answered in 11 hours by:
8/9/2013
Dr. Taus
Dr. Taus, Veterinarian
Category: Horse Veterinary
Satisfied Customers: 505
Experience: Veterinarian with experience in equine and small animal medicine.
Verified
Hi there,
The drugs you described and the injection sites are pretty standard procedure for treating pain and inflammation in performance horses, especially if the vet felt swelling/joint effusion in the hocks or the horse responded negatively to handling the area over the SI joints. Hock trouble is super common in young cutting and reining horses that have to sit down and turn sharply.

The triamcinolone is a good choice of steroid as long as it's used in appropriate doses because it's a little faster acting than other options and it is a little more protective of the cartilage within the joint. There's some concern that steroids may encourage thinning of this cartilage; however, triamcinolone has been shown not to, and it's often necessary to use steroids in joint injections to get the inflammation down and get good results.

The HA is harmless at worst and replaces the thick, slimy, lubricating part of joint fluid that tends to get diluted out when extra joint fluid is produced in an inflamed joint. It helps protect cartilage.

I find that when there are issues developing with performance, joint injections can help get your horse back to moving comfortably without the GI side effects we can get with Bute and Banamine. They are also more effective because they take place right at the source of the problem. To keep him on the right track, you might consider Adequan or Legend on a regular basis while he's in training. This avoids the risks of infection associated with joint infections, doesn't require sedation, and can improve performance in some horses.

I would also caution you that since this is such a young horse, you may see problems ahead if the saddle/rider is too heavy for him (more than 20% of his body weight, a pretty light amount in a 2 yo) or if he has OCDs or anything associated with his long bones still growing. If this is recurrent, I'd advise x-rays to rule out OCDs. My personal opinion is that starting these horses so young contributes to the need to chronically manage joint pain early in their careers, but it has become necessary to make them competitive. Just my two cents.

I hope this is helpful. If so, please rate me positively, and don't hesitate to let me know how I can help further.

Ask Your Own Horse Veterinary Question
Customer reply replied 4 years ago


Thank you for your response. I did however get my ages mixed up, this gelding turned 3 this year. Had been working very well but then when going to the left would not stop on his hind end but instead would stop on his front. He seem to have improved since the injections, I will pass along the information for maintenance using Adequan or Legend while he is in training. I wasn't so concerned about the HA as I was the steroid. I know it is important to use to get the inflammation down. But I always worry that it can set the horse up for more serious injury in the future. As pain does limit us and it keeps us from doing further damave

It does, but if he continues to go on his forehand due to pain, he will develop problems in his knees and front fetlocks too. It's best to get him comfortable so he can move in a normal way, but if you find that he is persistently getting sore after getting back to normal it may be time to modify his training program.

I thought 2 sounded a bit young to be in full cutting training :).
Dr. Taus
Dr. Taus, Veterinarian
Category: Horse Veterinary
Satisfied Customers: 505
Experience: Veterinarian with experience in equine and small animal medicine.
Verified
Dr. Taus and 87 other Horse Veterinary Specialists are ready to help you
Ask your own question now
Customer reply replied 4 years ago


I have a couple of more questions you mentioned appropriate dose, could you tell me what the appropriate dose is? Also how often is too often? How soon after treatment can he be ridden? And should he have some time off before they start up with him again?


I kind of cringe at the idea of injecting anything in a horse this young, but he is not mine, I did however halter break him and do most of the handling of him as a weanling and yearling, when he left me you could do darn near anything with him and he didn't fuss. Lead well, trailered well, groomed and washed, clipped, and was ok with having his feet done.... the whole nine yards. My best friend owns him and she is worried and is looking to me for answers. Thank-you for your replies. I appreciate anything you can tell me and I will pass along your information to her as well as the information I have gotten from reading some research papers on the this type of treatment in performance horses.


His trainer is away at a show for the next 10 days and his staff is keeping him legged up, I told her to just bring him home for those 10 days. She went up to see him and she is not happy with the way he looks. But other than gather information for her there is not much else I can do.

The sort of "magic number" for triamcinolone in horses is 18mg total body dose. As long as you don't surpass that amount, divided among all the joints injected, side effects are minimal. Most equine vets are pretty careful about this and stay well under this amount. I've worked quite a bit with performance horses and the frequency of injection varies dramatically; some do great with a single round of injections or a round of injections at the beginning of show season, while others need work every 4-6 weeks. In a horse this young and just starting out, I don't expect him to have significant osteoarthritis, so if he gets sore again before the summer is over, I'd be looking pretty carefully at his training program. It may be that he needs work to build his hindquarters and have the muscular strength to sit down and turn like he needs to without over-straining his other muscles. It may be, too, that he's learning to move in the way a cutting horse moves, which doesn't come naturally, and as he gets better and more flexible, he will do better. Turnout as much as possible helps, because it keeps those joints moving in a gentle walking motion that helps feed his cartilage when he's not working. Avoid lunging if you can-- tight circles are hard on the hocks. Sometimes, ice after exercise and keeping the toes short and the heels raised with trimming or shoes can help, too. Checking the saddle fit can help with SI issues, and sometimes, letting the chiropractor have a look at him can work wonders for horses that suddenly don't want to go to one side or the other.

Ultimately, I'd suggest following these injections through, giving him about 5-7 days of turnout, and then gradually bringing him back into training. Then, if he's not looking good, or if he looks great and then gets sore again, I'd advise your friend to talk to her trainer about his training program.
Dr. Taus
Dr. Taus, Veterinarian
Category: Horse Veterinary
Satisfied Customers: 505
Experience: Veterinarian with experience in equine and small animal medicine.
Verified
Dr. Taus and 87 other Horse Veterinary Specialists are ready to help you
Ask your own question now
Hi Anne,

I'm just following up on our conversation about your pet. How is everything going?

DrTaus
Ask Your Own Horse Veterinary Question
Customer reply replied 4 years ago

Hello Dr Taus. I just sent some information about the horse i asked information on, unfortunately i used the wrong window to repy, i used "asked a question" window. so you will probably get everything you need from that. If not let me know and I will resend using this page. sincerely xxxx xxxx

Unfortunately, the new question isn't popping up in my worklog. You may get an answer from somebody else, or if you want to continue here, that's fine too :).
Ask Your Own Horse Veterinary Question
Ask Dr. Taus Your Own Question
Dr. Taus
Dr. Taus
Dr. Taus, Veterinarian
Category: Horse Veterinary
Satisfied Customers: 505
505 Satisfied Customers
Experience: Veterinarian with experience in equine and small animal medicine.

Dr. Taus is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

It was so professional, so personally concerned (as we were) and you answered all of our questions. George and I are so happy that I found "JustAnswer" on my Google search -- you are now in my "Favorites" list! And, yes we do love our kitty - she makes our life complete!

Bev & GeorgeBoca Raton, FL

Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help.

Mary C.Freshfield, Liverpool, UK

This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!!

AlexLos Angeles, CA

Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult.

GPHesperia, CA

I couldn't be more satisfied! This is the site I will always come to when I need a second opinion.

JustinKernersville, NC

Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around.

EstherWoodstock, NY

Thank you so much for taking your time and knowledge to support my concerns. Not only did you answer my questions, you even took it a step further with replying with more pertinent information I needed to know.

RobinElkton, Maryland

< Previous | Next >

Meet the Experts:

Dr. B.

Dr. B.

Horse Veterinarian

1,204 satisfied customers

Board Certified Equine Surgeon, Lameness and Sports Medicine Specialist DVM, BSc

Dan C., DVM

Dan C., DVM

Horse Veterinarian

904 satisfied customers

Solo Equine Practitioner/Mobile Practice Owner for 16 years.

Dr. Goodall

Dr. Goodall

Horse Veterinarian

2 satisfied customers

BVMS and MRCVS

Dr. Laura Devlin, DVM, DABVP

Dr. Laura Devlin, DVM, DABVP

Veterinarian

9 satisfied customers

Horse Ownership, Veterinarian 9 years experience, DABVP Specialist Canine/Feline

Dr. Peter

Dr. Peter

Veterinarian

2 satisfied customers

Horse owner for many years.

Pet Doc

Pet Doc

Veterinarian

0 satisfied customers

BVSc

Dr. M.

Dr. M.

Board Certified Equine Surgeon

1,438 satisfied customers

Board certified surgeon, lameness and advanced imaging expert. 9 years experience.

< Previous | Next >

Related Horse Veterinary Questions
I have a large horse part draft! Not putting much weight on
I have a large horse part draft! Not putting much weight on left hoof. No obvious trama. It is swollen. Not hot to the touch. He is pastured. What are my options for treatment.?… read more
Doctor.A
Doctor.A
Veterinarian
Post-Doctoral Degree
317 satisfied customers
He is not putting any weight al all on his left rear leg, he
He is not putting any weight al all on his left rear leg, he uses his tippy toe. It is very cold out side and I think he might have pulled a muscle or tendon what can I do? … read more
Dr. Gabby
Dr. Gabby
Veterinarian
Doctoral Degree
4,408 satisfied customers
I have a three horses. Two are healthy healthy and fat but
I have a three horses. Two are healthy healthy and fat but the other won't gain weight. Someone said he is allergic to seeds on the grass and that the problem is that he has heeves. I'm a single mom o… read more
Scott Perry
Scott Perry
Veterinarian
Doctor of Veterinary Medicine
1,527 satisfied customers
Came in from turnout (alone) with swelling from hoof to hock
Came in from turnout (alone) with swelling from hoof to hock in the Right Rear Leg. Doesn't want to bear any weight on the leg. I just brought him home 3 weeks ago, he's a Thoroughbred racer and I not… read more
Doctor.A
Doctor.A
Veterinarian
Post-Doctoral Degree
317 satisfied customers
Our 1.5 year old is experiencing a case of colic. We had the
Our 1.5 year old is experiencing a case of colic. We had the vet out two days ago and he gave her a banamine shot and ran, ran the tube through her nose, checked her vitals and provided mineral oil. W… read more
Dr Linda
Dr Linda
Doctor of Veterinary Medicine
Doctoral Degree
1,316 satisfied customers
Horse with swollen penis. Horse had lost weight and was
Horse with swollen penis. Horse had lost weight and was generally lethargic and was letting his penis hang down. After a few days a large swollen donut appeared approximately 3 inches from end of peni… read more
Dr. M.
Dr. M.
Board Certified Equine Surgeon
Post-Doctoral Degree
1,438 satisfied customers
Soft soles on rear and lame, yes as did the farrier and
yes as did the farrier and nothing found just soft and must be sore tried to ride him to day and he kept trying to keep the weight off right rear check but seen nothing … read more
Doctor.A
Doctor.A
Veterinarian
Post-Doctoral Degree
317 satisfied customers
I have a 27 year old gelding horse that only maybe 4 to 4 xs
I have a 27 year old gelding horse that only poops maybe 4 to 4 xs a day but acts totally fine. He 1 1/2 scoops of senior equine daily and grass. No hay bc he has no teeth is this okay as long as he a… read more
Dr Linda
Dr Linda
Doctor of Veterinary Medicine
Doctoral Degree
1,316 satisfied customers
20 yr Q-horse stud. He has loose stools and when he passes
Hi Dr. B. 20 yr Q-horse stud. He has loose stools and when he passes gas he passes a watery stuff along with the gas … read more
Dan C., DVM
Dan C., DVM
Horse Veterinarian
Doctoral Degree
904 satisfied customers
I was checking information about the effects of Azalea
Hello, I was checking information about the effects of Azalea leaves on a young horse. I have a 3 year old gelding that has had a bout of diarrhea. I talked to my veterinarian and she had me give him … read more
Scott Perry
Scott Perry
Veterinarian
Doctor of Veterinary Medicine
1,527 satisfied customers
My 10 yr. old off the track Thoroughorbred is fat! She is in
My 10 yr. old off the track Thoroughorbred is fat! She is in a lush pasture, gets no exercise. She is in Va. I am in MO. What risks am I facing for her being over weight? … read more
Scott Perry
Scott Perry
Veterinarian
Doctor of Veterinary Medicine
1,527 satisfied customers
How much badamine can I give my 1000 pound horse that has
how much badamine can I give my 1000 pound horse that has hip and stifle issues.i will be having xrays done but not until next week and I cant get ahold of my vet. My mare is walking around on 3 legs … read more
Dr-Bonk
Dr-Bonk
Veterinarian
Doctor of Veterinary Medicine
237 satisfied customers
I have a senior mare with cushiness and losing weight and
I have a senior mare with cushiness and losing weight and muscle … read more
Scott Perry
Scott Perry
Veterinarian
Doctor of Veterinary Medicine
1,527 satisfied customers
My 17 year old horse is rapidly losing weight and his mane
My 17 year old horse is rapidly losing weight and his mane is falling out in chunks. His attitude isn't changing he's still happy and excited to see me but he always wants to eat like he can't get eno… read more
Dr. Loretta
Dr. Loretta
Large and small animal Veterinarian
Doctoral Degree
22,387 satisfied customers
I have a 13 yo QH mare that began experiencing weight loss
I have a 13 yo QH mare that began experiencing weight loss about 3 weeks ago. We dewormed her with Equimax. Severe weight loss continued and the mare began having liquid diarrhea about 6 days ago. We … read more
Dr. Loretta
Dr. Loretta
Large and small animal Veterinarian
Doctoral Degree
22,387 satisfied customers
My heavy weight cob has been lame since May, diagnosed in
Hi there, My heavy weight cob has been lame since May, diagnosed in June with a pedal bone fracture had quarter clips for two months ongoing, but last week after not much improvement got a second opin… read more
Doctor.A
Doctor.A
Veterinarian
Post-Doctoral Degree
317 satisfied customers
25 year old mustang has been easy keeper is loosing weight
25 year old mustang has been easy keeper is loosing weight while eating large amounts of feed. Any ideas? Cancer?… read more
Dr Emily Weaver
Dr Emily Weaver
Equine Veterinarian
DVM
33 satisfied customers
My horse has lost some weight ( which she actually needed to
my horse has lost some weight ( which she actually needed to lose) but just looks like she doesn't feel great. Yesterday I was trail riding & she fell (stumbled) to the ground. front feet went under h… read more
Dan C., DVM
Dan C., DVM
Horse Veterinarian
Doctoral Degree
904 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x