Arthramid and turnout

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Mrstillytrotter

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Vet nerve blocked and diagnosed coffin joint inflammation - after competition on hard ground. Had arthramid injection in the joint and followed vets instructions to the letter- 4 days box rest then half a days turnout in small pen, building it up to longer turnout over a few weeks. The bad news is our turnout is rock hard. Five weeks later, pony has very slightly improved but is still lame. Stupid question - has the turnout messed up the effectiveness of the injection? I haven't let him get fat - field is bald and he's never had lami. We have 24/7 turnout but because of the heat and he's a bit of self harmer, he's been coming in overnight or during the day. The only alternative is indefinite box rest which is not great for obvious reasons. I'm going to speak to the vet again tomorrow.
Has anyone else has this experience, very worried.
 
My pssm mare went back on turnout the morning after her hocks were done (she tied up in the lorry on the way back from the vets so needed to move)

I still saw improvement in her hocks pretty quickly even though it took a while for her muscles to soften.

Did vet do any x-rays?
 
Mine was only in over night and then back out as normal after that. It’s not always effective apparently but it has worked for us.
 
As far as I remember ours was only in for 24 hours after Arthramid.

It took a little while to see the effects - weeks rather than days, it's not like steroid where you see an improvement straight away, but ours is 18 months on and still spot on.
 
Mine was meant to be in for 48 hours.

Got up the yard to find staff had forgotten his kick bolt on the stable door and he'd undone the top bolt and taken himself off for a jolley. This was on day 2. The arthramid didn't seem to work but maybe that was why.

My friends saw him leave and managed to retrieve him but not before he'd trotted and centred down the slip.
.p.s have no idea why this is in italics!
 
we didn't notice much improvement with my boy having had arthramid - unintended consequence was the impact of the rest of his muscle structure - i would be very wary about using it again
 
Has been a game changer for my boy, although in his hock (TCJ). Has had it a few times now, always in overnight and back out the next day. I think any improvement is gradual rather than instant with Arthramid.
 
Mine was actually worse after arthramid (hocks). He spent two days in, then a week in a pen.
 
I’m sorry that the Arthramid medication doesn’t seem to have worked. It was very effective in my mare who had it in both her front coffins after early mild inflammation in both fronts was seen on x Ray.

Mare wasn’t insured and while I was happy to stump up for feet MRIs the vet said let’s try the Arthramid first, as cheaper, and see what happens. It worked.

So I’m afraid that maybe there are more underlying issues in your horse yet to be found 😬.

ETA Same mare and my other mare also have had Arthramid in their hocks, and it’s been highly effective there too.
 
Give it another couple of weeks.
When my horse has had hocks injected with arthramid its always been a very quick improvement. Ive done coffin joints twice and both times saw absolutely no difference till bang on 6 weeks post injection.
 
Arthramid takes time to work, I would say I didn’t notice a difference until 6-8 weeks with my mares hock.

She went out straight after having it medicated, my vet is always very pro movement and says keeping them in makes no difference (I know that is the opposite of some vet’s opinions)
 
Anyone had hocks & coffin joints injected at the same time? All 4 joints look like they need it, in my head it makes sense to do it all at once, but only if it's not detrimental to the horse.
 
w1bbler said:
Anyone had hocks & coffin joints injected at the same time? All 4 joints look like they need it, in my head it makes sense to do it all at once, but only if it's not detrimental to the horse.
Click to expand...
With Arthramid you can do that, I believe, but not with steroids unless the horse is given a half dose in each joint.

I’ve not had coffins and hocks done at the same time, but I have had steroid in both SI joints (steroid is more appropriate in the SI) and Arthramid in both hocks done at the same time. It worked very well.
 
Zoeypxo said:
Yes i have, all went well.
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Tiddlypom said:
With Arthramid you can do that, I believe, but not with steroids unless the horse is given a half dose in each joint.

I’ve not had coffins and hocks done at the same time, but I have had steroid in both SI joints (steroid is more appropriate in the SI) and Arthramid in both hocks done at the same time. It worked very well.
Click to expand...
Thanks, yes artramid in all. Vet was suggesting doing coffins first as he thinks they are the primary issue. Hocks show minor changes, but in my head I want to make him him as comfy as possible. I'm not sure what waiting to do the hocks will prove.
Lameness is very minor, but he's a stoic gem of a horse & just want to do best by him.
I think the vet was trying to save me money ( not insured)
 
Have a friend going through similar. She has been told there is a slim chance of a reaction to something in the medication & advised to start with one or 2 joints.
He's apparently had one reaction & although the horse was OK after a few days box rest, he wouldn't want to risk a horse with 4 legs it didn't want to stand on.
 
We had hocks done and saw an improvement in about 4-6 weeks it does take a while though. Ours was in for 24hrs I think then turnout as normal…its was the risk of infection from having a joint injected which is why they like to keep them in x
 
Arthramid takes time and can appear to get worse before it gets better - this is because they usually put a short acting steroid in the joint at the same time to remove some of the inflammation, and when this wears off the horse can seem to get worse again, so don't panic. I didn't notice any real improvement until pretty much bang on week 5/6 and then a big improvement, which I believe is pretty text book with arthramid.
 
As Tiddlypom says, it does appear there is a soft tissue issue here, farrier is working with vet, x rays taken and remedial shoeing, 1 x bute a day. LIttle beast seems quite lively, going to speak to vet re bute as potentially too lively. Vet seems confident that remedial shoeing, bute and rest will do it. He does seem slightly better but that could be the bute......thoughts?
 
I've had success with it in stifles but wasn't too effective in coffin joints. However it did help. It was a good few weeks before we started to see any signs of improvement and vet suggested should notice a difference by month 3 if it was going to work. It can continue to improve though for 6mths. Mine had steroids as well and the combination was much better for her at least short term. Unfortunately it didn't last long and a year on from original diagnosis of moderate to advanced arthritis she was pts.
 
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