Sacroiliac injury - advice appreciated

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stan

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My 9 year old gelding has recently been diagnosed with a sacroiliac injury. I took my boy to the vet after he was 'not quite right' after getting tangled up in his boett rug. My usual vet diagnosed arthritic changes in the hocks and medicated them. MY gut feeling was that it wasn't his hocks, although there were slight changes on xray, I never thought this was the problem, especially as the problem only became apparent after he got caught up in his rug. I asked vet 3 times to scan and block his SI area and he refused. I then went to another vet recommended to me, for a second opinion. She carried out a peroneal tibia block and my horse showed no improvement, she then blocked his SI area and surprise he came sound. She also carried out an ultrasound of the SI area, I know this provides limited info but she said that there seemed to be asymmetry of the dorsal ligaments too. He is returning to the vets on Monday to have a treatment of tildren by infusion and they will recsn his SI area to look at the ligaments again. Vet said that she has used tildren with success in SI problems even though not licensed for use in this area. She said that he will either respond really well to treatment or not at all. The physio will also be coming on a regular basis to do ultrasound and massage therapy. Does anybody have experience of these type of injuries and if so I would appreciate any rehab and treatment advice that you could give to me. i.e. supplements, exercises, therapies etc.

I will be absolutely devastated if he does not come right after treatment.
(I have also posted this thread on the veterinary section of this forum)
 
There are loads of threads on this subject - so a search on SI or sacro-iliac injuries.

My horse was diagnosed 7 years ago. I went to a vet talk (vet specialises in sport horses and stud medicine) on this last thursday on it and the vet was really positive most cases could be managed even at a high-level competing - but this does mean it will need to be managed for the rest of the horses life as the area is permanently weakened.

Regular Physio including H-wave (essential to have great physio)
Pessoa work
Trotting poles
Raised trotting poles
Shoeing - some have a negative sole plane which can be corrected through shoeing
Being careful on what surfaces you ride on and what work you do making sure horse is as strong as he can be
Keeping horse in work at all times - strong muscles are the key to keeping the area stable
If box/ field rest is ever needed for other reasons must bring back into work very carefully.

I've done OK with my boy ver the years at Riding Club level and unaff up to Ele but now at 17 he needs a full review as prob got other arthritic changes and I only compete very occasionally in the last yearor so.

Please PM me if you have any questions I'd be happy to help or give moral support.

Good luck and stay positive :)
 
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