Turnout after SI and hock injections

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Horses_and_ponies

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Hello, my horse has just gotten both hocks and SI injected and I’m quite nervous about turnout. Vet said we could turnout after 24 hours but to avoid fresh grass. She’s been out all winter on a couple of sacrifice paddocks so the grass isn’t too lush but I’m overthinking about the risk of lami. She’s not overweight nor has she had lami before but she is older (late teens). We’ve cut her feed back for the next week and I know I could keep her off the grass but she gets particularly stiff without turnout so trying to get the balance right. Just wondering if anyone else has experience of grass turnout in the days after injection?
 
Steroid injections in both hocks and both SI joints at the same time? That’s a lot of steroid at one time.

The risk of lami after joint injections is pretty low, though.

However, my vets routinely advise to keep the horse in for 72 hours post hock steroid injections. That’s more to stop the steroid dissipating out of the area where it’s suppose to stay.
 
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Tiddlypom said:
Steroid injections in both hocks and both SI joints at the same time? That’s a lot of steroid at one time.

The risk of lami after joint injections is pretty low, though.

However, my vets routinely advise to keep the horse in for 72 hours post hock steroid injections. That’s more to stop the steroid dissipating out of the area where it’s suppose to stay.
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Yes we had a good discussion about it and he was happy to do both as he felt it would give her the most benefit. He’s a specialist so that made me a lot more comfortable.

That makes sense about staying in for 72 hours, thanks for the reply
 
I dont have stables. My 21 year old has had 2x SI and one hock done before and straight back out in a dry flatish field with zero issues. He has only needed the SI done once, but the hock has been 12 to 18 months. He is much quieter out than he is boxed to another yard for it to spin about in a stable.

When the weather was awful/the fields a mess he went in the lunge pen with a mate for 48 hours.
 
TheHairyOne said:
I dont have stables. My 21 year old has had 2x SI and one hock done before and straight back out in a dry flatish field with zero issues. He has only needed the SI done once, but the hock has been 12 to 18 months. He is much quieter out than he is boxed to another yard for it to spin about in a stable.

When the weather was awful/the fields a mess he went in the lunge pen with a mate for 48 hours.
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Did you have SI and hocks done at the same time? My mare is much quieter out too, I’m just concerned over fresh grass for the next couple of days
 
Horses_and_ponies said:
Did you have SI and hocks done at the same time? My mare is much quieter out too, I’m just concerned over fresh grass for the next couple of days
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Yes, I did.

We got creative with tape, pads, bandaging and a fly rug to keep the injection sites covered for 48 hours.

That being said our grass isnt like old cattle pasture!
 
Horses_and_ponies said:
Yes we had a good discussion about it and he was happy to do both as he felt it would give her the most benefit. He’s a specialist so that made me a lot more comfortable.

That makes sense about staying in for 72 hours, thanks for the reply
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My friends horse was pts after developing laminitis following a course of steroids for a cough.

She kept him in an additional two days over what the vet recommended but he went down with laminitis and couldn't be saved.

So I'd be very wary this time of year with the grass.
 
TheHairyOne said:
My 21 year old has had 2x SI and one hock done before and straight back out in a dry flatish field with zero issues. He has only needed the SI done once, but the hock has been 12 to 18 months. He is much quieter out than he is boxed to another yard for it to spin about in a stable.
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Same here, when mine had treatment for various bits (hocks and SI) he went straight back out into a fairly bare flat field. He's a steroid induced lami risk too, but on balance the vet wanted him out. If you don't have a bare field though, I can see why you'd want to manage that risk by keeping in. I don't think there's a right answer, it all depends on your horse and your setup. If you're that worried about the grass, and he's calm in a stable, just keep him in (for your peace of mind too!).
 
Birker2020 said:
My friends horse was pts after developing laminitis following a course of steroids for a cough.

She kept him in an additional two days over what the vet recommended but he went down with laminitis and couldn't be saved.

So I'd be very wary this time of year with the grass.
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Not directly comparable. IA administration has a different risk profile (much lower, but not none).

OP I’m surprised your vet did everything at once tbh, mine would definitely have split out hocks and sacro and done them a fortnight apart.

The risk is still pretty low and if you have a scrubby sacrifice paddock then your vets advice of 24h in is probably ok. But if you want to be extra careful then 48-72h with hand walking.
 
ihatework said:
wtf are you waffling on about Birker?
You do know that Pred for a systemic issue is not the same as an intra-articular injection don’t you 🤦‍♀️
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Don't be so rude please.

Yes of course I know but steroids still have the potential to cause laminitis, whether oral, intravenously or intra articular. That was my point.
 
Birker2020 said:
Don't be so rude please.

Yes of course I know but steroids still have the potential to cause laminitis, whether oral, intravenously or intra articular. That was my point.
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Sorry for being rude. You exasperate me with you complete lack of nuanced knowledge. But that is my issue not yours.

It would be like you posting asking for advice on say, colic risk post pramox. And me responding saying I’d never give pramox because my friends horse once coliced and got pts after she turned it out on spring grass. Ie not directly comparable.
 
ihatework said:
Sorry for being rude. You exasperate me with you complete lack of nuanced knowledge. But that is my issue not yours.

It would be like you posting asking for advice on say, colic risk post pramox. And me responding saying I’d never give pramox because my friends horse once coliced and got pts after she turned it out on spring grass. Ie not directly comparable.
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Whatever. Rude again, you just can't help yourself can you!

I just wanted to share my story. If you don't like it just scroll on by. It's quite simple. I often don't like what you share but I'm not unkind enough to say that.
 
Birker2020 said:
Whatever. Rude again, you just can't help yourself can you!

I just wanted to share my story. If you don't like it just scroll on by. It's quite simple. I often don't like what you share but I'm not unkind enough to say that.
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Please always pick me up if you think anything I post is incorrect. I like to learn and improve my knowledge and thankfully I have the capacity to do so. Please pop me on UI if you don’t wish to see me correcting you at times. I do so not to directly attack you but more that things posted that can be read by others don’t get taken as gospel.

OP apologies for the derail , good luck with your horse.

Birker, I won’t respond fyi to the inevitable retort you will post.
 
OP you do what you feel is right.

My evidence is backed by research paper but some people on the forum clearly are smarter than vets and consultants.

So easy to belittle and ridicule someone to elevate themselves. I guess it's UI time again. 🙄
 
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Birker2020 said:
OP you do what you feel is right.

My evidence is backed by research paper but some people on the forum clearly are smarter than vets and consultants.

I guess it's UI time again. 🙄
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But your story isn’t relevant to the OP. Your friend's horse developed laminitis following systemic use of steroids (IE was fed them) but the OP is asking about steroids injected directly into a joint. The screenshot you posted was also about systemic use of steroids, so therefore also not relevant.
 
My 2 x mares had Arthramid in both hocks and steroid in both SI joints on the same day.

Had I wanted steroid in all 4 joints, my vets would have done it, but at half the full dose in each joint. Mabe this is what has been done with the OP’s horse?

My vet reckons that the risk of lami from IA joint injections is very low, but she still wants her patients at a healthy weight. She will defer if necessary until the excess weight has been lost.

Systemic steroids carry a much higher risk of lami, but that is not relevant to this thread.

Good luck, OP. The jabs made a huge and long lasting difference to my horses.
 
I’m so torn with what to do for her. She won’t be settled when she’s in alone as other horses go out tomorrow but I’m also very wary of her being on fresh grass approx 3.5 days after injections. She’s an ideal weight, in great health, the only “downfall” is age related (late teens). I’m hoping to keep in during the day and let out for the night with a muzzle and keep an exceptionally close eye on her.

I trust my vet with his decision to inject both. He’s a specialist and is well respected for his knowledge and skills so I am happy that he has made the right clinical decision for my horse injecting both at the one time
 
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