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ADVANCED THERAPY IN EQUINE LAMENESS

Hunter S. Lewis, DVM, DABVP Greene, Lewis and Associates www.greenelewis.com. ADVANCED THERAPY IN EQUINE LAMENESS. Osteocondritis Dessicans (OCD). Osteoarthritis. Degenerative Joint Disease (DJD) Characterized by cartilage damage, new bone formation and joint effusion.

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ADVANCED THERAPY IN EQUINE LAMENESS

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  1. Hunter S. Lewis, DVM, DABVP Greene, Lewis and Associates www.greenelewis.com ADVANCED THERAPY IN EQUINE LAMENESS

  2. Osteocondritis Dessicans (OCD) Osteoarthritis • Degenerative Joint Disease (DJD) • Characterized by cartilage damage, new bone formation and joint effusion. • Caused by “use trauma” Subcondral Bone Cysts

  3. Osteoarthritis • Fetlock

  4. Osteoarthritis • Fetlock

  5. Osteoarthritis • Hock

  6. Osteocondritis Dessicans (OCD) Osteoarthritis • Developmental Orthopedic Disease (DOD) • Characterized by failure of normal bone formation Subcondral Bone Cysts

  7. Osteoarthritis • Osteocondritis Dessicans (OCD) • Causes: • Genetic predisposition • Rapid growth • Nutrition • Mineral Imbalances • Endocrine Factors • Can result in DJD Subcondral Bone Cysts

  8. Osteocondritis Dessicans (OCD) • Stifle

  9. Osteocondritis Dessicans (OCD) • Hock

  10. Osteoarthritis • Osteocondritis Dessicans (OCD) • Subcondral Bone Cysts • Development Orthopedic Disease • Characterized by failure of normal bone formation and loss of normal bone • Same causes as OCD but trauma is also involved. • Can result in DJD

  11. Subcondral Bone Cysts • Stifle

  12. Subcondral Bone Cysts • Stifle

  13. Subcondral Bone Cysts • Fetlock

  14. Assessment of Joint Treatment • Symptom-Modifying Osteoarthritis Drug (SMOAD) • Disease-Modifying Osteoarthritis Drug (DMOAD)

  15. Types of Joint Treatment • Oral • Injectable • Intra-articular

  16. Types of Joint Treatment • Oral • Glucosamin • Chondrotin Sulfate • Anti-inflammatories • ASU – Avocado, Soybean Unsaponifiable Extracts

  17. Types of Joint Treatment • Oral • ASU – Avocado, Soybean Unsaponifiable Extracts • Did not improve lameness • Reduced damage to joint • Increased production of glycosaminoglycan • Stimulated cell and tissue repair

  18. Types of Joint Treatment • Injectable • Adequon • Legend • Generics • Polyglycan • Map 5 • Tildren

  19. Types of Joint Treatment • Injectable • Tildren • Inhibits bone resorption and may promote bone reformation • Shown effective in hock osteoarthritis and navicular syndrome • Most effective if used early in disease • Cost ??

  20. Types of Joint Treatment • Intra-articular • Corticosteroids • Hyaluronic Acid • IRAP – Interleukin-1 Receptor Antogonist Protein

  21. Types of Joint Treatment • Intra-articular • IRAP – Interleukin-1 Receptor Antogonist Protein • or ACS – Autologous Condition Serum • Blocks IL-1 release • Reduces negative effects of inflammation • Reduces pain • Improves synovial membrane health

  22. Types of Joint Treatment • Other • Extrocorporeal Shockwave Therapy • Surgery • Alternative Therapies

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