A lameness work-up is usually made up of the following steps:

1. Assessment of the horse while standing, at the walk, trot and canter (if necessary).

2. Flexion tests – These can temporarily exacerbate lameness and therefore help us to localise the source of pain.

3. Perineural or intra-articular analgesia (nerve and joint blocks) – involve injecting local anaesthetic either around nerves or directly into joints.
By desensitizing particular areas and evaluating the difference in lameness the area of pain can be isolated.

4. Imaging of the suspicious region/s is then usually performed to look for abnormalities in the bones or soft tissue structures.
Radiography and ultrasound, can, in most cases be performed by our mobile units.
Scintigraphy ‘a bone scan’ is sometimes indicated in particular cases, where isolation of the lameness is difficult.
This procedure can be performed at REC Equine Specialists.

Once a diagnosis is made, we have several therapeutic treatments available that may be suitable for your horse.

These include:

1. Medical therapies
• Cortisone injections
• IRAP (interleukin receptor antagonist protein) therapy
• PRP (platelet-rich-plasma) therapy
• Stem cell injections
• Tildren– a biophosphonate that affects bone modelling cells

2. Physical therapies
• Acupuncture
• Corrective shoeing
• Chiropractic Adjustment
• Shockwave

3. Surgical therapies, (referral to Randwick Equine Centre) such as therapeutic arthroscopy or tenoscopy may be recommended.

If your horse shows signs of lameness, please arrange a consultation with one of our veterinarians to avoid further injury or poor performance.