Case Studies

1a to 1d Wound Left Hind:

This injury was sustained racing and the wound was initially closed surgically, however, the wound broke down. The horse came to the spa 3 weeks after the initial injury. His treatment was a combination of hydrotherapy spa and pulse electromagnetic laser, these were alternated on a daily basis and the wounds was kept dressed in between treatments.

1a to 1d Wound Left Hind1a to 1d Wound Left Hind

Between the first and second photographs (3 days apart) the wound shows a good amount of granulation tissue, ie: it has filled in. It is common for wounds on lower legs to produce excessive granulation tissue (proud tissue), however, this treatment combination prevented proud tissue and so the rate of healing is rapid. In the 10 days between the second and third photos the wound show significant contraction in size both in length and width. The horse went home after 2.5 weeks of treatment, once the likelihood of proud tissue production had reduced.

1a to 1d Wound Left Hind1a to 1d Wound Left Hind

After the wound had been repaired surgically the owner was told the healing time if the wound broke down would be about 10 weeks before the horse could be turned out and worked, with the use of the spa and laser this time was significantly reduced.

Harry Treatment:

This wound was sustained racing, and initially the wound went as deep as the canon bone. The first photograph shows the wound when the horse first presented at the spa, 3 weeks after the injury. The leg was very swollen from the hoof to above the hock and there was a large amount of granulation tissue, making the wound proud.

Harry TreatmentHarry Treatment

After 2 spa sessions over the first week, the wound looked much improved, the proud tissue had reduced and there was no need for surgical debridement. The swelling had also reduced in the leg. During this time only a light dressing had been applied to the wound to keep it clean and the horse had been turned out.

Harry Treatment

The final photograph is after 5 sessions and by this time the horse was back in work and going up the gallops with a light dressing on.

Herbie Treatment:

This thoroughbred gelding was caught in barbed wire. He had injuries to all 4 legs, predominantly his hind legs. He was initially treated with full leg dressings and antibiotics due to the amount of damage to the legs. He first presented to the spa a week after the injuries. The wounds extended from the fetlock to mid thigh on both hind legs and under both knees.

Herbie TreatmentHerbie Treatment

The full door was used on the spa to cover all of the wounds on the legs. After the first treatment the wounds looked healthier with much of the dead skin coming away from the wounds.

Herbie TreatmentHerbie Treatment

After 3 sessions and a week later the wounds were healing well with the deeper areas granulating in well.

3 weeks after first presenting at the spa and on the 4th session, the wounds had reduced well and there was minimal scarring to the legs.

2a to 2b Right Fore Leg Tendon:

This injury was sustained by a horse in the field. There was an upward flap of skin overlying the superficial digital flexor tendon. The horse came to the spa a week after injury. The wound was treated with a combination of spa and pulse electromagnetic laser on alternate days. This combination rapidly increased healing time as well as decreasing the likelihood of adhesion formation between the wound and tendon.

2a to 2b Right Fore Leg Tendon2a to 2b Right Fore Leg Tendon

Art in the Spa:

Weekly Spa sessions for an event horse to help prevent injuries during the demanding season.

Art in the Spa

Tendon Injury:

Horse struck into the right fore leg out in the field, cutting through the skin and damaging the superficial flexor tendon. Following 2 months of intensive veterinary treatment, he came to the spa for hydrotherapy and rehabilitation. Initially this involved daily spa sessions and once the heat had gone from the leg then a gradual ascending walking programme was started. After 1 month the pulse electromagnetic laser and boots were used daily as well to assist with healing. This was done in combination with the spa. Regular scans were taken to monitor the healing.

Scans dated 5/12/13. Tendon Injury

Horse tendon insury scanHorse tendon insury scanHorse tendon insury scanHorse tendon insury scan

Scans dated 14/1/14. The deficits are filling in and there is an improvement in the longitudinal pattern following a month of daily spa treatment.

Horse tendon insury scanHorse tendon insury scanHorse tendon insury scan

Scans dated 29/3/14. The lesion has filled in and the longitudinal fibre pattern has improved further through hydrotherapy and laser treatment along with an ascending walking programme.

Horse tendon insury scanHorse tendon insury scan



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