This case was a sport horse. He had an MRI in September which showed nothing notable or concerning, however it did show some fetlock synovitis type issues. In addition, per the horse’s medical records, this horse had prior issues with his right front coffin joint.
The horse had been injected intraarticularly into both front fetlocks four times in 2015-2016, so four times in a 12-month period. In Sport Horse Medicine this kind of use is concerning. When we go into a joint more than once or twice a year sometimes the horse doesn’t respond well. At times the traditional joint injection, steroid or hyaluronic acid, does not hold as long as we would like it to. Because of this it is our methodology in the practice, to take a different approach, looking at other modalities of joint regenerative medicine. We rarely put PRP intraarticularly; obviously, we have been using Noltrex®Vet for a while and are happy with it.
Initially, when we started using Noltrex®Vet, probably 2 years ago, we were using it on a case-by-case basis. We’ve now switched to knowing what cases we feel are going to respond to the product, and are using it a little more aggressively in these particular horses.
This nine-year-old horse was a very good case because of his age and because he had been injected several times intraarticularly. I discussed a few treatment plans with the owners. They are progressive, and willing to do what’s best for the horse, so we decided to use Noltrex®Vet. The success we have had with it in previous cases and the fact we have had zero side effects from the Noltrex®Vet (no joint flares) made me believe this was the right choice of treatment for this horse.
Before treatment with Noltrex®Vet, on a lunge line this horse had been 2 out of 5 lame on the right front going to the right and 1 out of 5 lame on the right front going to the left and lame on the left front as well. I injected Noltrex®Vet into both front fetlocks and the right front coffin joint. After injection, I told the handler to take it easy for three days. I shut them down in the beginning and then the next day allowed only hand walking. On the third day, the owner sent me a video of the horse. The horse was quite sound, more sound than he had been in 4-5 months. So, I asked her to send me a couple more videos at 5 days and 7 days. This horse is quite sound and the owner is thrilled!
From our previous experience with Noltrex®Vet, horses that have received an MRI then gone to surgery to have the joint cleaned out and/or have had multiple joint injections prior to us using Noltrex®Vet, very few of them have had to be injected with Noltrex®Vet more than once. In the few cases where we did have to follow-up with an additional injection, it was after a minimum of six months and sometimes after a year. I use the product without claiming that they’ll never need another joint injection, like a traditional joint injection steroid, however, for a lot of these horses, it’s held for a remarkably long period.
We’ve had such good success with Noltrex®Vet!