Joint inflammation: Corticosteroids and other management strategiesMay 23, 2019Working horses are commonly diagnosed with, and are treated for, acute or chronic joint inflammation. For many decades, intra-articular (IA) injections of corticosteroids have been used to treat these conditions. However, considering how popular these injections are and the fact other treatment options exist, there is little consensus on questions regarding the "best" corticosteroid, how often such injections can be used, and how ultimately deleterious they are to joint cartilage. Treatment rationale Corticosteroid injections are one of the most commonly prescribed treatments for joint pain and inflammation resulting from osteoarthritis. Arthritis, of course, is inflammation of a joint. Uncontrolled, osteoarthritis is thought to lead to chronic changes in the cartilage and underlying subchondral bone. The cycle of inflammation, cartilage and bone damage, pain, and further cartilage and/or bone damage from ongoing inflammation can result in horses that are unable to perform for their intended use, or worse, are chronically lame and in pain. Corticosteroids are injected into joints in an effort to decrease inflammation. While the drugs are not directly pain-relieving, reducing joint inflammation can help interrupt the joint-inflammation cycle, thereby reducing pain. By decreasing pain and inflammation, horses are able to move more normally. Commonly used corticosteroids Three …
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