01/05/2026
Injection maintenance - repeat steroids🧑🔧 💉
🥕 Research has shown that steroid injections have been effective in initial inflammation- just one injection…. After that, the can actually be harmful to cartilage.
🥕 Steroids actually have an analgesic effect - if your injecting a horse with a soft tissue injury to carry on his job then you will make him feel better initially, importantly not yet repaired, and he can actually end up making this injury worse - this is why it’s so important to get a proper diagnosis before injecting w***y nilly.
🥕 Steroids are associated with steroid induced laminitis - not fun at all. Of course, new research has shown that by giving a drug to reduce insulin in high risk horses, lowers the chance of this,… in my opinion doesn’t make it right to inject windgalls for the show ring.
🥕 If a horse comes with a colour coordinated chart of monthly ‘maintenance’ injections (yes I had actually seen this), it is likely that he is being asked to do far more work than he is actually physically capable of.
🥕 If you haven’t got everything else right - ie shoeing, workload - importantly the correct work, weight, etc … I won’t be picking up the ad-cortyl. Why would you try to patch together the furnishings when the foundation is falling apart?
🥕 Dont forget the infection risk. Everytime we go into a joint, we risk synovial infection - bad…. A hospital job.
🥕 Calcification within tendon sheaths - this happens as a side effect of steroid.
When I see a lame horse, I usually sort out as much of the foundations as I can first before reaching for steroid.
Here’s an example - the horse blocks to the front feet . Foot balance X-rays show us some important info - the heels are reversed/flat, the front of the coffin joint is getting crushed. Make a plan with the farrier - the most important guy at the moment. Rest horse followed by some low level rehab - long reining etc. Put horse on diet.
See again in six weeks with a view to medicate if no improvent. 9 times out of 10 when I see that horse in six weeks he looks better. Better because he’s had a break, better because we have addressed the feet that are holding the horse up 24 hours a day. Now if I would have medicated six weeks back, I would have been the hero and the steroids obviously worked… The real hero in this case is the farrier for helping the foundations, and the owner for sticking to the rehab plan.
Please don’t think I’m one of those holistic, medication is bad type of vets. I do use steroid, but in the correct situations when everything else has been addressed.
Will repeat steroids give you a quick fix? Probably.
Will repeat steroids break your horse faster? Probably.