• 30 Day Back-to-Work Schedule
• 60 Day Back-to-Work Schedule
• 90 Day Back-to-Work Schedule
• Chemical Ejaculation Technique
• Degenerative Joint Disease
• Equine Physical Examination
• Equine Nutrition
• Foal Vaccination Schedule
• Fungus Treatment Instructions
• General Equine Care
• IUPF Flow Chart
• Lameness Evaluation
• Lameness Short Course
• Laminitis
• Navicular Inflammation
• Post-Blistering Recommendation
• Post Coffin Joint Injection
• Post Hock Injection
• Post-Op Arthroscopy Notes
• Post-Op Colic Notes
• Prepurchase Evaluation
• Ruleouts For Head Shaking
• Strangles Infection
• Treatment of Gastic Ulcer Syndrome
• Tying-Up Syndrome
• Upward Patellar Fixation
• Vaccination Deworming Schedule

Post Coffin Joint Injections

We would like to make several recommendations pursuant to the treatment your horse just received for coffin joint and/ or navicular inflammation. A combination of both short- and long-acting steroid as well as a synthetic hyaluronan were infused into the distal interphalangeal (DIP or “coffin”) joint(s). In regard to horses with navicular inflammation, the coffin joint provides us with an avenue or portal through which we can effectively deliver medication to the back of the foot. An analgesic (pain killer) was administered along with the sedative to reduce discomfort during the procedure, and 2 grams phenylbutazone was administered intravenously to reduce discomfort over the next 12-24 hours. No more medication for discomfort is required.

Remove bandage(s) in 18-24 hours. Following treatment, we applied light bandages over the injection sites to discourage contact with shavings, manure, urine, etc. These wraps only need to stay on for about 10-15 minutes and may come off on their own. If they are still intact 18-24 hours after treatment please remove them.

Please do not bathe your horse for 24 hours following the procedure. Although the inject portals seal very quickly, we request that they not come in contact with water for at least 24 hours, as this may further increase the chance for contamination.

Resume exercise gradually. The presence of medication in your horse’s joints can result in mild discomfort that can last for several days. Therefore, we suggest giving your horse some time off prior to resuming normal exercise. This will allow the medication to take effect as well as the secondary problems (such as back soreness) to subside.

• Stall rest ONLY for 24 hours after injection. After 24 hours, turnout is permitted.
• We recommend not exercising/ riding the horse on the day of treatment as well as the 2 days following treatment (i.e. a total of three days).
• You may resume light work (i.e. walking and trotting on a loose rein) during the subsequent 2 days (i.e. day 3 and 4 post-injection).
• Normal exercise may resume on the fifth post-injection day.

Monitor the injections for increased swelling, heat, pain, or any other abnormality(ies).
Please call IMMEDIATELY if any questions or concerns arise: 706-654-5740.

Monitor performance: determine 1) the DEGREE and 2) the DURATION of improvement.
Your horse’s response to the injections will play a large part in helping us develop a future performance maintenance regimen. The effect of the medication typically maximizes in 2 weeks post-injection, so wait 2-4 weeks to assess the initial response.