Factors influencing the prognosis:
- Severity of subluxation:
– If the joint displacement is mild (partial subluxation), the prognosis is generally more favorable. With proper treatment (rest, anti-inflammatories and physical therapy), many horses can regain full or near full function.
In more severe cases, where there is significant structural damage to ligaments, cartilage or bones, the prognosis may be more guarded. Surgical intervention may be necessary, and recovery may be more prolonged.
- Initial Treatment and Management:
Immediate treatment is crucial to avoid long-term complications. Adequate rest and administration of non-steroidal anti-inflammatory drugs (NSAIDs) are essential to control inflammation and pain. If surgery is required to properly align the joint or repair damaged tissues, proper management after surgery is also vital for a positive prognosis.
- Rehabilitation and Follow-up:
Physical therapy and rehabilitation play a key role in recovery. Physical therapy, such as strengthening exercises and stretching, can improve mobility and restore joint function. In addition, regular monitoring is essential to ensure that there are no relapses or further complications.
- Recovery Time:
In general, horses suffering from mild pastern subluxation can return to competition in 3-6 months if treatment is adequate. In more severe cases, recovery time may be longer, even 6-12 months, and some horses may not fully regain function, depending on the severity of the injury.
Final Prognosis
- Mild: With proper treatment, the prognosis is very good, and many horses can return to competition after complete rehabilitation.
- Moderate to severe: If the injury is more severe and requires surgery, recovery will be more prolonged, and the horse may need adjustments in training or a temporary withdrawal from competition.
Prognosis should always be individualized to the specific case, and it is crucial to closely monitor and adjust treatment according to the animal’s response. Consultation with a specialist in orthopedic surgery for sport horses may be beneficial if surgery is considered.
