- Interleukin-1 Receptor Antagonist Protein (IRAP) Therapy
- Companion Laser Therapy
- Flexineb Portable Equine Nebulizer Therapy
- Ice-Vibe Therapy Boots
- Platelet Rich Plasma (PRP) Therapy
Interleukin-1 Receptor Antagonist Protein (IRAP) Therapy
Interleukin-1 Receptor Antagonist Protein (IRAP) is an effective treatment for joint disease in horses. IRAP is an anti-inflammatory protein that combats the destructive effects of interleukin-1, the protein that is produced within inflamed or arthritic joints. The IRAP system stimulates the horses’ own white blood cells to produce anti-inflammatory mediators, specifically interleukin-1 receptor antagonist protein. Harvesting IRAP is simple and can be performed as an outpatient procedure or can be planned for on-farm collection. Blood is aseptically collected from the horses’ jugular vein and incubated for 24 hours in a syringe with impregnated beads that stimulate the white blood cells to produce IRAP. After the 24 hour incubation period the blood is centrifuged and the serum is separated from the blood cells. The IRAP rich serum is then split into multiple doses and is frozen for later injection into the horses’ joint(s).Typically each collection produces enough IRAP serum for 3-5 injections. These injections are only suitable for the horse for which the blood was collected. The therapy involves around 3 joint injections at 7-14 day intervals. Most positive effects are noted after the second and third treatment.
The post-injection rest and return to exercise regimen will depend on the individual horse and condition being treated. IRAP is different from other joint injection products because it treats the cause of joint disease and its action is aimed at restoring joint lining and cartilage function. Traditionally the most common medication injected into joints for management of joint disease is corticosteroids. Usually with corticosteroid injections a sudden improvement in the degree of lameness is evident, yet it wears off over a period of 6-12 months. Over time with repeat corticosteroid injections, the interval between treatments becomes shorter. The use of IRAP allows us to delay the need for corticosteroid injections and often prolong the athletic life of the horse. Another advantage of using IRAP therapy is that it does not have some of the same risks of side effects as corticosteroids. The use of IRAP does not increase the risk of laminitis and there is a smaller risk of joint infection. IRAP is another therapy that is now available to manage osteoarthritis or joint inflammation in your horse. The reason IRAP is so exciting is its potential for a long-term effect on joint disease in horses. IRAP has the potential to stop the cartilage from being degraded and to increase the healing in joint inflammation. By stopping this inflammatory cycle IRAP can bring comfort and extend the performance life of your horse.
Please contact us if you are interested in learning more about IRAP therapy or if you think your horse is a candidate for this treatment!
Companion Laser Therapy
Brown Creek Equine Hospital is excited to offer our clients Companion Laser Therapy. Laser therapy provides a non-invasive, pain-free, surgery-free, drug-free treatment which is used to treat a variety of conditions and can be performed in conjunction with existing treatment protocols. Relief and/or improvement is often noticed within hours depending on the condition and your horse’s response. Whether your horse is rehabilitating from trauma or injury, healing from wounds, or simply aging, they can benefit from this innovative approach to treating pain.
Flexineb Portable Equine Nebulizer Therapy
Does your horse suffer from respiratory problems, allergies, airway irritation and inflammation? Would your horses improve their performance with clearer airways? If so please take a moment to consider treatment with the Flexineb Portable Equine Nebulizer. Brown Creek Equine Hospital is excited to announce a partnership with Flexineb to bring this treatment modality to our clients and patients. What makes Flexineb so special? SIMPLE & INTEGRATED: Easy set-up and operation with no hoses, cords or awkward valves. RAPID: For example, 10 milliliters of saline is aerosolized in less than 10 minutes. SILENT: Unlike most nebulizers. ADAPTABLE: For use with metered dose inhalers (MDIs). SAVINGS: On drug costs and administration time. Respiratory problems are frequent in performance horses. The most frequently occurring respiratory tract disorders are Recurrent Airway Obstruction (RAO) also known as heaves, Inflammatory Airway Disease (IAD) and allergies, and Exercise-Induced Pulmonary Hemorrhage (EIPH). Typically, their treatment includes systemic administration of drugs using injections or the oral route; however, administration via aerosol devices is now considered to be a viable alternative way to treat respiratory issues. Flexineb is an easy-to-use veterinary medical device that produces a very fine mist of aerosolized drug, enabling this method of treatment for the horse. This decreases the risk of secondary systemic side effects from the use of the drugs by oral administration or injection. Please visit the product website at www.flexineb.us.
Ice-Vibe Therapy Boots
The Ice-Vibe boots are rechargeable vibrating boots that help boost circulation in the horse’s legs by creating a massage effect. They combine both cooling and massage therapy to effectively treat soreness, strains, and tendon and ligament damage. The massage effect helps to stimulate the lymph system to remove soreness and swelling as well as improving circulation. In addition, every day wear and tear on joints and soft tissues can be managed with daily use of the boots. Rehabilitation for tendon and ligament damage can also be achieved more effectively. Adopted from Horseware Ireland. http://www.horseware.com/ice-vibe
Platelet Rich Plasma (PRP) Therapy
Platelet rich plasma (PRP) has been used in horses to treat tendon and ligament injuries, skin wounds, and eye ulcers. Platelets are known for their role in clotting, yet they also release substances that promote tissue repair by releasing powerful growth factors. This is why they are categorized as a regenerative therapy since they can stimulate tissue regeneration in soft tissue, skin, and bone. PRP is particularly beneficial in treating injuries in areas where there is limited vascularization, or blood flow, such as tendons and ligaments. The enhanced healing response can ultimately improve the quality of repair, improve the prognosis for return to performance, and decrease the incidence of re-injury. The advantages of PRP is that it can be collected and generated patient-side. Since both IRAP and PRP are collected from the horses’ blood it will not be rejected by the patients’ immune system. Once an injury is diagnosed with ultrasound the initial inflammatory phase is allowed to subside with the help of systemic anti-inflammatory drugs and icing (usually 7-10 days). After this period therapy with PRP can be initiated. To harvest PRP, 60mls of the horses’ own blood is aseptically collected. Through a step wise centrifugation process the red cells and the platelet poor portion of the plasma are discarded and the remaining platelet rich plasma is used for injection. A typical procedure will produce about 4-6 milliliters of PRP. The PRP is then injected under ultrasound guidance into the area of tendon or ligament injury. Recheck ultrasound to assess healing is usually performed 4-6 weeks after PRP injection. Once healing is noted ultrasonographically, rehabilitation protocols can begin and will depend on the type and severity of the horses’ injury.
Though PRP is most commonly used for tendon and ligament injury it can also be utilized for wound management and eye ulcers. It provides the same growth factors and regenerative process to heal these issues as well. For more information about PRP and to discuss the use and benefits of this therapy for your horse please contact us today!
Services we offer
- Oral Exam and Power Float
Equine Spinal Manipulation (Chiropractic)
- Digital Radiography
- Digital Ultrasonography
- Intensive Care
Preventative and General Health Care
- Rectal Ultrasound
- Stallion Collection and Shipping Semen
- Artificial Insemination