31/07/2026
Thought this article would be interesting to share! A recent survey of equine veterinarians has found that many clinicians are becoming more cautious about the routine use of intra-articular corticosteroids, particularly in highly mobile joints. This is something we have been aware of for a long time (and why as well as corticosteroids, we offer a range of orthobiological therapies, including PRP, IRAP, Pro-Stride APS, Alpha2EQ and Lipogems).
Corticosteroids remain an extremely valuable treatment for many horses and continue to have an important place in managing joint disease. However, the survey highlights a broader shift towards individualised treatment decisions - which is something we have always advocated for! Rather than 'blanket medication' of multiple joints just for the sake of it, we should always ask, âWhat is the most appropriate medication for this particular joint, in this particular horse, at this particular stage of disease?â
Ideally, we should be aiming for the minimum level and frequency of medication to keep the horse comfortable, and considering the huge part that management changes, trimming/shoeing, nutrition, fitness and rehab programmes can have in maintaining optimal joint health.
Also, itâs easy to think of joint health/medication as a problem only for competition horses, but thatâs simply not the case. Whether your horse competes, hacks a few times a week, or spends most of their time enjoying retirement in the field, comfortable joints are essential for good quality of life. It may be that other options such as oral pain medication are more appropriate than IA injections, but good mobility is vital for all horses. We are pleased that the survey reflects increasingly incorporating regenerative or orthobiologic options, and considering the individual horse's needs rather than applying the same medication to every case.
Read the article here: https://equimanagement.com/research-medical/treatments-medications/survey-reveals-changing-sentiments-toward-ia-corticosteroids-among-equine-veterinarians/
What are your thoughts? Have you noticed more discussion around regenerative therapies over the past few years?