Florian Men

My colleagues and I have been working with the NOLTREX™ viscoprosthesis for over 5 years.

We have used it many times in different situations when horse lameness is a consequence of articular pathology. This made it possible to gain experience and determine the patterns when the greatest efficiency should be expected from its application.

It must be said right away that in the treatment of lameness in horses, accompanied by degenerative joint pathologies, we use an integrated approach. The use of NOLTREX™ is usually the final stage of treatment, which is preceded by anti-inflammatory therapy and the use of intra-articular chondroprotectors.

The treatment regimen for horses with acute lameness is as follows: first, we inject a chondroprotective preparation with hyaluronic acid and an anti-inflammatory component (a repository steroid), which has the goal of extinguishing the inflammatory process. After 10-20 days, we inject NOLTREX™, preliminarily injecting a little anesthetic and short-acting steroids into the joint cavity, which should prevent possible pain syndrome, which the manufacturer warns about.

By the way, in no case of using NOLTREX™ according to this scheme we received any pain syndrome, or other anxiety of the animal, or a nonspecific reaction from the joint.

For planned prophylactic interventions on a horse that has chronic degenerative changes in the joint, but is not lame at the moment, the treatment regimen is similar, but without the use of repository steroids.

For one longtime patient of mine, a horse with severe degenerative osteoarthritis of the carpal joint, I use NOLTREX™ twice a year, giving her 10-14 days of light work after injection, and the horse is able to endure sports activities without long interruptions for treatment and without lameness!

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