If flexion tests and nerve blocks are conclusive, no need to do the films. lntra -articular blocks would be best. These can sometimes paradoxically make the horse worse but that is considered a positive too.
--
Eleanor in PA

www.drkellon.com 
EC Owner 2001
The first step to wisdom is "I don't know."

Thank you, Dr K... I will talk to my vet about it.
--
Linda in Grass Valley, CA  2020  Midnight and Ostara
https://ecir.groups.io/g/CaseHistory/files/Linda%20Midnight%20OStara

Dr Kellon, so this presumably means the vet needs to do a joint radiograph to find where the arthritis is occurring? That is, if knee arthritis is a problem, not much point injecting fetlocks. Or can it be done based on flexion/nerve block/palpation results? 

--
Maxine and Indy (PPID) and Dangles (PPID)

Canberra, Australia 2010
ECIR Primary Response

https://ecir.groups.io/g/CaseHistory/files/Maxine%20and%20Indy%20and%20Dangles 
https://ecir.groups.io/g/CaseHistory/album?id=933

 

This is injected directly into the joint. How quickly it works depends on the pathology in the joint and how much the horse is worked but results can be seen from as soon as 1 day to 2 weeks and may continue to improve for up to 4 to 6 weeks. It is readily available as Arthramid.
--
Eleanor in PA

www.drkellon.com 
EC Owner 2001
The first step to wisdom is "I don't know."

Wow!  That is really exciting news, Dr. Kellon.
Is it readily available?  Does it take time to take effect?  I just got a refill of my Equioxx but I would love to switch Midnight over to this.
Should it overlap or should I just stop the Equioxx and start Polyacrylamide hydrogel?
--
Linda in Grass Valley, CA  2020  Midnight and Ostara
https://ecir.groups.io/g/CaseHistory/files/Linda%20Midnight%20OStara

Polyacrylamide hydrogel is the up and coming arthritis treatment. It looks like the real thing. https://pubmed.ncbi.nlm.nih.gov/36273533/
--
Eleanor in PA

www.drkellon.com 
EC Owner 2001
The first step to wisdom is "I don't know."