Page 113 - The Veterinary Care of the Horse
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Figure 3.11 Proud flesh
The most common sites for proud flesh are on the limbs from the hock and knee
downwards.
There are several methods of managing proud flesh, and so veterinary advice is
essential. They include the following.
• Surgical removal This is carried out by the vet and is necessary whenever there is a
large mound of proud flesh. Local anaesthesia is not required as there are no nerve
endings in the granulation tissue. The proud flesh is trimmed to just below the skin level.
With a fractious horse, sedation may be necessary for this procedure. The tissue bleeds
freely and the haemorrhage is controlled with a firm bandage.
• Application of a topical corticosteroid The cream or ointment is applied under a non-
stick dressing and a firm bandage. This method is suitable when there is only a small
