Page 312 - The Veterinary Care of the Horse
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        Figure 7.4 Horse having hydrotherapy: the leg wraps, with circulating cold water, are attached to a refrigeration unit



        Other treatments that may be considered at this stage include the following:

        •    A  course  of  intramuscular  injections  of  polysulfated  glycosaminoglycan  (PSGAG)  to
             reduce inflammation and encourage collagen synthesis has been popular in the past. At
             the  time  of  writing  this  medication  is  no  longer  available  in  the  UK  and  can  only  be

             obtained with a Special Import Licence.

        •    Topical application of dimethyl sulphoxide (DMSO) to reduce the oedema.
        •    Tendon splitting is occasionally performed to release trapped fluid, increase the blood

             supply and speed healing of small core lesions.

        •    Desmotomy  (cutting)  of  the  proximal  check  or  accessory  ligament  of  the  SDFT.  This
             ligament attaches to the lower part of the radius on the medial side. The theory is that

             cutting this ligament allows the muscle belly of the SDFT to take some of the strain and
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