Regenerative Alternatives
The regenerative medicine umbrella includes stem cell therapy as well as biologic therapies that concentrate or stimulate specific blood components to trigger natural processes that alleviate inflammation and promote healing. With the latter, the concentration of platelets in platelet-rich plasma or the stimulation of white blood cells causes the release of proteins such as interleukin-1 receptor antagonist protein (IRAP), says Schnabel.
That helps alleviate inflammation and restore normal joint health, she says. IRAP specifically blocks the receptor for the major inflammatory protein in joint disease, which is interleukin-1, thereby blocking its effect.
Many of the kits only take 20 to 30 minutes for the veterinarian to process and administer at the barn.
Biologic agents such as PRP, autologous conditioned serum, and autologous protein solution are showing promising results to support healing rather than simply reduce inflammation like corticosteroids do, explains Niklas J. Drumm, DMV, Dipl. ACVS-LA, ECVS, of Tierklinik Lsche im Sanakena, in Germany.
Ideally, these alternatives offer a longer-lasting effect than steroids, he says. However, the prognosis much more depends on the disease (chronicity and severity) and horse (age, discipline, build) than the treatment alone.
Stem cell therapies are also popular joint injection options following an injury. Whether taken from the patients own bone marrow or derived from another source, such as the umbilical cord or amnion, stem cells can encourage healing, says Schnabel.
David decides whether to use corticosteroids, PAAG, or regenerative therapies based on the horses pain level and the time allocated to return the horse to soundness. He typically reserves regenerative therapy for horses with mild pain or when the owner can afford a significant break in the horses competition schedule.
Regenerative therapies let us dig more into the problem itself and try to change the course of the disease, he says. The problem with regenerative therapies is that when embarking on that road you have to stick with the protocol, and it can take a while before you can conclude if this treatment is going to help the horse.
If a horses healing is progressing slowly, he says not to be discouraged because the goal is to target the disease itself. After an initial IRAP injection, for example, he says he follows up every seven to 10 days for three to six additional treatments. Each regenerative product involves a specific protocol that he adjusts to each injury or condition, patient, and owners wallet.
Corticosteroids are popular joint injection options because they cost $40 to $100 per injection. Synthetic joint lubricants are the next step up, costing around $300 to $500. Schnabel estimates that biologic treatments set you back about $500 to $1,000 and regenerative therapies average $2,000 to $3,000. Fees vary by location and clinic, however, and do not include the farm call, associated diagnostics, or actual joint injection fees, she adds.
Again, with most alternative options, it takes several weeks for their full effect to be visible. Like David, vets might administer IRAP in multiple doses over six to 12 weeksthe same goes for stem cells. And, as mentioned, it might take two to four weeks to see the effects of PAAG injections. Researchers are still working to determine how long the benefits of the latter therapy last, but they expect six months to a year or longer in some cases.
Most of these therapies are used in high-motion joints such as the coffin joint, fetlock, and carpus (knee), for which full range of motion is critical for performance or racing, but they are also commonly used in difficult-to-manage joints like the coffin and pastern joints, Schnabel says. They are less commonly used in low-motion joints that can be fused, like the distal (lower) hock joints.
While these joint therapies are exciting, they are not appropriate for every horse and disease, says Drumm. Its the vets discretion and responsibility to choose the right treatment for each case. Plus, when treating joint disease, youll never find a panacea but, rather, a combination of approaches, including systemic and intra-articular medications, controlled exercise programs, supplements, and physiotherapy, that works for your horse.
We are just at the beginning of understanding these therapies and how to best use them for optimal results, Schnabel says. Im very excited to continue to work on optimization of these therapies, particularly for cases of cartilage damage and soft tissue injury within the joint for which steroids typically dont work well or for very long.
Read this article:
Nonsteroidal Joint Injection Options The Horse - TheHorse.com
- Ed's Guide to Alternative Therapies - pathguy.com - December 8th, 2016 [December 8th, 2016]
- Complementary and Alternative Medicine Guide | University ... - December 8th, 2016 [December 8th, 2016]
- Complementary and Alternative Medicine (CAM) Overview - December 26th, 2016 [December 26th, 2016]
- Alternative Medicine, Holistic Doctors,Naturopathic ... - January 5th, 2017 [January 5th, 2017]
- Alternative Medicine Degrees - Excite Education - January 13th, 2017 [January 13th, 2017]
- Alternative Medicine | Category | Fox News - January 13th, 2017 [January 13th, 2017]
- Alternative Medicine - Disabled World - January 13th, 2017 [January 13th, 2017]
- Alternative Medicine Degree, BS - Everglades University - January 23rd, 2017 [January 23rd, 2017]
- Alternative Medicine | Duke University Press - January 23rd, 2017 [January 23rd, 2017]
- Bill to rein in alternative medicine practitioners - Bangalore Mirror - February 8th, 2017 [February 8th, 2017]
- Peroxide ingestion, promoted by alternative medicine, can be deadly - Science Daily - February 8th, 2017 [February 8th, 2017]
- Can Peroxide Kill You? Yes, Say Doctors About This Alternative Medicine Favorite - Medical Daily - February 8th, 2017 [February 8th, 2017]
- Marijuana tension between clinical, alternative medicine ... - Washington Times - February 9th, 2017 [February 9th, 2017]
- Cannabis providers feel tension between clinical and alternative medicine - The Cannabist - February 11th, 2017 [February 11th, 2017]
- Happy Healthy YOU - Tillsonburg News - February 15th, 2017 [February 15th, 2017]
- Health dept cracks down on alternative meds containing sildenafil citrate - NYOOOZ - February 18th, 2017 [February 18th, 2017]
- Alternative Medicine Conferences | Traditional Medicine ... - February 24th, 2017 [February 24th, 2017]
- American Institute of Alternative Medicine - February 24th, 2017 [February 24th, 2017]
- Alternative medicine to treat pain and other ailments on the rise locally - Rockford Register Star - February 25th, 2017 [February 25th, 2017]
- Alternative Medicine Career Information and Education ... - February 27th, 2017 [February 27th, 2017]
- Why is alternative medicine so popular? - Alternative ... - February 27th, 2017 [February 27th, 2017]
- Potential dangers and dubious history of alternative medicine are often unknown to its consumers - MinnPost - February 28th, 2017 [February 28th, 2017]
- New form of alternative medicine comes to OU - Oaklandpostonline - March 1st, 2017 [March 1st, 2017]
- OPENING THE PLAYBOOK ON ALTERNATIVE MEDICINE - Dope Magazine - March 2nd, 2017 [March 2nd, 2017]
- Ask a Doctor: Is there an alternative medicine treatment for constant pain? - Chattanooga Times Free Press - March 7th, 2017 [March 7th, 2017]
- Alternative medicine grows in Sugar Land, Missouri City - Community Impact Newspaper - March 7th, 2017 [March 7th, 2017]
- Medicine with a side of mysticism: Top hospitals promote unproven therapies - STAT - March 7th, 2017 [March 7th, 2017]
- Abstracts: Obamacare Replacement, Alternative Medicine, and More - Undark Magazine - March 8th, 2017 [March 8th, 2017]
- For Prairie Village practitioner, personal experience led to interest in alternative medicine techniques - Shawnee Mission Post - March 8th, 2017 [March 8th, 2017]
- Financial Planning + Alternative Medicine - March 8, 2017 ... - KHTS Radio - March 9th, 2017 [March 9th, 2017]
- Premier U.S. Hospitals Are Selling Unproven Alternative Therapies ... - KQED - March 11th, 2017 [March 11th, 2017]
- Speakers lay stress on use of alternative medicine - The Nation - March 11th, 2017 [March 11th, 2017]
- Top U.S. hospitals promote unproven medicine with a side of ... - PBS - PBS NewsHour - March 11th, 2017 [March 11th, 2017]
- Medical cannabis expert discusses treatment options - Herald-Whig - April 8th, 2017 [April 8th, 2017]
- 5 ALTERNATIVE MEDICINES EVERY MAN SHOULD BE AWARE OF - TORO Magazine - June 6th, 2017 [June 6th, 2017]
- CID unearths fake 'council of alternative medicines' in Behala - Millennium Post - June 11th, 2017 [June 11th, 2017]
- Parents who believe in 'alternative nutrition' convicted after baby dies of malnutrition - Telegraph.co.uk - June 14th, 2017 [June 14th, 2017]
- Times of Malta Alternative medicine - Times of Malta - June 16th, 2017 [June 16th, 2017]
- Suffering from severe pain? Experts say THIS form of alternative medicine will work just as well as drugs! - Zee News - June 20th, 2017 [June 20th, 2017]
- IBAM Indian Board of Alternative Medicine - June 20th, 2017 [June 20th, 2017]
- Alternative medicine practitioner charged with sexual assault in Burlington - Hamilton Spectator - June 20th, 2017 [June 20th, 2017]
- Mind, body, spirit: Nurse opens holistic health store to promote overall wellness - Muscatine Journal - June 21st, 2017 [June 21st, 2017]
- Four of the Most Misused Terms in Alternative Medicine - ATTN: - June 24th, 2017 [June 24th, 2017]
- How cupping therapy helps athletes like Michael Phelps as an alternative medicine - Sport360 - June 26th, 2017 [June 26th, 2017]
- Calimesa Alternative Medicine - Weedmaps - June 26th, 2017 [June 26th, 2017]
- Homeopathic Health Center | Columbus, OH - (614) 890-2589 - June 26th, 2017 [June 26th, 2017]
- Alternative Medicine | What Is Alternative Medicine? - June 26th, 2017 [June 26th, 2017]
- Quotes About Alternative Medicine (30 quotes) - June 26th, 2017 [June 26th, 2017]
- Alternative Medicine That Doctors Recommend | Reader's Digest - June 26th, 2017 [June 26th, 2017]
- Alternative Medicine Schools - Excite Education - June 26th, 2017 [June 26th, 2017]
- Medical journal takes aim at natural remedies - CBC.ca - June 26th, 2017 [June 26th, 2017]
- Healing through alternative medicine: Winona locals choose acupuncture as a cure - Winona Daily News - June 26th, 2017 [June 26th, 2017]
- Patrick Noel, DC: Restoring the body's innate ability to heal through chiropractic care - Colorado Springs Gazette - June 27th, 2017 [June 27th, 2017]
- Back Pain? Try Yoga - New York Times - June 29th, 2017 [June 29th, 2017]
- Jerusalem: Alternative healer indicted on rape charges - The Jerusalem Post - June 29th, 2017 [June 29th, 2017]
- Does Pink Himalayan Salt Have Any Health Benefits? - TIME - June 29th, 2017 [June 29th, 2017]
- Not all wellness is bullshit - Quartz - June 30th, 2017 [June 30th, 2017]
- What's happening in your body during acupuncture? - The Verge - July 1st, 2017 [July 1st, 2017]
- Natural and Alternative Medicine against Asthma - Radio Cadena Agramonte - July 3rd, 2017 [July 3rd, 2017]
- Alternative Medicine in Halacha: a Review - Yeshiva World News - July 3rd, 2017 [July 3rd, 2017]
- West Bengal's top doctors turn out fakes, arrests blow lid off thriving scam - Hindustan Times - July 5th, 2017 [July 5th, 2017]
- Sudbury woman chooses alternative treatments for stage 4 cancer - CBC.ca - July 6th, 2017 [July 6th, 2017]
- Unbiased reporting can help call time on pseudoscience - EuroScientist - July 6th, 2017 [July 6th, 2017]
- Holistic therapy for pets? Traditional vet care being blended with reiki, acupuncture - Georgia Voice - July 7th, 2017 [July 7th, 2017]
- A Memoir of Chronic Fatigue Illustrates the Failures of Medical Research - The New Yorker - July 10th, 2017 [July 10th, 2017]
- Valtrex after expiration - Alternative medicine for herpes simplex 2 - Van Wert independent - July 11th, 2017 [July 11th, 2017]
- Sacred Space, University of Miami partner to educate community on wellness - Miami Herald - July 11th, 2017 [July 11th, 2017]
- One FDA About-Face Doesn't Mean an Orphan-Drug Bonanza - Bloomberg - July 12th, 2017 [July 12th, 2017]
- 'Bridging medicine with nature' - The Torrington Telegram - July 12th, 2017 [July 12th, 2017]
- Gwyneth Paltrow's Goop posted a defense of its jade eggs for vaginas. It's a mess. - Vox - July 14th, 2017 [July 14th, 2017]
- Acupuncture for pets? Yes, it's a thing - MyDaytonDailyNews - July 15th, 2017 [July 15th, 2017]
- Create Ministry for traditional, alternative medicine - Association - Graphic Online - July 17th, 2017 [July 17th, 2017]
- Native American healing class sparks unique health textbook - ABC News - July 18th, 2017 [July 18th, 2017]
- Rav Elyashiv ZTL On Alternative Medicine By R. Yair Hoffman - Yeshiva World News - July 18th, 2017 [July 18th, 2017]
- Expedite action on the passage of the alternative medicine bill ... - GhanaWeb - July 18th, 2017 [July 18th, 2017]
- Is Gwyneth Paltrow's pseudoscience winning? - Vox - July 20th, 2017 [July 20th, 2017]
- Salt Therapy Gaining Popularity in Alternative Medicine Circles - Newsmax - July 22nd, 2017 [July 22nd, 2017]
- Vargas: Weeding out herbal remedies for our pets - News Chief - July 24th, 2017 [July 24th, 2017]
- Patients recognise over-worked GPs as majority agree to see alternative medical professionals - Herald Series - July 25th, 2017 [July 25th, 2017]
- Cancer controversies and traditional medicines - Regina Leader-Post - July 26th, 2017 [July 26th, 2017]