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Spa Hydrotherapy - Proof Using Ultrasound

How It Works | Proof using Ultrasound

The story of Harry, the Thoroughbred racehorse...

In the early spring of 2003, Harry, a thoroughbred racehorse, sustained a severe superficial digital flexor tendon injury due to a fall in a race.

He was subsequently rescued from the slaughterhouse and found his way to the Raleagh Equine Rescue Centre where he was given box rest for five weeks prior to being brought to the Centre of Equine Therapy in Dromore, Co. Down on the 10th April.

His rehabilitation was filmed by BBC Bristol and was broadcast nationwide in July 2003.

The first scan, shown on the left below, with longitudinal and cross sectional views, was taken on 11th April 2003 prior to commencement of Equine Spa Hydrotherapy treatment. Despite 5 weeks of box rest the tendon is still showing over 90% damaged tissue (i.e. virtually anechoic).
Scan of Foreleg Before Treatment
(11/04/03)
Scan of Foreleg After 20 Days
(01/05/03)
Harry's ultrasound before using the hydrotherapy spa
click to enlarge
Harry's ultrasound after using the hydrotherapy spa!
click to enlarge

In the opinion of Bruce Steele, a specialist Equine Vet with over 20 years experience, it would take at least 2 months to show a relatively minor improvement.

After 2 weeks Equine Spa therapy the swelling and heat was considerably reduced so a second scan was booked. The scan on the right was taken on 1st May 2003 following 20 days of treatment and was filmed again by the BBC.

The right hand scan shows that the peri-tendinous fluid has dissipated and the tendon is showing good parallel alignment of healthy tissue i.e. much whiter in appearance. Also, on palpation there is no longer any pain. In Mr Steele's expert opinion this level of recovery was very much faster than normal.

Equine Spa treatment was continued for a further 2 weeks during which period Harry was gently exercised in hand and 1 week later he was being ridden and he quickly found a home as a general purpose riding horse with a 12 year old girl. A much better outcome than the original prognosis.  

Below is the expanded longitudinal view of the same foreleg.
Expanded longitudinal view of Harry's leg BEFORE treatment.
The two "x's" show the superficial digital flexor (SDF) or tendon which is just below the skin. The SDF is black in colour showing over 90% tendon damage.

The right hand "+" is located just on the inside of the layer of skin i.e. there is a gap of approximately 2mm between the skin and the tendon which is filled with peri-tendinous fluid.
Scan of same leg after 20 days of hydrotherapy spa treatment. Tremendous improvement!
The picture above shows the same leg after just 20 days of cold water spa treatment.

The scans were taken by leading Northern Ireland Equine Vet, Bruce Steele, of the Equine Veterinary Clinic in Hillsborough.

 

CET hydrotherapy spa for horses.
The hydrotherapy spa for horses shown above is similar to the spa used by Spirit Horse Hydrotherapy which will be housed in a trailer unit for traveling to different locations.

"Tendon injuries ...
resolve much faster
than normal."

Bruce Steele MVB, MRCVS;
Equine Veterinary Clinic, UK
regarding hydrotherapy on horses using a spa.


Source: CET Equine Spa

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