Classified among physical therapy/rehabilitation techniques, extracorporeal shock wave therapy (ESWT) remains an important tool for helping manage a variety of equine conditions/injuries.1 Issues amenable to ESWT in horses include, but are not limited to:
- Tendinopathy/tendinitis, a leading cause of injury in athletic horses;
- Desmitis (ligament injuries, inflammation), especially where ligaments insert onto bone (e.g., chronic injury/inflammation of the suspensory ligament located at the back of the cannon bone);
- Osteoarthritis (OA, degenerative joint disease), including bone spavin (OA of the lower hock joint);
- Bone injuries such as stress fractures of the outer portion of the cannon bone (dorsal cortical stress fractures) and incomplete fractures of the sesamoid bones;
- Navicular disease or, more accurately, podotrochleitis; and
- Deep muscle pain.
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