The Horse's Hock - Treatments and symptoms of hock joint lameness

Common problems of horse’s hock joint

Horse lameness is often caused by inflammatory changes that interfere with the normal structure and function of the horse’s hock. Problems can develop gradually so early signs may be as subtle as loss of performance.

Other symptoms include:

• intermittent lameness with or without heat or swelling
• initial stiffness that improves during warm-up
• resistance to going downhill
• soreness in lower back muscles as a result of overcompensating for the hocks

Potential horse hock joint problems include:

• capped hock
• thoroughpin (puffy swellings similar to windgalls seen around the fetlocks)
• bog spavin (not a condition as such but caused by an inflamed joint)
• bone spavin
• and most commonly, osteochondritis dessecans (OCD) and osteoarthritis (OA) i.e. arthritis of the bone.

Osteochondritis dessecans (OCD)

OCD and OA are progressive conditions, which mean they tend to worsen over time. They both affect the bone and cartilage causing inflammation and pain. In OCD, abnormalities of the bone and cartilage may result in small fragments breaking off and floating around inside the joint which also cause inflammation.

OCD may arise due to rapid growth – it’s often seen in young horses and in foals less than a year old – or due to nutritional issues, genetics, hormonal imbalances or due to trauma relating to exercise.

Osteoarthritis (OA)

OA arises because the inflamed bone produces additional bone and arises in the lower hock. This process of new bone formation causes restricted movement in the joint, alongside pain and lameness.

Horses undergoing high-intensity exercise or those with poor conformation, such as straight, sickle or cow hocks, are more prone to developing hock problems such as OA, though it can also arise in horses doing little work.

Treatment of OA of the Hock Joint

For OA in the horse’s hock joint, the usual course of action from your vet is the injection of anti-inflammatory drugs, such as corticosteroids, directly into the hock joint (intra-articular injections).

Your horse will need to have a couple of days rest afterwards and then slowly ease back into work. The benefits of these injections may range from a few weeks to a year or longer.

For cases that don’t respond to the conventional steroids, hydrogels may be injected with the aim of reducing pain, conserving cartilage and improving joint mobility.

For cases of OCD, treatment is usually surgical removal of the abnormal bone and cartilage though factors need to be considered such as the severity of lameness, location of OCD and age of the horse.

There are also non-prescription joint supplements available which may promote healthy cartilage and are preventative rather than therapeutic. Use of alternative therapies such as massage, magnetic and heat can also help keep surrounding muscle tissue healthy, as many horses may begin to compensate elsewhere in their bodies.