Equine Treatment & Rehabilitation

Equine Shockwave Therapy

Extracorporeal shockwave therapy, commonly referred to as shockwave therapy, is a non-invasive treatment used in selected equine musculoskeletal conditions.

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Equine veterinary care at Racetrack Veterinary Services
Overview

A targeted treatment within a wider plan

At Racetrack Veterinary Services, shockwave therapy may be incorporated into an individual treatment and rehabilitation plan for horses with certain tendon, ligament, bone or soft tissue injuries.

It is most effective when used as part of a broader veterinary assessment rather than as a stand-alone treatment.

How It Works

What is shockwave therapy?

Shockwave therapy uses high-energy acoustic pressure waves that are directed into a targeted area of the body.

These waves are delivered through a handheld applicator placed against the skin over the area being treated.

The treatment is designed to stimulate biological responses within tissues and may be used to support healing, reduce pain and improve function in selected conditions.

When might shockwave therapy be recommended?

Shockwave therapy may be considered for conditions such as:

  • Tendon injuries
  • Ligament injuries
  • Suspensory ligament disease
  • Certain insertional injuries
  • Chronic soft tissue injuries
  • Some bone-related conditions
  • Selected back or pelvic pain syndromes
  • Ongoing musculoskeletal pain where other treatments have been insufficient
Selected Conditions

Shockwave therapy for tendon, ligament & other injuries

Every injury is different. Treatment recommendations depend on veterinary findings and the horse’s individual circumstances.

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Tendon & ligament injuries


Shockwave therapy is commonly used in the management of some tendon and ligament injuries, particularly where healing has been slow or where there is a chronic component to the injury.

Depending on the case, it may be used alongside controlled exercise, rest, rehabilitation, ultrasound monitoring, medication, and other regenerative or supportive treatments.

Repeat ultrasound examination may be recommended to monitor healing and guide return-to-work decisions.

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Suspensory injuries


Suspensory ligament injuries can be difficult to manage and often require a structured rehabilitation plan.

Shockwave therapy may be considered in selected cases, particularly where there is chronic or insertional injury.

Treatment is usually combined with controlled exercise, repeat clinical assessment and imaging where appropriate.

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Other musculoskeletal conditions


Shockwave therapy may also be considered for selected bone-related conditions, back or pelvic pain syndromes, chronic soft tissue injuries and ongoing musculoskeletal pain where other treatments have been insufficient.

A veterinary diagnosis is needed to determine whether it is appropriate for the individual horse.

What to Expect

What happens during a shockwave treatment?

The horse is examined first so the area requiring treatment can be clearly identified. The treatment process is then tailored to the condition being managed.

1

Veterinary examination

The horse is examined so the target area can be identified and the treatment plan confirmed.

2

Prepare the area

The skin over the area may be clipped if necessary, and a coupling gel is applied to help transmit the shockwaves.

3

Deliver the treatment

The applicator is positioned over the target area and a series of controlled acoustic pulses are delivered.

4

Individualise the procedure

Sedation may be used in some horses to ensure the treatment can be performed safely and accurately. The number of pulses and treatment settings depend on the condition being treated.

How many treatments are needed?

The number of treatments varies depending on the diagnosis and the horse’s response. Some horses may require a series of treatments spaced over several weeks.

Our team of veterinarians will recommend an appropriate treatment schedule based on the condition being managed and any follow-up findings.

Recovery & Follow-Up

Shockwave as part of rehabilitation

Shockwave therapy is usually most useful when incorporated into a broader rehabilitation plan.

This may include:

  • Controlled walking
  • Gradual return to exercise
  • Repeat ultrasound or radiography
  • Farriery changes
  • Physiotherapy
  • Medication
  • Joint or soft tissue treatments
  • Progressive return to training

The horse’s response to treatment should be reassessed before exercise is significantly increased.

Performance & Racing

Racehorses & performance horses

Racetrack Veterinary Services regularly manages musculoskeletal injuries in racehorses and performance horses.

Shockwave therapy may be considered as part of treatment for selected injuries where the aim is to support healing and assist a structured return to work.

Because competition and racing rules may restrict the timing of shockwave treatment before an event, owners and trainers should discuss treatment timing with our team of veterinarians.

Important Considerations

Does shockwave therapy mask pain?

Shockwave therapy can have a temporary analgesic effect, which is one reason treatment timing must be carefully managed in competition and racing horses.

For this reason, horses should not simply be returned to full work because they appear more comfortable after treatment.

Clinical examination, imaging findings and the underlying injury must still guide the rehabilitation plan.

Is shockwave therapy painful?

Some horses may find the treatment uncomfortable, particularly over sensitive areas.

Sedation is often used where necessary so the procedure can be performed safely and accurately.

FAQ

Frequently asked questions

What conditions can shockwave therapy treat?

It may be used for selected tendon, ligament, bone and soft tissue conditions. It is not suitable for every injury, so a veterinary diagnosis is required first.

How long does a treatment take?

Treatment time varies depending on the area and condition, but shockwave therapy itself is generally relatively quick.

Will my horse need sedation?

Possibly. Sedation may be recommended depending on the horse, the treatment area and the level of sensitivity.

How many shockwave sessions will my horse need?

This depends on the injury. Some horses require a course of several treatments, while others may need fewer.

Can shockwave therapy be combined with other treatments?

Yes. It is often used alongside rehabilitation, medication, imaging, farriery and other treatment modalities.

Can my horse work after shockwave treatment?

This depends on the condition being treated and the horse’s rehabilitation plan. Our team of veterinarians will provide specific exercise instructions.

Is shockwave therapy suitable for racehorses?

It may be suitable in selected cases, but treatment timing must comply with relevant racing rules and withholding periods.

Need advice specific to your horse? Contact our veterinary team.

Book an Assessment

Book a shockwave therapy assessment

If your horse has a tendon, ligament or other musculoskeletal injury, Racetrack Veterinary Services can assess whether shockwave therapy may be appropriate as part of their treatment and rehabilitation plan.

Our team of veterinarians can combine shockwave treatment with diagnostic imaging, rehabilitation planning and ongoing reassessment to help guide recovery and return to work.

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