Sunday, June 14, 2015

Cleveland Equine Update

I’ve learned about two interesting treatments this summer that are used to treat musculoskeletal injuries and diseases in horses.

IRAP, or Interleukin-1 Receptor Antagonist Protein, is used to treat osteoarthritis of joints. Interleukin-1 is a molecule produced by cells in damaged joints and it causes further inflammation. IRAP, when injected into joints, blocks interleukin-1 from binding its receptor, and thus helps stop the inflammatory cycle. The process used to make IRAP is interesting. First you draw a small amount of blood from the horse you wish to treat. The blood sits in a special syringe for 24 hours that has factors which stimulate monocytes in the blood to produce IRAP and other anti-inflammatory factors. Then the blood is spun to separate the cells and plasma. The plasma is divided into several doses and frozen, then once a week a dose is thawed and injected into the joint of interest. Because it is made from the horses’ own blood, the horse is very unlikely to have an allergic reaction. IRAP is a good alternative to treating joints with corticosteroids, which could eventually lead to further joint damage.

PRP, or Platelet-Rich Plasma, is most commonly used to treat tendon and ligament injuries, but can also be used in joints and other areas. Similar to IRAP it is made from the horse’s own blood, centrifuged to separate the plasma and platelets from red blood cells. The concentrated platelets are injected into the damaged tendon or ligament, where they become activated. Platelets can release a variety of growth factors which explains their usefulness in treating injuries in structures that have very little healing potential of their own. PRP can be made and injected within less than an hour, no overnight wait needed.

Jenna already mentioned Stem Cell treatments in a post from a few days ago, so I won’t explain it again but I will say it’s another great option to promote healing that is sometimes used here at Cleveland Equine. 

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