Equine Infectious Anemia (EIA) is a potentially fatal viral disease, transmitted by blood via biting insects. EIA causes severe anemia and fevers and has no cure. The incidence of EIA has been greatly reduced by surveillance through testing (Coggins Test).
A "Coggins" is a blood test that detects antibodies to the Equine Infectious Anemia disease. For your horse to travel across state lines and internationally, a negative Coggins Test is required. Requirements may vary depending on where you are traveling. International travel often requires a horse to have a negative Coggins within 30 days. Most states require proof that a horse has tested negative for EIA within the 12 months prior to travel. However, some states require that horses test EIA negative 60 days prior to entering the state. If you are crossing state lines, with your horse, you will also need a health certificate.
To perform a Coggins Test, a Starwood veterinarian will obtain a blood sample and send it to a USDA accredited laboratory. The sample is submitted with a form which identifies your horse through markings and digital photographs.
To streamline our service, we encourage clients to begin the Coggins and health certificate process at least one week before their planned departure. A RUSH can be done with a 48 hour turn-around time, but additional charges apply.
Starwood Equine believes in the use of both traditional and integrative medical approaches, and feels there is a place for both western and eastern medicine in our equine patients. Dr. Jillian Mills graduated from the Chi Institute of Traditional Chinese Veterinary Medicine and is a Certified Veterinary Acupuncturist. The following article is intended to introduce you to the use of mesotherapy in the horse, and explain the science behind this treatment method.
What can mesotherapy be used for?
How does mesotherapy relieve pain?
What does the mesotherapy treatment entail?
How soon can we expect results?
Starwood Equine believes in the use of both traditional and integrative medical approaches, and feels there is a place for both western and eastern medicine in our equine patients. Dr. Jillian Mills graduated from the Chi Institute of Traditional Chinese Veterinary Medicine and is a Certified Veterinary Acupuncturist. The following article is intended to introduce you to the use of acupuncture in the horse, and explain the science behind this therapeutic modality.
What can acupuncture be used for?
How do acupuncture needles relieve pain?
Is acupuncture safe?
How does it feel?
What does the acupuncture treatment entail?
How soon can we expect results?
Starwood Equine has a new tool for diagnosing infection and inflammation! The StableLab Test monitors levels of Serum Amyloid A, also known as SAA, which is a protein produced by the liver in response to inflammation. Running this simple 10-minute stall-side blood test for this biomarker protein enables Starwood doctors to have real time information regarding the severity of an infection.
Until now veterinarians have relied on other methods to detect infection and inflammation. Sending blood work out to test for a biomarker protein called fibrinogen has been widely considered the gold standard for some years. Unfortunately, when evaluating infection using fibrinogen levels, you are often looking at the inflammation process with a time lag of several days.
SAA is a more sensitive and informative method of detecting inflammatory proteins and provides real-time results. A healthy horse will have a low concentration of SAA in their blood. Levels quickly rise over 6-12 hours in equines suffering from an infection, which enables earlier detection of disease resulting in more timely treatment. This affordable stall-side test can be run throughout treatment to allow Starwood veterinarians to monitor for treatment efficacy and precisely time end of therapy.
Some situations where SAA could provide useful clinical information include cases of:
Additionally, SAA may be used as a health screen before shipping, showing or competition, joint injections, or for new arrivals to a barn. StableLab SAA screening is a beneficial new tool that Starwood Equine looks forward to utilizing in providing the best care for your horse. Please contact the office or speak with our doctors at your next appointment for additional information.
Starwood Equine is excited to offer Pro-Stride Therapy, a drug-free advanced form of regenerative medicine for inflammatory joint treatment. In Equine Sports Medicine “regenerative medicine” is a term often used to reference clinical therapies that focus on utilizing the horse’s own body to promote self-healing. The Pro-Stride Therapy system accomplishes this self-healing by using the horse’s biological components (cells, platelets, plasma, etc.).
The procedure starts by taking a sample of the equine patient’s blood and processing the sample stall-side. The processed Pro-Stride sample contains Platelet Rich Plasma (PRP) and Interleukin-1 Receptor Antagonist Protein (IRAP). PRP contains both the signals and the matrix proteins to “jump-start” the regeneration process. IRAP inhibits damaging inflammatory molecules in the joint. In chronic injury such as osteoarthritis, healing becomes stuck in the initial inflammatory phase. Before healing can begin in earnest, the inflammatory signals must be silenced and replaced with signals which promote tissue regeneration. This is accomplished by using PRP and IRAP to work synergistically to promote joint healing. This concentrated solution is then injected into the affected joint.
Benefits of Pro-Stride Therapy include:
Pro-Stride Injection will reduce pain associated with arthritis and deliver naturally occurring anti-inflammatory proteins. Pro-Stride Injection is capable of slowing cartilage degradation and improving mobility. This treatment has longer duration of efficacy when compared to traditional joint injections using steroids and hyaluronic acid. It is also a great option for horses that initially respond to a steroid injection but have recurrence within just a few months. Please contact Starwood Equine if you are interested in Pro-Stride Therapy for your horse.
*A. Bertone, Am J Vet Res 2014;75:141–1
Equine rehabilitation focuses on restoring or improving the health of horses. Executing a successful rehabilitation program requires a team effort with active participation from your veterinarian, trainer, rider, farrier, and barn manager. An accurate diagnosis is the most crucial step in designing a treatment plan tailored to your equine athlete's needs. Once the cause of an issue is identified a course of treatment can be created to address the problem whether it be an injury, misalignment, or lack of strength.
With a variety of treatment options now available for your equine athlete, it is important to make sure that the professionals you select to oversee your horse’s rehab program are well educated and correctly trained in the use of many therapy modalities. The University of Tennessee College of Veterinary Medicine offers the only university based program producing Certified Equine Rehabilitation Practitioners (CERP). The CERP program consists of a sequence of postgraduate courses designed to provide the participants with the necessary skills to design and implement comprehensive rehabilitation programs for commonly seen musculoskeletal, integumentary, and neurologic conditions in the horse.
The program achieves this by having veterinary professionals collaborate with physical therapy specialists to review equine anatomy, gait analysis, confirmation, lameness evaluation, and neurologic examination. Graduates of this course have received training for identifying which therapeutic modality is most appropriate for certain circumstances and hands on training for the best method of application, including:
Be sure to follow up with your veterinarian as the rehabilitation program comes to an end. It is important to confirm that the injury has healed sufficiently before allowing your horse to return to work.
Starwood Equine Drs. Kelly Zeytoonian and Jillian Mills, are two of the few veterinarians in the state of California to have acquired certification from the University of Tennessee College of Veterinary Medicine’s program producing Certified Equine Rehabilitation Practitioners (CERP). Call or email our office today to set up an appointment to evaluate your horse’s potential rehabilitation needs for recovery or fitness.
Healthy Joints are critical to achieving maximum performance in our equine athlete partners. Healthy joints are made up of articular cartilage and joint fluid. Cartilage helps the bones move smoothly against one another. Joint fluid, a viscous fluid made up of hyaluronic acid and proteins, aids in shock absorption.
Joints can become damaged through trauma or degenerative joint diseases, such as osteoarthritis, trauma, or repetitive motions that create inflammation. The effect of these processes is a net loss of cartilage and viscosity of the joint fluid. The joint fluid loses hyaluronic acid which decreases its viscosity and ability to absorb concussion. These changes can cause pain as bones rub together without the cushioning. The discomfort caused by decreased joint health can present many different ways. Some examples include stiffness, lameness, positive flexion test, resistance to extending legs fully in work, hesitance to jump, or a reaction to landing from a jump.
Current proactive treatments include:
1. Adequan is a commonly used treatment for joint support. Adequan is a polysulfated glycosaminoglycan commonly abbreviated PSGAG. This is chemically similar to the substances found in cartilage. Adequan improves joint function in two ways. It increases hyaluronic acid concentration in joint fluid and inhibits proteolytic enzymes that break down cartilage and joint fluid. Adequan has the benefit of decreasing inflammation in the synovial membrane that surrounds each joint which can decrease pain.
It is recommended that an Adequan series of seven injections be given in the muscle twice a year. Studies have shown that Adequan reaches joints within two hours of injection. In forty-eight hours post injection, Adequan causes increased levels of hyaluronic acid in joint spaces. Within ninety-six hours Adequan can be found in joint cartilage.
2. Legend is another treatment for joint support that is frequently prescribed. Legend is hyaluronate sodium, commonly known as hyaluronic acid. The hyaluronate molecules are long chains that form a network with existing joint fluid. This helps restore the lubricating effect of joint fluid and eases the pain. It causes change within days of being injected. Legend is a great choice for extra joint support before a show.
3. Pentosan is a compounded drug that has anti-inflammatory properties. A dose is given in the muscle once weekly for four weeks, then once a month. It is currently not sold in the United States and therefore must be compounded by a pharmacy. It is not regulated by the FDA at this time. Starwood veterinarians recommend the use of FDA approved medications whenever possible.
These medication can be used as both a preventative measure and to slow the progression of osteoarthritis once it has begun. We encourage you to schedule an exam so that Starwood veterinarians can discuss a proactive approach to protecting your horse’s joints.