Bursitis

Description

When a bursa becomes inflamed, the resulting swelling and stiffness create pain and limit movement. These closed sacs of fluid, lined by a membrane that secretes a lubricating fluid, are located at strategic points between joints and act as cushions to prevent friction.

Septic bursitis occurs when the bursa becomes infected with bacteria which sometimes occurs in areas such as the navicular area which is susceptible to becoming infected when the frog of the foot is injured.

Trauma to a bursa may be due to a blow or mechanical stress of exercise. When the bursa is severely affected, lameness develops. If stress continues over time, the bursa may become thickened and scarred, resulting in chronic bursitis. The shoulders, hips, hock joints, elbows, and knees of the horse are susceptible to development of bursitis.

Symptoms

• Swelling in area of bursa
• Stiffness
• Limited motion
• Limping
• Lameness
• Displacement of weight

Causes

Bursitis may be caused by trauma to the bursa either from a direct blow or through stress brought on by exercise. In the case of septic bursitis, the bursa becomes infected with bacteria from a wound that allows the bacteria to gain access to the bursa. .

Prevention

Preventing bursitis is dependent on good horse management to prevent injuries and, also, to detect the beginnings of bursitis as early as possible. Attention should be given to make sure that exercise and work activities take into consideration, the condition, age, and capabilities of the horse, to prevent damage to bursa because of trauma due to hard use.

Treatment

Treatment depends on the site of the injured or infected bursa and the extent of the damage. The services of a veterinarian who can diagnose and prescribe treatment can be very helpful in determining proper treatment and a time table for continued work or exercise.

Rest and anti-inflammatory drugs such as Butazolidin help to relieve pain and swelling. Injections of cortisone into the bursa are often beneficial. Corrective or proper shoeing will help relieve stress on the area and prevent further damage. In some cases, surgery and/or aspiration and lavage of the fluid sac is needed, and it may be necessary to drain the bursa and remove inflamed synovium in addition to injecting the bursa with a corticosteroid. Depending on the area, a bandage to protect and keep the area clean may be necessary.