The Precursor to Osteoarthritis - Subclinical Synovitis in Horses

Newsdate: Fri 15 January 2016 – 7:00 am
Location: DULUTH, Georgia

Stiffness and lameness, clinical signs associated with osteoarthritis (OA),1 are all too common for performance horses. Synovitis, an inflammation of the joints, is one of the earliest changes in the joints of these athletic animals often related to repetitive trauma from training or performing. This could eventually lead to OA.1

Vet checking horse for symptoms of synovitis

Vet checking horse for symptoms of synovitis

LEGEND is the first FDA-approved joint therapy backed by decades of manufacturing hyaluronate sodium indicated for the treatment of joint dysfunction in horses due to non-infectious synovitis associated with equine osteoarthritis.

But, the onset of synovitis may be occurring at a subclinical level – prior to horses showing signs.

“Performance horses are powerful athletes, but joint inflammation may lead to poor performance and potentially progress to OA,” says Hoyt Cheramie, DVM, MS, DACVS, manager, Merial Large Animal Veterinary Services. “That’s why early recognition of subclinical synovitis and intervention with LEGEND® (hyaluronate sodium) is essential to prevent permanent joint damage.”

Treating

Since training can cause repetitive-use trauma to the joints leading to synovitis, consider treating performance-focused horses with LEGEND. With millions of doses sold and more than 20 years of treatment success, LEGEND remains an important drug of choice in the battle against equine non-infectious synovitis. By decreasing the production and release of the molecules that play a role in inflammation, LEGEND helps reduce joint inflammation and the resulting pain and lameness.2

How it Works

LEGEND is pure hyaluronic acid produced through a patented biofermentation process, and purified through a 12-step microfiltration process. This filtration removes impurities and foreign proteins that could cause adverse joint flares. Hyaluronic acid has been shown to stimulate synoviocytes to naturally produce more hyaluronic acid in the horse.3

LEGEND is the first FDA-approved intravenous (IV) joint therapy backed by decades of experience manufacturing hyaluronate sodium indicated for the treatment of joint dysfunction of the carpus or fetlock in horses due to non-infectious synovitis associated with equine OA. That’s a legacy you can have confidence in.

About Merial

Merial is a world-leading, innovation-driven animal health company, providing a comprehensive range of products to enhance the health and well-being of a wide range of animals. Merial employs 6,100 people and operates in more than 150 countries worldwide with over €2 billion of sales in 2014.

Merial is a Sanofi company. For more information, please see www.merial.com.

IMPORTANT SAFETY INFORMATION: The safety of LEGEND has not been evaluated in breeding stallions or in breeding, pregnant or lactating mares. The following adverse reactions have been reported following use of LEGEND Injectable Solution: Following intravenous use: occasional depression, lethargy, and fever. Following intra-articular (LEGEND Injectable Solution – 2 mL only) use: lameness, joint effusion, joint or injection site swelling, and joint pain.

®LEGEND is a registered trademark of Merial. ©2015 Merial, Inc., Duluth, GA. All rights reserved. EQUIOLG1517 (09/15)

1Carmona JU, Prades M. Pathophysiology of osteoarthritis. Compendium Equine. 2009;4:28-40.

2Kawcak, CE; Frisbie, DD; Trotter, GW; McIlwraith, CW; Gillette, SM; Powers, BE; Walton, RM: Effects of intravenous administration of sodium hyaluronate on carpal joints in exercising horses after arthroscopic surgery and osteochondral fragmentation. AJVR 1997; 58(10):1132-1140.

3Smith MM, Ghosh P. The synthesis of hyaluronic acid by human synovial fibroblasts is influenced by the nature of the hyaluronate in the extracellular environment. Rheumatol Int. 1987;7(3):113-122.

About the Author

Flossie Sellers

Author picture

As an animal lover since childhood, Flossie was delighted when Mark, the CEO and developer of EquiMed asked her to join his team of contributors.

She enrolled in My Horse University at Michigan State and completed a number of courses in everything related to horse health, nutrition, diseases and conditions, medications, hoof and dental care, barn safety, and first aid.

Staying up-to-date on the latest developments in horse care and equine health is now a habit, and she enjoys sharing a wealth of information with horse owners everywhere.

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