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RE: [RC] Blown ACL - Mike Sofen

I used Prolo to successfully treat a high suspensory tear on the hind leg of
an older endurance horse.  Dr Kessinger in Santa Cruz, CA had done one prior
horse with amazing results (horse went from 2 years of dead lame to sound
after 4 injections), so he suggested it and I agreed to try it.  I believe
Prolo is based around glucose (not saline) and an antibiotic, the theory
being flooding the actual tendon/ligament cells with glucose stimulates then
into overdrive to build new cells and rebuild damaged ones.

We did an ultrasound prior to the treatment, an ultrasound at 60 days and
one at 90 days.  The injury normally requires at least 180 days of rehab.

He did injections 30 days apart for 60 days (3 injections total).  Requires
sedation and highly sterile injection directly into tendon.  Physical rehab
started immediately, with confinement to a stall, with handwalking every day
starting at 20 minutes and increasing 10 minutes per week until 60 minutes
per day (4 weeks), then replacing 5 minutes of walking with trotting, adding
5 minutes of trotting per week, until we hit 30 minutes of walking/30
minutes of trotting (I got into good shape too!).

At that point (10 weeks), Dr Kessinger wanted to start stressing the leg, so
I rigged up my saddle carrying 30 pounds of weight for a total of about 50
lbs.  Did that for 2 weeks.

Ultrasound at 60 days showed no sign of the lesion at all.  He said it was
time to start riding, slowly, lot's of walking, slowly increasing trotting.
No signs of lameness under saddle.  At 90 days, final ultrasound no evidence
of any prior injury.

2+ years later: that injury has not reappeared.  Looks like a solid therapy.
The horse has had other injuries, but none on that suspensory.  Feel free to
contact me directly for any more details.

Mike Sofen

-----Original Message-----
From: ridecamp-owner@xxxxxxxxxxxxxxxxx
[mailto:ridecamp-owner@xxxxxxxxxxxxxxxxx] On Behalf Of Libby & Quentin Llop
DVM
Sent: Friday, February 11, 2005 5:58 PM
To: ridecamp@xxxxxxxxxxxxx
Subject: [RC] Blown ACL

Has anyone else heard reports on Prolotherapy, a technique used for weak but
not torn ligaments?   The idea is to inject a concentrated saline into the
ligament, which causes a local reaction.  When that is healed, the resultant
ligament is thicker, but histologically the same as an uninjured one.

Quentin



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Ridecamp is a service of Endurance Net, http://www.endurance.net.
Information, Policy, Disclaimer: http://www.endurance.net/Ridecamp
Subscribe/Unsubscribe http://www.endurance.net/ridecamp/logon.asp

Ride Long and Ride Safe!!

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Replies
[RC] Blown ACL, Libby & Quentin Llop DVM