IN-DEPTH: LAMENESS REHABILITATION 9. Conclusion
With the wide variety of treatment modalities avail- able for treatment of soft-tissue injuries, choices must be made based on the level of injury, expecta- tions for results, and cost factors. The most impor- tant approach for care of soft-tissue injuries remains restriction from free exercise, repeated characteriza- tion of the lesion (usually via lameness evaluation and sonography), and initial anti-inflammatory treatment (cold therapy and medication). This is followed by appropriate rehabilitation exercise. For mild injuries, conservative therapy, as outlined above, is appropriate and entails modest cost. For more serious injuries, or for injuries that have stopped progressive healing, ESWT, PRP, or stem cells are recommended to stimulate the healing re- sponse. Regenerative modalities have moderate- to-high costs to the client. At this point, direct comparisons of treatment response to the various modalities reported here are not available.
Acknowledgments
Declaration of Ethics The Author has adhered to the Principles of the Veterinary Medical Ethics of the AVMA.
Conflict of Interest The Author declares no conflicts of interest.
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