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The course of each tendon is readily outlined by palpation; all parts are easily manipulated; and with experience one may readily recognize the extent and degree of the inflammation. Treatment. In some cases of acute tendinitis, pain is intense and the application of cold packs during this stage is very beneficial in that pain is controlled and inflammation subsides.
Absolute rest is necessary where inflammation is acute and in sub-acute or chronic tendinitis avoidance of all work which causes irritation to the affected tendons is imperative. Where contraction of tendons exists surgical treatment is necessary.
Therefore, in chronic tendinitis there is to be found at times the same conditions which characterize acute inflammation, except that there is usually a variance of symptoms because of the difference in the degree of inflammation and pain.
In all cases of acute tendinitis there is presented a characteristic attitude by the subject. Volar flexion in a sufficient degree to relax the inflamed structures is always evident. The foot may be rested on the toe or placed slightly in advance of the one supporting weight, but the fetlock is always thrown forward. More or less swelling of the inflamed tendons is present.
In chronic tendinitis the tendon may be thickened and rough or knotty. Pain is not a prominent symptom in this class of cases. Shortening of the inflamed tendon may occur, causing the animal to knuckle over. Rupture of one or more of the tendons and the suspensory ligament can be recognized by the abnormal extension of the pastern.
One of the most common causes of lameness in light harness and saddle horses is tendinitis, and because of the character of the structure of tendons and because of their function, an active inflammation of these parts is always serious.
All fractures are serious, and in every instance the practitioner would best be careful to impress his client with the many difficulties which usually attend the treatment of fracture in horses. Tendinitis. Inflammation of the Flexor Tendons.
For a concise discussion of this subject the most practical classification is one made on a chronological basis and we may then consider tendinitis as acute and chronic. Etiology and Occurrence. Causes of tendinitis, as in almost all diseases, may be considered under the heads of predisposing and exciting. Among the predisposing causes of tendinitis may be mentioned, faulty conformation.
As has been indicated, ample time should be allowed for recovery and depending upon conditions, it takes from three weeks to six months for complete recovery to become established. Chronic Tendinitis and Contraction of the Flexor Tendons. Etiology and Occurrence. Acute inflammation of the flexor tendons may result in chronic tendinitis.
Many fully developed cases of contraction of the tendons of the carpal flexors are observed where the condition has become established gradually and no lameness has resulted from tendinitis or carpitis.
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