05/30/2025
Cold/compression systems can be beneficial for controlling swelling and inflammation but may not be readily available to most horse owners, and the cost of these units is often substantial.
For cooling, simple cold hosing using cold tap water from a garden hose for 10-15 minutes once to twice daily can be beneficial in some cases, is cost-effective, and is readily available. This may be most helpful in cases of acute swelling. Ice therapy can be effective as well. Some individuals fashion large ice buckets out of items such as fluid drums, fill them with ice water, and have the horse stand with the legs submerged for a period of 10-15 minutes. This provides rapid cooling, but care should be taken to avoid prolonged exposure. Patient tolerance is also variable using this method.
For compression, a standard bandage may be useful, especially in the acute phase. There is debatable efficacy of topical application of “sweat” wraps. Historically, DMSO and nitrofurazone were commonly used. While these products are still used, there are also other topical products such as magnesium sulfate paste that can be applied. Veterinary insight is important because there are numerous over-the-counter topicals available, but very few have any established efficacy and some can be quite irritating to the skin, especially if there is any topical wound involved. Standing bandages i.e. polo wraps may offer a viable alternative for more long-term maintenance of a bandage.
Movement is often beneficial for decreasing swelling as well. This may take the form of light hand walking for 10-15 minutes a few times per day or the use of a walker. Veterinary insight is important to ensure that there are no underlying issues that may be perpetuated by light exercise. It is also important to bear in mind that in some cases with chronic limb edema and cellulitis, some degree of enlargement/swelling of the leg may persist despite treatment. Sometimes this is not necessarily performance-limiting but may be more of a cosmetic concern. Working with your veterinarian will help to ensure the best possible outcome.