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The Veterinary clinics of North America. Equine practice2025; 41(2); 391-401; doi: 10.1016/j.cveq.2025.04.009

Adjunct Therapies for Tendon/Ligament Healing: Therapeutic Laser and Extracorporeal Shockwave Therapy.

Abstract: High-power laser therapy and extracorporeal shock wave therapy (ESWT) can be safely used to treat tendon and ligament injuries in horses, and the potential beneficial effects have been described. The power of low level lasers is not sufficient for treatment of tendon and ligament injuries in horses. ESWT is used more often to treat tendon and ligament injuries than it is for any other type of condition in horses, but there is limited supporting scientific evidence. Further research should focus on establishing dosage and treatment protocols for both laser therapy and ESWT in horses with clinically relevant long-term follow-up.
Publication Date: 2025-06-14 PubMed ID: 40517026DOI: 10.1016/j.cveq.2025.04.009Google Scholar: Lookup
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Summary

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This research investigates how high-power laser therapy and extracorporeal shock wave therapy (ESWT) can be used to safely treat tendon and ligament injuries in horses, despite limited scientific evidence for ESWT. Further investigation is needed to establish dosage and treatment protocols for both therapies.

Therapeutic Laser and <Extracorporeal Shockwave Therapy

  • This research specifically focuses on two adjunct treatments for tendon and ligament injuries in horses: high-power laser therapy and a href=”/shockwave-therapy-in-horses/” title=”Shockwave Therapy in Horses: Uses, Benefits & Side Effects”>extracorporeal shock wave therapy (ESWT).
  • High-power laser therapy, as the name suggests, involves using a high-power laser to provide a therapeutic effect. The idea here is that the laser’s energy can penetrate deep into tissues, stimulating a series of biological responses that can accelerate healing and alleviate pain.
  • Both these therapies act as adjuncts meaning they are used in conjunction with other therapies to enhance the healing process. They are not intended to replace traditional treatments but to compliment them, potentially speeding up recovery times or increasing treatment effectiveness.

Limitations and Future Directions

  • The research acknowledges that low-level lasers are not potent enough to treat such injuries in horses. In terms of ESWT, the therapy is actually used more often than any other for treating tendon and ligament injuries in horses. However, there seems to be limited scientific evidence vouching for its effectiveness.
  • The paper therefore clearly indicates the need for further research. The authors advocate for more studies to help establish a scientific basis for dosage and treatment protocols for both laser therapy and ESWT when it comes to treating these specific injuries in horses.

Clinically Relevant Long-Term Follow-up

  • The research also emphasises on the requirement for more clinically relevant long-term follow-up. This essentially means there is a need for longitudinal studies to assess the effects of these therapies over a more extended period.
  • Such studies could provide more nuanced understandings of long-term implications, any associated risks, benefits and the overall effect over the lifetime and performance of the horse.

Cite This Article

APA
Pluim M, Reynolds A, McClure S. (2025). Adjunct Therapies for Tendon/Ligament Healing: Therapeutic Laser and Extracorporeal Shockwave Therapy. Vet Clin North Am Equine Pract, 41(2), 391-401. https://doi.org/10.1016/j.cveq.2025.04.009

Publication

ISSN: 1558-4224
NlmUniqueID: 8511904
Country: United States
Language: English
Volume: 41
Issue: 2
Pages: 391-401

Researcher Affiliations

Pluim, Mathilde
  • Tierklinik Lüsche GmbH, Essenerstrasse 39a, 49456, Bakum, Germany. Electronic address: mpluim@tierklinik-luesche.de.
Reynolds, Angela
  • Rhythm Equine Veterinary Services, Box 829, Langham, Saskatchewan, S0K2L0, Canada.
McClure, Scott
  • Midwest Equine, 1354 270th Street, Boone, IA 50036, USA.

MeSH Terms

  • Animals
  • Horses / injuries
  • Extracorporeal Shockwave Therapy / veterinary
  • Extracorporeal Shockwave Therapy / methods
  • Tendon Injuries / veterinary
  • Tendon Injuries / therapy
  • Horse Diseases / therapy
  • Ligaments / injuries
  • Laser Therapy / veterinary
  • Laser Therapy / methods
  • Low-Level Light Therapy / veterinary
  • Wound Healing

Conflict of Interest Statement

Disclosures The authors have nothing to disclose.