Intra-articular use of analgesic/antinflammatory drugs in dogs and horses.
Abstract: Joint pain is a major cause of lameness in animals such as horses and dogs, and it may affect their athletic performance and quality of life. The intra-articular administration of analgesic/antinflammatory drugs is a common practice in veterinary medicine, for both lameness diagnosis and joint pain management. It is used either perioperatively, such as in animals undergoing arthroscopy/arthrotomy, and in osteoarthritic animals. However, evidence regarding efficacy and safety of each drug is limited, and controversies persist in these areas. In particular, it is often uncertain whether a defined treatment is effective by simply relieving the symptomatic pain associated with the joint disease, or whether it has a positive effect on the joint environment. Moreover, there is still much hesitation about treatments for joint diseases, related to the time of their application for the best outcome, and to any possible deleterious side effects. This article includes a review of the literature concerning the main analgesic/antinflammatory drugs used intra-articularly for managing acute and chronic joint pain/inflammation in dogs and horses. Three main issues for each class of drugs are considered, including clinical efficacy, pharmacokinetics, and local cytotoxic effects.
Copyright © 2020 Elsevier Ltd. All rights reserved.
Publication Date: 2020-12-30 PubMed ID: 33387756DOI: 10.1016/j.rvsc.2020.12.014Google Scholar: Lookup
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Summary
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This research article delves into the administration of analgesic/antinflammatory drugs in horses and dogs for managing joint pain and lameness. It explores the efficacy, safety, pharmacokinetics, and potential side effects of these treatments, acknowledging ongoing controversies and uncertainties within veterinary medicine.
Overview of Joint Pain Management in Animals
- The study centers on the intra-articular use of analgesic and anti-inflammatory drugs, which are commonly used in veterinary medicine to address joint pain—a significant contributor to lameness in animals like horses and dogs.
- This form of treatment is utilized both for diagnosing lameness and managing joint pain. It is commonly used for animals undergoing procedures like arthroscopy/arthrotomy or those suffering from osteoarthritis.
Treatment Efficacy and Controversies
- Despite their common use, the article notes that evidence about the efficacy and safety of these drugs is limited, resulting in ongoing debates within the field.
- Particular areas of uncertainty include whether a specific treatment is effective in simply easing the pain symptoms associated with joint diseases or if it positively influences the joint environment.
- The point of contention also lies in deciding the best timing for applying these treatments for optimal results, as well as potential harmful side effects.
Scope of the Research Review
- This article is essentially a literature review focusing on the principal analgesic/ anti-inflammatory drugs used intra-articularly to manage acute and chronic joint pain or inflammation in dogs and horses.
- For each drug class, the study considers three key concerns: clinical effectiveness (how well it works in real-world conditions), pharmacokinetics (how the drug is absorbed, distributed, metabolized, and excreted from the body), and local cytotoxic effects (potential damages the drug may cause to body cells).
Cite This Article
APA
Di Salvo A, Chiaradia E, Nannarone S, Della Rocca G.
(2020).
Intra-articular use of analgesic/antinflammatory drugs in dogs and horses.
Res Vet Sci, 134, 159-170.
https://doi.org/10.1016/j.rvsc.2020.12.014 Publication
Researcher Affiliations
- Department of Veterinary Medicine, University of Perugia, Via San Costanzo, 4, 06126 Perugia, Italy; Department of Veterinary Medicine, Research Center on Animal Pain, University of Perugia, Via San Costanzo, 4, 06126 Perugia, Italy.
- Department of Veterinary Medicine, University of Perugia, Via San Costanzo, 4, 06126 Perugia, Italy.
- Department of Veterinary Medicine, University of Perugia, Via San Costanzo, 4, 06126 Perugia, Italy; Department of Veterinary Medicine, Research Center on Animal Pain, University of Perugia, Via San Costanzo, 4, 06126 Perugia, Italy. Electronic address: sara.nannarone@unipg.it.
- Department of Veterinary Medicine, University of Perugia, Via San Costanzo, 4, 06126 Perugia, Italy; Department of Veterinary Medicine, Research Center on Animal Pain, University of Perugia, Via San Costanzo, 4, 06126 Perugia, Italy.
MeSH Terms
- Analgesics / therapeutic use
- Animals
- Dog Diseases / drug therapy
- Dogs
- Horse Diseases / drug therapy
- Horses
- Inflammation / drug therapy
- Inflammation / veterinary
- Injections, Intra-Articular / veterinary
- Joint Diseases / drug therapy
- Joint Diseases / veterinary
- Pain / drug therapy
- Pain / veterinary
- Quality of Life
Citations
This article has been cited 3 times.- Mwale C, Sunaga T, Wang Y, Bwalya EC, Wijekoon HMS, Kim S, Okumura M. In vitro chondrotoxicity of bupivacaine, levobupivacaine and ropivacaine and their effects on caspase activity in cultured canine articular chondrocytes. J Vet Med Sci 2023 Apr 22;85(4):515-522.
- Marcellin-Little DJ, Hulse DA, Huntingford JL, Grubb T, Brunke MW, Markley AP, Frank B. A proposed framework for practical multimodal management of osteoarthritis in growing dogs. Front Vet Sci 2025;12:1565922.
- McKinney JM, Pucha KA, Bernard FC, Brandon Dixon J, Doan TN, Willett NJ. Osteoarthritis early-, mid- and late-stage progression in the rat medial meniscus transection model. J Orthop Res 2025 Jan;43(1):102-116.
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