Equine OrthoCare, LLC 
13416 Jarrettsville Pikem 
Phoenix, MD 21131
PH: 855-446-6422
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Soft Tissue

Superficial Digital Flexor Tendon - Herecomesbert

Herecomesbert, then a five-year old thoroughbred gelding, was claimed by Tim Ritchey on January 21, 2013 at Oaklawn Park. In early March 2012, Ritchey noticed a bowed tendon. Ultrasounds at Oaklawn Park confirmed a left front SDFT lesion on March 4, 2013. See ultrasound images.

Based on his prior success with the IoniCare System, Ritchey started IoniCare therapy immediately for three hours per day, seven days per week, along with hand walking twice a day. Once back at Delaware Park, follow-up ultrasounds on April 15, 2013 by Dr. Kathleen Anderson were taken. They showed some healing already but still a significant lesion. See ultrasound images.

Herecomesbert was sent to Ritchey's farm where the IoniCare therapy continued every day for three hours along with hand walking and restricted turnout.

Ritchey returned him to Delaware Park in early September, six months after the initial injury and began jogging on the track while continuing IoniCare therapy. On November 1, 2013, Herecomesbert resumed full training. The final ultrasound images were taken at Delaware Park on November 18, 2013. See ultrasound images. During November and December 2013, while still continuing the IoniCare therapy for three hours every day, Herecomesbert published several official workouts before his first race post-injury on January 10, 2014. He tired and came up short on a sloppy track. In his second post-injury race, he finished second by a nose. Ritchey lost Herecomesbert to a claim on February 13, 2014 after his third post-injury race which he won. He won his next race on March 9, 2014 for the new owners and was claimed again on April 9, 2014 after finishing second. At the age of 7, Herecomesbert has had 12 post-inury starts through August 2014.

While under the care of Ritchey, Herecomesbert was continuously treated with the IoniCare System 3 for three hours a day, seven days a week, from the initial injury until he was claimed. In addition to IoniCare therapy, two or three periodic shockwave and blister treatments were administered early on. No other forms of treatment, injections, or surgery were administered.

Veterinarian: Kathleen M. Anderson, DVM, Equine Veterinary Care at Fair Hill Training Center
Trainer during IoniCare therapy: Timothy F. Ritchey

Superficial Digital Flexor Tendon - Thoroughbred Colt

A thoroughbred developed tendonitis as a two-year old on September 3, 2012. A lesion in the right front superficial digital flexor tendon was visible on ultrasound taken 9/8/12. After a month of treatment with the IoniCare System and hand walking, vet exam showed significant improvement and in ultrasound taken 10/11/12 lesion was only visible on an oblique view with a magnified off angle image. IoniCare therapy continued with monthly ultrasound checks showing continued and completed healing by the 12/12/12 check. The horse returned to training in early January. Ultrasound taken 3/2/13 showed no sign of the injury or any re-injury. Training and regular treatment with the IoniCare System continued and he raced for the first time on June 8, winning by 5 lengths, He raced again in a stakes race June 29, finishing 2nd, but beat his best previous time by a second. Ultrasound on July 16, 2013 showed that the tendon was still sound. He raced again on August 15, winning by 4 1/2 lengths, and again on September 21, where he slipped on the mud coming out of the gate but still finished 5th on a short tight track. In his 5th start, on October 18, he was 5th, but the tendon has remained sound and maintenance IoniCare therapy continues.

Veterinarian: Kathleen M. Anderson, DVM, Equine Veterinary Care at Fair Hill Training Center.
Trainer: Timothy F. Ritchey

Suspensory Lesion and Adhesions - Karma

Karma, a 13-year old Warm Blood mare at Notch Hill farm suffered persistent left front lameness due to unbalanced feet and wear and tear. An MRI taken at Rood & Riddle Equine Hospital in Lexington on January 9. 2012 showed lesion in the deep digital flexor tendon and with extensive adhesions to the tendon by the suspensory of the navicular bone in the proximal area of the navicular bursa region. (See MRI interpretation.)
At that time Karma was grade 3/5 lame LF upon presentation. Shoeing to re-balance the foot improved her to grade 2/5 lameness LF. Dr. Scott Morrison, DVM, of Rood & Riddle recommended treatment with the IoniCare System, which was started March 1, 2012. Karma received 24 3-hour treatments over 5 weeks (3-5 days per week). 
By the end of the fifth week she had improved to sound with an occasional grade 1/5 lameness during light dressage work. Since then Karma has remained sound.

Veterinarian: Scott Morrison, DVM, Podiatry Specialist, The Podiatry Center, Rood & Riddle Equine Hospital, Lexington, KY and The Podiatry Center, The Sanctuary, Ocala, FL

Torn and Partially Detached Trapezius and Deltoideus Muscles - Nacho

Okie Shis Sonny Boy (aka Nacho) a 6-year old Quarter Horse gelding suffered a tear and partial detachment of the Trapezius and Deltoideus muscles of the left shoulder blade. Treatment with the IoniCare System was started on February 16, 2012 averaging about 3 hours per day. After 3 days of treatment the swelling was gone. After 7 days he was walking much better but still with a limp. After 4 weeks the injury appeared to be healed. At 8 weeks light exercise was started. Treatment continued for a total of 11 1/2 weeks and 229 hours, at which point Nacho was sound with no sign of lameness. Watch a short video of before and after treatment.

Superficial Digital Flexor Tendon - Dressage Horse

A four-dressage horse pulled a tendon. A lesion in the left front superficial digital flexor tendon was confirmed by ultrasound on 1/26/13. Treatment with the IoniCare System was started on February 2, and noticeable improvement was seen within weeks. Horse was on stall rest with short periods of hand walking and grazing for the first four weeks. He also received icing and standing wraps at night. The System was used daily for three or more hours, 6 days per week. After four weeks of treatment, the swelling had dramatically reduced and the horse showed little sensitivity to the tendon. The time hand walking and grazing was increased. At eight weeks the tendon became more taught and the horse showed no sign of sensitivity. After 173 hours of treatment over twelve weeks, ultrasound on March 16 showed full repair of the hole and the horse was classified as sound by the veterinarian.
See the before and after ultrasound images.

Superficial Digital Flexor Tendon - Will Smith

Will Smith, a 10-year old event horse, was injured on 8/28/12. A lesion in the right front superficial digital tendon was confirmed by ultrasound on 10/9/12. Treatment with the IoniCare System began shortly after mid-October, 3 hours per day, 7 days a week. Inflammation improved after just 3 weeks of treatment. He returned to work on 1/1/13 and returned to normal turnout on 5/1/13. Ultrasound on 7/5/13 showed the lesion was practically gone. Treatment continued and the horse competed at the Millbrook Horse Trials 8/1-3/13 and the Richland Park H.T. with no problems. Ultrasound on 8/28/13 showed the lesion was completely healed. 
He did well in the Marlborough H.T. and placed 3rd in the Morven Park Fall H.T. on 10/4-6/13. At the Fair Hill International CCI**, 10/16-20/13, he placed 10th in the National Division and 16th in the International Division out of 78 starters. 
After a winter in Texas he competed at events in Fair Hill and New Jersey in May 2014. With daily IoniCare treatment he has remained sound and comes out of competition in good shape. He continues on the System for maintenance.

May 2014

Veterinarian: Kathleen M. Anderson, DVM, Equine Veterinary Care at Fair Hill Training Center
Trainer: Danny Warrington

View before and after ultrasound pictures.

Superficial Digital Flexor Tendon - Thoroughbred Filly

A two-year old thoroughbred filly, developed a right front superficial digital flexor tendon lesion, confirmed by ultrasound September 3, 2012. After about a month of treatment with the IoniCare System, vet exam and ultrasound on 11/11/12 showed "significant improvement." Treatment on continued and after ultrasound 12/12/12, vet saw "excellent healing." Horse was returned to training in early January 2013. She had her first race on April 11 and finished 4th after a slow start. She raced again on May 6, finishing third. Treatment with the IoniCare System continued and she raced on June 13, winning by 7 lengths. She ran again on June 24, winning by 3 1/2 lengths and won a graded stakes race on July 13. On September 21, 2013 she was 5th in a Grade 1 stakes race. She continues on IoniCare therapy.

Veterinarian: Kathleen M. Anderson, DVM, Equine Veterinary Care at Fair Hill Training Center
Trainer: Timothy F. Ritchey

View before and after ultrasound pictures.

Bowed Tendon - Stocking Stuffer

Stocking Stuffer, a 4 year old Thoroughbred Gelding developed a bowed tendon on his left front leg while in race training. The horse was put on stall rest and treated with ice boots for  week. An ultra sound taken a week later showed a core lesion about one third of the diameter of the tendon.  The horse was then treated with the IoniCare System for 4 hours a day, five days a week for three months. The horse continued stall rest for another two months. At that point another ultra sound showed the lesion was healed. On visual inspection the tendon profile appeared normal and on palpation the tendon was only slightly enlarged compared to the right front leg.

Veterinarian: Daniel V. Flynn, VMD
Georgetown Equine Hospital, Charlottesville, VA

View Before and After ultrasound images.

Superficial Digital Flexor Tendon - Sister Berta

Sister Berta, a 4-year old Thoroughbred filly, developed a bowed tendon in December of 2011. Ultrasound images taken by Dr. Annette Leroux, DVM, at Calvary Veterinary Ultrasound in Whitestone, NY on December 20, 2011 showed a lesion in the right front superficial digital flexor tendon. Treatment with the IoniCare System was started in early January 2012. Utrasound images taken on March 22, 2012 by Dr. Keith Brady, DVM, at Old Dominion Equine Associates in Keswick, VA showed complete healing and the horse was sound. Treatment with the IoniCare System continued into April to solidify healing and Sister Berta was returned to training in April.

Veterinarians: Annette Leroux, DVM, Calvary Veterinary Ultrasound, Whitestone, NY.
Keith Brady, DVMOld Dominion Equine Associates, Keswick, VA
IoniCare treatment at Ingleside Training Center, Montpelier Station, VA

A picture of the limb post treatment is below. View before and after ultrasound images.