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I recently read an article which stated that suspensory ligament injuries are one of the most common injuries only second to colic. Depending on the source some recommend stall confinement, others suggest surgery as the only option. Can anyone give any insight? More so I want to know about the long term progression. My TB appears to have a suspensory ligament injury, depending on how he stands, sometimes his fetlock looks normal and other times it looks saggy in comparison to the other side. Poor boy had a nasty bout with cellulitis in this leg, it caused a sizable wound which is now 95% healed and while he has been sound it appears as though the infection or the swelling affected his SL. From previous experience with stall rest, he will stop eating, so we would love to avoid confinement, He is turned out on a couple acres with two other quiet geldings. Based on all he has been through in the past years (lyme disease, re-occurring choke and sinus infections-- which by the way seem to have resolved) we just don't think surgery is the best option either. She did recommend I touch base with a farrier (as opposed to my barefoot trimmer) and we decided to put an eggbar shoe on the hind left and a standard shoe on the right. I have a friend who is a human and horse physical therapist, she said she has seen success with stem cell therapy (which I fear will break the bank), and also shock wave therapy. I am waiting to hear back from her to have her out for a consult and possibly begin shock wave therapy. Currently I am keeping him in a standing wrap to try and offer support and prevent stress on the ligament. My goal is to preserve the integrity of the ligament and his soundness if possible. I do understand these injuries can be degenerative in nature and can re-occur. My hope is, through shoes and wraps, perhaps the ligament will scar down and become strong again? Is this possible? I have also read about 'eccentric loading' aka light hill work to help strengthen things. Based on other cases I have read about, his injury is not as severe but I hope to keep it from getting worse. Does anyone have any experiences to help me guide his care? Obviously I am working closely with my vet however she is guarded about his prognosis. She said she cannot be sure how things will play out with the integrity of his ligament. I respect her opinion but I just want to do some more research and see what I can do to give him the best chance. Thanks!