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APPLYING SWEAT BANDAGES TO THE HORSE'S LEG
When your horse suffers a sprain or traumatic injury,
or is stall-bound for extended periods, its legs may swell and become warm to
the touch. Because inflammation and swelling can damage tissues and cause discomfort,
your veterinarian may prescribe a "sweat" bandage as an aid in reducing fluid
build-up in the legs.
Although sweat bandages are effective, the science of how and why they work
still isn't precisely understood. The purpose of the sweat bandage is to generate
heat (which may help dilate vessels and increase blood flow), add pressure and
provide support.
Whatever the mechanism, the combined effect seems to help the body dissipate
excess fluid from the injury site and reduce inflammation.
While sweat bandages are useful in reducing swelling, they are generally
not recommended for recent injuries or those that include open wounds. Be sure
to consult with your veterinarian before applying one.
THE SWEAT BANDAGE
What sets a sweat bandage apart from other wraps is
that a "sweating" preparation or poultice is generally applied to the leg, covered
with lightweight plastic wrap, and then bandaged.
There are a variety of commercial and homemade preparations that can be used
to sweat legs. The formulation your veterinarian recommends will depend on the
type of injury and his or her personal preference. Some of these may contain "osmotic" agents
that actively help pull fluid from the cells.
Common ingredients used in sweat preparations include:
- DMSO (dimethylsulfoxide)
- Nitrofurazone Ointment
- Petroleum Jelly
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- Glycerin or Glycerol
- Epsom Salts
- Mineral Oil
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PROPER BANDAGING TECHNIQUES
It is essential to use proper techniqes when applying
a sweat bandage. Applied incorrectly, the bandage will not only fail to do its
job, it can cause discomfort, restrict blood flow and potentially damage tendons
and other tissue. (It is often said that it is better to leave a horse's legs
unbandaged than to wrap them incorrectly.)
Remember, padding is essential for protecting limbs. At least an inch or
more of soft, cushioning material should be placed between the limb and the support
bandage to distribute the pressure evenly and prevent blood flow from being restricted.
MATERIALS
Materials needed for the sweat bandage include:
GENERAL GUIDELINES
If you have never bandaged a horse's legs before,
ask your veterinarian or an experienced equine professional to demonstrate the
proper techniques. Practice under his or her supervision before doing it on your
own.
Follow these basic guidelines:
- Start with clean, dry legs and bandages.
- Apply sweating preparation liberally to the entire segment of the leg to
be bandaged.
- Surround the leg completely with plastic wrap, keeping the layers as smooth
as possible.
- Apply padding over the plastic wrap, encircling the leg with an inch or more
of cotton or quilting. Make sure that it lies flat and wrinkle-free against the
skin.
- Wrap the leg with support from front to back, outside to inside (counterclockwise
in left legs, clockwise in right legs).
- Wrap in a spiral pattern, beginning at midpoint and working down the leg
and up again.
- Overlap each preceding layer by 50 percent, exerting just enough pull to
stretch the fabric to half its maximum extended length.
- Use smooth, uniform tension to compress the padding without forming lumps
or ridges beneath the bandage.
- Use enough pressure to minimalize swelling and keep the bandage in place,
but never wrap so tightly that you cannot easily slip a finger between the bandage
and the leg.
- Avoid applying bandages too loosely. Loose bandages are ineffective and may
endanger the horse.
- Extend the support fabric to within a half-inch of the padding at the top
and bottom.
- Check bandage periodically to make sure it is secure yet not interrupting
circulation.
- If there is a potential problem with bedding or debris getting into the bandage,
seal the top and bottom of the bandage with a flexible adhesive bandaging tape
such as Elastikon tape.
SPECIAL CONSIDERATIONS
- Do not leave the sweat bandage on for more than 12 hours. After 12 hours,
remove the wrap, allow the leg to "rest" for 12 hours, and reapply the sweat
bandage if necessary.
- After unwrapping, take a few minutes to examine the leg. It should be noticeably
improved. If there are signs of increased heat, swelling, drainage or skin irritation
due to the sweat, consult your veterinarian.
- A horse with a condition requiring a sweat bandage should be confined to
a stall or small run unless otherwise directed by your veterinarian.
- If DMSO is an ingredient in the sweating compound, make sure the horse's
skin is dry before applying it to reduce the chance of skin irritation. Wear
gloves to protect your hands.
- Check the bandage several times a day to make sure it has not tightened,
loosened or slipped out of place.
- Make sure the bandage does not cut off circulation, compress tendons, create
pressure sores or cause skin irritation, redness or discomfort.
- Monitor and evaluate the horse carefully. If swelling develops above or below
the bandage, lameness increases, or the horse becomes distressed or begins to
bite, paw or rub the bandaged site, check the leg and contact your veterinarian.
- Watch for any other signs of ill health. If the horse becomes depressed,
irritable, loses its appetite or has an elevated temperature, consult your veterinarian.
- If you have any further questions or concerns about sweat bandaging, contact
your veterinarian.
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