IRAP is classed as a regenerative therapy and can also be known as ACS (autologous conditioned serum).
Blood is taken in a special syringe from the horse. This syringe contains coated glass beads. This is then incubated for 24hrs at 370C. After this time it is centrifuged and the modified serum is collected. This can then be used immediately or stored for up to 11 months in the freezer.
The modified plasma can be injected into joints and ligaments to help reduce inflammation and promote healing.
Shockwave therapy was first developed and used in human medicine, and was then used to treat orthopaedic conditions such as tennis elbow and Achilles tendon problems.
In horses it is mainly used to treat ligament conditions, sore backs and sacroiliac pain. A special hand piece is applied to the horses’ skin in the injured area, which delivers a shock wave or compression wave towards the affected tissue. The series of shock waves promotes healing by promoting angiogenesis (the formation of new blood vessels and extra blood flow). It also removes pain from chronic ligament conditions thought to be by blocking substance P within pain fibres which is a key substance to transmit pain.