If your horse is injured, you may be wondering whether hot or cold therapy is the best option. H&R contributing veterinarian, Barb Crabbe, offers two simple rules of thumb to help you decide.
Stop It Cold
Cold therapy, such as ice, is most effective within the first 24 to 48 hours after an injury. It reduces blood flow, pain, swelling, and inflammation. Apply ice two to three times a day. (Tip: Keep frozen peas in the freezer for flexible and inexpensive ice packs.)
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The goal is to lower your horse’s tissue temperature to 59 to 66 degrees Fahrenheit, but any decrease in temperature is beneficial. Cold hosing can also help reduce swelling.


Heat It Up
Heat therapy is most effective 72 hours or more after an injury. It increases blood flow, enhances soft tissue flexibility, speeds up healing, and reduces pain. Apply heat two to three times a day. The goal is to raise your horse’s tissue temperature to 104 to 113 degrees Fahrenheit.
Cold therapy can involve a cold pack, cold hosing, or an ice therapy boot, while heat therapy may involve heat-promoting boots/blankets or a hot pack. Consult your vet for the best option for your horse’s injury.