Have you ever dealt with a horse with OCD? I’ve got a gelding with OCD in his hock that has flaked into his collateral ligament. He’s sound with but can't canter (surgery is not an option).

Have you tried hock injections? My friends horse has OCD in her pastern and they inject it and it does wonders!
A physiotherapist can help to fix compensatory muscles and work with your vet to help come up with a plan to alleviate the symptoms. The amount they can help depends on the severity of the injury, and the individual horse though.
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