Low-Level Laser Therapy to treat a wound with severe hypergranulation tissue

**WARNING: some images may be graphic**

Joints are very mobile areas of the body, therefore wounds on those areas are always challenging and the healing process can be very difficult and slow. 

Today I want to show you this wound made by an eventer after falling on a cross-country jump. We started with Low-Level Laser Therapy (LLLT) 4 weeks after the injury to stop the hypergranulation tissue ("proud flesh") and to encourage the wound to close, because the borders were not really getting any closer since the injury happened. We used LLLT for 3 weeks until we saw a healthy healing and a true improvement withSee how well the wound has been doing since we started the treatment and how small it looks nowadays. The horse is now enjoying riding out again and gradually it will be taken back to proper work.


Hypergranulation 3 weeks after the injury: (see below)

Hypergranulation 3 weeks after the injury

Hypergranulation surgically debrided: (see below)

Hypergranulation surgically debrided

First week of Low-Level Laser Therapy, focusing on keeping the hypergranulation tissue under control: (see below)

First week of Low-Level Laser Therapy, focusing on keeping the hypergranulation tissue under control

Second week of Low-Level Laser Therapy. The borders of the wound are coming closer and the carpus (knee) looks less swollen: (see below)

Second week of Low-Level Laser Therapy. The borders of the wound are coming closer and the carpus (knee) looks less swollen

Fourth week of Low-Level Laser Therapy. Very pleased with the evolution of the wound. We stopped the laser treatment this week due to the nice healing of the wound and just kept monitoring it: (see below)

Fourth week of Low-Level Laser Therapy. Very pleased with the evolution of the wound. We stopped the laser treatment this week due to the nice healing of the wound and just kept monitoring it

Sixth week after starting with the Low-Level Laser Therapy: (see below)

Sixth week after starting with the Low-Level Laser Therapy