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by far the most common procedure that we perform our practices call hock injections or hot medications usually will happen the decline has a complaint of the horses just not doing well not performing not running appropriately not jumping appropriately and when we evaluate the horse we take radiograph and we localize the problem in the hock so the hock is this area right here most of the time we find some sort of arthritis in that journey definitely arthritis is definitely the leading cause of lameness in the horse so once we identify the problem to this area we put a needle right here which is called the tarsal metatarsal joint very commonly known by the horse people as a lower object there are two important joints one of them is the start competitors of which is here the other one is a distal in the dark and that joint has a different approach and not always communicate with it starts metatarsal joint which is right here therefore we inject both joints back in the days commonly we use