Understanding Proud Flesh

Wounds on the bodies and limbs of our equine companions are exceptionally common. In particular, wounds on lower limbs can be especially difficult to manage. There is little extra skin in these areas, making large wounds difficult to close via suturing.

In addition, wounds on the lower legs are contaminated easily with bacteria since they are closer to the ground, bedding, and manure. The constant movement of an animal’s legs as it walks, turns, and bears weight can also greatly impair healing, especially if the wound occurs over a joint. All of these factors can often halt the normal progression of the healing process and result in a chronic wound.

Persistent inflammation, along with infection, is a major contributor to exuberant granulation tissue (or proud flesh) formation in a wound. Proud flesh is not conducive to wound healing as it prevents the wound from epithelializing (the process of the skin cells covering the wound), and sometimes it can become so large that it appears to be a tumor, usually obliterating the original wound.

Prevention of proud flesh involves good wound management. For the best healing, wounds should be identified and treated quickly and properly — especially on the lower limbs. Consult your veterinarian about any wounds that appear deep or extensive, that lie over important structures (like joints and tendons), or that already show signs of proud flesh development. Rather than waste time and money in trials and errors that could delay your equid’s healing, ask your veterinarian what products are best for your situation.

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