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Mesotherapy is a technique used in the treatment of pain in horses and humans. It was developed by a human physician, Dr. M. Pistor, in France in 1952. Today it is practiced in many parts of the world. Recently the technique has been introduced to veterinarians by Dr. Jean Marie Deniox, the director of the French Equine Lameness Center. Dr. Horne has received instruction from Dr. Deniox in the technique of mesotherapy. Mesotherapy is offered by many influential practices such as Virginia Equine Imaging in Middleburg, Virginia; Hagyard Davis Magee in Lexington, Kentucky; and Fairfield Equine Center in Fairfield, Connecticut. The principal of mesotherapy is based on the "gate control theory" of pain, which is also believed to be the method of action of acupuncture/acupressure. The therapy involves the stimulation of the mesoderm or middle layer of skin. nerve fibers located in the mesoderm have collateral inhibitory fibers which can block pain transmission from other deeper structures or organs innervated by the same spinal segment. The inhibitory fiber stimulation then causes a blocking of the pain and/or spasm cycle. The treatment consists of injecting a combination of medications (usually cortisone, a local anesthetic agent, traumeel, a homeopathic anti-inflammatory agent, and saline) into the mesoderm using tiny (27 gauge 0.4 mm) needles. The injections are made in a linear pattern in locations corresponding to spinal - skin innervations patterns. Most of the painful area will require at least a full exam and possibly diagnostics (i.e. radiographs, ultrasound, diagnostic anesthesia or bone scans). Usually at least two sessions of mesotherapy are recommended to assess the efficacy of the treatment. these are done 2 - 4 weeks apart. Maintenance treatments are done as needed.
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