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High ringbone is the common name for advanced arthritis of the pastern joint. In this condition the joint slowly loses cartilage until the bones begin to fuse, creating a painful and often career ending problem. In the early stages regenerative therapies can protect the joint, repair damaged soft tissue, and slow degeneration. Once the joint is already bridging, as in this case, options become limited to supportive shoeing or surgical fusion to relieve pain. At this stage the best path is often
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