Joint injections are all too common in today’s equine world and one of the main reasons why I opted to go to the opposite side and seek alternative options, as a veterinarian. The most common reason for their use is joint disease, mainly arthritis, with the intent or purpose to alleviate pain and prolong or improve performance. In many, their use is warranted while in others, not so much. In either case, if we do decide to go that route, with an injection, we need to understand the pros, the cons and what options are before us to help extend the effects of those injections. After all, they are not cheap and do not come without harm.