Arthritis in humans and horse’s is basically a maintenance issue. In horses with arthritis of major joints or navicular syndrome, non-invasive protocols show promise in maintaining and control of inflammation and pain. In Stamina Plus’s research facility at Cody, Wyoming we have been using the non-invasive protocols of Shock Wave Therapy, corrective shoeing, Adequan or Legend and then follow-up with Stamina Plus Flex Plus daily. The results have been very successful with the horses returning to their previous abilities.