Horse Health
Proud Flesh
Proud flesh is a common term used for “excessive”
granulation tissue. Granulation tissue is pink to red in color, firm
and has a roughened appearance and is found within an open wound.
Granulation tissue is produced three to four days after the wound has
occurred. It is the intermediate step in the healing process. Wounds
heal by producing a bed of granulation tissue, and contracting from the
edges eventually covering the surface. As compared to other species,
the equine species is the only species that can produce
“proud flesh” or an excessive amount of granulation
tissue. This granulation tissue is necessary until it becomes excessive
or “proud” meaning that it starts to protrude out
above the level of the wound’s edges. When the granulation
tissue protrudes, the wound’s edges cannot contract and
therefore the healing process is stalled.
Excessive granulation tissue is more prevalent in wounds that
occur below the knees and hocks. The reason for this excessive
proliferation is unknown. Many of the causes of proud flesh can be
eliminated or managed with good wound care. Because of the tendencies
to produce excessive granulation tissue in these areas, lacerations
that may need suturing should be seen by your veterinarian within 4-8
hours of occurrence. Some wounds, if sutured, can prevent excessive
granulation tissue from forming.
Many forms of therapy are used to remove or inhibit the formation of excessive granulation tissue. Consult your veterinarian for treatment options.