Leeches – what is the function of these creatures?

Leeches: the word often brings to mind images of medieval quackery, from a time before modern medicine was invented. And if you’ve ever walked through a rainforest, you may have developed a strong aversion to these creatures. Nowadays, however, medicinal leeches are making a comeback in therapy – even for horses. But how does it work?

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17 June '25 2 min reading time

Leech therapy, also known as hirudotherapy, involves placing several leeches on a strategic location – for example, the fetlock. They bite the horse and remain attached for about one to one and a half hours, drawing blood. Afterward, the leeches detach themselves, and the wound continues to bleed for a while. When they bite, leeches release a range of substances through their saliva, some of which have pain-relieving effects. Their saliva also contains anticoagulants, which is why the wound continues to bleed for some time. During the blood-feeding process, more active substances are released into the horse’s bloodstream.

Medicinal substances

According to therapists who work with leeches, leech saliva contains about 80 medicinal compounds. These substances are the foundation of the therapy’s effectiveness. Leeches are used to treat a wide range of conditions. In humans, for instance, they help remove pooled blood after plastic surgery. In Eastern Europe, Asia, and Russia, proponents of hirudotherapy emphasize its usefulness in treating arthritis, high blood pressure, and glaucoma (increased intraocular pressure). In Europe and the United States, leeches are mainly used for vascular problems and plastic surgery. They have also proven effective for treating hematomas (internal bleeding), often caused by trauma or accidents.

Use of leeches in horses

Therapists who apply leech therapy to horses say the creatures may help with:

  • CPL and mud fever
  • Fluid buildup in the legs, such as windgalls or lymphangitis
  • Lymphatic issues
  • Hematomas and thrombosis
  • Abscesses and mastitis
  • Osteoarthritis and bone spavin
  • Hoof problems and laminitis
  • Tendon injuries
  • Coordination issues, back and spinal problems
  • Pressure sores and muscle pain
  • Poorly healing wounds and scarring
  • Leech therapy is often used in combination with lymphatic drainage and/or craniosacral therapy.

Leeches as veterinary assistants

Something you might not know about leeches: They’re also used as a tool for blood collection. For example, in zoos or with wild animals. This method causes less stress than taking blood with a needle. After correcting the blood values for any effects of the leech, the samples can be used normally in laboratory analysis.

Bronnen:

Nowicki A, Jaworska J, Baranski W. Leech therapy in the treatment of a penile haematoma in a stallion. Veterinarni Medicina. 2021 Jun;66(6):266-271. DOI: 10.17221/163/2020-vetmed. PMID: 40201147; PMCID: PMC11975388.

Alves R, Policarpo I. Animals and Human Health : Where Do They Meet?∗ Ethnozoology. 2017 Oct:233-259. PMCID: PMC7150316.

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