Veterinary care in horses encompasses the medical and preventive measures taken to maintain and improve the health and well-being of equine patients. It includes a wide range of practices such as routine health examinations, vaccinations, dental care, parasite control, and management of injuries and diseases. Veterinary care also involves diagnostic procedures, surgical interventions, and therapeutic treatments tailored to the specific needs of horses. This page gathers peer-reviewed research studies and scholarly articles that explore various aspects of equine veterinary care, including advancements in diagnostic techniques, treatment protocols, and health management strategies to support the well-being and performance of horses.
Zekas LJ, Ramirez S, Brown MP.Left dorsal displacement of the large colon was diagnosed in a 3-year-old Thoroughbred gelding. Conservative treatment that included lunging after administration of phenylephrine and rolling while under general anesthesia was not successful. The displaced segment of colon was reduced surgically through a ventral midline incision, but displacement recurred 4 days after surgery. Ablation of the nephrosplenic space by suturing the nephrosplenic ligament to the splenic capsule was performed through the left flank. At followup 1 year after surgery, the horse had not had further signs of colic and h...
van Weeren PR, Morales JA, Rodríguez LL, Cedeño H, Villalobos J, Poveda LJ.This article describes a case of massive mortality among horses which was probably due to intoxication by pyrrolizidine alkaloids from Heliotropium indicum. Over 4 years more than 75% of a population of about 110 horses on a farm in Costa Rica died after showing nervous neurological symptoms. Two clinical manifestations were encountered, an acute and a chronic one, both with a fatal outcome. Pathological findings in 2 horses coincided with those reported in the literature for intoxication by pyrrolizidine alkaloids and were not specific for VEE. However Venezuelan equine encephalitis (VEE) was...
Jansson A, Dahlborn K.The effect of feeding frequency and voluntary sodium intake (VSI) on fluid shifts and plasma aldosterone concentration (PAC) were studied at rest and after exercise in six athletic horses. The horses were fed twice a day (2TD) and six times a day (6TD) for 25 days for each protocol, according to a changeover design. VSI was measured by weighing each horse's salt block daily. Feeding 2TD or 6TD caused no major alterations in fluid shifts, but in the 2TD treatment there was a postprandial increase in plasma protein concentration and osmolality that lasted <1 h. PAC and VSI were not affected b...
van Schie JT, Bakker EM, van Weeren PR.The objective of the in vitro experiments described in this paper was to quantify the effects of some instrumental variables on the quantitative evaluation, by means of first-order gray-level statistics, of ultrasonographic images of equine tendons. The experiments were done on three isolated equine superficial digital flexor tendons that were mounted in a frame and submerged in a waterbath. Sections with either normal tendon tissue, an acute lesion, or a chronic scar, were selected. In these sections, the following experiments were done: 1) a gradual increase of total amplifier gain output su...
Blythe LL, Engel HN.Components of the equine nervous system are described including classical anatomy and newer sensory innervation maps that are useful for localizing lesions to and within the nervous system. The key components in a neurological examination that help differentiate primary neurologic disease from musculoskeletal disorders are explained. Gait deficits associated with neurologic dysfunction are listed as well as diagnostic aids and an overview of differential diagnoses.
Weaver MP, Jeffcott LB, Nowak M.Radiology and, more recently, scintigraphy are important ancillary diagnostic aids in the diagnosis of a horse with suspected back pain. Although the image quality is restricted by the size of the patient, radiographs have been used for several decades. With the introduction of modern fast-screen film systems, the quality of the images has greatly improved. These imaging techniques allow assessment of the anatomy and physiology of structures in the spine that are difficult or impossible to palpate. This article reviews the techniques and limitations of imaging the equine back, in addition to c...
Bromiley MW.Before a physical therapy and rehabilitation program is suggested, the end requirement must be considered. All physiotherapeutic machines are subject to laboratory screening. In the United States, the approval of the Food and Drug Administration is required; in the United Kingdom, certification by the National Physics Laboratory has been required by law since January 1996. Laboratory experiments are continually conducted to examine and evaluate the effects on tissues of varied electrical waveforms, low-intensity electrical currents, sound waves, and light rays delivered by a variety of therape...
Denoix JM.With progressive advances in ultrasonographic equipment, evaluation of a number of axial skeletal structures is now possible. Ultrasonography is presently the best technique for evaluation of the SSpL and lumbosacral intervertebral discs. It is a useful adjunct to radiography for assessment of spinous processes and AP injuries.
Haussler KK.A thorough knowledge of equine spinal anatomy, biomechanics, and potential pathology is required to understand the principles and theories behind chiropractic and to apply its techniques properly. Chiropractic provides additional diagnostic and therapeutic means that may help equine practitioners to identify and treat the primary cause of lameness or poor performance. Specialized training in the evaluation and treatment of vertebral joint dysfunction and neuromusculoskeletal disorders places chiropractic in the forefront of conservative treatment of spinal-related disorders. Nevertheless, limi...
Gillis C.Young elite athletes, particularly horses used for jumping, are at a relatively high risk for injury to the ligaments associated with the axial skeleton. Extreme back flexion appears to be a contributing factor to ligament damage. Back pain due to injury of the ligaments of the axial skeleton has often been considered to be secondary to lower limb injury, to the extent that a separate definitive diagnosis, treatment, and prognosis were unnecessary. Diagnostic imaging, ultrasound in particular, has demonstrated ligamentous damage that can be the limiting factor in return to previous athletic us...
Harman J.Examining the fit of the saddle is perhaps the most important aspect of examining a horse with a suspected back problem. If the back problem is corrected and a poorly fitting saddle is placed on the back, the problems will return. An ill-fitting saddle contributes to direct and compensatory lower leg lameness making it even more imperative to correct the fit. A correctly fitting saddle enhances both the horse and rider's ability to perform with accuracy, lightness, and freedom of movement.
Ridgway K, Harman J.This article introduces the importance of considering all related physical findings, evaluating the whole horse and determining the root cause in order to achieve the best treatment results, prevent recurrence, and return the patient to full function. The roles of shoeing, turnout, teeth, training aids and devices, compensatory lameness, working surface (footing), longing, ponying, hot walkers, and swimming are discussed in relationship to back dysfunction and rehabilitation. Postural analysis and measures for muscle and postural corrections are also presented. Ground and under saddle rehabili...
Martin BB, Klide AM.The diagnosis of back pain is often a diagnosis of exclusion of other problems in the face of poor performance. It requires careful observation, thought, an open mind, and experience. The signs of back pain can be extremely variable and range from subtle to obvious. Obvious forelimb or hind limb lameness is not usually a sign of back pain. The most common differential diagnosis may be back pain secondary to degenerative joint disease of the hocks, fetlocks, or stifle. These diseases can mimic signs of back pain including lack of impulsion, shortening of the stride length, and change in the str...
Graf von Schweinitz D.Infrared thermographic imaging (ITI) is the most sensitive objective imaging currently available for the detection of back disease in horses. It is, however, only a physiological study primarily of vasomotor tone overlying other superficial tissue factors. Interpretation requires extreme care in imaging protocol and in understanding the significance of altered sympathetic nervous tone and the sympathetic distribution. Most discussions on back pain have centered on nociception and inflammatory events. ITI provides information and localization for more significant than diagnosing areas of hot sp...
Jeffcott LB.This article is presented as an introduction to the complex subject of back pain and its management in horses. It considers some of the historical perspectives and deals with some of the limiting factors when attempting to evaluate back pain. The clinical indications of a back problem are considered, as is the important distinction of primary versus secondary back pain. Finally, a list of considerations capable of causing back pain and impaired performance is included.
Weitnauer E, Robitzki A, Layer PG.Several side activities have been attributed to butyrylcholinesterase (BChE), including aryl acylamidase (AAA) activity, which is an amidase-like activity with unknown physiological function splitting the artificial substrate o-nitroacetanilide. For avians, extensive developmental data have pointed to neurogenetic functions of BChE, however, a possible AAA activity of BChE has not been studied. In this study, we first compare the relative levels of AAA exhibited by BChE in whole sera from chick, fetal calves (FCS) and horse. Remarkably, FCS exhibits a 400-fold higher ratio of AAA/BChE than hor...
Riggs CM.Fractures are the cause of considerable morbidity and mortality among Thoroughbred racehorses. A significant proportion of these injuries occur in the absence of any particular traumatic incident. Evidence of prefracture pathology interpreted as fatigue damage has been identified in some such cases, but the aetiology of many of these so-called 'spontaneous' fractures remains obscure. Parasagittal fractures of the third metacarpal (McIII) and third metatarsal (MtIII) bones are one of the more common fractures to affect Thoroughbred racehorses. The configuration of each of these fracture types i...
Riis RC, Jackson C, Rebhun W, Katz ML, Loew E, Summers B, Cummings J, de Lahunta A, Divers T, Mohammed H.The characteristics of the ocular manifestations of equine motor neuron disease (EMND) are described. Forty-two horses with histories, clinical signs and necropsies compatible with EMND were the subjects of this study. Ophthalmoscopic lesions that varied in severity were found in 40 of 42 horses and appeared as a distinct pigmented reticulated pattern at the tapetal-nontapetal junction or throughout the fundus, depending upon severity. The pattern colours ranged from yellow brown to black. Areas of hyperreflectivity formed mosaic patterns in the tapetal fundus. ERG B-wave amplitudes were usual...
Wijnberg ID, van der Kolk JH, Hiddink EG.Two miniature Shetland ponies showing clinical signs of Digitalis purpurea (foxglove) poisoning were examined. One animal died shortly afterwards, but the second was treated successfully with the anti-arrhythmic agent, phenytoin, and was discharged after 16 days.
Kobayashi A, Sugisaka M, Takehana K, Yamaguchi M, Eerdunchaolu , Iwasa EK, Abe M.This report compares the morphology and the concentrations of glycos-aminoglycans (GAGs) in an injured superficial digital flexor tendon (SDFT) of a horse with those of a normal tendon. An injured 6-year-old male Thoroughbred exhibited heat and swelling around the SDFT of the right forelimb. On histopathological examination, exuberant granulation was observed in the affected tendon, with activated tenocytes, angiogenesis, haemorrhage, and infiltration of small numbers of leucocytes. The collagen fibres were loosely packed and irregularly arranged. The diameter of control collagen fibrils was 2...
Mills PC, Marlin DJ, Scott CM, Smith NC.The effect of nitric oxide synthase (NOS) inhibition during exercise on lactate production was investigated in five Thoroughbred horses. A standard exercise test (SET), consisting of three canters (approximately 55 per cent VO2max), with walking and trotting between each canter, was performed twice (control and test, in random order) by each horse. Nphi-nitro-L-arginine methyl ester (L-NAME; 20 mg kg-1), a competitive inhibitor of NOS, induced a significant increase (P < 0.05) in plasma lactate [5.7 (2.9) vs 11.8 (3.8) mmol L-1], which continued to increase despite administration of L-argin...
Couroucé A.This review considers standardized exercise testing which is, routinely used for French Trotters in the field. Track testing provides a more limited range of measurements than treadmill testing, but has the advantage of being performed in the horse's natural environment. Various measurements such as heart rate during exercise and blood lactate concentration after exercise may be measured on the track and lead to the calculation of physiological variables such as V200 (velocity corresponding to a 200 bpm heart rate) and V4 (velocity corresponding to a 4 mmol/L blood lactate concentration). V4 i...
Robinson NE, Derksen FJ, Olszewski M, Berney C, Boehler D, Matson C, Hakala J.In six COPD-affected horses, we analysed the factors responsible for the changes in pleural pressure (delta Pplmax) that occur during tidal breathing. Four-hundred-and-sixty-eight measurements of each parameter: pulmonary resistance (RL), dynamic elastance (Edyn), air flow rates, and the timing of breathing, were gathered during a trial of the bronchodilator pirbuterol. Data were placed into seven ranks, based on the magnitude of delta Pplmax; rank 1: 5-15; rank 2: 15-25; rank 3: 25-35; rank 4: 35-45; rank 5: 45-55; rank 6: 55-65; and rank 7 > 65 cm H2O. Up to rank 4 (45 cm H2O), the increa...
Seguin JC, Walker RD, Caron JP, Kloos WE, George CG, Hollis RJ, Jones RN, Pfaller MA.During a 13-month period, 11 equine patients visiting a veterinary teaching hospital for various diagnostic and surgical procedures developed postprocedural infections from which methicillin (oxacillin)-resistant Staphylococcus aureus (MRSA) strains were isolated. The S. aureus isolates were identified by conventional methods that included Gram staining, tests for colonial morphology, tests for clumping factor, and tests for coagulase and urease activities and were also tested with the API STAPH IDENT system. Antimicrobial susceptibility tests were performed by the disk diffusion method. The b...
Van Hoogmoed L, Rodger LD, Spier SJ, Gardner IA, Yarbrough TB, Snyder JR.To determine whether peritoneal fluid pH, glucose concentration, and lactate dehydrogenase activity can be used to differentiate horses with septic peritonitis from those with nonseptic peritonitis. Methods: Prospective study. Methods: 46 horses, including 10 healthy horses, 15 horses with septic peritonitis, and 21 horses with nonseptic peritonitis. Methods: Peritoneal fluid and blood samples were analyzed for pH, glucose concentration, and lactate dehydrogenase activity. Complete blood cell counts were performed, and peritoneal fluid samples were submitted for bacterial culture. Results: Hor...
Pauwels FE, Adams SB, Blevins WB.Two horses with lameness due to tolocalcaneal osteoarthritis that failed to respond to conservative management were treated by tolocalcaneal arthrodesis using cortex screws placed in lag fashion. The affected joint of one horse was arthrodesed by compressing and stabilizing the medial facet of the joint with three screws. In the second horse, the medial and lateral facets of the affected tolocalcaneal joint were each compressed and stabilized with two screws. The lameness of both horses improved markedly following surgery.
Bookbinder LC, Mani R, Carr EA.Contemporary data reflecting local pathogens and their antibiograms is necessary to select empirical antimicrobial therapy for equine neonates. Objective: Describe bacterial isolates associated with equine neonatal infection and their antibiograms in the Midwestern United States. An increase in gram-positive infection and antibiotic resistance compared to previous literature was expected. Methods: Data from 149 fluid samples from 133 foals <30 days of age submitted for bacterial culture between January 2007 and December 2018. Methods: A retrospective evaluation of equine neonatal fluid cu...
Malalana F.Ocular abnormalities are a common finding in aged horses. Although these seldom cause overt visual deficits detected by their owners, they can be a source of chronic or acute discomfort so early detection, and treatment when available, is essential. Some of these abnormalities are specific to old horses, whereas others are a result of ongoing disease or inflammation that started earlier in life but that becomes more evident when the damage sustained to the eye is advanced. If vision is significantly affected, consideration of human safety and animal welfare is paramount.
Verschooten F, De Moor A.Twenty-nine horses were examined over a period of 8 years and found to have cystic lesions in the stifle (14 cases) or pedal bone (15 cases). The lesions are described and illustrated with radiographs. In the stifle 12 lesions were found on the femoral condyles (11 medially and one laterally) and 10 were typical subchondral cysts. One lesion was observed in the tibia and 3 in the patella. Bone cysts wee found unilaterally in the pedal bone (14 in the forelimbs and one in the hindlimb). All but 2 of the horses with lesions in the stifle or pedal bone were lame. The only treatment was rest. For ...
Cho DY, Hubbard RM, McCoy DJ, Stewart TB.A well-circumscribed proliferative mass was protruding from the body of the mandible of a 4-year-old Appaloosa gelding. The mass was uniformly firm and was ulcerated on the dorsal surface. The horse was euthanatized due to extensive involvement of the jaw and difficulty in eating. Microscopically, the mass consisted of numerous discrete microgranulomas separated by bands of abundant fibrous connective tissue containing lymphocytes, plasma cells, and histiocytic macrophages. Numerous rhabditiform nematodes were in the microgranulomas as well as in the surrounding connective tissue. The nematode...
Hong CB, Van Meter PW, Latimer CL.A malignant rhabdoid tumour was diagnosed in the orbit of a 2-year-old Thoroughbred filly. The neoplasm, which was very aggressive, was present in nearly every part of the ocular and periocular structures and had spread to the lymph nodes of the head and neck, the salivary glands and the subcutaneous tissues around the eye. The neoplasm was composed of polygonal cells with abundant eosinophilic cytoplasm. Many cells had a large, vesiculate, indented nucleus and contained a paranuclear globular inclusion. Ultrastructurally, the inclusions were seen to consist of whorls of intermediate filaments...
Koenig JB, Sawhney S, Cote N, LaMarre J.To determine whether inflammation of the jejunum of horses decreases the number of motilin receptors and amounts of motilin receptor mRNA and alters erythromycin lactobionate binding affinity to the motilin receptor in jejunal tissues. Methods: Jejunal segments in 6 adult horses. Methods: Each horse was anesthetized, and a ventral median celiotomy was performed; 2 segments of jejunum underwent a sham operation, 2 segments underwent ischemic strangulation obstruction (ISO), and 2 segments underwent intraluminal distension (ILD). Treatments were maintained for 120 minutes. From each segment, ful...
Ogilvie GK.The importance of paraneoplastic syndromes is often underestimated in the horse. Clinically, paraneoplastic syndromes can cause greater morbidity than the actual physical presence of the malignant tumor. The appearance may be the first sign of a malignancy and may be so severe that appropriate therapy for the underlying cancer is not initiated. This article reviews some of the most common paraneoplastic syndromes that are likely to occur in the horse.
Yeruham I, Elad D, Egozi O.A retrospective study of an outbreak of dermatophilosis in a herd of 18 adult horses and 13 foals, in Israel, is presented. To the best of our knowledge this is the first time such an outbreak has been reported from a country in the Mediterranean climatic zone. This outbreak might be associated with exposure of the horses to water and humidity as a result of excessive rainfall in November 1994, as well as intensive washing of the horses and a long period spent by the animals in a marshy manege.