The “misbehaving” performance horse: is it ever behavioral?

Abstract: Long before the concept of social license to operate came to the forefront of equestrian sports, veterinarians have always had a responsibility to advocate for the welfare of the horse. For performance horses this often means helping to ensure that the horse is performing positively and comfortably for its intended use. A horse that is struggling to perform at an optimal level may be doing so for a multitude of reasons, but regardless of the underlying cause, it often presents as any number of behavioral issues. This review explores various underlying physical causes of behavioral issues in performance horses in order to highlight the fact that most "behavioral issues" are not behavioral at all.