Education Zone

Do Massage Pads Benefit Horses? New Research on Stride Length, Movement & Benefits A new peer-reviewed study from Hartpury University has given us some of the clearest evidence yet on how a heated vibration massage pad can affect the way horses move. If you’ve ever wondered whether massage pads for horses really make a difference, or if it’s just something riders feel. This study looks at whether a horse massage pad can genuinely and objectively improve stride length and movement. What did the study look at? Researchers carried out a randomised, blinded, controlled study, which is considered the gold standard in scientific research. In simple terms, this means the study was designed to be as fair and unbiased as possible, so the results weren’t influenced by expectation or guesswork. Horses were split into two groups: A treatment group using the Massage Pad Heatsense A control group wearing the pad switched off Both groups followed the same routine, in the same environment. And importantly, the researchers assessing the horses didn’t know which group each horse was in - helping ensure the results were based on what actually happened, not what anyone expected to see. The study looked at two timeframes: Part A: Immediate effects after a single 30-minute session Part B: Effects after 4 weeks of consistent use (30 minutes, 6 times per week) How were the results measured? There are already plenty of product reviews from horse owners who say they can see and feel the benefits of massage pads. But this study set out to measure those effects objectively. ·       Movement was analysed using motion tracking and video analysis. ·       Pain sensitivity was measured using pressure testing. ·       Behaviour was assessed using a recognised scientific system. In other words, this wasn’t based on opinion. It was based on data. This is important when assessing whether a horse massage pad genuinely works, rather than relying on opinion alone. The results of the study: After 4 weeks of consistent use, the study found the following improvements in the treatment group, specifically in trot: +24.7CM +2.7° +2.3° +2.2° STRIDE LENGTH IN TROT   Increased hindlimb retraction (push behind) Increased hindlimb protraction (reach forward) Increased forelimb retraction (shoulder movement)   The control group showed no significant changes over the same period. These findings suggest that using a massage pad for horses can improve stride length and overall limb movement when used regularly. What do these results mean for your horse? Stride length is a key indicator of how efficiently a horse is moving. An increase of this size suggests: ·       Better use of the hindquarters ·       More propulsion and engagement ·       Greater freedom through the shoulder In practical terms, this is often associated with a horse that feels looser, more fluid, and less restricted in its movement. How long does it take for a massage pad to work on a horse? Important: this isn’t an instant effect One of the most useful takeaways from the study is how long it takes to see results. After a single session (Part A), researchers found: ·       No significant changes in pain sensitivity ·       No meaningful behavioural changes ·       No significant improvement in spinal movement This tells us something important: The benefits are cumulative, not immediate. The improvements were only seen after consistent use over time, which reflects how these products are typically used in real-world routines. What the study doesn’t claim: It’s also important to be clear about what this research does not claim about massage pads for horses. The research was carried out on healthy horses with no existing back pain, and it focused on how horses move. It is also important to note that the sample size was relatively small (N=11 for Part B), and the study looked at heat and massage working together, so it doesn’t separate which element drove the effect. However, the combined approach did result in measurable improvements with consistent use. It did not assess: Injury treatment Pain relief in clinical cases Performance under saddle So, while the results are promising, a massage pad should be seen as part of a management routine, not a replacement for veterinary care. If your horse has an existing musculoskeletal condition, always consult your vet or physiotherapist. How often should you use a massage pad for horses? The improvements were seen using a consistent routine: 30 minutes per session 6 sessions per week 4 weeks to see significant results They used the medium massage setting in the study, along with heat turned on. The pad was applied to the thoracolumbar region (across the back), before exercise or at least 4 hours after. If there’s one take-away from these results, it is that consistency was key. So, do massage pads benefit horses? Based on this independent research: Yes - when used consistently over time. The study shows that a heated vibration massage pad can: Improve stride length Enhance limb movement Support more efficient, freer motion But it’s not a quick fix. It’s a tool that works best when used regularly as part of your horse’s routine.   About the research The study was conducted by Gillian Tabor, Natalie Bennett, Corinna Crosby, Zoe Dunham, Emily Jordan and Fiona Bloom at the Equine Department, Hartpury University. Equilibrium Products Ltd provided the heated massage pads for data collection but had no role in the study design, data analysis, or preparation of the findings. Full citation: Tabor G. et al. (2026). Effects of a Heated Vibration Massage Pad on Horses: Randomized, Blinded Measures of Mechanical Nociception, Behavior, and Spinal and Limb Kinematics. International Journal of Equine Science, 5(1), 21–32. [Read the full paper at the International Journal of Equine Science →] (external link, new tab)   Ready to see the results for yourself? [Shop the Massage Pad Heatsense for horses→] (links to product page)   FAQs How long does it take for a massage pad to work on a horse? The study showed no meaningful immediate effects, but significant improvements after 4 weeks of consistent use. Do massage pads improve horse movement? Yes, the research found measurable improvements in stride length and limb movement after 4 weeks of regular use. Can massage pads help with pain in horses? This study did not find changes in pain sensitivity in healthy horses, and it was not designed to assess clinical pain conditions. How often should you use a horse massage pad? The protocol used was 30 minutes, 6 times per week, over a period of at least 4 weeks.

What the Science Says About Managing Headshaking in Horses.  Headshaking can be a distressing and unpredictable condition—making horses toss or flip their heads repeatedly, often without warning. For riders and owners, it can be frustrating and even dangerous. While there’s no single cure, there are some products that can help. But not all Muzzle Nets are created equal. In this study, researchers set out to test just how effective these nets really are—and which designs work best. The results? Our very own Equilibrium Muzzle Net was among the top performers. What Is Headshaking—and Why Do Nose Nets Help? Headshaking is a clinical symptom, not a diagnosis. It can stem from various causes, but one of the most common is thought to be trigeminal-mediated headshaking—a condition where the horse’s facial nerve becomes hypersensitive. This can lead to discomfort triggered by sunlight, wind, exercise, or even changes in air pressure [Madigan et al., 1995]. The behaviours often include: Vertical or side-to-side head tossing Nose flipping Violent reactions resembling a “bee flying up the nose” Snorting, sneezing, or rubbing the nose on objects The Research: Comparing Nose Net Designs in the Field In a 2003 study published in the Veterinary Record, researchers Mills and Taylor assessed the effectiveness of three different muzzle nets: A traditional full net that covers the whole muzzle Half Net A, with a snug, adjustable fit (the Muzzle Net we offer) Half Net B, a similar design but with an elasticated hem Over a series of weeks, 36 horses with confirmed headshaking were trialled using each net. Owners recorded symptom changes on a detailed assessment sheet. What the Study Found – Half Net A in the Spotlight Feature Half Net A Half Net B Full Net Overall improvement 79% ✅ 76% 68% At least 50% improvement 76% ✅ 69% 65% At least 70% improvement 36% 35% 30% “Bee up the nose” symptom (≥70%) 50.0% ✅ 55.6% ✅ 34.5% ❌ Helped nose rubbing when standing still (50%+ improvement) ✅ Only net to do so ✖ ✖ Appearance rating Good Good Poor Ease of use Easy Easy Easy   Why Half Net A Is a Proven Choice Out of all the designs tested, Half Net A emerged as one of the most consistently effective, particularly for: Reducing up-and-down headshaking Controlling the intense “bee up the nose” reactions Minimising nose flipping and rubbing behaviours, both while moving and stationary It was also the only net to show significant improvement in nose rubbing when the horse was standing still. The Science Behind Nose Nets The prevailing theory is that nose nets offer tactile stimulation to the sensitive nerve endings in the front of the horse’s muzzle. This mild sensory input may help modulate or “distract” the overactive signals in the trigeminal nerve, which is thought to be the root cause in many cases of photic (light-triggered) or idiopathic headshaking [Madigan et al., 1995; Newton et al., 2000]. This makes nose nets a low-risk, effective solution for most horses. Who Can Benefit Most? The Muzzle Net is ideal for horses who: Shake their heads mostly during exercise React in sunlight, wind, or rain Display the classic nose flipping or “bee up the nose” behaviour Have mild to moderate seasonal headshaking Note: The study found that horses over 10 years old were slightly less responsive, especially for nose flipping and shaking during exercise. This may be due to more entrenched behaviours or underlying chronic factors. The Equilibrium Muzzle Net: Small Product, Big Difference It’s lightweight, adjustable, competition legal (always read the relevant rule books to check with your specific governing body), and has helped countless horses (and their riders) return to comfortable, focused work. ✅ Scientifically supported✅ Subtle, smart design✅ Comfortable and secure fit✅ Easy to use and clean✅ Adjustable for a closer fit. Shop Muzzle Nets Now Did you know? The Muzzle Net is the product that founded Equilibrium and was created to help a horse called Timmy, who was diagnosed as a headshaker at 5 years old. Timmy went onto have a successful ridden career and a well earned retirement well into his 20's.  References Mills, D.S., & Taylor, K. (2003).Field study of the efficacy of three types of nose net for the treatment of headshaking in horses.Veterinary Record, 152(2), 41–44.https://pubmed.ncbi.nlm.nih.gov/12553579/ Madigan, J.E., Kortz, G., Murphy, C., & Rodger, L. (1995).Photic headshaking in the horse: 7 cases.Equine Veterinary Journal, 27(4), 306–311.https://pubmed.ncbi.nlm.nih.gov/8536668/ Newton, S.A., Knottenbelt, D.C., & Eldridge, P.R. (2000).Headshaking in horses: possible aetiopathogenesis suggested by the results of diagnostic tests and several treatment regimes used in 20 cases.Equine Veterinary Journal, 32(3), 208–216.https://pubmed.ncbi.nlm.nih.gov/10836475/ Mair, T.S., Howarth, S., & Lane, J.G. (1992).Evaluation of some prophylactic therapies for the idiopathic headshaker syndrome.Equine Veterinary Journal Supplement, (11), 10–12.https://pubmed.ncbi.nlm.nih.gov/9109952/

Rehabilitation following surgery can be a long and challenging journey, requiring careful management to rebuild strength, maintain mobility, and support overall wellbeing. For Scooby, a warmblood X Thoroughbred recovering from kissing spines surgery, the path to recovery took an unexpected turn when a sarcoid removal interrupted his progress. With limited exercise options available during his box rest, an innovative solution was needed to help maintain his condition and keep him comfortable. That’s where the Equilibrium Massage Pad Heatsense made all the difference.

Horses are natural grazers. In the wild, they spend the majority of their day slowly consuming forage as they roam across large areas. In this article, we will explore why slowing down a horse’s eating is so important, and we will look at practical methods to help manage greedy eaters.

Often one of the first questions we get regarding the range of feeds and supplements we market at Equilibrium Products is “what is the sugar content?” High sugar diets have been increasingly implicated in conditions such as laminitis. Horses are well adapted to digesting sugar and starch in their diets, a capability that has evolved over millennia adapted to the life of a browsing herbivore – essentially trickle feeding of a high fibre based diet. Sugar, a NSC (non-structural carbohydrate along with starch) is an unavoidable part of the horse’s diet alongside the proteins, fibres and oils, vitamins and minerals consumed daily. Sugar is readily found in grass, especially fast growing spring grass, hay/haylage and compound feeds. It’s also an essential nutrient – glucose is the main energy source of the brain, but glucose in the body is sourced not only from eating and digesting sugar, but also converted from the end products of the digestion of fibre. Its likely true that what has changed in recent times is the quantity of sugar a horse consumes not only in one day, but in individual meals. The issue appears to be that in certain breeds at least, higher intakes of sugar, especially when fed in rapidly consumed single meals are in some way affecting the way the horse’s body utilises the absorbed sugars. This “disregulation” of normal metabolic processes is thought to lie behind the incidence of diseases, such as laminitis. The disregulation can be attenuated by controlling starch and sugar intakes, and increasing exercise levels. Sugar and laminitis Dietary management of horses highly susceptible to these conditions means not only maximising fibre and really limiting starch and sugar intakes – by soaking hay and haylage to reduce forage sugar content and selecting high fibre low starch feeds, also ensuring meal sizes are small and preferably little and often. This may make you think that turnout is the ideal situation but in spring, grass grows fast and is nutritionally rich, especially in sugar.   For animals prone to weight gain and or laminitis, this is not an option. For animals prone to these conditions, spring and early summer can mean a very restricted and basic diet– usually involving the horse or pony spending a lot of time indoors without much to eat. Against the evolutionary need to trickle feed, this is not necessarily welfare friendly – behavioural problems linked with boredom could occur and gastric health will be challenged. Restricting grazing to a few hours per day is common but research has shown that, ponies especially, can eat as much in 3 hours as they can in a day when access to grazing is limited. The key in these situations is to extend the eating time of the low calorie low sugar diet as much as possible. Try using small holed hay nets to extend eating time, or give a low sugar, quality fibre block to keep him occupied for longer. Hay and haylage can contain up to 15% sugar, which can be reduced by up to half by soaking the forage for 12-16 hours. It’s easy to choose a compound feed with a low NSC content, as most manufacturers list the starch and sugar contents; chops and chaffs can also be used to slow up consumption of a small hard feed. Sugar and treats Its natural to want to be able to treat or supplement your horse and pony, and whilst in reality they are only fed in a few grammes per day, some treats and supplements can be high in sugar and starch, particularly if they include molasses or cereals – which might not be suitable for the diet your excitable, overweight or laminitic-prone horse or pony. As with humans there are now just as tasty, healthier, low sugar products available to make treating, rewarding or supplementing your horse a low sugar event – all part of the management of the at risk horse or pony.

Understanding Sweet Itch.  The weather is getting warmer, the sun is high in the sky, and your horse starts itching and rubbing his mane and tail. Sound familiar? Many owners dread the onset of summer because of the continuous threat of sweet itch. Sweet itch, or Summer Seasonal Recurrent Dermatitis, is an allergic reaction to the bites and saliva of Culicoides midges. It affects any breed or age of horse and usually occurs between the months of April and October when midges are most active. The threat of sweet itch should decrease during spring and autumn and disappear during the winter. The allergic reaction can range from mild to very severe, resulting in hair loss and bleeding scabs, which may lead to infection. Therefore, it is essential to recognise sweet itch as soon as possible, and take action to prevent it worsening or, if possible, prevent it from occurring at all. What are the symptoms of sweet itch? Sweet itch symptoms can vary greatly between horses, as some suffer more serious effects than others. Mild symptoms include itching and rubbing, usually around the mane and tail and along the top of the back. This can cause patchy hair loss on the coat and loss of mane and tail hair, which may lead to broken and damaged skin. If left untreated, the damaged skin can become sore and infected. In severe cases, sweet itch can extend under the belly, and down as far as the legs. There are some behavioural signs to look out for, too. Horses suffering with sweet itch may become easily agitated, restless or lethargic and show a lack of concentration during work. Vigorous swishing of the tail or headshaking is also common. How do I prevent sweet itch?Prevention is better than cure, and there are a number of measures you can take to minimise the risk of your horse developing sweet itch. Good management Midges are mostly active at dawn and dusk, so if possible, bring your horse inside at these times. Try protecting your horse in the stable by applying fly repellent or cover the stable door with fly-proof netting. Be aware that certain field conditions are more attractive to midges since they congregate near water or boggy marshes, so try not to turn out near these areas. Fly repellents It’s important to do as much as possible to keep flies and midges away. Using a fly repellent can do just that, and they are available as sprays, creams or gels, so there is something to suit everyone. Horses respond differently to each brand of repellent, so make sure you find the one that is right for your horse. Although usually very effective, repellents do wear off the skin over time, so they may need to be applied a couple of times a day, or every few hours if midges become particularly bad. Sheets and hoods Specially designed sweet itch sheets and hoods are now available which enable horses to be turned out without the need for frequent application of repellents. Special fabrics are often used that midges are unable to penetrate. They added bonus is that they also protect the hair, mane, and tail from being rubbed. How do I treat sweet itch? When sweet itch strikes, it is important to treat it as soon as possible. Keep irritated areas clean and dry. If the skin is sore or broken, apply a healing agent like calamine lotion or a nappy rash cream such as Sudocrem®  to help soothe irritation and soreness. Remember that these products won’t protect from further bites. Rubbing benzyl benzoate into the skin is also known to help (although this is not recommended for use on broken skin), or look for an alternative made from natural ingredients. With good management and care, sweet itch is a manageable condition, allowing you and your horse to enjoy the summer months. However, if the sweet itch becomes too severe, or you are worried about infection, it is always wise to consult your vet. For more information or advice on sweet itch, contact the Itchy Horse Company (Formerly known as the National Sweet Itch Centre), Tel: (01352) 840333; visit: HTTP://WWW.itchyhorse.CO.UK

Introduction to Cushing’s Disease (also known as PPID) What is Cushing’s Disease? Cushing’s Disease (also known as PPID, short for Pituitary Pars Intermediate Dysfunction), is a chronic progressive condition that shares some similarities with equine metabolic syndrome. It is one of most common problems affecting the hormonal (endocrine) system in horses and ponies and particularly in those over 15 years. Thanks to advancements in horse welfare, horses are living longer so Cushing’s Disease is becoming more prevalent. What causes Cushing’s Disease? Cushing’s Disease is caused by the overproduction of hormones by an enlarged and overactive pituitary gland ‐ a pea‐sized gland in the base of brain. The overproduction of ACTH (adrenocorticotropic hormone) by the enlarged Pars Intermedia (middle) part of the gland stimulates the adrenal glands to produce more cortisol (a steroid hormone). It is the increased levels of cortisol which causes most of the clinical signs associated with Cushing’s Disease. The condition progresses as the nerves connected to pituitary gland slowly degenerate What are the clinical signs of Cushing’s Disease? The most common signs of Cushing’s disease are recurring bouts of laminitis, which is the most serious complication, and hirsutism (excessive hair growth). Cushing’s Disease is the only condition known to cause hirsutism, which ranges from mild changes in coat shedding to the production of a long curly coat. Other symptoms include: excessive sweating; increased appetite; increased drinking and urination; pot‐bellied appearance; lethargy or more docile temperament; poor performance; lower immune function leading to recurrent infections eg skin, respiratory or dental problems; greater susceptibility to worms; loss of muscle condition, particularly over the topline; abnormal fat deposition, particularly around the Insulin resistance is also associated with Cushing’s Disease. How can I prevent or manage Cushing’s Disease? Cushing’s disease is a progressive condition so there is no known prevention. However, the risk of nerve damage may be lower in horses kept in good health with high levels of anti‐oxidants but this is unconfirmed. Similarly, early treatment following diagnosis may slow down the progression but, again, this is unproven. Given their lower immunity, horses with Cushing’s Disease should be on an effective worming, dental and vaccination regimen, plus any wounds should be frequently monitored for infection. Vitamin C supplementation (20 g per day) has been shown to increase antibody response to vaccines in aged horses, especially those with pituitary dysfunction or Cushing’s syndrome. See Feeding horses with EMS & Cushing’s Disease  How is Cushing’s Disease treated? There is no cure but effective treatment is available to address underlying hormonal imbalances. So far, Pergolide is the only licensed medication to demonstrate sufficient benefit and works by reducing the production of cortisol. Pergolide is available in a tablet form that can be hidden in feed. Associated conditions, such as laminitis, also need to be managed and treated accordingly. Horses with Cushing’s Disease may develop insulin resistance, so this will be managed in a similar way to EMS. Additionally, clipping will help to prevent excessive sweating if your horse grows a thick coat. What is the prognosis of Cushing’s Disease? There is no reason why a horse or pony with Cushing’s Disease, that is well managed, can live a long and normal life. Thank you to vet, Rachel Harrison-Osborne of Wendover Heights Veterinary Centre, for her input to this article. Helpful resources https://www.ed.ac.uk/polopoly_fs/1.18061!fileManager/dvepfactsheet‐cushingsdiseaseandequinemetabolicsyndrome.pdf https://www.laminitis.org/cushings.htm https://www.bhs.org.uk/welfare-and-care

If your horse has had a diagnosis of hock arthritis, there are many ways in which we can help the horse continue a working career and maintain a comfortable life. Adjustments may be needed in their husbandry and exercise programmes, but regular veterinary surgeon and complimentary therapist’s treatments will help to control any associated pain and discomfort. This article aims to give an overview on simple things you can implement into your daily routine to help with the management and associated problems with hock arthritis. As explained in the previous article The Horses Hock | Common Problems, Diagnosis and Treatment the hock is a very complex joint, which plays an important part in the performance horse. When problems arise in the hock joint the horse alters their gait to compensate, trying to avoid or minimise any pain or discomfort due to the arthritis. This results in compensatory hypertension and hypertrophy (overdevelopment) in the associated muscles, tendons and ligaments that are now having different stresses and strains applied to them. Due to a possible reduction in hock flexion, and also in an attempt to reduce concussive forces being applied directly through the hock joint, horses often compensate by circumducting (an outward swing) the affected limb during the swing phase of the stride cycle. This results in the muscles on both the medial (inside) and lateral (outside) aspects of the limb having different forces applied to them which can therefore become tight and overdeveloped. We also often see an increase in tension in the lumbar paravertebral region, gluteal region and hamstrings (see image below) – particularly the semimembranosus and semitendinosus muscles of the hind limb. Again, this is due to the horse trying to cushion and reduce the impact from the affected limb(s) striking the ground. The affects of which will often be seen in the ridden horse by being tense in the back, behind the saddle and having a shortened stride of the hind limb. There are many ways in which we can help support and maintain as near normal function as possible within these structures to help prevent further problems. Maintain Core Strength Horses will naturally try to limit and reduce the amount of pain or discomfort felt from an injury or joint disease by off-loading the affected limb. You may see them resting the affected limb more frequently. This off loading over time will have knock on effects on the core musculature which will affect the posture of the horse, and possibly lead to secondary issues. We can help maintain core strength and suppleness by performing baited stretches as part of our daily routine. Stand the horse square and slowly ask them to follow a treat around to the girth area either side, then the flank either side, outside the front fetlock either side, to the chest, between the front legs and then stretching up to the sky. It is always best to perform these exercises when the muscles are warm, so it is advised to do them after exercise, once tack is removed, but before the horse has cooled too much. If your horse is currently not in work then the muscles can be warmed by massaging the area prior to stretching. Click here for a more detailed guide on baited stretches. Massage Massage can be beneficial to help maintain suppleness within the muscles and prevent excessive tension, which can result in altered gait patterns. Regular application of massage, using effleurage – gentle stroking techniques, or petrissage a deeper kneading technique, paying particular attention to the lumbar paravertebral and gluteal muscle groups (muscles running along either side of the spine from behind the saddle region and over the rump) and the hamstring muscle groups (those running down the back of the hind limb and down to the hock). The Equilibrium Massage Mitt or Massage Mitt Hotspot can be particularly useful for massaging these areas. Manual massage can be tough on your hands if you are not conditioned to it, and these products can take away any worry of not knowing the exact techniques to use. The heat from the Massage Mitt Hotspot is very comforting for sore muscles and could also be applied to the hock joint itself before exercise to help warm the area and relieve initial stiffness. Massage can be performed regularly, if time permits, and if carried out after exercise as part of a routine it can help prevent tension building up. 20-30 minutes should be spent on either side of the horse 2-3 times a week (or more if time allows) to help maintain soft and supple muscles. If you find your horse is particularly uncomfortable when you are massaging a specific area it is always advisable to contact your veterinary surgeon or therapist for advice. For many of us, time on the yard is precious, especially through the winter months. The Equilibrium Massage Pad and the Massage Pad Heatsense provide an easy to use, effective massage (massage & heat from the Heatsense) for the muscles of the back and can be a useful tool to help aid the warm-up process before you ride. One of the biggest benefits of these products is that you can carry on other yard chores whilst your horse has their massage. Poles The use of pole work to increase range of motion within the hind limb can be very useful, but needs to be performed with care, your horse’s ability to perform the exercise correctly and being able to move over the poles without knocking them should be taken into consideration when deciding to use poles as part of the rehabilitation. Your Veterinary Surgeon or therapist will be able to advise you more if pole exercises are suitable for your horse. Something as simple as placing a couple of poles at intervals on your walk to and from the field will help to encourage your horse to use the limb through a greater range of motion. When using poles, it is important to take into consideration your horse’s fitness and ability – keep it simple. A single pole walked over cleanly can be much more beneficial than a grid of poles which your horse struggles to perform. Start simple and increase the number of poles over time. Try to always have someone on the floor watching your horse’s movement over the poles, we aim to have a regular stride length and equal limb flexion / extension through the pole configuration and for any horse diagnosed with hock arthritis I prefer to work with the poles in straight lines, rather than on a curve so we keep limb loading as equal as possible. Changes to Management When manging a horse suffering from hock arthritis alterations to their husbandry and exercise regimes may be required to help achieve the best results, with regular assessments from your veterinary surgeon, therapist and farrier the best outcomes can be achieved. You should avoid long periods of restricted mobility and try and keep exercise levels regular throughout the week, avoiding overworking on hard or deep surfaces and be conscious of ground conditions and the terrain you’re working your horse on – harder surfaces and hills will increase the forces applied through the affected joints. As with any Equine injury, ailment or disease if you are unsure at any point about what is appropriate for your horse we advise you refer back to your Veterinary Surgeon or Musculoskeletal Therapist for advice. Thank you to Catherine for writing this article: Catherine MarshallVeterinary PhysiotherapistAdvCert VPhys DipAVN(surgical)RVN Cert Clin Ed Acc Midx MRAMP, MIRVAP

We know that winter can present extra challenges to feeding regimes but this handy little hay block is a really handy way to help keep your horse happy and healthy this winter. Unlike other fibre blocks, vitamunch is based on quality Timothy grass, packed with selected vitamins, minerals and herbs & then sealed for freshness in handy 1kg packs. 1. Relieve boredom Poor pasture and restricted turnout can lead to long hours stood in the stable or out in muddy fields with limited forage. Long periods without food, against their physiological design, can affect both mental and physical health. Vitamunch is great as a boredom breaker both in the field and in the stable, and can be fed in a handy munch net to keep your horse occupied for longer! 2. Help prevent gastric ulcers and keep a healthy gut A horse’s digestive system is designed to eat little and often. Fibre from forage remains the most important part of the diet. As a basic rule of thumb, a horse should eat a minimum of 1% of its bodyweight per day as forage-fibre. This is equivalent to 5kg for a 500kg horse.Gastric ulcers can occur when the horse goes long periods without food, as acid from the stomach can irritate the stomach lining when it is empty or from a lack of saliva, which is usually produced from chewing and eating.Vitamunch is high in fibre and also takes the horse longer to chew, which helps produce more saliva and helps to keep the digestive tract moving. 3. An easy way to add vitamins, minerals and herbs Winter grass can be lacking in nutritional goodness and your horse may be not getting everything he needs. 1kg block of vitamunch provides 50% of the published daily requirement of essential nutrients (based on an average sized horse of 500kg). 4. Sealed for Freshness The individual sealed packs means that vitamunch can be stored for 12 months to keep some at home, in the feed room, lorry or back of the car ready for your horse at any time. Vitamunch Lifestyle Web (5) 5. Healthy, handy and ready for use Vitamunch can be fed everyday in addition to your horses daily feed and supplements or as a useful distraction for stressful situations such as box rest, travelling, loading, shoeing, clipping, separation or unforeseen circumstances.

What are sarcoids? Sarcoids are benign skin tumours that can be found in horses, donkeys and mules, they are generally not life threatening but do destruct the skin cells that are surrounding them. They appear in different forms on a horse and are most commonly found on the abdomen, inside the backs of legs, the chest and around the ears and eyes. Normally at the sight of previous traumas and where flies congregate. Even though there are 6 different types of sarcoids they all start small and grow at different rates, when they enlarge the skin may ulcerate that can attract flies and cause an open sore. Why does a horse get sarcoids? Sarcoids are caused by an infection the virus Bovine Papilloma Virus (BPV), it is a virus that originates from cattle but is spread by flies. All horses may be infected by BPV in their life, however not all of them will be susceptible to the virus and present with sarcoid growth. How do I know if my horse has sarcoids? Not all lesions that appear on the skin are sarcoids so a vet should be able to diagnosis whether it is a sarcoid or any other skin problem.  If the vet is unsure they can take a biopsy to confirm the diagnosis, this is the last resort diagnosis as a biopsy is invasive. As to know if your horse has the gene that makes them susceptible to sarcoids there is a genetic test that can be carried out however these are not used very often by vets as they can be inconclusive and are expensive to run. How can I prevent sarcoids? There is no easy prevention of sarcoids as there has not yet been a vaccine developed for the disease. Making sure your horse’s immune system is at its strongest in order to help fight the virus and boost the immune system. How are sarcoids treated? There are many ways that sarcoids can be treated and as they all react differently to treatment. The main way of treatment is the use of Liverpool cream, a chemotherapy cream created at the University of Liverpool. This takes place over a number of weeks and can become expensive as the  cream can only be applied by a vet.  The cream is applied every day for a week or every other day for 2 weeks although this may change on a case by case basis.  It is method that makes the sarcoid look worse before becoming better, as it kills all the cells from the area that it is applied to and after a long period of time the sarcoid falls off along with all of the skin cells containing the virus. This then leaves a raw patch of skin exposed (see picture on right), which is why the best time for Liverpool treatment is in the winter where no flies can infect the exposed patch of skin.  There  are many success stories of it fully getting rid of sarcoids although others say that it returned, again reiterating that every sarcoid is different and may have a different reaction to treatment. Another way is rubber banding this is specific to certain types of sarcoids as it is not possible to get a band around every one as some lie flat. But if a band can be placed around it, then the circulation to the sarcoid will slowly be cut off until it dies and falls off.  Along the same lines as this,  there is also laser surgery and Cryosurgery.  They all aim to remove the sarcoid cleanly leaving no trace. Laser is the least invasive using lasers to remove it, Cryosurgery uses a repeated rapid freezing method which is time consuming. Alternatively there are homeopathy treatments that have worked in some cases but also have limited success as they tend to need harder treatments to remove the sarcoids. However there has been proven success with Bloodroot treatment which is a plant extract, used in a similar way to Liverpool cream, the picture on the left shows a pony who had bloodroot treatment and the results after 3 weeks (2 weeks of treatment with 1 week off in between), for this pony however, the treatment did not completely get rid of it. Do I need to treat my horse’s sarcoids? Not necessarily if the lesion is not getting bigger or is in a place that will not affect the horse then it is up to you if you leave it. However when the sarcoid is smaller it is easier and quicker to treat so early treatment is recommended. Discuss with your vet which is the best method of removing for your horse and its type of sarcoid.

What causes colic? Colic can be caused by gut “spasms” (e.g. due to a change in diet), impaction of partially-digested food material or sand, stretching of the gut wall by gas, twisting of the gut so that its blood supply is cut off, displacement of a segment of gut from its normal position, stomach ulcers and fatty tumours wrapping around the gut and strangulating it. Horses are prone to colic because of their unusual GI tract anatomy (particularly the length) and the way their gut works.  It is important to note that many other conditions, e.g. urinary problems, azoturia etc, can present as colic. What are the clinical signs of colic? Mild colic Moderate colic Severe colic ·         Lip curling   ·         Flank watching ·         Restlessness ·         Pawing the ground ·         Dullness ·         Frequently posturing to urinate   ·         Lying down and getting up ·         Lying on their side for long periods ·         Violent rolling   ·         Sweating ·         Rapid breathing How can I prevent colic? Some causes of colic are preventable if good stable management and a regular daily routine are followed: Use an effective worming programme to control parasite levels. Ensure your horse has a constant supply of fresh and drinkable water. Feed small quantities and use good quality, high fibre, feed stuff and include plenty of forage in your horse’s diet. Be consistent with your feeding routine and make gradual changes to your horse’s diet. Ensure your horse has a consistent turn-out and exercise regime. Turn out on good quality pasture, avoiding poor or overgrazed fields or, conversely, lush spring grass. Have an effective dental programme in place because tooth problems can cause digestive issues if food isn’t chewed properly. In sandy areas, avoid feeding horses from the ground as they may ingest large amount of sand. Reduce stress levels by ensuring your horse has a consistent routine and environment and be mindful of stress when travelling your horse. If your horse has a habit of eating his bedding, ensure he is bedded down on something other than straw; this is particularly important if your horse has to suddenly undergo a prolonged period of box rest. Habits such as crib-biting and windsucking will increase the risk of colic and some horses are more prone to recurrent episodes of colic Thank you to vets, Rick Farr and Nikki Pursey, of Farr & Pursey Equine Veterinary Services, for their input to this article. Helpful resources The Royal School of Veterinary Studies – colic information sheet The University of Liverpool Equine Hospital

The equine eye The eyes of the horse are located laterally (either side) of the skull which maximizes the horse’s field of vision. The equine eye is a very delicate structure and in comparison to other species, does not tolerate injury or disease at all well. For this reason it is highly recommended that veterinary advice is always sought as soon as possible in any problem relating to the equine eye. First of all a complete history of your horse will be taken, his age, breed and any previous illnesses noted. Current management of the horse is then determined followed by the details of the current problem. The eye is a complex organ and there are numerous structures inside the eye which the vet will examine. First of all, the gross appearance of the eyes are assessed, checking for symmetry, swellings, overflow of tears, etc. His vision is then assessed by the menace reflex (does the horse blink if an object moves towards his eye?) and the pupillary reflex (a light is shone in the eye and the pupil should constrict). Assessment of the Equine Eye In a darkened stable, an opthalmoscope enables the vet to visualise the interior of the eye. An assessment of the following structures is performed: Cornea Anterior chamber Lens Iris Vitreous body Retina Optic disc A normal, healthy eye will be open, clear and bright with no discharge. The conjuntivae will be pink and there will be no swelling present. A painful eye will present with some or all of the following signs: Blepharospasm (eye clamped shut) Lacrimation (tear overflow) Chemosis (swollen conjunctivae) Discharge (yellow, white or green) Photosensitivity (sensitivity to light) Corneal oedema (cloudy eye) Miosis (Constriction of the pupil) If your horse presents any of the above clinical signs you should phone your vet immediately. Some Common Conditions Corneal Ulcers This is a very common condition seen in all type of horses or ponies and is extremely painful. Your horse’s eye maybe swollen, clamped shut, watering profusely and may have a cloudy appearance. Due to the pain he is experiencing, your horse will not allow you to open his eye manually and may even become naughty if you persist in trying. A corneal ulcer is where the surface of the eye is damaged, usually caused by some kind of trauma or foreign body. Your vet will stain the eye to check for damage. An intact, undamaged cornea will not take up the stain whereas most corneal ulcers will stain green quite clearly. Treatment consists of frequent application of serum, antibiotics and pain relief direct to the eye. Oral pain relief medication may also be administered if required. Turn out is permitted only with a fly mask to prevent damage to the back of the eye from the sun and secondary infection from flies or dirt. Some corneal ulcers can be very persistent so prompt veterinary attention is essential. Equine Recurrent Uveitis Also known as “moon blindness”, this condition is an important condition in that it can recur throughout the horse’s life causing significant painful episodes which, in extreme circumstances, can lead to the removal of the eye. This condition is often mistaken for a traumatic injury due to the amount of pain the horse is in and the swelling around the eye. ERU’s primary cause can be a virus, systemic disease or trauma. It is thought to be an immune-mediated disease where the structures inside the eye are inflamed. Often debris can be seen in the front of the eye, the cornea may be cloudy and the pupil constricted. Examination with the opthalmoscope is often resented due to increased sensitivity to light and the eye does not take up the stain. Treatment consists of pain relief, topical steroids, antibiotics, serum and atropine (to dilate the pupil). This condition can be frustrating due to random repeat episodes causing significant pain and requiring aggressive treatment. It is thought that sunlight and wind can aggravate an episode so turn out is permitted only with adequate eye protection such as a fly mask with an eye patch sewn in. Conjunctivitis Also a common but not so painful a condition, conjunctivitis is a bacterial infection of the eye. As an owner you will find your horse has an ocular discharge which is usually yellow or green in colour. The conjunctivae will be inflamed and there may be some swelling but in general the horse is not too worried. Your vet will stain the eye to check for corneal damage and usually just dispense antibiotic eye drops. It is recommended that sterile water / saline soaked cotton wool swabs are used to clean the discharge away twice daily. In the summer months, ocular discharge will attract flies which exacerbate the condition, therefore it is recommended the horse is turned out at night, or otherwise in a fly mask. Blocked Tear Ducts This condition tends to worry the owner more than the horse. It presents as a persistent, watery, ocular discharge which despite regular cleaning does not settle down. It usually occurs in the warmer months and is very obvious when the horse is brought in from the field. There is no pain or swelling with this condition unless a secondary bacterial infection has occurred. There can be hair loss in the area where the watery discharge lies or just matting of the hair in this area. Normally tears produced by the eye, flow down the nasolacrimal duct and drains into the nose. However the tear ducts are very fragile structures which are lined with a soft membrane. If damaged this lining can stick to itself and block the duct resulting in an overflow of tears from the eye. Although not a serious condition, the ocular discharge does attract flies which in turn can cause a bacterial infection. Two treatment options exist, the first is management rather than treatment. The eyes can be wiped cleaned twice daily with sterile, soaked swabs and a fly mask used whenever the horse is turned out. Antibiotic eye drops maybe dispensed. The second option requires the horse to be sedated so that the tear ducts can be flushed with sterile saline. This is not a painful procedure but the horse does feel some discomfort. Steroid / antibiotic eye drops are then dispensed to reduce any inflammation within the ducts. Many horse owners feel happy managing this condition and tend to keep the flushing procedure as a back up plan. Flushing the tear ducts is obviously more costly and can be disappointing in that there may be a recurrence in the ducts becoming blocked. Fly Mask Selection For many eye complaints, treatment includes protection of the eye from sunlight and insects. For ERU ('moon-blindness') a mask with an eye patch for 100% protection is normally recommended. For most other conditions, a good quality fly mask is recommended by many vets to their clients. It should be looked at that the fly mask stays well away from the eye, is comfortable for the horse and offers UV protection too. Summary There are several common eye conditions, which can be very painful for the horse. Horses' eyes are unusually delicate, and this, combined with the horse's reliance on the sense of sight, means that all symptoms of a potential eye problem should be treated seriously. It is strongly recommended that veterinary advice is always sought as soon as possible, to assess the condition and start treatment. By Claire McKinstry MRCvs  

Christine East, a McTimoney Animal Practitioner, shares her expertise on how to care for your cold-backed horse. An increasing number of horses are being diagnosed as ‘cold-backed’, and the problem is much more common than many horse owners think. So what does it actually mean, and how can it be treated? What does ‘cold-backed’ mean? The term ‘cold-backed’ is used to describe a horse displaying symptoms of a sensitive or painful back. These symptoms can range from very mild, such as discomfort when the girth is tightened, to more serious, lasting until the horse has warmed up and the muscles are relaxed. McTimoney Animal Practitioner, Christine East has treated many cold-backed horses. “There are lots of different interpretations of the term ‘cold-backed’, and it can be used to cover a range of different symptoms,” she says. “However, it is important to remember that every horse is an individual, so they may display different signs to other horses with the same problem.” What to look out for Christine stresses that it is common for horse owners to worry about confusing a cold back with their horse’s behaviour towards activities, such as tacking up and grooming. However, there are definite signs to look out for, which include: Soreness or sensitivity to grooming over the backReacting to the saddle, such as dipping or bridging the back when it is put onDiscomfort when the girth is tightenedRefusal or reluctance to let you mount from the groundStiffness through the back during the first few minutes of work What is the cause of a cold back? Christine suggests that one of the underlying problems is evolutionary. “Horses didn’t evolve to carry people on their backs and compensate for the extra weight. This means they can develop sensitive nerve endings or a misalignment in the spine as a result. Some of the most common causes of a cold back include: pressure from a poorly fitting saddle; aggravation of previous injuries to back muscle; or problems with your horse’s teeth or feet, which cause them to readjust their posture. Another cause, which I think is often overlooked, is the posture and position of the rider,” says Christine. “I often have calls from owners whose horses all seem to have developed the same back problem and it is caused by the horse having to compensate for the rider’s bad posture. When having your horse treated, it is sometimes worth seeing a back specialist yourself!" Treating a cold back As there are such a range of symptoms for a cold back, it is important to consult your vet as a first port of call, who can rule out any injury or more serious problems. They can then refer your horse to a physiotherapist, chiropractor, or McTimoney practitioner, as necessary. “Symptoms associated with a cold back are not usually too difficult to treat,” says Christine. “Most treatments work to relieve spasms or misalignments in the spine, which cause a pull in the surrounding muscle tissue and result in soreness.” When treating a cold back, it is also advisable to have your horse’s feet and teeth checked, to ensure that there aren’t any problems here that are causing knock-on effects. Prevention is key There are certain preventative measures that can be taken to help stop your horse developing back problems in the future. Have your saddle checked annually, because a horse’s shape can change throughout the year and may not be the same as when the saddle was fitted. Always warm up properly before exercise and remember to cool down when you have finished – this allows your horse’s muscles to adjust to your weight and avoid any damage. If your horse is particularly sensitive, tack up and walk him around for five minutes before mounting – this will give the muscles a head start and ensure he is comfortable when you are mounting. In addition, always use a mounting block rather than mounting from the ground, as this can place extra stress on the back. Often, when a horse won’t stand still for mounting, it is an indication that he finds it uncomfortable, so take care as you get on. When schooling, ensure you do sufficient work on both reins – this will benefit the whole body, not just the back, and will help your horse to remain flexible through both sides of his body. A cold back is treatable “The good thing to remember is that the problems associated with a cold back are almost always treatable,” says Christine. As with everything though, prevention is better than cure, so taking good care of your horse’s back is important, and will help him stay fit and healthy and able to perform at his best.

Salt, electrolytes and gastric ulcers The use of electrolytes in relation to gastric ulcers has been mooted since a study in endurance horses showed those receiving a concentrated electrolyte paste once per hour for eight hours showed higher rate of gastric lesions than those receiving a placebo.  Extreme use such as this is not routinely recommended.   It is necessary to replenish lost salt and electrolytes after sweating, because sweat contains both water and electrolytes; sweating cools the horse by the process of the evaporation of water from the skin, but in losing water the horse also loses electrolytes, which must then be replenished through the diet. Ensuring a sound base of forage in the diet is essential – forages themselves are a source of electrolytes, and they also create a reservoir of water bound with the fibre in the hindgut that acts as a fluid reservoir when sweating. Supplementary electrolyte requirements are highly individual, dependent on the duration and intensity of the workload, the core ration as well as the environmental conditions.  Electrolyte tips: Maximise forage intakes where possible.  If travelling or on restricted forage diets consider offering forage in a  way that slows consumption such as double walled hay nets or the use of a forage block. Consider providing salt blocks at home; Always follow the supplement manufacturer’s recommendations for use Always offer fresh water when administering electrolytes Never administer electrolytes on their own into an empty stomach – try mixing them with some type of fibre – e.g. a small amount of alfalfa

The structures in a horse’s feet are responsible for supporting the full weight of the horse over a small area. Routine foot care is therefore extremely important, as any problems in the feet can be extremely detrimental to mobility and health. Structure of the foot Coronary band This is located at the top of the hoof and is responsible for creating horn that makes up the hoof wall. Periople This is the outer layer of the hoof that forms a protective covering on the hoof wall. It is responsible for regulating moisture content in the horn, secreted from the perioplic ring above the coronet. Hoof wall The hoof wall is the exterior of the hoof, made from a keratin-based substance.It provides a hard protective layer around the internal parts in the foot. It takes 9-12 months for the hoof to grow from the coronary band to the toe. In order for the horn to grow correctly and form a healthy foot, the horse must be provided with a good diet and be in good health. These factors must be checked if the horn starts to become brittle and weak or if the foot looks badly formed. A feed supplement of biotin may be helpful to promote good horn growth. Sole This is a tough structure that provides external protection to the sensitive sole underneath. It is slightly concave and is not weight bearing. Frog The frog has an extruding triangular structure which extends from the heel to halfway down the foot. Its function is to absorb concussion, provide grip and be a weight-bearing surface for the foot. It also ensures that a healthy blood supply reaches the foot. The grooves along each side of the frog allow for expansion when it makes contact with the ground. Inside the foot Sensitive sole This is found underneath the pedal bone, within the insensitive sole. It produces the new cells that replace lost layers of the insensitive sole. Digital cushion The digital cushion is found between the pedal bone and deep flexor tendon. It is an elastic, fibrous pad that absorbs concussion from ground impact. It also helps to push blood back up the leg. Lateral cartilages These are attached to the pedal bone and serve to protect the coffin joint. They also help absorb concussion. Laminae The insensitive laminae are supportive structures that attach to the hoof wall and interlock with the sensitive laminae. The sensitive laminae then attach and support the pedal bone. The divide between sensitive and insensitive laminae can been seen as a white line on the sole of the foot. Conformation This is extremely important, as the feet are obviously essential to the horse! They should be even and round in shape and in proportion with the rest of the horse. The fronts should be of equal size and shape and so should the hinds. The front feet should slope forwards and be at a 45 degree angle to the ground, and on through the fetlock and pastern. The hind feet should be at an angle of 50-55 degrees to the ground. The hoof wall should be smooth and free from cracks. Any lines could indicate poor nutrition or past cases of laminitis. Poor conformation in the feet can result in strains to tendons and ligaments, tripping and bruising. Many foot conformational faults can be improved by a good farrier and over a period of time. Routine care Apply hoof oil every other day during the summer to help prevent splits and cracks Pick out feet every day with a hoof pick Check shoes for wear and tear and signs that a farrier is needed – such as risen clenches, pinching across the bulbs of the heel, overgrown and misshapen feet Check unshod horses for splits, cracks, flares and overgrown misshapen hooves Ensure that the farrier attends shod feet every four to six weeks, and unshod feet every six to ten weeks Farrier Great care must be taken when selecting a farrier, so ask your vet for recommendations. Correct trimming and shoeing is vital to the horse’s welfare, and any mistakes can lead to serious, lasting damage. The horse’s feet should be correctly balanced whether shod or unshod. Balance is important as inaccuracy can lead to lameness and aggravate navicular syndrome and laminitis. It can affect the whole movement and development of the horse and cause ongoing problems. Shoes are not always needed. It depends on the amount and type of work the horse is doing. Sometimes only front shoes may be needed. The farrier will be able to advise on the best option for the individual horse. Checklist Always check the horse’s feet after the farrier has visited The horse should be sound. If he is even slightly lame or lame a few days later, the farrier must be recalled immediately to address the problem. Check the balance of the feet. The angle should be around 45-50 degrees from the ground at the front and 50-55 degrees from the ground at the back. The angle through the pastern, fetlock and hoof should be 45 degrees. When viewed from the heel, with the foot raised, the sides of the foot should be level. With the foot on the ground both sides of the hoof should be of equal length. If shod, the shoe should fit the foot with no gaps between the shoe and the foot. The clenches should be about one third of the way up the hoof wall from the floor. They should be in a straight line and be flush with the hoof. The toe clips should also be flush with the hoof wall. The sole of the foot should not be touching the ground in unshod horses The sides of the frog should be trimmed. The frog should be level or slightly below the edge of the hoof wall. If any deviations from the checklist are found, speak to your farrier. There may be a reason for this, such as correction of conformational defects, but the feet may need to be re-checked. Common ailments in the feet In most cases of lameness, the cause is usually found in the foot. Bruised soles These are caused by an injury to the sole of the foot, usually by standing on a hard object or concussion from hard ground. They can also be due to poor trimming or shoeing. Symptoms are acute lameness that gets progressively worse, red or bruised areas seen on the sole, and reaction to pressure on the sole due to pain. The treatment is to restrict movement and keep on a soft surface – a deep bed in a stable, sand school or woodchip area until sound. If in severe pain, call the vet who may prescribe anti-inflammatory drugs and check for any infection. Thrush This is caused by continuous exposure to a damp environment without sufficient care and attention to the feet, such as poor stable management, wet or damp bedding, and wet, muddy fields. It is a bacterial infection and if left untreated, it can move to the sensitive, internal structures in the foot. Symptoms are a black, smelly discharge around the frog, and possibly lameness if severe. The treatment is to scrub out the foot and apply eucalyptus oil (available from most chemists) repeatedly along the grooves of the frog until it clears. The farrier should trim the sides of the frog to remove any damaged tissue. If there is infection and lameness call the vet and follow the advice – it may need poulticing. To prevent thrush, keep the feet clean, scrub them out and apply eucalyptus oil at least once a week during the winter, and when necessary in the summer. Make sure that there is a dry area in the field, for example hard standing, if the horse is out all the time. Make sure bedding is kept clean and dry. Seedy toe This is the separation at the white line. It usually starts at the toe and gradually progresses up the hoof wall. The hole becomes filled with white, dead material. It normally occurs when the toes are allowed to become too long, but it can be a result of laminitis or of concussion on hard ground. This condition needs to be managed by regular, correct trimming by a farrier – the hole will then grow out. Some of the tissue may need to be cut away and packed with putty. There may be an infection so, if the horse is lame, call the vet, as antibiotics may be needed. The foot may then need to be tubbed with water and Epsom salts and poulticed. Laminitis This is caused by several factors, but the main reason is an overload of soluble carbohydrates in the digestive system (see the All About Pets leaflet, Laminitis (H14)). Symptoms are a reluctance to move, increased digital sesamoid pulse, walking heel to toe, and leaning back onto the hind feet. Call the vet immediately and follow the treatment plan given. Remove the horse from grass and take him into a deep bed of shavings, cardboard or sand until sound. To prevent laminitis, a properly formulated high fibre diet is necessary with strict weight control, and regular farrier attention. Infections in the foot (pus in the foot) This is caused by puncture wounds, seedy toe, or bruising. It is the most common reason for lameness. Symptoms are an extreme lameness due to the inflammation in the foot, increasing pressure against the hoof wall, causing pain. There is an increased digital sesamoid pulse in the affected hoof, and reaction to pressure on the infected site due to pain. Call the vet, as the infection (pus) should be released from the foot by digging out the infected area. This can also be done by a farrier. The horse will be sound or at least almost sound after this procedure. The foot will then need to be tubbed and poulticed to draw out the rest of the infection. If not treated, the leg can begin to swell and the infection can spread through the foot and burst out of the coronary band. In extreme cases the vet may prescribe antibiotics alongside practical procedures. Also, ensure that the horse is covered for tetanus, as puncture wounds are an ideal way for tetanus to enter the body. A vet should see all puncture wounds to the foot because if they are deep enough, they can infect the pedal or navicular bone. This is a serious condition and needs surgical attention. It can cause damage to sensitive, internal structures including tendons and could cause permanent lameness. Nail bind/prick This is caused by the farrier putting a nail too close to the sensitive part of the foot (nail bind) or actually piercing the sensitive part of the foot (nail prick). Symptoms are lameness after shoeing, either immediately or up to a couple of days later. To treat it, the farrier needs to remove the nail and the foot should be tubbed and poulticed as with a foot infection. Call the vet if lameness continues, or if the farrier recommends it. Check tetanus vaccinations are up to date. Sand/grass cracks A sand crack starts at the coronet band and works down, whereas a grass crack runs from the ground towards the coronet band. Both are caused by poor foot conformation or condition, poor or irregular farrier attention, or an injury. Call the farrier for treatment. The cracks can be stopped from spreading by marking a groove in the hoof wall above or below the crack, or by putting clips around the start of a grass crack. With regular, correct farriery, the cracks should grow out. To prevent cracks, ensure regular, correct farriery. A dietary supplement of biotin can also promote good hoof condition and growth. Original article produced by The Blue Cross Organisation. Read more at www.bluecross.org

Acupuncture can be used as a complementary veterinary treatment for horses, and other animals, amongst other things it can provide pain relief and generally improve a horses’ well-being. Treatment involves stimulation of specific points of the body using very fine, solid needles. It causes inhibition of pain pathways and stimulates the release of pain relieving chemicals in the brain and spinal cord. Acupuncture is an act of veterinary surgery and so can only be performed by a vet. This stimulation can generate many responses within an individual. It can affect muscle, the circulatory, digestive, reproductive and urinary systems, as well as anti-body and hormone production. Conditions which can respond to acupuncture include: back pain, both acute and chronic; lameness – tendonitis, sesamoiditis, laminitis and navicular disease; COPD; chronic gastrointestinal disease (unresolved diarrhoea or constipation); post viral fatigue; paralysis or muscle spasm; behavioural problems and infertility. A course of treatment usually consists of weekly treatments for a minimum of four weeks then gradually extending the time between treatments to a maintenance level which is different for each individual. Chess Valley Equine use a Western Scientific approach to acupuncture treatments and find that where it is used, either alone or in combination with other therapies, the results are very good. Unfortunately there are a small number of individuals and conditions that will not respond to acupuncture. Please visit their website for all the services they can offer:  www.chessvalleyequine.com

Over recent years ‘Kissing Spine’ seems to have become a more widespread and commonly diagnosed condition. The good news is that with the correct treatment and/or surgery many horses are making near to full recoveries and it doesn’t necessarily mean an end to their ridden career whether this is as a happy hacker or a competition horse.  What is Kissing Spine? Kissing spine is a disease of the spine whereby the spaces between the upper dorsal processes of the vertebrate become reduced and the vertebrate actually touch, or ‘kiss’, causing bone to bone contact and in some cases damage to the ligaments within the spine which causes the horse great discomfort. What are the Symptoms of Kissing Spine? Signs indicating kissing spine may include poor performance or a sudden change in behaviour both on the ground and when ridden such as bucking, bolting, rearing, struggling to maintain a particular canter lead, stiffness through the back and hind quarters, reluctance to have the back area touched, groomed or a saddle placed on it. How is Kissing Spine Diagnosed? When the symptoms are realised a veterinarian should be consulted. He will assess the horse by seeing it trot up and/or schooled and then refer for appropriate treatment which could be x-rays, nerve blocks in the area, ultrasounds or scintigraphy (bone scans). How are Horses treated for Kissing Spines? Kissing Spine can be treated a number of ways such as corticosteroid injections, surgery or in some cases it can be managed or pain alleviated by more holistic approaches. These methods may be fundamental to the horse’s recovery post treatment. Surgery is commonplace with many new methods being introduced with the advancements of technology, for example key hole surgery or Svend Kold’s method which has been proven successful. Where can I find information from owners whose horses have as kissing spines? A number of websites and social media pages are available for horse owners with kissing spine horses to share their experiences – how they cope from when they first receive a diagnosis, through the treatment process to how they can assist the recovery of their beloved horse. These websites may not include information from qualified practitioners such as veterinarians or physiotherapists so your own vet/physio should be consulted prior to trying anything new with your horse. Two sites which may help support existing owners include a blog by Ruth Bishop, a 24 year old Riding Instructor from Cornwall whose Thoroughbred X, Adam, was diagnosed with kissing spines in January 2013 and a Facebook group called ‘Horses with Kissing Spines’ – Ruth’s Blog Horses With Kissing Spines – These sites provide horse owners a place to communicate with other owners whose horse has had kissing spines and see what recovery programme has worked best and what additional products they can buy to help make this time easier and keep their horses as comfortable as possible.

Whatever your discipline, it is essential to take good care of your horse’s joints to prevent future problems occurring. Most horse owners know that regular care of legs, feet and back can help prevent future problems and prolong their horse’s working life. However, many overlook proper joint care, something that could impact on all of these areas. Daily activities and everyday life causes wear and tear and places stress on joints, so being aware of potential problems early is important. Ongoing joint care can help minimise the risk of problems or injury, aid fitness and improve all-round performance. Joints explained A horse’s joints are designed to absorb shock and bear the weight of the body, while helping them to move easily and without friction. There are three main types of joints: – Cartilaginous – these joints have limited movement, such as spinal column and pelvis – Fibrous – fixed joints, such as the skull – Synovial – these are the moveable joints, such as the fetlocks, stifles, hocks and knees As the most active joints in a horse’s body, synovial joints are also the most likely to incur injuries or problems. Each end of the bone is covered with a lubricated cartilage, which absorbs the forces placed on the joint as the horse moves, and it is when this lubrication is affected that friction can cause joints to wear as a result. How are they affected? Problems usually occur when joint damage happens faster than repair, and there are many ways in which a horse’s joints can be affected. Although care and consideration go some way to protecting from unnecessary deterioration, age and general movement will always cause wear and tear. Conformation is also key – the better a horse’s conformation, the more balanced they will be, so the less impact will be placed on the joints. Poor conformation can exacerbate joint problems, as it more stress is placed on compensating joints, causing more wear and tear. Fitness, diet, foot condition and type of work can also play a part in general joint condition. Work on hard or rough ground can affect the movable synovial joints in particular, as it creates extra shock and impact. Things to look out for Horse’s can suffer from many different types of joint injury or problem, and treatment can range from massage and hydro-therapy to intra-articular medication (the injection of a drug into the joint), depending on the seriousness. As part of the daily routine, it is important to keep an eye on joints – as you would the feet and back – and look out for any abnormalities. Signs can include lameness, heat or swelling and pain on movement or flexion. In these cases it is important to consult your vet who can advise on what the problems are, and the best course of treatment. Prevention is better than cure When it comes to joints, prevention is better than cure, so it is important to be aware of what causes them extra stress, and how this can be minimised. Warming up and cooling down after exercise is essential, as it helps keep joints supple and reduces the chance of damage or friction. Competitions do have an impact, so if you are competing, be aware of the ground condition – hard ground or rougher terrain than your horse is used to will place more stress on joints. Leaving time enough time for the horse to rest after strenuous exercise or competition will allow them to recover and reduce the chance of lasting problems. When schooling, gradually help your horse build up a resistance on different surfaces, this will help protect from injury, keep joints supple, and improve condition in the long run. What’s on the market? There are a wide range of supplements available, designed specifically to benefit a horse’s joints. These can be used to support existing conditions or problems, or just to help maintain and protect healthy joints, and are manufactured by an array of equine brands. Using protective boots is also very important, especially when competing. They give protection to legs and joints, by absorbing impact and concussion, and providing extra support. Every horse is different Although there is no way to prevent general wear and tear on your horse’s joints, there are effective ways to reduce it. Every horse is different, so it is important to look at cases individually, and help your horse build up joint resistance slowly. Conformation, age and workload all play a part in joint condition, and while these are factors that can’t be changed, others can. Proper care will ensure joints are kept in the best condition possible, increase stamina, and ultimately help prolong your horse’s working life.

Horses can suffer from arthritis whether young or old, so it is important to know how to manage the condition and what to look out for. Many horse owners associate arthritis with old age and wear and tear on the body, however, it is actually a surprisingly common condition and can affect horses of all ages and types. Effects can range from mild to very severe, so while some horses will remain sound and be able to continue with a near to normal workload, others will need special care and attention. It is essential to know what to look out for in horses with arthritis, and how best to care for those living with the condition. What is arthritis? Arthritis in horses refers to an inflammation of the joints, which causes pain, stiffness and sometimes restriction of movement. Most commonly, arthritis affects the cartilage in between the joints, which can be worn down or damaged through injury, and results in the bone, which is usually smooth, becoming rough. When the damaged cartilage and bone are moved, the joints become inflamed, painful and often swell – this is why arthritis is usually most prevalent in lower, weight bearing joints. It can affect one singular joint or many joints at one time. The most common form of arthritis is the chronic progressive form, known as Degenerative Joint Disease, or osteoarthritis. This progresses over time, and once established, cannot be fully cured, only maintained. This type of arthritis includes ringbone (which affects the pastern or coffin joints), and bone spavin (which affects the lower hock joints). Look out for the signs Although the causes of the progressive forms of arthritis are not known, there are a number of signs to look out for. It is important to recognise arthritis as early as possible, as this will allow the best possible management of the condition and reduce the risk of further damage. As part of your daily routine it is important to check the legs and joints – signs of arthritis include: • Bulging or swelling of the joints• Joints that are unusually warm to the touch• Lameness or pain on flexion• General stiffness during movement• Difficulty in getting up after lying down or rolling Horses most at risk Although, generally, arthritis is more prevalent in older horses when the joints begin to wear out, it can also occur in younger horses, especially those who are in heavy or stressful work. There can be a number of other contributing factors, such as exercise on hard ground, which can increase the risk of concussion and pressure to the joints, and poor conformation, which can distribute uneven pressure on certain joints. Managing arthritis As the effects of degenerative arthritis are not reversible, it is important to focus on effective management of the condition - this includes working to stop the arthritis progressing further, and relieving pain. Be aware of what might place extra stress on your horse's joints and try to minimise these activities, if possible. Courses of action usually depend on the severity of the condition - often gentle exercise can help the stiffness caused by arthritis, but for a horse in heavy work, rest and a reduced workload may be necessary. Exercise on hard or uneven ground places greater pressure on joints, so be aware of the conditions your horse is working in. In some cases your vet may prescribe an anti-inflammatory drug, such as Phenylbutazone (bute) to reduce heat, inflammation and pain, and restore the joints to a manageable condition. If in doubt consult your vet If you are worried about your horse’s condition, it is always wise to consult your vet, who will able to diagnose arthritis and help you can decide on the best course of action. It is important to remember that every horse is different, so what works for one may not work for another. Many horses living with arthritis continue to lead very happy and active lives, so with effective management it is possible cope with the condition, and keep pain and degeneration at bay.