Considerations When Treating a PPID Horse That Has Joint Pain

A veterinarian explains what to pay attention to when treating a horse that has PPID or EMS for joint discomfort.
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ppid horse with long hair

Horses with endocrine disease, including pituitary pars intermedia dysfunction (PPID, also known as Cushing’s) and equine metabolic syndrome, might be more sensitive to steroids, putting them at risk of developing laminitis. Julie Settlage, DVM, MSc, Dipl. ACVS-LA, said being aware of these added concerns when choosing a joint therapy can help you avoid triggering a laminitic episode.

This podcast is an excerpt from our Ask The Horse Live Q&A, “Equine Joint Health.” Listen to the full recording here.

About the Expert:

Julie Settlage

Julie Settlage, DVMJulie Settlage, DVM, MSc Vet Ed, Dipl. ACVS-LA, is a board-certified large animal surgeon with a keen interest in sustainable equine practice. She joined the Boehringer Ingelheim Equine Professional Services team in 2020. Previously, she was the chief of the equine internal medicine and surgery service at Virginia Maryland College of Veterinary Medicine, in Blacksburg. Settlage is a member of ACVS, AVMA, VVMA, AAEP, and VAEP and past president of the SWVVMA. Her clinical interests include general surgery and sport horse medicine.


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