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august 2019 Your Horse ISSUE <strong>454</strong><br />

win<br />

luxury Amerigo tack & gear worth £1,000! *<br />

Can you pass our<br />

road safety test?<br />

n ROS CANTER’S JUMPING EXERCISES n COMPETITION MINDSET n road safety n dressage COLLECTION n FOOT BALANCE n plastic pollution<br />

For people with a passion for horses<br />

Conquer<br />

competition<br />

nerves<br />

5 game-changing<br />

secrets that work<br />

Plastic-free<br />

tack rooms?<br />

Join the equine industry’s<br />

fight against pollution<br />

3<br />

keys<br />

to nailing<br />

collection<br />

Transform your<br />

jumping technique<br />

with Ros Canter’s winning formula<br />

August 2019<br />

(Issue <strong>454</strong>)<br />

£4.25<br />

SPECIAL REPORT<br />

Protective<br />

boots<br />

‘The welfare of<br />

your horse<br />

is at stake’<br />

Imperfect<br />

hooves<br />

Hope for<br />

all shapes<br />

www.yourhorse.co.uk<br />

*UK only


Contents<br />

3 issues<br />

for £5!<br />

Subscribe to<br />

Your Horse today<br />

and never miss<br />

an issue<br />

See page 94<br />

REGULARS<br />

6 Your Horse challenges you…<br />

to try horse football<br />

8 Horse talk Things you need to<br />

know about in the equine world<br />

10 #Hack1000miles Test your road<br />

riding knowledge — and stay safe<br />

16 Horses around the world<br />

The Caspian Horse<br />

22 Work–horse balance The equine<br />

nutritionist<br />

30 Your say You get in touch<br />

32 Send a selfie You share your pics<br />

130 Take five with CBBC vet<br />

James Greenwood<br />

Your horse’s<br />

TRAINING<br />

36 Breaking the mould Ros Canter’s<br />

genius gymnastic exercises<br />

44 Competition confidence<br />

Declutter your mind and rid yourself<br />

of crippling nerves<br />

48 Loosen up Three easy ways to<br />

improve your horse’s suppleness<br />

50 Sharper reactions Event rider Tom<br />

Rowland shows you how to improve<br />

your horse’s course-jumping skills<br />

56 Powerful<br />

steps<br />

Former<br />

Spanish Riding<br />

School rider<br />

Florian Bacher<br />

sets you on<br />

the right path<br />

to achieve<br />

collection<br />

features<br />

18 Interview Dressage rider Jo Barry<br />

talks openly about her return to riding<br />

following a devastating head injury<br />

24 Plastic pollution What you can<br />

do — and what the equine world is<br />

doing — to save the planet<br />

24<br />

Reuse<br />

and recycle<br />

your plastic<br />

Your horse’s<br />

CARE<br />

70 One-eyed wonders Discover how<br />

well horses cope if they lose an eye<br />

76 Lovely legs Katie Jerram-Hunnable<br />

shows you how to trim your horse’s<br />

legs for a show-winning finish<br />

78 Summertime woes The health<br />

issues pesky flies cause and how<br />

to treat them<br />

80 The less than perfect hoof<br />

All about the vital role hoof balance<br />

plays in keeping your horse sound<br />

86 Wound care Supergroom Alan<br />

Davies shows you how to manage<br />

wounds for effective healing<br />

88 The endocrine system<br />

Understand how hormones help<br />

your horse stay healthy<br />

50<br />

Push your boundaries<br />

at home, with<br />

Tom Rowland’s<br />

quirky course<br />

65<br />

44<br />

On the cover<br />

10<br />

124<br />

ask The<br />

experts<br />

98 Planning & law Field shelters<br />

• Grazing rights • Building new stables<br />

100 Hydrotherapy What to expect<br />

when you go swimming • Better<br />

fitness • Benefits of a water treadmill<br />

102 Using studs The types of studs<br />

you may need • Tools for your stud<br />

kit • How to avoid stud injuries<br />

104 Equine careers Job options in<br />

the horse world • Becoming a trainer<br />

• Careers in nutrition<br />

106 Advice from Spillers Monitoring<br />

your horse’s weight<br />

Your horse’s<br />

GEAR and yours<br />

112 What’s new? The latest products<br />

to hit the shops this month<br />

114 Big test Which fly mask came out<br />

on top in our review?<br />

118 On trend Six of the best tendon<br />

boots on the market<br />

120 Buyer’s guide What to look for<br />

when choosing a competition jacket<br />

124 Protective boots Should boots<br />

that claim to protect your horse’s legs<br />

have to meet a safety standard?<br />

120<br />

to Win in this issue<br />

65 Tack and other kit<br />

from Amerigo<br />

110 Rugs, therapy<br />

products and more<br />

110<br />

WORTH<br />

£1000<br />

65<br />

24<br />

56<br />

36<br />

124<br />

80<br />

114<br />

4 your horse august 2019<br />

www.yourhorse.co.uk<br />

www.yourhorse.co.uk<br />

august 2019 your horse 5


horse talk<br />

horse<br />

Here’s what you need to<br />

know about this month<br />

talk<br />

HORSES IN ART<br />

The Lifeboat Horse can be<br />

seen on the north Norfolk coast<br />

This month<br />

we love...<br />

Three things from the equestrian<br />

world that caught our eye<br />

learn from the stars<br />

See Charlotte in action at Your Horse Live<br />

On 8-10 November, at Stoneleigh Park,<br />

Warwickshire, British dressage superstar<br />

Charlotte Dujardin will be demonstrating<br />

her skills at Your Horse Live 2019.<br />

A triple gold medallist at the London<br />

2012 and Rio 2016 Olympic Games,<br />

Charlotte is also a former European<br />

Champion, World Champion and holds all<br />

three world records in dressage.<br />

On Friday 8 November, she’ll be sharing<br />

her secret training tips for Olympic success.<br />

On Saturday and Sunday, Charlotte will<br />

show us why she’s the queen of dressage<br />

with some of her top horses.<br />

On Friday, the main arena will be taken<br />

over by the very best trainers in the UK.<br />

There’s truly something here for everyone,<br />

to be inspired, amazed and informed with<br />

our masterclasses covering dressage,<br />

showjumping, eventing and showing.<br />

Friday’s schedule also includes the SEIB<br />

Search for a Star Mountain & Moorland<br />

championship, while Saturday and Sunday<br />

will showcase incredible displays from<br />

world-class performers. Plus, you can shop<br />

every day at the UK’s biggest equestrian<br />

shopping event, with hundreds of<br />

tradestands and great bargains on offer.<br />

Don’t miss out! Buy your tickets today at<br />

yourhorselive.co.uk.<br />

BEFORE<br />

Ollie was badly<br />

mistreated by his<br />

previous owners and is<br />

very wary of humans<br />

after<br />

Ollie is happily living<br />

out his days with his<br />

friends at Hoofbeats<br />

Rescue Update<br />

Ever wondered what happens to<br />

the rescued horses and ponies<br />

you read about in the news?<br />

Wonder no more…<br />

Thirteen years ago, Ollie arrived at<br />

Hoofbeats Equine Rehabilitation<br />

Sanctuary near Plymouth. Initially<br />

purchased as an unhandled youngster<br />

Charlotte Dujardin<br />

will share her training<br />

tips for dressage<br />

success on Friday<br />

from a horse sale, Ollie became<br />

uncomfortable with a headcollar during<br />

his early training and subsequently had<br />

his head tied to his feet. Consequently,<br />

it’s no surprise he became extremely<br />

fearful of humans and appeared on TV’s<br />

Britain’s Worst Pets for his behaviour<br />

before he came to Hoofbeats in 2006.<br />

Sharon Vieira, Hoofbeats’ founder, says:<br />

“Ollie has the most upsetting past that<br />

we know of of any of our horses, and<br />

he’s also our most troubled.”<br />

Now, as one of the sanctuary’s longest<br />

inhabitants, Ollie is a permanent Hoofbeats<br />

resident. Living naturally within a peaceful<br />

herd, he’s worked with only on his own<br />

terms and often at liberty.<br />

While this sweet boy will greet humans<br />

for the odd treat or two, Hoofbeats<br />

allows Ollie to “just be a horse”, living out<br />

his days among his field friends.<br />

Photo: your horse live<br />

Sculpture given permanent home<br />

A horse sculpture in the sea that’s revealed<br />

by changing tides has become a permanent<br />

attraction on the north Norfolk coast after<br />

local residents raised £15,000 to buy it.<br />

The Lifeboat Horse by artist Rachael Long<br />

has found a harbour home at Wells-nextthe-Sea.<br />

The 3m-high sculpture celebrates<br />

the work of horses that used to tow the<br />

BANNED SUBSTANCES<br />

FEI warns of<br />

synephrine in<br />

your horse’s<br />

environment<br />

The FEI is warning the equestrian<br />

community about synephrine, which is<br />

a banned substance listed on the Equine<br />

Prohibited Substances List.<br />

A high number of samples taken from<br />

horses under the Equine Anti-Doping<br />

and Controlled Medication Programme<br />

have tested positive for the substance.<br />

Investigations into the source responsible<br />

for the positive cases are continuing, but<br />

the FEI is warning that synephrine can<br />

be found in every horse’s environment.<br />

town’s lifeboat out to sea in the 1800s.<br />

Locals took it to their hearts when it was<br />

installed for a temporary art trail in 2018<br />

and wanted to ensure it had a forever home.<br />

“In a very short time, it’s become part of<br />

the seascape and it’s a fitting tribute to our<br />

local history. It’s great to see it back,” said<br />

Wells harbour master Robert Smith.<br />

Synephrine has been<br />

detected in certain<br />

types of hay<br />

Synephrine is a stimulant that can cause<br />

vasoconstriction — an increased heart rate<br />

— and is used as a weight loss aid.<br />

In certain parts of the world, it can be<br />

found in plants such as common rush and<br />

the leaves of citrus trees. Synephrine has<br />

also been detected in Teff grass hay.<br />

It is an ingredient in some herbal and<br />

nutritional supplements, and commonly<br />

found in the peel extract of Seville orange,<br />

which is used as a flavouring agent.<br />

FRACTURE RESEARCH<br />

Scientists pave the<br />

way to aid fracture repair in horses<br />

The Animal Health Trust (AHT) and the University of East Anglia<br />

have succeeded in producing 3D-printed scaffolds that could<br />

be used to turn stem cells into bone in the laboratory.<br />

Bone fractures in horses usually occur as a result of traumatic<br />

injuries or bone overloading. Severe fractures are difficult to treat<br />

because of a horse’s need to bear weight on all of his limbs. Bone<br />

grafting is often carried out in human patients, but<br />

this technique is not commonly used in horses.<br />

The scaffold material is inexpensive and can be<br />

printed to any size or shape. Once formed,<br />

it’s then treated to encourage the<br />

attachment of cells to its surface.<br />

Dr Debbie Guest, head of<br />

stem cell research at AHT, said:<br />

“This work paves the way<br />

towards laboratory production<br />

of bone constructs that could<br />

be used to aid fracture repair.<br />

It could ultimately benefit many<br />

horses in the future.”<br />

Perfectly organised<br />

What better way to make sure you get<br />

those #Hack1000miles rides into your<br />

busy schedule than with the Ponies<br />

Desktop Weekly Planner by Thelwell.<br />

RRP £9.99 amazon.co.uk<br />

IT’s a VEt’s Life<br />

Julian Norton, star of Channel 5 TV<br />

series The Yorkshire Vet, relays some<br />

of the highs and lows he faces daily<br />

in his working (and personal) life.<br />

Horses, Heifers and Hairy Pigs: The<br />

Life of a Yorkshire Vet is a warm and<br />

often very funny memoir.<br />

RRP £5.89 (paperback) amazon.co.uk<br />

Party time<br />

Buying a gift for a horsey friend? The<br />

perfect wrapping paper for a horse<br />

lover, this design features watercolour<br />

illustrations of partying horses. Includes<br />

two sheets of paper and two tags.<br />

RRP £4.45 amazon.co.uk<br />

8 your horse august 2019 www.yourhorse.co.uk<br />

august 2019 your horse 9


vet notes l fighting flies<br />

notes<br />

vet<br />

What you’ll learn:<br />

l The different types of fly<br />

l How they affect your horse<br />

l Management tips<br />

Flying<br />

nuisance<br />

The warmth of summer brings with it pesky flies<br />

and biting insects. Leona Bramell MRCVS<br />

discusses the common problems they can cause<br />

After a cold or wet winter,<br />

most horse riders welcome<br />

the onset of summer, but one<br />

downside to the longer days<br />

and warmer weather is the<br />

arrival of flies. Some horses are more<br />

adversely affected by these insects than<br />

others, so knowing how to reduce and<br />

manage fly irritation will help your horse<br />

stay happy and fly-free this summer.<br />

As well as being<br />

annoying, flies can cause<br />

a range of health issues<br />

Photo: Oscity/Shutterstock<br />

meet the expert<br />

Leona Bramall CertAVP(EM)<br />

MVB MRCVS is an equine vet at<br />

Gillivervet Ltd in Lancashire. She<br />

holds an advanced veterinary<br />

practitioner certificate in equine<br />

medicine and her primary areas of<br />

interest lie in dermatology and gastrointestinal<br />

disease. Visit www.gillivervet.co.uk/vets.aspx<br />

Sweet itch<br />

Sweet itch is caused by an allergic<br />

reaction to the saliva of the Culicoides<br />

biting midge. Affected horses<br />

develop itching of the mane and tail<br />

and, in some cases, the face and poll.<br />

Itching begins in summer, but for<br />

some horses sweet itch can be a<br />

year-round problem. The level of<br />

severity varies; while some horses<br />

itch themselves bald, others may<br />

develop ulceration or secondary<br />

bacterial infections.<br />

Precautionary measures<br />

Prevention is based on reducing<br />

exposure to the offending midges.<br />

If at all possible, avoid fields with<br />

stagnant water or those adjacent to<br />

woodland areas that inherently have<br />

high midge populations. Horses<br />

affected with sweet itch should be<br />

stabled at dawn and dusk when the<br />

midges are most active. Fans may<br />

deter midges from entering stables.<br />

Sweet itch fly masks and rugs also<br />

play an integral role in prevention, as<br />

do fly and insect repellents, although<br />

the effectiveness of these varies.<br />

Veterinary intervention<br />

Contact your veterinary surgeon if<br />

itching continues despite using the<br />

above preventative measures, if skin<br />

is hot and inflamed, or if you’re<br />

concerned about possible infection.<br />

Your vet will examine your horse and<br />

may prescribe injectable, oral and/or<br />

topical (cream) medications.<br />

Insect hypersensitivity<br />

In addition to sweet itch, some horses can<br />

develop skin lumps (urticaria), with or<br />

without associated itching secondary to<br />

other flies and insects. Severity varies, from<br />

a small lump at the site of contact to an<br />

extensive hypersensitive response.<br />

Stick ‘em up<br />

If your horse is stabled during the day,<br />

ensure his stable is kept as clean as possible<br />

to reduce the number of flies in the stable<br />

environment. You can also spray the stable<br />

with fly repellents, but don’t spray directly<br />

near water or feed buckets.<br />

If the lumps are extensive, don’t appear<br />

to be resolving, or make your horse itch,<br />

seek advice from your veterinary surgeon.<br />

Contact your vet<br />

if lumps become<br />

itchy or don’t<br />

resolve on their own<br />

Sweet itch fly<br />

masks and rugs<br />

help reduce<br />

exposure to<br />

midges<br />

Lumps on your horse’s<br />

skin can indicate a<br />

hypersensitive response<br />

Photo: Bauer library<br />

Photos: Leona Bramall<br />

Horse flies are<br />

persistent and<br />

extremely annoying<br />

Photo: Bauer library<br />

The main enemies<br />

1 Horse flies<br />

No doubt we’re all more than familiar with<br />

horse flies (Tabanus spp.). Normally, there is<br />

one generation of adult flies per year, which<br />

emerge in early summer. Peak feeding<br />

activity occurs on warm, humid days in July<br />

and August. Horse flies are generally<br />

persistent in their attempts to feed and are<br />

therefore a source of great annoyance.<br />

2 Bot flies<br />

Bot flies (Gasterophilus spp.) are bee-like in<br />

appearance and generally active for a<br />

number of weeks in late summer. They can<br />

cause immense irritation and distress when<br />

laying their eggs — generally on the skin and<br />

coat of your horse’s limbs and, occasionally,<br />

around the lips and under his chin.<br />

Check his coat<br />

Bot eggs are normally easy to spot and are<br />

visible as white or cream-coloured eggs,<br />

about 1-2mm in length. They are firmly<br />

attached to the hair, but can be removed<br />

using a commercial bot egg knife. If bot eggs<br />

are noted during the preceding year, your<br />

horse should be wormed with an ivermectinbased<br />

wormer after the first winter frost.<br />

Prevention<br />

At times of peak fly activity, especially<br />

when bot flies are out, consider<br />

stabling your horse during the day and<br />

turning him out at night. Fly masks,<br />

rugs and insect repellents may help too.<br />

Sarcoids<br />

These are arguably the most prevalent form<br />

of skin tumour in non-grey horses. They are<br />

believed to be caused by a strain of bovine<br />

papilloma virus and transmitted by flies, so<br />

summer is a key time for spread. Fly control<br />

plays an integral role in preventing and<br />

reducing sarcoids.<br />

It is likely that individual horses have a<br />

genetic predisposition for the disease.<br />

Sarcoids can occur at any location on the<br />

skin, but the most commonly affected areas<br />

are those prone to sweating — which, in turn,<br />

attract flies — such as the armpits, inside of<br />

the hindlimbs and, in geldings, the sheath.<br />

Spotting the signs<br />

There are six different types of sarcoid, so if<br />

you notice any skin masses or lesions on<br />

your horse that you’re concerned about, seek<br />

advice from your veterinary surgeon.<br />

Sarcoids can occur<br />

anywhere on the<br />

horse’s body<br />

Sarcoids are skin tumours, so early<br />

detection and treatment as advised by your<br />

veterinary surgeon is very important. Early<br />

intervention enables the sarcoid to be<br />

treated before it increases further in size and<br />

reduces the chance of spread and further<br />

lesions developing. The treatment<br />

recommended by your vet will depend on<br />

the type of sarcoid and its location.<br />

Photo: Leona Bramall<br />

Fly strike<br />

Although not a pleasant thought,<br />

open wounds can sometimes be<br />

subject to fly strike, whereby green<br />

and bluebottle flies feed and lay their<br />

eggs, with the fly larvae/maggots<br />

hatching three or four days later.<br />

To prevent this, open wounds<br />

should be managed appropriately<br />

by keeping them clean and covered<br />

(see Managing wounds, p74) and fly<br />

control measures should be used.<br />

If you notice a larval-infested<br />

wound, contact your veterinary<br />

surgeon. They will likely advise<br />

hosing the wound and subsequently<br />

cleaning it with a disinfectant. The<br />

vet will generally visit and administer<br />

an injection against the larvae.<br />

78 your horse august 2019 www.yourhorse.co.uk www.yourhorse.co.uk<br />

august 2019 your horse 79


Your horse’s care<br />

Control<br />

centre<br />

Hormones do a lot more than make your mare<br />

moody. Vet Claire Dixon MRCVS explains how the<br />

endocrine system works and what can go wrong<br />

Photos: Bauer Library, unless stated<br />

out<br />

Horses<br />

inside<br />

horses insIde out l endocrine system<br />

meet the<br />

expert<br />

Claire Dixon<br />

MRCVS is a clinician<br />

in equine medicine<br />

at the University of<br />

Glasgow, splitting her<br />

time between working in the<br />

hospital and teaching students.<br />

Prior to this, she worked at<br />

Tufts University (USA),<br />

initially as a resident in<br />

large animal internal<br />

medicine, followed by<br />

a period as an<br />

emergency clinician.<br />

While you probably<br />

associate hormones<br />

with mood swings<br />

and mareish<br />

behaviour, there are<br />

many other functions that fall under the<br />

regulation of the body’s most vital control<br />

centre — the endocrine system.<br />

The horse’s endocrine system is the<br />

collection of glands that produce hormones<br />

which regulate a number of vital functions.<br />

In order for the body to respond and adapt<br />

to changes, both internally and externally,<br />

the various functions and processes must be<br />

controlled in a co-ordinated fashion.<br />

The endocrine system is part of this, and<br />

involves hormones being produced by<br />

specific tissues that then travel through the<br />

blood to exert their influence in a variety of<br />

ways. Some of these hormones, such as<br />

adrenaline, have an instant effect; others<br />

operate more slowly. Often, there are pairs of<br />

hormones with complementary functions.<br />

Calcitonin, for example, decreases blood<br />

calcium levels, whereas parathyroid<br />

increases them. This combination allows<br />

a faster response and a greater degree of<br />

control and fine tuning over the body.<br />

The pituitary gland<br />

in the brain helps<br />

with a number of<br />

foaling functions<br />

Parathyroid<br />

glands<br />

Adrenal<br />

glands<br />

Thyroid<br />

gland<br />

Pituitary<br />

gland<br />

Hormones<br />

in a nutshell<br />

There are a large number of<br />

hormones, each exerting a very<br />

different effect on different tissues<br />

and organs. Hormones control<br />

everything from growth and<br />

development (for example, replacing<br />

old, worn out cells), lactation,<br />

metabolism, fluid balance, blood<br />

pressure, the “fight or flight”<br />

response and digestion of food.<br />

In fact, there is very little that<br />

isn’t related in some way to<br />

the endocrine system.<br />

Pancreas<br />

Ovaries<br />

(female)<br />

Testes<br />

(male)<br />

Hormones’ six homes<br />

The endocrine system encompasses most of<br />

the organs of the body, with hormones<br />

secreted from the stomach and intestines to<br />

regulate digestion, and even from fat (leptin,<br />

which inhibits appetite). While some<br />

hormones work only on a specific tissue,<br />

others exert their effect over the whole body.<br />

Most hormones are secreted from the<br />

following six structures (see diagram, left):<br />

Pituitary gland The pituitary gland sits<br />

at the base of the brain. It works closely<br />

with the hypothalamus, just next to it, to<br />

regulate a number of functions.<br />

It is divided into three parts, the pars<br />

distalis, pars intermedia and pars nervosa.<br />

The pars distalis contains a number of cells,<br />

which each produce a different hormone<br />

Antidiuretic<br />

hormone helps<br />

to maintain<br />

hydration<br />

with a different function:<br />

n Growth hormone, which promotes growth<br />

over the entire body.<br />

n Follicle stimulating hormone (FSH) and<br />

luteinising hormone (LH), which control<br />

the reproductive activities of the ovaries<br />

and testes.<br />

n Prolactin, involved in milk production.<br />

Adrenocorticotropin hormone (ACTH) is<br />

produced from the pars intermedia. ACTH is<br />

probably the best known of the equine<br />

hormones, as it is increased in horses with<br />

pituitary pars intermedia dysfunction (PPID<br />

— Cushing’s) and testing the level of ACTH in<br />

the blood is used for diagnosis. In normal<br />

horses, ACTH controls the adrenal gland.<br />

The pars nervosa produces the antidiuretic<br />

hormone, which controls the amount of<br />

urine production, helping to maintain<br />

hydration when water intake is decreased.<br />

It also produces the hormone oxytocin,<br />

which is involved in lactation and foaling.<br />

88 your horse August 2019 www.yourhorse.co.uk www.yourhorse.co.uk<br />

August 2019 your horse 89


Your horse’s care<br />

horses insIde out l endocrine system<br />

Thyroid hormones are<br />

involved in many<br />

metabolic and<br />

growth processes in<br />

all types of horses<br />

Parathyroid gland In many species of<br />

animals, the parathyroid glands are tiny<br />

glands located next to the thyroid glands<br />

on each side of the neck — if you can find<br />

the thyroid gland, you can find the<br />

parathyroid. In horses, however, there are<br />

four parathyroid glands — two upper glands<br />

located anywhere around the thyroid glands,<br />

and two lower glands, which may be<br />

anywhere along the jugular groove from the<br />

jaw to the shoulder (and, indeed, even just<br />

inside the chest cavity).<br />

This variability makes it very difficult to<br />

locate the normal parathyroid glands in the<br />

horse. However, there are techniques to<br />

locate the glands when they are abnormal.<br />

The parathyroid produces parathyroid<br />

hormone from chief cells, which regulates<br />

calcium levels by increasing the blood<br />

calcium concentration. If calcium levels drop,<br />

then parathyroid hormone levels increase,<br />

and the body removes calcium from bones,<br />

absorbs more from the intestines and<br />

excretes less in urine, resulting in increased<br />

blood calcium levels. This is partly due to the<br />

parathyroid hormone leading to increased<br />

levels of active vitamin D.<br />

This is a really important function, as<br />

calcium is vitally important for muscle<br />

contraction (with the most important muscle<br />

being the heart). When the calcium levels<br />

rise again, the amount of parathyroid<br />

hormone produced decreases.<br />

Sex organs The main hormone produced<br />

by the male testes is testosterone, which<br />

is responsible for the distinguishing<br />

characteristics of the masculine body.<br />

Many of the results of this will be very<br />

familiar to anyone who has worked with<br />

stallions, but some of the effects are less<br />

obvious. For example, testosterone also<br />

leads to an increase in the number of red<br />

blood cells present in the blood.<br />

The female ovarian hormones are<br />

oestrogen and progesterone and are involved<br />

in the normal reproductive cycle of the mare.<br />

Pancreas The pancreas lies next to the<br />

first part of the small intestine and serves<br />

two major functions. First, to secrete<br />

digestive enzymes into the small intestine,<br />

and second, to produce two important<br />

hormones — insulin and glucagon — which<br />

regulate glucose, lipid and protein<br />

metabolism. Insulin is more commonly<br />

measured and talked about in horses, due<br />

to the fact that high levels of insulin lead<br />

to the development of laminitis.<br />

Obese horses with hyperinsulinaemia and<br />

laminitis have a disease termed equine<br />

metabolic syndrome (EMS). Insulin promotes<br />

Adrenaline is released<br />

as part of the ‘fight<br />

or flight’ response<br />

the uptake of glucose into cells, but in horses<br />

with EMS, the cells stop responding to<br />

insulin (insulin dysregulation), resulting in<br />

increased production of insulin.<br />

“The two hormones<br />

produced by the thyroid gland<br />

increase the metabolic rate”<br />

Adrenal gland The adrenal gland sits<br />

just next to the kidneys and consists of<br />

two distinct parts — the adrenal medulla<br />

and the adrenal cortex. The adrenal<br />

medulla is the central part, which is<br />

involved in the “fight or flight” stress<br />

response by producing adrenaline. Around<br />

this is the adrenal cortex, which produces<br />

various corticosteroids.<br />

Corticosteroids are involved in electrolyte<br />

balance (primarily sodium and potassium)<br />

and metabolism of carbohydrates, proteins<br />

and fats. Small amounts of androgenic<br />

hormones are produced that exhibit the<br />

same effects on the body as the male sex<br />

hormone testosterone.<br />

Thyroid gland The thyroid glands are<br />

located on either side of the windpipe,<br />

just behind the horse’s larynx. They<br />

secrete two hormones, thyroxine and<br />

triiodothyronine (commonly referred to as<br />

T4 and T3 respectively) under the control of<br />

the pituitary gland. These hormones<br />

increase metabolic rate and are therefore<br />

involved in a large number of metabolic and<br />

growth processes. They are especially<br />

important in the growth of foals, with levels<br />

being much higher in foals up to three to<br />

four months of age and declining in adults.<br />

The thyroid gland is also involved in<br />

calcium regulation via the hormone<br />

calcitonin, which decreases calcium levels.<br />

The pancreas is important<br />

for your horse’s metabolism<br />

and the regulation of<br />

insulin levels when eating<br />

Playing a part in laminitis<br />

Our understanding of endocrinopathic<br />

laminitis has grown substantially in<br />

recent years. We know the majority of<br />

laminitis cases are caused by either<br />

Pituitary Pars Intermedia Dysfunction<br />

(PPID) or equine metabolic syndrome<br />

(EMS). PPID occurs due to enlargement<br />

of the pars intermedia portion of the<br />

pituitary gland, and results in increased<br />

levels of the hormone ACTH. Clinical<br />

signs include weight loss, a longer coat,<br />

increased drinking and urination,<br />

sweating, lethargy and laminitis.<br />

Diagnosis<br />

Diagnosis involves blood testing for<br />

ACTH levels, either at baseline, or<br />

following the administration of a<br />

hormone to stimulate the pituitary<br />

gland (TRH stimulation test).<br />

Treatment with pergolide results<br />

in decreased ACTH levels and<br />

improvement, or resolution of clinical<br />

signs. Each horse will require a different<br />

dose, so usual practice is to start<br />

treatment at a low dose and gradually<br />

increase if blood tests show ACTH<br />

levels remain high.<br />

EMS involves the presence of obesity<br />

(or regional adiposity), peripheral insulin<br />

resistance or dysregulation, and an<br />

increased risk (or presence) of laminitis.<br />

Diagnosis is based on identifying these<br />

three factors and so requires blood<br />

testing to demonstrate increased insulin<br />

levels, or increased insulin in response to<br />

feed/sugar challenge.<br />

Treatment<br />

Treatment centres on achieving weight<br />

loss and increasing exercise, as this is the<br />

best way to improve insulin sensitivity.<br />

However, in horses and ponies with<br />

active laminitis, the requirement for rest<br />

rules out exercise. This is when we may<br />

reach for medical therapy to assist us,<br />

until exercise can resume.<br />

Medications used include metformin<br />

(which improves peripheral insulin<br />

sensitivity in humans and decreases<br />

intestinal absorption of glucose in horses),<br />

or levothyrozine (which acts as thyroid<br />

hormones do to increase metabolic rate).<br />

In horses with<br />

active laminitis, the<br />

requirement for rest<br />

rules out exercise<br />

90 your horse August 2019 www.yourhorse.co.uk www.yourhorse.co.uk<br />

August 2019 your horse 91


Your horse’s care<br />

-<br />

Endocrine<br />

upsets<br />

When parts of the endocrine system fail<br />

to work properly, it can cause:<br />

Hypothyroidism is rare in adult horses,<br />

despite many conditions such as obesity,<br />

laminitis and insulin resistance being<br />

attributed to low concentrations of thyroid<br />

hormone. However, it may occur in foals<br />

born to mares who are fed inappropriate<br />

amounts of iodine during pregnancy.<br />

Thyroid adenoma You may have noticed<br />

that some older horses have thyroid<br />

glands that are very easy to feel. This is<br />

due to benign enlargement, which is really<br />

common and nothing to worry about.<br />

Pheochromocytoma This is a very rare<br />

type of tumour arising from the adrenal<br />

medulla. Some of these tumours will be<br />

‘functional’, which means they continue to<br />

produce adrenaline. The signs seen in horses<br />

therefore mimic situations where high levels<br />

of adrenaline are produced. Horses may have<br />

a high heart rate, increased breathing rate,<br />

anxiety, profuse sweating, dilated pupils,<br />

colic due to reduced intestinal motility and<br />

high blood sugar. While surgery to remove<br />

the adrenal gland would often be curative,<br />

the complexity of the surgery means that<br />

euthanasia is the more likely outcome.<br />

Primary hyperparathyroidism This occurs<br />

when the chief cells in the parathyroid<br />

secrete excessive amounts of parathyroid<br />

hormone and no longer respond to the<br />

negative feedback of calcium. The<br />

increased secretion is due to growth of a<br />

parathyroid adenoma, or parathyroid<br />

hyperplasia (over-growth of the gland). This<br />

results in increased blood calcium levels<br />

and, as this involves removing calcium from<br />

bones, the bones suffer as a consequence.<br />

Some older horses have<br />

enlarged thyroid glands,<br />

but generally this is<br />

nothing to worry about<br />

The bones of the face may become swollen,<br />

resulting in what’s known as ‘big head’ or<br />

‘rubber jaw’. Calcium removal from the long<br />

bones can lead to lameness, or even the risk<br />

of spontaneous fracture. Other signs include<br />

weight loss, lack of appetite, lethargy and colic.<br />

Diagnosis is via blood tests and the main<br />

treatment, which is curative, is removal of<br />

the enlarged parathyroid. However, as<br />

mentioned, finding the parathyroid, even<br />

when enlarged, is difficult. The best way to<br />

find it is through a nuclear scintigraphy scan<br />

to highlight the area of the neck where the<br />

parathyroid is located. Once this area is<br />

“Ovarian tumours<br />

may lead to stallionlike<br />

behaviour or<br />

persistent oestrus”<br />

Excessive calcium<br />

in the blood can<br />

result in lameness or<br />

spontaneous fractures<br />

narrowed down, the exact location can be<br />

pinpointed using ultrasonography. At this<br />

point, surgical removal may be possible.<br />

Ovarian tumour Granulosa cell tumours<br />

are the most common tumours of the<br />

reproductive tract of the mare. They can<br />

occur in mares of any age and may lead to<br />

behavioural changes, with either stallion-like<br />

behaviour or persistent oestrus/anoestrus.<br />

In other cases, behaviour is normal, but<br />

colic signs may occur. Diagnosis is based on<br />

blood testing for hormone levels, alongside<br />

palpation of the ovary per rectum and<br />

ultrasonography. Once the abnormal ovary is<br />

identified, it can be surgically removed, with<br />

a good prognosis. Surgery is most commonly<br />

performed laparoscopically (keyhole<br />

surgery) under standing sedation.<br />

92 your horse August 2019 www.yourhorse.co.uk

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