Avon Ridge Equine Veterinary Services

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Avon Ridge Equine Veterinary Services Equine Veterinary Service for Perth and surrounding regions. Fully mobile equine veterinary practice

A rainy morning meant our newest team member made a visit to the other vet in the family (my brother!) at his clinic for...
15/10/2026

A rainy morning meant our newest team member made a visit to the other vet in the family (my brother!) at his clinic for some cuddles and her second vaccination!

Keep an eye out for her on the road with us if you haven’t already had the pleasure of meeting the little witch 🧙😆

A quick trip out to Toodyay this morning to check on a very special little pony, Bam Bam, who recently suffered an episo...
13/10/2026

A quick trip out to Toodyay this morning to check on a very special little pony, Bam Bam, who recently suffered an episode of laminitis.

Thanks to some excellent corrective farriery by Martin Butler, a super-dedicated owner and careful management of his underlying PPID (Cushing’s disease), Bam Bam is now feeling rather sprightly and is literally back on his feet again!

‼️ Watch out for grass seed awns We’ve already seen a few horses with some very sore mouths thanks to barley grass awns,...
12/10/2026

‼️ Watch out for grass seed awns

We’ve already seen a few horses with some very sore mouths thanks to barley grass awns, and with plenty of grasses going to seed across WA at the moment, it’s something worth keeping an eye out for!

Certain grasses produce sharp, stiff or barbed seed heads that can become embedded in the soft tissues of a horse’s mouth while they’re grazing or chewing contaminated or poor quality hay.

These seeds can work their way into the gums, around the teeth, inside the lips and along the tongue, causing significant inflammation, painful ulcers and occasionally secondary infections.

⁉️What might you notice?

* Excessive drooling or a very wet mouth
* Difficulty chewing or dropping feed
* Reluctance to eat hay or hard feeds
* Bad breath
* Red, swollen or bleeding gums
* Painful ulcers around the lips, tongue or gums

Some horses can have quite extensive ulceration throughout their mouths, even when they initially appear relatively comfortable.

Once embedded, these seeds can trigger a significant inflammatory reaction, sometimes resulting in deep ulceration.

✅ The good news?

Most horses recover well once the offending grass or hay is removed, although more severe cases may require veterinary treatment to remove embedded seeds under sedation. Healing can take several weeks.

With the number of cases we’ve already, it’s certainly worth being aware of.

🩺 Contact us on 0427 072 095 or book an appointment online: https://avonridgeequine.com.au/book-an-appointment/

🐴 A HIGH ACTH DOES NOT MEAN YOUR HORSE HAS PPID (“Cushings”)There is an important difference between an high blood test ...
02/10/2026

🐴 A HIGH ACTH DOES NOT MEAN YOUR HORSE HAS PPID (“Cushings”)

There is an important difference between an high blood test result and a diagnosis.

The horse matters more than the number.

This is where pre-test probability becomes incredibly important.

Imagine we test two horses:

One is a 22yo pony with history of laminitis, delayed coat shedding, muscle loss and other clinical signs strongly suggestive of PPID.

The other is a 9yo horse with no characteristic clinical signs of PPID.

Even if both return an ACTH concentration above the laboratory reference interval, those results do not carry the same diagnostic meaning.

The current BEVA PPID guidelines specifically state that the pre-test probability of PPID is low in horses under 10 years of age. In this age group, other explanations for the horse’s clinical signs should be investigated, and PPID testing should generally be reserved for horses with multiple compatible clinical signs that genuinely increase suspicion of the disease.

This matters because the lower the probability that a horse actually has PPID before we run the test, the greater the potential for a positive result to be a FALSE POSITIVE.

In fact, using published diagnostic-performance data, the BEVA guidelines estimated that during the autumn seasonal rise, around 80% of positive basal ACTH results in horses with a low pre-test probability of PPID could be false positives.

That is a really important number.

Why do I find this concerning?

I am increasingly seeing horses under 10 years of age being diagnosed with PPID and started on lifelong pergolide treatment based on a single ACTH result, sometimes without convincing clinical signs or further investigation.

Starting a young horse on lifelong medication based predominantly on one abnormal laboratory value, when the horse has a very low pre-test probability of actually having the disease, is simply not good veterinary practice. More importantly, it’s often bad news for the horse.

The problem isn’t simply that the horse may receive pergolide unnecessarily.

Once we attach a diagnosis of PPID to that horse, there is a risk that we stop asking the more important question:

If it isn’t PPID, what is actually going on?

An incorrect diagnosis can mean that another disease or management problem responsible for the horse’s clinical signs is overlooked or treatment is delayed. This concern is specifically raised in the BEVA guidelines, which note that false-positive PPID results may lead to unnecessary lifelong treatment and failure to identify and treat a potentially important alternative diagnosis.

ACTH is an extremely useful test when investigating PPID, but a high ACTH concentration on its own does not confirm that a horse has PPID.

ACTH is a biologically variable hormone. Its concentration can be influenced by many factors completely separate from PPID, and this needs to be considered before interpreting a result.

ACTH is a diagnostic tool. It is not a diagnosis.

An elevated ACTH should prompt us to look at the whole horse: age, clinical signs, history, breed, season, concurrent disease and the circumstances surrounding the blood sample.

Sometimes all of those pieces fit together beautifully and PPID is the logical diagnosis.

Sometimes they don’t.

When the laboratory result and the horse in front of us don’t match, the answer shouldn’t automatically be “start pergolide.”

The answer should be “let’s investigate further.”

🩺 Contact us on 0427 072 095 or book an appointment online: https://avonridgeequine.com.au/book-an-appointment/

🐴 True or false?To optimise absorption, omeprazole paste can be administered at any time of the day. 🤔👍 TRUE❤️ FALSE😂 NO...
01/10/2026

🐴 True or false?

To optimise absorption, omeprazole paste can be administered at any time of the day. 🤔

👍 TRUE
❤️ FALSE
😂 NOT SURE

Cast your vote and check the comments for the answer in the next few days!

The supplement market offers plenty of products aimed at horses with equine metabolic syndrome (EMS). Their labels may m...
29/09/2026

The supplement market offers plenty of products aimed at horses with equine metabolic syndrome (EMS).

Their labels may mention insulin sensitivity, metabolism, inflammation or laminitis support. Some ingredients have plausible reasons for being studied.

That still leaves a much more important question unanswered: does this product meaningfully reduce this horse’s risk of laminitis?

Why the trap is so easy to fall into

🔺The promise sounds specific. A product described as “metabolic support” appears to target the problem directly. Yet EMS is not something we can manage by label alone. Insulin dysregulation is the central concern, and we need to know what is happening in the individual horse. A claim about supporting normal metabolism does not tell us whether a horse’s insulin response has improved.

🔺The solution is easy to give. A scoop in the feed feels achievable. Restricting pasture, finding suitable forage, changing turnout arrangements and building a sustainable exercise routine take considerably more work. Ease is valuable, but it should not be mistaken for effectiveness.

🔺The science can sound more certain than it is. An ingredient might affect a metabolic pathway in a laboratory, or show a promising result in a small study. That does not establish that a commercial product prevents laminitis. Magnesium, chromium and cinnamon are commonly discussed in EMS management, but evidence for a reliable clinical benefit remains limited or inconsistent. A mechanism is a reason to investigate a treatment, not proof that it works.

🔺The benefit is difficult to see. A horse may look brighter or grow a shinier coat after a dietary change. Those observations can matter, but they do not tell us whether insulin concentrations are safer. Equally, a horse can appear perfectly comfortable while remaining at high risk. Without testing and follow-up, it is easy to credit a supplement for an improvement we have not measured.

⁉️What deserves the budget first?

For most horses with EMS, the larger gains are likely to come from assessing insulin status, managing the whole diet, addressing excess weight where present and providing regular exercise when the feet are sound. A horse with very high insulin or repeated laminitis may also need veterinary treatment while these changes take effect.

Nutritional supplements have a different role. A horse on a restricted or hay-based diet may need a carefully chosen vitamin and mineral balancer to meet its nutritional requirements. That is a sound reason to supplement. It is different from expecting an “insulin support” powder to compensate for uncontrolled pasture intake.

⚠️ Cost matters too. A month’s supply of a product might instead pay for forage analysis, an insulin test or a review of the management plan. The question is not simply, “Could this supplement help?” It is, “What am I giving up to buy it, and have I addressed the risks that matter more?”

None of this means every supplement is useless. It means each one should earn its place. Ask what outcome it is meant to improve, what evidence supports that claim in horses, and how you will know whether it is helping your horse.

🆘 It is especially worrying when an owner whose horse is showing signs of laminitis is advised to try a supplement. Everyone involved wants to help, but the kindest advice is to call a vet promptly. A horse with suspected laminitis needs pain relief, appropriate hoof support and an assessment of what is causing it. Active laminitis is excruciatingly painful and delaying veterinary treatment just leads to unnecessary suffering.

👉 Laminitis prevention depends on reducing risk before the horse becomes sore. A scoop can be easy to add to the feed. The harder, more valuable work is making sure the plan around it actually reduces the horse’s laminitis risk.

🩺 Contact us on 0427 072 095 or book an appointment online: https://avonridgeequine.com.au/book-an-appointment/

Received some beautiful flowers from a very thoughtful client today 💐❤️ Unfortunately, Flash was under the impression th...
22/09/2026

Received some beautiful flowers from a very thoughtful client today 💐❤️ Unfortunately, Flash was under the impression they were a snack delivery. 😂🐴

The best time to manage laminitis is before the horse is lame.While I’ve dedicated the better part of the past five year...
20/09/2026

The best time to manage laminitis is before the horse is lame.

While I’ve dedicated the better part of the past five years to researching the efficacy of medications used to TREAT laminitis, my focus is now shifting to something even more important: preventing it from happening in the first place.

We now have a growing range of newer tools to help identify horses at high risk of laminitis, alongside novel, cost-effective medications that can be used selectively in these horses to help prevent the enormous pain and suffering associated with this condition.

This pony is a great example of why we need to change the way we think about laminitis risk.

Before she had ever experienced a laminitic episode, her very astute owner recognised there were already important clues in front of us. Her genetics and body condition placed her at increased risk of insulin dysregulation and laminitis, not to mention the other health consequences associated with obesity. With a dedicated owner and a strategic management plan in place, this pony never had to suffer through the immense pain brought on by laminitis.

My focus is not simply on treating laminitis once a horse is sore. It is on educating owners and equine professionals to recognise risk before pain becomes the trigger for action.

One of the problems with our traditional approach is the tendency to reduce insulin dysregulation to a yes or no diagnosis based on a single blood test.

Biology rarely works in absolutes.

Insulin dysregulation and laminitis risk exist on a sliding scale. That risk is influenced by genetics, body condition, diet and management, season, age, previous laminitis and the magnitude and duration of hyperinsulinaemia, amongst other factors.

A blood test gives us valuable information, but it is a snapshot in time. It needs to be planned and interpreted in the context of the whole horse and, where appropriate, followed over time as that horse’s risk changes.

This is the strategic approach to laminitis prevention that I have become increasingly passionate about: identify risk earlier, measure what matters, intervene appropriately and adapt the plan as risk changes.

Success in laminitis management shouldn’t only be measured by how well we treat the painful horse.

It should also be measured by how many high-risk horses never become laminitic in the first place.

If you’d like advice on managing your horse or pony, or to explore whether your horse might be a candidate for some of these newer tools, please get in touch.

📞 0427 072 095
🛜 https://avonridgeequine.com.au/book-an-appointment/

Nothing like winding down at the end of a long day 🐾
15/09/2026

Nothing like winding down at the end of a long day 🐾

A common question we hear is whether a horse’s behaviour problem is pain or behaviour.The reality is that this is rarely...
14/09/2026

A common question we hear is whether a horse’s behaviour problem is pain or behaviour.

The reality is that this is rarely an either–or situation.

Pain and emotional state are closely linked. Pain creates stress, and stress changes how the horse perceives and reacts to its body and environment. At the same time, poor emotional health can amplify how strongly a horse responds to even mild physical discomfort.

Pain increases stress, stress alters emotional state, and emotional state changes how a horse reacts to its body and environment. A calm horse may tolerate low-grade discomfort without obvious signs. An anxious horse may react strongly to the same stimulus.

This is why behaviour change should always prompt us to think more broadly. Physical discomfort, learned fear, emotional stress, and handling history often overlap. Addressing only one piece of the puzzle rarely solves the problem.

Importantly, behaviour itself can mask pain. Some horses become quiet and withdrawn; others become reactive and defensive. Both responses are valid from the horse’s perspective.

This interaction matters because behaviour is often the first sign that something isn’t right either physically, emotionally, or both.

But addressing behaviour also requires honesty about preparation. Horses do not magically learn coping skills at the exact moment a procedure is required. Expecting calm behaviour for injections, dentistry, or farriery without prior training places the horse and the professionals involved at unnecessary risk.

Owners play a critical role here. Practising calm handling, leg lifting, head control, and basic restraint outside of high-stakes situations is essential. Waiting until something must be done urgently is not setting anyone up for success.

📬 Subscribe now for more free advice. Veterinary-led. Evidence-based. Practical.

👉 https://avonridgeequine.aweb.page/understanding-equine-behaviour

🩺 Contact us on 0427 072 095 or book an appointment online: https://avonridgeequine.com.au/book-an-appointment/

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Brigadoon
Perth, WA
6000

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