Espinar Equine Veterinary Services

Espinar Equine Veterinary Services Friendly independent equine veterinary consultant in Berkshire. Dr Emiliano Espinar DVM, CertEP CertISELP MRCVS. RCVS Advanced Practitioner.

Soundness • Performance • Rehabilitation Professional, friendly & independent ambulatory equine vets covering Berkshire and the surrounding areas. Special interest in lameness and performance issues.

Yesterday we asked what problems you thought burdock might cause your horse; thank you to everyone who got involved! The...
20/08/2026

Yesterday we asked what problems you thought burdock might cause your horse; thank you to everyone who got involved! The answer is one that's maybe easy to overlook: non-healing corneal ulcers! 😳

A study just published in Equine Veterinary Education found that some stubborn eye ulcers in horses were caused by microscopic burdock burr fragments trapped under the eyelid (rather than infection, a simple scratch, or from fly irritation). These ulcers were often thin and linear or scratch-like, rather than a typical round scrape, consistent with a tiny, rigid burr bristle catching under the lid and scoring the eye with each blink. Every horse thankfully made a full recovery once the fragments were surgically removed.

Any eye issue in horses always needs prompt veterinary attention and this highlights the need to be able to take a really close look at the horse's eye. In the study, horses were often treated with antibiotic drops, anti-inflammatories, and other topical medications before the true cause was found. But as long as the foreign body is there, it keeps re-irritating the cornea with every blink, so the ulcer will keep recurring no matter how good the drops are. The foreign body has to be physically found and removed before the eye can actually heal.

🍂 Cases peaked October–December (which is burdock season). Removing them promptly from manes and forelocks should help; removal of burrs from the paddock also goes a long way in preventing eye problems before they start. A fly mask may be worth keeping on through autumn too, even once flies ease off, to keep burrs and seed heads away from the eyes.

This was an interesting study to read as it is the first reported UK case series of its kind; burdock keratitis has been described in the US before, but not here. What makes it clinically important is that these foreign bodies are frequently mistaken for ectopic cilia, a completely different (and much rarer, congenital) condition. It's a good reminder that a non-healing ulcer deserves careful, magnified examination!

Read the study summary here: https://doi.org/10.1111/eve.70039

So, who can tell me what problem(s!) this plant (Arctium Minus aka Lesser Burdock) causes? We've given a hint in the hor...
19/08/2026

So, who can tell me what problem(s!) this plant (Arctium Minus aka Lesser Burdock) causes? We've given a hint in the horse's photo... let us know your thoughts on what it could be! Answer will be revealed tomorrow 🤓

06/08/2026

This horse was initially seen because of nasal discharge, but his owners also mentioned that he seemed to lack stamina under saddle. During the clinical examination, Emiliano actually picked up on something else unusual: the horse couldn’t whinny properly. That immediately raised suspicion that there may be a problem affecting his larynx (voice box). To investigate further, we returned to perform an upper airway video endoscopy.

Some horses, particularly Thoroughbreds and racehorses, develop a condition called recurrent laryngeal neuropathy, often referred to as “roaring”. The nerve supplying one side of the larynx gradually loses function, meaning the cartilage cannot fully open during exercise. This narrows the airway, reducing airflow to the lungs and potentially causing poor performance, reduced stamina and the characteristic roaring noise. Sometimes, a tie-back (prosthetic laryngoplasty) procedure is performed. A permanent suture is placed to hold the affected arytenoid cartilage in a more open position. The aim is to increase the diameter of the airway and allow more air to reach the lungs during exercise.

Although this procedure usually improves airflow, and helps the horse breathe more easily, the larynx does more than regulate airflow. It also helps protect the lower airway while the horse swallows. Holding one side permanently open can therefore alter the normal coordination between breathing and swallowing. Because of this, some horses may face possible longer-term complications include coughing while eating, food or water entering the airway, aspiration, recurrent choke, respiratory problems and, in some horses, continued exercise intolerance. The prosthetic suture can also loosen or fail over time.

As shown here, the endoscopy confirmed evidence of a previous tie-back procedure, something the current owner had not been made aware of. Taking the history together with the endoscopic findings, the most likely explanation is that the initial nasal discharge occurred following a recent episode of choke that had already resolved by the time we first examined him.

In horses, “choke” is an obstruction of the oesophagus rather than the windpipe. Horses can still breathe, but food and saliva cannot pass normally into the stomach, often resulting in feed material and saliva coming back out through the nostrils.

The good news is that now everyone understands what’s going on, we can adapt this horse’s management. Small changes to feeding practices, such as soaking feed where appropriate, avoiding large dry meals and being aware of the signs of choke, can all help reduce future risk. It also gives an explanation for why his exercise tolerance may never have been quite what was expected.

This case is a good example of why we always look at the whole horse, rather than focusing solely on the presenting complaint. What started as an investigation into nasal discharge uncovered a previously unknown surgical history, provided a likely explanation for his recurrent choke episodes, and helped guide future management. Sometimes the most important discovery isn’t one you set out looking for! This is also why it’s vital to understand the horse in front of you well enough to make the best informed decisions for their future.

We’re always looking for ways to improve our services and make communication simpler, to help all our lovely clients get...
03/08/2026

We’re always looking for ways to improve our services and make communication simpler, to help all our lovely clients get the information you need. So over the coming weeks, we’ll be introducing WhatsApp groups for you! 📱🤩

Rather than wondering whether to message Emiliano or the office, you’ll simply have one WhatsApp conversation where both Emiliano and myself can see your messages. This means the office can help with appointments, reports and general queries, while Emiliano can reply to any clinical questions as soon as he’s available.

We know many of you prefer using WhatsApp because it’s quick, convenient and easy to send updates, photos and videos. We like it too for many reasons! However, as you’ll see in this pic, this is Emiliano trying (rather unsuccessfully!) to find enough phone signal to reply to a message while he's at a yard... 🤦🏻‍♂️📶 Unfortunately, this happens far more often than you might think! 😅

As he spends most of his day out on visits, horses being seen that day will always take priority, but having a shared conversation means we can keep you updated on when to expect a reply, answer many queries more quickly, and action things like sending estimates and repeat prescriptions even when Emiliano is out of the office.

We’ll be setting these groups up gradually for recent chats over the next few weeks, but if you’d like yours created sooner, simply send a WhatsApp message to the office on https://wa.me/07340410033 and we’ll get it organised for you.

🐴 Please remember: WhatsApp is a great way to communicate with us, but an appointment may still be required so Emiliano can assess your horse in person.

A busy week lies ahead, so today we’re getting outside and enjoying the beautiful countryside we’re so fortunate to live...
02/08/2026

A busy week lies ahead, so today we’re getting outside and enjoying the beautiful countryside we’re so fortunate to live and work in every day. Fresh air, green spaces and a change of pace can do wonders for both body and mind, and spending time in nature is always a great way to reset and recharge. 🌳 It helps us be the best we can be, both for the people and the horses in our lives, so it’s important to remember to look after yourself as a human too! 😊
Physical wellbeing, mental wellbeing and movement matter for everyone 🌿 Have a wonderful Sunday! ☀️

We’d like to say a huge thank you to Maria as she moves on to a new job. It’s been a great experience having her as part...
01/08/2026

We’d like to say a huge thank you to Maria as she moves on to a new job. It’s been a great experience having her as part of the team over the past year, and we’re grateful for everything she has contributed. We know many of you will join us in wishing her all the very best for the future 💙

From now on, all appointments will be carried out personally by Emiliano, ensuring the same continuity of care and expertise at every visit. As usual, to book an appointment, please contact us by email or call 01488 647366.

If you haven’t already, please take a look at our updated website to see our services, knowledge hub, price list and FAQs! https://www.espinarequine.co.uk/

Thought this article would be interesting to share! A recent survey of equine veterinarians has found that many clinicia...
30/07/2026

Thought this article would be interesting to share! A recent survey of equine veterinarians has found that many clinicians are becoming more cautious about the routine use of intra-articular corticosteroids, particularly in highly mobile joints. This is something we have been aware of for a long time (and why as well as corticosteroids, we offer a range of orthobiological therapies, including PRP, IRAP, Pro-Stride APS, Alpha2EQ and Lipogems).

Corticosteroids remain an extremely valuable treatment for many horses and continue to have an important place in managing joint disease. However, the survey highlights a broader shift towards individualised treatment decisions - which is something we have always advocated for! Rather than 'blanket medication' of multiple joints just for the sake of it, we should always ask, “What is the most appropriate medication for this particular joint, in this particular horse, at this particular stage of disease?”

Ideally, we should be aiming for the minimum level and frequency of medication to keep the horse comfortable, and considering the huge part that management changes, trimming/shoeing, nutrition, fitness and rehab programmes can have in maintaining optimal joint health.

Also, it’s easy to think of joint health/medication as a problem only for competition horses, but that’s simply not the case. Whether your horse competes, hacks a few times a week, or spends most of their time enjoying retirement in the field, comfortable joints are essential for good quality of life. It may be that other options such as oral pain medication are more appropriate than IA injections, but good mobility is vital for all horses. We are pleased that the survey reflects increasingly incorporating regenerative or orthobiologic options, and considering the individual horse's needs rather than applying the same medication to every case.

Read the article here: https://equimanagement.com/research-medical/treatments-medications/survey-reveals-changing-sentiments-toward-ia-corticosteroids-among-equine-veterinarians/

What are your thoughts? Have you noticed more discussion around regenerative therapies over the past few years?

Reflections from Lockie Phillips' clinic through a vet nurse's eyes 🐴Bit of a different post today but thought it was wo...
22/07/2026

Reflections from Lockie Phillips' clinic through a vet nurse's eyes 🐴

Bit of a different post today but thought it was worth sharing! Over the past two days I (Mel) have had the privilege of attending an Emotional Horsemanship clinic with Lockie Phillips. It counted towards my annual CPD requirement, and as part of this, nurses also have to record and reflect on what we learn and how it applies to our clinical practice, so I wanted to share some of that reflection with you all! I got far more out of this clinic than simply ticking a box. Personally I find its really important to be open-minded and receptive to learning and growing; sometimes that means going to horse training clinics to understand more about horse behaviour, horse-human interactions, what owners want for their horses, and whether there’s anything useful that I could take on board as a veterinary professional.

For anyone who hasn’t come across Lockie’s work before, Emotional Horsemanship is a horse-first approach that blends science, empathy and feel to help people better understand the horse’s experience (building willing, confident horses through ethical training, clear communication and genuine curiosity, always recognising that every horse is an individual). I went expecting to learn more about training methods and instead, I found myself reflecting just as much on the parallels with veterinary medicine! It was also just a genuinely enjoyable couple of days. There was plenty of laughter, thoughtful discussion and lots of moments that challenged our thinking - in the best possible way. Big thanks to Lockie for holding such an insightful clinic with a very inclusive vibe, and for being the most refreshing trainer I have heard in quite a while. If anyone is interested I have written my perspective on some key points from the clinic below:

💭 The multitude of answers
One thing Lockie said stuck with me: people search for a singular answer, when the truth is a multitude of answers. In training, that means no method fits every horse - you have to work with the individual. In veterinary practice, it means there may be multiple things going on with a horse! Good practitioners are working with layers of context, not a just checklist. We also have to try to understand not only the individual horse in front of us, but your individual perspective as an owner too, and tailor advice and treatment to your own unique situation.

💭 Giving it time
Lockie drew a clear distinction between just asking a horse to go, versus asking it to go when it's physically, mentally, and emotionally ready. That's rehab in a nutshell. We can hit every box on a physical recovery timeline and yet mentally the horse may not actually be ready to ‘do more’ - and that’s ok! He talked about small adjustments making a big difference, but giving those small adjustments room to work rather than judging progress too soon. It's so easy, both in the arena and in a treatment setting, to assume something isn't working and want a ‘quick fix’, when really the body just needs time to adapt. Tissue remodels slowly. Nervous systems recalibrate slowly. A horse settling into a new way of moving or coping doesn't always happen on the textbook timeline we'd like it to!

💭 Advising further diagnostics, not guessing
Even in a training context, Lockie was clear about the limits of what he could say without seeing more; recommending checks like neck X-rays just to rule things in or out, rather than assuming. In fact he even said ‘That's all the information I can give right now - it would be irresponsible to say more without seeing your horse.’ It was rare to hear such honesty articulated so plainly and this is often something we have to say too. You can send a photo or a video, we can discuss things over the phone, but sometimes the best way to truly help is by actually examining your horse ‘in person’.

💭 Bodywork, fitness, and movement quality
A recurring theme was how important bodywork and fitness are for a horse's ease of movement and joint integrity - not as an afterthought, but as core to good quality of movement and long-term health. In equine vet medicine, this is so important: focusing on soundness, fitness and movement quality aren't "extras," they're preventative medicine.

💭 Respecting the owner's (and the patient’s) agency
Lockie was clear that his job is to give suggestions, not orders: owners interpret the information and decide what to do with it, because they're adults and it's their call. Even when people say "tell me what to do," he won't just hand out commands. We are all responsible for our own projections; we interpret things through our own perspective and we have to be self-aware and accountable for our own actions rather than assigning blame. He pairs that with honesty about boundaries too, and is clear on his own moral stance, even if it has cost him clients. We have similar things in veterinary medicine; we can offer options and suggestions but only you truly know your and your horse’s situation - this is why its crucial for us to have a good transparent relationship with our clients, work as a team, and understand and help as much as we can. However, ultimately people have the freedom to choose which road to take with their own horses - and that’s something we support!

💭 Constraints breed creativity
Lockie also made the point that constraints make you creative. A sudden change of direction, for instance, can be a simple, low-effort strategy to bring liveliness back into a horse rather than reaching for more equipment or more intervention. I found this such a useful reframe for clinical problem-solving too: we often have to work within constraints (ethical, financial, legal/regulatory etc) but we always endeavour to come up with different options and do the best for horses (and their owners) within that context.

Overall, I felt this clinic was less "here's a training method" and more "here's a way of thinking” - and plenty of things applied to how I want to work and practice as a vet nurse (and as a human being!) A genuine desire to help, patience, clear communication, honesty even when it may be unpopular, setting healthy boundaries, respecting people's right to make their own decisions, loving each horse for who they are, and treating the individual rather than chasing a universal fix.

This was Lockie's first UK clinic and hopefully he will be back; if you're interested I would highly recommend checking out his work: https://emotionalhorsemanship.com/

05/07/2026

When people hear the word performance, they often think about soundness, fitness, and whether a horse is ready to compete. But performance medicine is much broader than that. It is about taking a systematic approach to any horse or pony whose health, function, or athletic ability has changed. And yes, that includes elderly or retired ponies who are no longer ridden or competing.

Their “performance” may simply be their ability to maintain body condition, move comfortably, and enjoy a full day turned out in the paddock. When something changes - such as progressive weight loss - it deserves the same methodical approach that we would apply to an elite competition horse. So if you’re wondering what type of cases we offer consultations for, the variety may surprise you! Performance medicine is certainly not defined by whether a horse competes!

In this case for example, a faecal worm egg count had already identified a significant worm burden, providing one potential explanation for the weight loss. Chronic parasitism can result in reduced nutrient absorption, protein loss, chronic intestinal inflammation and altered gastrointestinal function. Together, these effects can leave horses in a negative energy balance, impair immune function, and reduce their ability to regain body condition, even after an appropriate anthelmintic programme has been implemented.

However, a heavy worm burden should not automatically be assumed to be the sole diagnosis. An ageing horse with an underlying systemic disease may have reduced immune competence, making it less able to regulate parasite burdens than a healthy individual. In these cases, the worm egg count becomes part of the clinical picture rather than the entire diagnosis.

This is why every finding needs to be interpreted within the context of the whole patient. A high faecal worm egg count should usually prompt treatment, but it should also prompt further clinical reasoning:

• Is the degree of weight loss proportional to the parasite burden?

• Are there abnormalities on clinical examination that suggest concurrent disease?

• Is there evidence of chronic inflammation, anaemia, protein loss or organ dysfunction?

• Could dental disease, endocrine disease, hepatic or renal pathology, gastrointestinal disease or neoplasia also be contributing?

With this horse, the examination extended beyond the worm count. Blood samples were also collected for haematology and biochemistry to investigate for evidence of systemic inflammation, organ dysfunction, metabolic disease, or other conditions that may have contributed to the weight loss. After all, finding one abnormality should never stop us asking whether there is another disease process occurring at the same time, particularly in geriatric horses.

Address

Newbury

Opening Hours

Monday 8:30am - 5pm
Tuesday 8:30am - 5pm
Wednesday 8:30am - 5pm
Thursday 8:30am - 5pm
Friday 8:30am - 5pm

Telephone

+441488647366

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