All Horses Great and Small, PLLC

All Horses Great and Small, PLLC All Horses Great and Small is dedicated to providing complete veterinary services to all horses.

At All Horses Great and Small we are dedicated to providing complete veterinary services to all
horses, from competition horses to family loved pleasure and companion horses. We are
compassionate about creating a team of qualified professionals to work with horse owners by
providing the highest degree of care to all patients as well as educating owners in best
management practices for their horses.
~~Dr Lisa Bethune and Dr Amy Clark~~

In honor of Memorial Day we will be closed on Monday May 25th. Emergency services will still be available.
05/22/2026

In honor of Memorial Day we will be closed on Monday May 25th.
Emergency services will still be available.

✨ TREATMENT SPOTLIGHT ✨🐴 Spinal Manipulation (Similar to Chiropractic)This therapy focuses on restoring proper motion an...
05/21/2026

✨ TREATMENT SPOTLIGHT ✨

🐴 Spinal Manipulation (Similar to Chiropractic)
This therapy focuses on restoring proper motion and mobility within the joints of the body. Restrictions can contribute to stiffness, discomfort, reduced range of motion, and compensation patterns. By improving joint mobility, spinal manipulation can help horses move more comfortably and efficiently while supporting overall wellness and performance. ✨

🪡 Acupuncture Therapy
Acupuncture involves the placement of very fine needles at specific points throughout the body to help stimulate the nervous system, encourage circulation, reduce muscle tension, and promote relaxation. It can be used to support comfort, recovery, mobility, and overall balance within the body 💫

These therapies work beautifully together and can benefit horses of all ages, disciplines, and activity levels — from retirees and trail horses to lesson horses and competitors ❤️

Healthy movement. Better comfort. Happier horses. 🐎✨

💊✨ **Medicine Monday: Zygolide (Pergolide) for Equine Cushing’s (PPID)** ✨💊Let’s kick off the week with a closer look at...
05/18/2026

💊✨ **Medicine Monday: Zygolide (Pergolide) for Equine Cushing’s (PPID)** ✨💊

Let’s kick off the week with a closer look at **Zygolide (pergolide)** — a key medication in managing **Equine Cushing’s Disease (PPID)** and helping horses feel their best!

🐴🌟 **What is Zygolide?**
Zygolide is a form of **pergolide**, the gold-standard treatment for horses diagnosed with PPID. It works by replacing dopamine in the brain — something PPID horses lack — helping to restore normal hormonal balance.

⚙️ **How does it work?**
In horses with PPID, the pituitary gland becomes overactive and produces excess hormones (like ACTH). Zygolide helps regulate this by:

* Mimicking dopamine
* Suppressing abnormal hormone production
* Bringing the endocrine system back into better balance

Consistency is key — daily dosing is critical for effective control.

💡 **Why it matters for your horse:**
✔️ Helps reduce abnormal hair coat (long, curly hair)
✔️ Supports energy levels and overall attitude
✔️ Improves immune function and healing
✔️ Supports long-term quality of life

🚨 **Quick Tips for Success:**
✔️ Give at the same time every day
✔️ Don’t skip doses — consistency = control
✔️ Monitor for appetite changes when starting (some horses may go off feed briefly)
✔️ Work with your veterinarian for routine bloodwork (ACTH monitoring)

🤝 Managing PPID is a team effort between you and your veterinary team — and understanding medications like Zygolide is a huge step toward keeping your horse happy and healthy.

05/15/2026

⚡️ Poor performance doesn’t always mean a training issue… sometimes it’s PAIN. 🐴
Horses with SI (sacroiliac) pain may show:�▫️ Bucking or tail swishing�▫️ Trouble picking up leads�▫️ Resistance under saddle�▫️ Hind-end soreness�▫️ Behavioral changes/performance decline
🎥 In this video, our doctors are performing ultrasound-guided SI injections to help reduce inflammation and improve comfort and performance.
✨ Accurate diagnosis and targeted treatment can make a huge difference for these horses!
📞 Think your horse may be struggling with SI pain? Contact us to schedule a soundness evaluation.

05/12/2026

🐴 Show season is here! A friendly reminder to plan ahead if you’ll be traveling with your horse to shows, events, or clinics this spring and summer.
Many venues require current Coggins tests and Health Certificates for entry and interstate travel. Health Certificates must be completed within a specific timeframe before travel, so please don’t wait until the last minute to schedule paperwork appointments.
Our schedule fills quickly during show season, and advance planning helps ensure we can get everything completed in time for your trip.
Please call the office with any questions or to schedule your appointment. Safe travels and good luck at your upcoming events! 🐎

🚨 PLEASE READ — Our Phones Are Getting an Upgrade! 🚨We are officially switching over to a brand new phone system tomorro...
05/07/2026

🚨 PLEASE READ — Our Phones Are Getting an Upgrade! 🚨

We are officially switching over to a brand new phone system tomorrow morning to better serve all of our amazing clients and patients! 🐴💙

During the transition, there may be a few bumps in the road such as:
📞 Dropped calls
📞 Brief outages
📞 Delays reaching us

If something seems off, don’t panic — we are still here and working hard behind the scenes to get everything running smoothly as quickly as possible!

Please bear with us over the next few days while we make the switch. If you cannot get through, leave us a voicemail and we will return your call as soon as we can.

Thank you for your patience and support while we make these exciting improvements! ✨

05/01/2026

Ever try to pull up just 1 mL and suddenly it’s a full-on team effort? 😅
We figured we’d share a little behind-the-scenes moment from the clinic to give you all a laugh. Turns out even the smallest things can become the biggest challenge!
🎥 Our very first video—be kind 😂
If this made you smile, let us know… we might just make more!

Fun Case Friday 🐴✨: When a “small cut” isn’t so small…⚠️ Graphic content: wound images belowThis gelding came in with wh...
04/10/2026

Fun Case Friday 🐴✨: When a “small cut” isn’t so small…
⚠️ Graphic content: wound images below
This gelding came in with what looked like a minor cut—but beneath the surface was a deep, necrotic, pocketing wound.
After sedation and debridement, we started antibiotics, anti-inflammatories, bandaging, and incorporated Phovia to support healing. Over the next couple of weeks, with continued care and a partial closure to reduce dead space, the wound improved dramatically.
✨ Outcome:
Just 14 days after suturing, the wound healed beautifully—flat, clean, and dry!
💡 Takeaway:
Even small wounds can become serious. Early intervention + advanced therapies like Phovia can make a huge difference in healing and outcome.
📸 Check the pictures for the transformation!

🎉🐴 Fun Case Friday: From Flap to Fabulous! (Part 2) 👁️✨If you saw Part 1, you know this mare had a significant eyelid in...
04/03/2026

🎉🐴 Fun Case Friday: From Flap to Fabulous! (Part 2) 👁️✨
If you saw Part 1, you know this mare had a significant eyelid injury. Here’s how the journey unfolded…
The Road to Recovery 🔄
Over several weeks, she required:
✂️ Multiple surgical repairs
🧵 Sutures
🩹 Debridement of necrotic & thickened tissue
🧪 Fluorescein staining to monitor for ulcers
💊 Systemic antibiotics & anti-inflammatories
👁️ Topical antibiotic ointment multiple times daily
Complications included:
• Multiple corneal ulcers
• Corneal edema
• Active neovascularization
Because corneal ulcers and steroids do NOT mix, medication timing was critical. We partnered with the ophthalmology team at Cummings School of Veterinary Medicine at Tufts University to ensure the best possible outcome.
The Turning Point 🌅
With advanced ophthalmology care and diligent home treatment:
✔️ Ulcers resolved
✔️ Sutures healed
✔️ Scar tissue remodeled
✔️ Cornea stabilized
✔️ Vision intact
And today…
🎉 Her eye is completely normal and doing beautifully! 🎉
Client Education Takeaways 📚
👁️ Eyelid lacerations are emergencies.
🕒 Early repair = better outcomes.
🧴 Follow medication instructions exactly.
🩺 Specialty referrals save eyes.
Huge kudos to this dedicated owner — eye cases require serious commitment! 👏
Scroll through the photos to see the incredible transformation. 📷✨

🌷🐴 Spring is here—let’s get your horses ready for the season ahead! 🐴🌷Our Spring Newsletter is LIVE and packed with impo...
03/30/2026

🌷🐴 Spring is here—let’s get your horses ready for the season ahead! 🐴🌷

Our Spring Newsletter is LIVE and packed with important updates, expert care tips, and seasonal reminders to keep your equine partners healthy and performing their best. From preventive care to upcoming events, it’s all inside!

💚 We’re proud to support you and your horses every step of the way this season.

👉 Read it here:

At All Horses Great and Small, our goal is to support the health and well-being of every horse—from competitive athletes to cherished pasture companions. As we move into the busy spring season, we want to share a few important reminders and updates to help keep your horses happy and healthy.

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156 Langen Road
Lancaster, MA
01523

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