11/09/2026
Equine Metabolic Syndrome (EMS):
The Laminitis You Don't See Coming
Not every horse at risk for laminitis shows obvious warning signs.
Equine Metabolic Syndrome is a condition characterized by insulin dysregulation, which significantly increases a horse's risk of developing laminitis. Changes within the hoof can occur before noticeable pain or lameness develops.
What should horse owners look for?
• Easy weight gain or difficulty losing weight
• Fat deposits along the neck crest, tailhead, or shoulders
• Sensitivity when walking on hard ground
• A history of laminitis
While EMS is commonly associated with "easy keepers," not every affected horse is overweight.
Why does early detection matter?
Metabolic screening can help identify insulin dysregulation before serious complications arise. With appropriate dietary management, controlled grazing, exercise when safe, and continued monitoring, many horses with EMS can maintain a good quality of life.
The goal is to recognize the risk before laminitis becomes a painful, potentially life changing problem.
Talk with your BVEH veterinarian about whether metabolic screening is appropriate for your horse.