Meet “George”: A Polysaccharide Storage Myopathy (PSSM) Horse

I’m proud to introduce you to George, a “Heinz-57” draft cross, and my current equine partner.  He is the result of a ½ Thoroughbred, ½ Percheron (dam) x ½ Hanoverian, ½ Paint horse (sire). I’ve had the privilege of knowing George since he was a weanling, and bought him as a yearling.  It wasn’t until I started him under-saddle as a three and a half year old that I started noticing behavioral changes (crankiness – not like George), non-specific muscle soreness, and a transient, almost undetectable gait abnormality, all of which happened to be associated with new hay delivery.  I won’t mention how much I’ve spent having him worked-up, imaged, adjusted, fitted and many more things to get to the bottom of what his body was trying to tell me.  We were coming up empty handed and frustrated.

It wasn’t until after I returned from an equine nutrition symposia that it occurred to me to have him tested for polysaccharide storage myopathy (PSSM). PSSM causes the horse’s muscle cells to store energy (glycogen) in excess, which can result in a variety of symptoms, the most severe of which is tying up after aerobic exercise.  Nearly all of the classic signs were there, short of a bad tying up episode.  Wouldn’t you know it, he came back positive for Type-1 PSSM a.k.a. EPSM, tying- up syndrome/exertional rhabdomyolysis/Monday morning disease, set fast or azoturia.  There is more than one version of PSSM (Type-1 is most common) and the diagnostic tests for each are unique.

Recent advances in equine genetics have made testing a blood, muscle, or hair follicle sample possible.  As it turns out, three of the four breeds that George represents have been identified as prone to carrying the genetic mutation responsible for PSSM.  Unlike some other recessive genetic diseases, PSSM is inherited as a dominant gene; in other words having just one copy of the mutated gene means the horse has the disease.  Horses lucky enough to inherit 2 copies of the gene can be more severely affected.   The good news is, with a little diligence, these horses can be managed and go on to have a good quality of life and successful athletic careers; both of which I want for George. 

Diagnostic information can be found at the University of Minnesota Neuromuscular Diagnostic lab website: http://www.cvm.umn.edu/umec/lab/home.html

Feeding Tips for Stall Rest

Regardless of the diagnosis, when stall rest is on the treatment list, adjusting your feeding program to match your horse’s lack of activity can improve the experience for both you and your horse.

Horse on stall rest
As a curious 2 year old, Toby injured himself and landed in stall rest-land.

Whether recovering from an injury, surgery, or other, stall rest is generally prescribed to limit the movement of your horse to aid in the body’s natural healing process.  Often times, when a horse’s activity level moves from work or competition to that of quiet stall rest, it takes a period of adjustment for him to settle into the new routine.

Altering his feeding program to match this now sedentary lifestyle will help him make the transition.  Please note: all feed and forage changes should be made gradually through a period of 5-7 days so as not to disrupt the digestive system.

For the horse sentenced to a period of stall rest, the name of the game is energy management.  If he is an athlete who is used to getting high calorie feed and plenty of exercise, transition him to a lower calorie feed or ration balancer, with a high quality grass forage.  Reducing the energy he receives from his feed will help manage his weight and behavior.

Selecting a feed that is balanced for amino acids will offer the body aid in the development and repair of tissues, especially muscle and connective tissue. Fortified, balanced levels of vitamins and minerals will aid in immune response as well as minimize bone density loss.  Feed that is fortified with prebiotics, such as yeast culture, and probiotics can aid in the balance of the gut bacteria, overall absorbtion of nutrients and supports the immune system. Omega 3 fatty acids in the feed can also provide support for the immune system as well as help manage inflammitory response in tissue.

Monitor his body condition score and weight throughout stall rest and make feed amount adjustments as needed.  If he begins to gain weight, reduce his feed amount to the lowest advised amount from the feed manufacturer.

If he drops too much weight, slowly increase the feed amount, making sure to stay within the feeding directions.  Increasing the amount of hay can also provide benefits, though keep watch that he doesn’t start wasting.  Health complications or hay quality concerns aside, uneaten hay is an indication that he is being fed too much per meal.

In addition to providing much needed fiber and calories, hay in the stall can also provide a distraction,  curbing destructive behavior such a cribbing, weaving and pawing.  Consider providing stall toys, such as a ball or treat roller to keep his mind occupied and prevent bad stall habits from forming.

Pending the doctor’s orders, hand walking is a common method of providing limited exercise while reducing the chances of further damaging the injury or wound.  Hand walking is also a great way to spend time with your horse, especially if stall rest has taken him away from his normal job.

Once the period of stall rest is completed and he goes back to ‘work’,  transitioning his feed back to the ‘normal’ energy levels should be done with even more caution than transitioning the energy down.  For advise on your specific situation, please discuss with a qualified feed consultant or your veterinarian.

Feeding Tips for Horses with Laminitis

Laminitis in short, is the inflammation of soft tissue in the hoof causing damage to or death of the laminar cells, resulting in the loss of the foot’s mechanical integrity.  The severity of damage is unique to each case with the worst damage resulting in founder which is the sinking of the coffin bone.

Overall management and feeding of horses with laminitis requires special care, since factors such as body weight, starch intake, mineral and energy balance, as well as metabolic function can have a profound effect on the fragile environment of the damaged tissue of the hoof.  If you are managing a horse currently being treated for laminitis or one with a history of laminitis, the most important element of overall care is staying connected to your vet and farrier.  When it comes to feeding, here are some nutrition tips to help you along the way.

  • Weight: weight control and regular exercise help any horse physically and mentally, but the laminitic horse in particular.  Excess weight and stagnation add unneeded stress to an already fragile situation. Once the acute phase has passed, regular turn out and exercise provide essential blood flow to the foot, which provides the nutrients for tissue repair.  Activity is also helpful in managing weight.
  • Pasture:  Lush pasture access should be limited by a grazing muzzle for horses prone to laminitis or those currently being treated for it.  If a grazing muzzle is not available, the horse should be limited to access later in the day when plant sugar (fructans) levels in grass are lower, or be kept on a dry lot.
  • Forage: High quality grass hay is the ideal forage for a horse prone to laminitis.
  • Feed: A product specially formulated for metabolic issues or a ration balancer are the best bet to feed your laminitic horse.  Micro nutrients such as vitamins and minerals are essential for tissue repair, so be sure to check that the feed is balanced for these as well as the essential amino acids.   Avoid feeds which provide high levels of starch per meal as these horses tend to be sensitive to increases in blood sugar and insulin.
  • Supplements: Horses with laminitis may benefit from supplemental magnesium and chromium, both of which assist in sensitivity to insulin.
  • Water: Often overlooked as a nutrient, water is one of the best allies in the defense of laminitis in your horse.  Fresh, clean tepid water is a key to overall health as well as circulation of nutrient rich blood.

Following these guidelines for feeding and management, as well as working closely with your veterinarian and farrier should provide you with the tools you need to manage laminitis in your horse.  With extra care and help from the trusted professionals in your life, your horse with laminitis can live a happy, balanced life.

Hoof Health and Nutrition

If your horse has ever had issues with his/her feet, the old adage, ‘no hoof, no horse’ could not ring truer.  When considering hoof health, multiple factors influence the state of your horse’s feet including nutrition, conformation, environment, use and overall management and care.  When assessing your nutrition program in relation to hoof health, there are many key components that need to be present for healthy hoof maintenance and growth. 

  1. Water is the most important nutrient for horses overall.  Specifically for feet, adequate amounts of water provide tissue hydration and promotes the circulation needed to deliver nutrients to the living hoof tissues.
  2. Balanced energy in the diet is important to support metabolic activity, the growth and function across the entire body system, including the feet. 
  3. Balanced proteins (aka amino acids) provide structural strength and function for hoof tissues. Lysine, Methionine and Threonine are the three most commonly associated with hoof growth.  It is imperative that amino acids be present in balanced levels along with key minerals and vitamins.  The ability for the body to absorb these critical nutrients is dependant on the delicate balance of them and too much of one or another can disrupt the utilization of these key nutrients.
  4. Macro minerals include calcium, phosphorus, sodium, potassium and sulfur.  The appropriate balance of macro minerals play a key role in skeletal development and maintenance, blood clotting, muscle contraction, temperature regulation, enzyme activity regulation, glandular secretion and cell membrane integrity. 
  5. Micro minerals (aka trace minerals) include zinc, copper, manganese, cobalt, selenium and more. Trace minerals help with the synthesis of proteins, immune system activity, synthesis and maintenance of elastic connective tissues, the integrity of skeletal bone tissue, antioxidant activity and much more.
  6. Vitamins, both fat and water soluble, play a key role in the formation, maintenance and repair of hoof tissues. Vitamin A,D and E aid in bone and muscle growth, maintenance of healthy epithelial tissue, calcium metabolism control, immune response and activity.  Vitamins C and B-biotin, both water-soluble vitamins, aid in antioxidant activity, lipid metabolism, as well as growth and maintenance of tissues. Biotin aids in the cell-to-cell adhesion in the outer hoof layer.

If you are feeding a commercially produced complete feed, check the guaranteed analysis for these nutrients.  It is also important to check that you are following the feeding directions so the proper levels of nutrients are making it in your horse.  Feed companies formulate the nutrient density and balance based on their feeding directions.  Feeding less than recommended amount means your horse is likely not getting enough of the balanced nutrients he needs.

Hoof supplements are widely available and varied.  If you are feeding a complete feed from a commercial manufacturer that guarentees levels of the nutrients listed above,  you likely do not need to supplement for hoof quality. However, special cases require additional nutrient supplementation.  It is best to work with your vet, farrier and a qualified nutrition consultant to determine the best feed and supplementation program for your horse.

Feeding a horse that has established foot issues such as laminitis takes special care,  as he needs the nutrients in feed but likely not the energy provided.  Excessive levels of starch and sugar per meal increase spikes in glucose and insulin which may have a negative impact on feet.  A low calorie feed or ration balancer  fully fortified with vitamins, minerals and amino acids is your best bet for these special cases. 

Finally, if you have specific questions about your feeding program, check with a qualified nutrition consultant for more information.  A combination of regular hoof care , the right nutrition and proper management for your horse will go a long way in keeping him or her sound for years to come.

How to Weigh Your Feed

Feed your horse by weight, not by volume.

This is a common sentence uttered by many-a-feed professional and the more I talk with horse owners, the more I find myself saying it.   If someone is having an issue with their horse’s weight, whether over or under, I will first ask what kind and how much hay they are feeding.  My next question is what kind and how much feed does your horse get?

Responses to the hay questions are varied as are the kind of feed, but more often than not, I hear ‘a scoop’ or ‘a coffee can’ when describing how much feed the horse in question is receiving.  One customer even mentioned using a Bob the Builder Helmet as her scoop….now that is creative!

How much does your scoop or coffee can of feed weigh? is my next question.   Hmm…Good question is the response all too often. 

A hanging scale, such as this (dirty) one is helpful to hang a bucket from and weigh feed. Note that the scale has been tared for a bucket.

There is a simple, inexpensive way to find out: most mass retailers or farm/feed supply stores sell scales, such as a fish scale, a kitchen scale, or hanging scale that range from $10-20.  When you put your feed bucket on the scale, make sure to ‘tare’ the scale, or zero out the weight of the bucket so you get the true weight of the feed itself.  Then, fill your scoop, coffee can, or Bob the Builder helmet, and see what weight one regular serving is. 

Next step is, check the feeding directions for the feed you use and calculate how much your horse should be fed based on his body weight.  Does your scoop or coffee can serving fall within the appropriate feeding range?  If not, make sure to adjust the fill level of your dispensing item to fall within the recommended quantity for your horse.

It is unlikely that you will need to re-weigh the same feed for each meal, as the density of the feed will likely not vary much.  Most commercial feed companies formulate their feed to meet a specific energy density from which the feeding directions are based .  All other nutrients are balanced based on the energy value, which is why it is so important to select the right feed for your horse and feed the proper amounts.

Feeding your horse the appropriate amount, by weight, will ensure she is getting the balanced, necessary nutrients she needs for everyday activity and development.  Once you have found the feed to match her needs, its only a matter of feeding the right amount and enjoying the end result.

Selecting the Right Feed

Browsing through the aisles of your local feed store, it’s likely you have noticed the variety of horse feeds available.  National brands, regional brands and local manufacturers all crowd the shelves, adding to the confusion.  Which feed is right for your horse?  Here is a quick guide of what to consider when you are contemplating your feed selection.  Start by assessing your:

  1. Horse’s life stage
  2. Horse’s activity level
  3. Any health issues your horse may have
  4. Feed budget

Most feeds are designed to meet the specific nutrient requirements of life stages and activity levels of horses, and generally will specify on the packaging what they are designed for.  When estimating your horse’s activity level, be reasonable in your classification since over feeding energy can make him ‘hot’ and he may gain unwanted weight.  Generally when people see this happening, they tend to reduce the amount fed below the recommended feeding rate instead of changing to a lower energy feed.  This is not advised, as dropping below the recommended feeding rate means your horse is not getting the essential micro-nutrients he needs.  Try switching to a lower energy feed such as a maintenance feed or balancer.  Most maintenance feeds are formulated to provide mid to low energy levels.

If your horse has a specific health issue that can be influenced by his feed, make sure to seek out the information from the bag, your veterinarian or directly from the manufactor.  For example, horses with a history of feed-related laminitis are often best suited to a diet feed or ration balancer which provide much needed minerals and vitamins while keeping starch levels under control.

Complete feeds such as this textured one, are balanced on all nutrients.

Finally, consider your budget.  The features and benefits of feed typically drive up the cost; so ask yourself, can I afford to feed this product at the recommended feeding levels?   Note that feeding rates vary between products and this can influence the cost to feed your horse per head, per day; it is not enough to consider the price per bag alone.  If you are feeding an inexpensive feed but loading it with supplements, it may cost you more than purchasing a commercial complete feed and cutting out the supplements.

Complete feeds are formulated with all the necessary nutrients to meet your horse’s needs in the proper ratios.  When feeding a complete feed, be sure to follow feeding directions closely and monitor his weight through assessing his body condition score and calculating his weight periodically.

This is a very quick guide to help you navigate the increasingly complex decision of how to select the feed that is right for your horse. For more in-depth information, refer to a feed selector or ask a qualified equine nutritionist.

Overweight Horses: Winter Management

Feeding the overweight horse can be tough, but winter poses an even greater challenge with managing a delicate balance between providing enough energy to stay warm, yet not so much he is unable to shed those unwanted pounds.

When considering the feeding program for your overweight horse, first take into consideration the forage type, quantity and frequency he is being fed.  The overweight horse benefits most from grass hay over legume hay due to it’s reduced calorie content.   Most overweight horses do best on grass hay with a ration balancer to provide balanced levels of necessary vitamins, minerals and amino acids.

Consider how frequently he has access to his forage.  Is he limit fed or allowed free access anytime of the day or night?  Generally speaking, limit feeding the overweight horse is one half of a critical equation to helping him shed those pounds.  Forage should make up the bulk of any horse’s ration and the overweight horse is no exception.  His forage ration should be between 1.0-1.75 lb. hay per 100 lb. body weight, per day.  For a 1,000 lb. horse, this would range from 10-17.5 lb. of hay each day.

Next, consider his living arrangement: Is he kept by himself or does he share feed with herd-members?  If possible, put him in isolation from other members of the herd to help control his intake.  Overweight horses may be considered ‘survivors’ in the wild as they oftentimes bully their way into their herd-member’s food supply, but as domesticated animals, they need not exhibit this behavior when a consistent, good quality supply of food is provided.  Isolating him from those he can bully will keep his portion size to what you fed him.

Next, take into consideration how he is managed:   Is he kept in a stall, coat clipped in a heated barn?  Is he turned out on a regular basis?  Does he live outside with access to a run-in or loafing shed?  How he is managed can play into how to help him lose weight, yet stay warm during the oftentimes brutal winter months.  Horses that are most frequently stalled benefit from turnout, safe footing permitted.   Those  turned out full-time should be monitored for the need of a blanket should weather conditions deteriorate enough to warrant; moisture penetrating the thick winter coat as well as a biting winter wind can cut through the toughest of their protections.

Cooper and Ferris in a snowstorm
Ferris and Cooper enjoy turnout in the winter months; it keeps them fit and happy.

Finally, consider his activity level.  Winter in most parts of the United States bring snow, ice and/or frozen footing which can pose a challenge for horse owners.  Good footing is essential for reducing the occurrence of injury during exercise and this is no less important than in the winter months.  Here are a few suggestions for exercising your overweight horse when the footing is less than ideal.

  1. Hand walking – up or down the driveway, on a trail or around an arena is good for him and a great time to bond.
  2. Pasture turnout – solid footing permitting, turn him out for time to romp in the snow and work off some energy.
  3. Time on the lunge line – provides better control over his activity level than turnout and he can work faster than a hand walk.
  4. Trailer to a near-by indoor arena (if there is one close by) for lunge-work, saddle time or just some quiet hand walking.

Helping your overweight horse lose during the winter can be a delicate balance, but with some effort and creativity he can start out the New Year on the way to being a trimmer, healthier horse.

Tips For Feeding Horses with Cushing’s Syndrome

As the number of horses known to have Cushing’s Syndrome increases, questions on how to feed horses with this condition also increase.  As a starting management practice, your veterinarian may recommend pergolide as an added medication for your horse.  This is available from a number of pharmaceutical sources by prescription. When it comes to feeding them, though, here are a few tips that may help make life a little easier:

Consider Joint Support for Horses with Joint Problems

If your Cushing’s horse has some joint problems, you may want to also consider using one of the chondroitin sulfate + glucosamine products that are available in supplement form.

Opt for Low Non-Structural Carbohydrate (NSC) Forage

Cushing’s syndrome horses require a hay or pasture source that is low in non-structural carbohydrates (NSC), so you might want to have your forage tested.

Choose Fortified Senior Feeds For Horses With Cushing’s Syndrome

They do well on senior feeds that are fortified with lysine, methionine, biotin, vitamin E and organic trace minerals (copper, zinc, manganese and selenium) to help maintain muscle mass, support hoof growth and support immune response.

Follow Feeding Directions for Senior Feed

Feeding directions need to be followed to make certain enough senior feed is being fed as these older horses may not be able to utilize forage very efficiently.

Address Weight Maintenance

If your horse is not maintaining weight, you may need to increase the feeding rate of the senior feed or add a low starch, rice bran based high fat supplement.

Consider Medication and Cost For Horse’s With Cushing’s Syndrome

Most senior horses with Cushing’s Syndrome do very well on a senior feed and appropriate medication.  Cost of pergolide can vary greatly and your veterinarian may be able to direct you to the best source.  Good luck, and please let us know if we can help!

Ready to ensure your horse is getting the optimum nutrition at feeding time, every time? Find the perfect feed formulated specifically for horse’s needs with our Feed Selector Tool.Feed Selector tool

How to weigh your horse without a scale

Knowing the weight of your horse is important for several things, such as feeding properly, administering medications or dewormer paste, and generally tracking the health of your horse.

Unfortunately, we don’t all have access to scales big enough for a horse, so most horse owners end up using a traditional weight tape to measure their horse. While better than nothing, using a weight tape to measure your horse can be somewhat inaccurate at best. So, what’s a horse owner to do?

Try this: Using a seamstress tape, measure the length of your horse, and then around their girth, all in inches. Put those measurements in to this formula:

(Heartgirth x heartgirth x body length) / 330 = Weight of horse

If you have a mature horse, use that “330” number. If you have a yearling, use “301”, and if you have a weanling, use “280.” And last but certainly not least – have a pony?  Use “299” to get the right weight.

To see a demonstration, watch our YouTube video on how to measure your horse without a scale:

To download printable versions of the formula for calculating the weight of your horse without a scale, click here.

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