Neuse River Equine Hospital

05/22/2026

As the temperatures rise and the sun stays out longer, make sure your equine friends are adequately protected from harmful UV rays. ☀️

Hot summer weather puts horses at risk not only for dehydration and heat stress but also the skin damage and discomfort that accompany a sunburn— just like humans.

A lot of equestrians love some chrome on a horse, but it's important to remember that those beautiful white markings and the non-pigmented pink skin underneath are more likely to suffer from sunburn, especially in areas where the skin is more sensitive — like around the eyes and the nostrils.

In addition to the pain and discomfort, horses that are prone to recurrent sunburn may also face other long-term consequences, like the increased likelihood of developing squamous cell carcinoma (a common cancer).

If your horse is susceptible to sunburn, contact your veterinarian for more information about sun damage and recommendations to keep your equine protected this summer.

05/07/2026

It's MYTHBUSTER time! 🔎

The core vaccinations for every horse, regardless of their travel status, include Rabies, Eastern Equine Encephalitis (EEE), Western Equine Encephalitis (WEE), West Nile Virus (WNV), and Tetanus.

Unfortunately, mosquitoes, bacteria, and rabid animals do not discriminate when it comes to infecting horses. Whether a horse is in a freshly bedded stall, wide open pasture, or on show grounds, mosquitoes can potentially infect your horse with life threatening diseases such as EEE, WEE, and/or WNV.

Tetanus is a common clostridial bacteria present in the dirt and can infect a horse who has never left its home just the same as a horse who shows every weekend if it doesn't have proper vaccine status.

Rabies is a 100% fatal disease once clinical signs are present and is easily transmissible to humans and other animals both at home and on the trails.

It's also important to note that different regions in the U.S. may have additional "core" recommendations so be sure to ask your veterinarian what is best for your horse!

Want to learn more about vaccinations? Visit our vaccination chart on our website here: https://aaep.org/resource/adult-horse-vaccination-chart/

Thank you to the Horse Owner Education Committee for providing this information!

05/07/2026

Have you ever dealt with a puncture wound to the hoof??

Puncture wounds in the foot qualify as medical emergencies, due to the number of vital structures just beneath the sole that can be physically damaged and/or contaminated with bacteria when they are penetrated by a sharp object.

If your horse steps on a nail or other sharp object and it remains embedded in the hoof, resist the temptation to pull the nail out and consult with your veterinarian first. Leaving the nail in place will allow the vet to take x-rays of the foot before removal, which helps to identify exactly what structures have been penetrated, and to plan the most appropriate strategy for dealing with the situation.

If your veterinarian advises, carefully remove the nail to prevent the horse from stepping on it and driving it deeper into the hoof cavity. As you remove it, be sure to mark the exact point and depth of entry with tape and/or a marker so the veterinarian can assess the extent of damage. Apply antiseptic to the wound and wrap to prevent additional contamination while you wait for your appointment.

Penetrating hoof wounds can be extremely serious and shouldn’t be underestimated. The prognosis for successful recovery depends on quick action to identify the path of the nail, treatment of potential infection and mechanical damage to the foot, and proper aftercare.

As always, consult your horse doctor for more information and advice!

05/05/2026

⚠️ DO YOU KNOW HOW TO TELL IF YOUR HORSE IS IN DISTRESS? ⚠️

As a horse owner, it's imperative you know how to recognize problems and respond promptly. It's important to know what conditions require veterinary attention, and how to take appropriate action while you're waiting for the veterinarian's arrival.

Types of emergencies you and your horse may encounter on your journey together include colic; lacerations and bleeding wounds; impaled objects or nails in the foot; acute lameness due to conditions ranging from hoof abscess to fractures, laminitis, tendon injuries and more; eye injuries; allergic reactions; choke; and even foaling emergencies.

No matter what you may face in the future, getting to know your horse's normal vital signs (including temperature, pulse and respiration) as well as its normal behavior patterns will help you become a good observer, so that you readily recognize signs of ill health. Being prepared is in your horse's best interest.

Always remember, your veterinarian is one of your best resources. Talk to them about how they can be reached after-hours, and about recommendations for an emergency plan suitable for your individual situation.

05/05/2026

Cold/compression systems can be beneficial for controlling swelling and inflammation but may not be readily available to most horse owners, and the cost of these units is often substantial.

For cooling, simple cold hosing using cold tap water from a garden hose for 10-15 minutes once to twice daily can be beneficial in some cases, is cost-effective, and is readily available. This may be most helpful in cases of acute swelling. Ice therapy can be effective as well. Some individuals fashion large ice buckets out of items such as fluid drums, fill them with ice water, and have the horse stand with the legs submerged for a period of 10-15 minutes. This provides rapid cooling, but care should be taken to avoid prolonged exposure. Patient tolerance is also variable using this method.

For compression, a standard bandage may be useful, especially in the acute phase. There is debatable efficacy of topical application of “sweat” wraps. Historically, DMSO and nitrofurazone were commonly used. While these products are still used, there are also other topical products such as magnesium sulfate paste that can be applied. Veterinary insight is important because there are numerous over-the-counter topicals available, but very few have any established efficacy and some can be quite irritating to the skin, especially if there is any topical wound involved.

Movement is often beneficial for decreasing swelling as well. This may take the form of light hand walking for 10-15 minutes a few times per day or the use of a walker. Veterinary insight is important to ensure that there are no underlying issues that may be perpetuated by light exercise. It is also important to bear in mind that in some cases with chronic limb edema and cellulitis, some degree of enlargement/swelling of the leg may persist despite treatment. Sometimes this is not necessarily performance-limiting but may be more of a cosmetic concern. Working with your veterinarian will help to ensure the best possible outcome.

04/25/2026

If your equine companion has not yet received its spring vaccinations, here is a great reminder from our friends at Rhinebeck Equine on why it's so important to conduct a physical exam prior to administering vaccines!

"🌡️ During a routine physical exam, Dr. Cassandra Shores was surprised to discover the 15-year-old grade gelding had a fever. Due to the fever, Dr. Shores opted to postpone vaccinating the horse until his immune system was healthy enough to respond to the vaccines. Further diagnostics were performed to determine the cause of the fever. And appropriate treatment was initiated. The gelding was vaccinated at a later date.

🩺 Fortunately, the fever was caught early due to Dr. Cassandra Shores performing a physical exam prior to administering vaccines."

Photo credit: Rhinebeck Equine

04/24/2026

Strangles is one of the most commonly contagious diseases of the horse (worldwide) and in 2017 it became a nationally monitored disease.

This condition is caused by bacterial infection with "Streptococcus equi subspecies equi" (referred to as "S. equi”), which typically infects the upper airway and lymph nodes of the head and neck, and is highly contagious in horse populations—particularly affecting young horses. Classic signs of the disease include sudden onset of fever as high as 106 degrees F, thick yellow nasal discharge, and swollen lymph nodes under the jaw.

Transfer from horse to horse usually involves direct face-to-face contact, or exposure to things such as contaminated feed, water, hands, veterinary instruments or grooming tools. A stall or van recently used to house or transport a horse that is shedding the organism may also be a source of infection.

WATCH OUT FOR ASYMPTOMATIC CARRIERS!

It is not uncommon for strangles infections to recur on a farm with previous outbreaks of the disease, and the primary source of recurrent infections are most likely asymptomatic carrier horses. These are animals who display no clinical signs but may continue to shed the bacteria for months to even years, serving as a continual source of new infections.

If you suspect a strangles outbreak, be sure to involve your veterinarian right away to determine the diagnosis and the best control practices for your particular farm. Without control and biosecurity measures, a strangles outbreak will ultimately affect all susceptible horses, last longer, and have a greater chance of leading to complications.
**Please note that strangles is a reportable disease in some states.**

And as always, contact your veterinarian for more information as they remain the best source of advice!

04/22/2026

04/20/2026

If you believe that horses need grain in their diet to meet their nutritional needs, you are not alone. However, horses should get most of their nutrients from a good quality forage source such as grass, hay, hay pellets, or a complete feed.

Horses generally eat between 1.5-2% of their body weight each day, so an average size 1,000 lbs horse should eat 15- 20 lbs of hay daily. To help fill any nutrient gaps such as essential vitamins or minerals, a ration balancer may be beneficial. Depending on breed, body condition, and exercise level, concentrates may be added in to provide additional energy but are often not needed.

When deciding on what to feed your horse, it is best to invest in high quality forages as the foundation of your feeding plan. You can even have your hay tested to see exactly what nutrients it is providing.

Please consult with your veterinarian or an equine nutritionist about your horse's diet before making any major changes, and remember that any changes should be made gradually over time to avoid GI upset.

Thank you to the AAEP Horse Owner Education Committee for providing this information.