Performance Horse Care

For dedicated performance teams, we’re always by your side in building a strong foundation for equine health and well-being.

performance-horse-care

Every moment with them is a victory

At Zoetis, we’re committed to your horse’s health and well-being. As your partner in performance horse care, we provide products and resources to support the needs of your equine athlete so you can confidently unlock progress together at every stage of the journey.

View the performance horse brochure

Poor Performance

Many performance issues start as small changes—a head toss, pinning ears or grinding teeth when given a cue, reluctance or inability to hold a specific gait or move out, tipping a rail, or decreased stamina. While training may play a role, pain and medical factors—like lameness, ulcers, respiratory disease, or neurologic, metabolic or muscular disorders—may often be an underlying cause.

Common signs of performance issues1,2

  • Lameness
  • Stiffness that may or may not work out during warm-up
  • Reluctance to work or loss of impulsion
  • Resistance to moving forward or responding to aids
  • Decline in competition results or earnings
  • Behavioral changes
  • Difficulty maintaining gait or completing transitions
  • Exercise intolerance or slow recovery
Lightbulb-white Did you know?

Lameness is the #1 cause of poor performance2-4

Other issues could include respiratory problems like equine asthma or airway obstruction, gastric ulcers, cardiovascular limitations, muscle disorders such as tying-up other myopathies, systemic illnesses, or training/conditioning gaps—all of which can contribute to poor performance, even without obvious signs.

Lameness: early detection and treatment

Dealing with lameness can be frustrating, nerve-wracking and potentially time-consuming. Learn more about the treatment options your veterinarian can use to help return your horse to optimal performance. 

Identifying signs of lameness
  • Head nod, hip hike or limping
  • Resistance to aids
  • Poor performance
  • Behavioral or mood changes
  • Loss of impulsion
Our family of regenerative medicine devices
Pro-Stride® APS is the most trusted orthobiologic in equine joint care,5 and Restigen® PRP is the most trusted orthobiologic for soft tissue injuries.5 Together, they’re supported by a full range of resources for the entire regenerative medicine family to explore.

Travel and biosecurity

Proper travel preparation goes beyond packing the trailer. It includes wellness checks, vaccinations, documentation and biosecurity measures to protect your horse and others. Work with your veterinarian and follow these tips to get yourself and your horse ready to travel for competitions.

On-the-road health checklist for your horse

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Know the risks

Common travel-related diseases include shipping fever, pleuropneumonia, equine influenza virus (EIV), equine herpesvirus (EHV) and inflammatory airway disease (IAD).

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Keep health paperwork handy

Carry a current negative Coggins test and valid Certificate of Veterinary Inspection or Extended Equine Certificate of Veterinary Inspection.

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Monitor wellness

Use Serum Amyloid A (SAA) testing before and after travel to help detect early signs of inflammation or infection.

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Stay current on vaccines

Make sure your horse is up to date on core and risk-based vaccinations, including Fluvac Innovator® EHV-4/1 and Pinnacle® I.N.

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Check event requirements

Visit your event’s or organization’s website to confirm specific health and vaccination rules.

Dormosedal-Gel

Show jumper Gaby Reutter’s travel checklist

Peek behind the curtain to see how Gaby Reutter partners with her veterinarian to ensure her horses stay in top health before, during and after competitions.

View Document

Your trusted equine biosecurity partner

Help prevent infectious respiratory disease outbreaks through vaccination and stall-side diagnostics. Fluvac® Innovator and Stablelab® Stall-side Diagnostics help keep your horse healthy while traveling.
Fluvac Innovator
Fluvac Innovator
Fluvac Innovator

The #1 most trusted equine respiratory vaccine in the United States10

Fluvac Innovator

Up to 4.7x better immune response against equine influenza*11

Stablelab
Stablelab

10-minute stall-side results

Stablelab

30x more sensitive than a thermometer at detecting subclinical infection12

Ask your veterinarian how Fluvac Innovator and Stablelab can help strengthen your biosecurity plan. Jump to biosecurity resources.

Emergency preparedness

Even the most careful performance horse owners can face emergency situations. Being prepared with the right plan and supplies gives you the confidence to act quickly when every second counts.

Common emergencies you’re most likely to face

Laceration
Colic
Choke
Eye pain
Fever
Cellulitis
Hoof abscess or puncture

Emergency first aid kit must-haves

  • Thermometer

  • Stethoscope

  • Disposable gloves

  • Triple antibiotic ointment

  • Non-stick Telfa pads/cling gauze

  • Roll cotton/brown gauze

  • Vetrap/Elastikon

  • Bandage scissors

  • Saline eye solution

  • Dormosedan® Gel (detomidine hydrochloride)

Care for them with confidence

For horse care and husbandry procedures where horses may become too anxious to work with safely, acquiring prescription Dormosedan® Gel (detomidine hydrochloride) from a veterinarian ahead of time can provide peace of mind and a helping hand to facilitate safe experiences.

Dormosedan-Gel

Dormosedan Gel

The only FDA-approved oral sedative of its kind that horse owners can administer themselves with a prescription from their veterinarian. This unique gel is designed to help improve safety for horses and handlers during nonpainful horse care procedures such as farrier work, clipping, sheath cleaning, bandaging, first-time turnout and more.
Learn more

How to use Dormosedan Gel

IMPORTANT SAFETY INFORMATION

Do not use DORMOSEDAN GEL in horses with pre-existing atrioventricular (AV) or sinoatrial (SA) block, with severe coronary insufficiency, cerebrovascular disease, respiratory disease, or chronic renal failure. Do not use in anesthetized or sedated horses, or in conditions of shock, severe debilitation or stress due to extreme heat, cold, fatigue or high altitude. Handle gel-dosing syringes with caution to avoid direct exposure to skin, eyes or mouth. See full Prescribing Information, here.

Industry guidelines and resources

We're here to help you do what's best for your horse while on the road. Keep the right contacts close this show season by saving the resources below.

Articles

FAQs

What can I do to help prevent the spread of infectious disease with my horse while traveling and competing?

Before You Travel

  • Only travel with a healthy horse
  • Monitor temperature before departure
  • Follow a veterinarian-directed vaccination plan
  • Check event health requirements
  • Clean and disinfect your trailer before loading
While Traveling & On the Show Grounds
  • Avoid nose-to-nose contact with other horses
  • Do not share equipment — ever
  • Monitor your horse daily for signs of illness & continue to monitor temperature
  • Practice strong personal hygiene
  • Reduce exposure at communal areas (water troughs, shared water hoses)
When You Return Home
  • Quarantine returning horses
  • Continue monitoring temperature for 10–14 days
  • Clean and disinfect equipment again
Bonus: Prepare a Written Isolation Plan so you can take fast action if something develops during or after a show. See more helpful biosecurity resources.

How does the Stablelab test help me spot infection early?

Stablelab is a stall-side blood test your veterinarian uses to measure Serum Amyloid A (SAA) — a powerful biomarker that rises rapidly in the bloodstream when a horse is fighting infection. Visit Stablelab® Stall-side Diagnostics to learn more.

SAA has been shown to be 30x more sensitive than a thermometer for detecting subclinical infection.13 So even if your horse’s temperature is normal, Stablelab can still detect underlying infection.

Stablelab gives results in just 10 minutes, allowing your vet to make immediate decisions. That means no waiting on lab work while your horse’s condition progresses.

Stablelab quantifies the severity of infection

  • Healthy horse: 0 µg/mL
  • Infection: SAA commonly rises into the hundreds or thousands

Serial testing helps monitor if treatment is working. SAA drops rapidly as infection resolves — about 50% every 24 hours. This prevents overtreating, undertreating, or guessing.

How can I check medication rules and withdrawal times for my horse before a show?

Determine which organization governs your show

Different shows follow different rulebooks: Rules differ between them, so always confirm which applies to your specific situation. See industry guidelines and resources linked in the chart above.

Always consult your veterinarian

Every horse metabolizes drugs differently, and environmental factors (stall contamination, illness, feed, fitness) alter clearance times. Veterinary involvement with these decisions is always advised.

How are all-natural treatments like Pro-Stride® APS different from traditional joint injections?

Pro-Stride® APS (Autologous Protein Solution) is made from your horse’s own blood, concentrated stall side into a solution rich in:

  • Anti-inflammatory proteins (including IRAP / IL1 receptor antagonist and A2M)
  • Platelets and growth factors
  • White blood cells
Pro‑Stride APS is ideal if you want:
  • A natural, competition-safe option
  • Less frequent injections (Bertone et al)
  • Joint support that focuses on treatment, not just symptom control (pain relief)13
  • A steroid-free protocol (especially for metabolic horses or those with steroid-wear concerns)
Traditional Joint Injections (Steroids, HA, etc.)
  • Contain manufactured corticosteroids (e.g., triamcinolone, betamethasone, methylprednisolone) and/or hyaluronic acid.
  • Focused on symptom control, not tissue regeneration.
  • With repeated use corticosteroids can contribute to cartilage damage13,14
How Pro‑Stride APS works
  • Blocks inflammatory cytokines like IL‑1 and TNF‑α, helping halt the inflammatory cycle driving osteoarthritis.
  • Delivers growth factors that promote cartilage and tissue repair.13
  • Acts as a regenerative therapy: supports healing rather than masking symptoms.13
How steroid Injections work
  • Corticosteroids suppress inflammation quickly, but they have some downsides:
    • Effects are temporary.
    • Repeated long-term use may be associated with cartilage degeneration.14,15
    • Horses with metabolic disease or PPID may be at an increased risk of developing laminitis if corticosteroids are used for joint injections.16,17

For more information on Pro-Stride APS and other Zoetis regenerative devices, visit our lameness solutions page.

How can I tell if my horse’s behavior problems are pain-related?

Subtle signs of pain can be easy to write off, but you should think twice if your horse is consistently demonstrating any of the following behaviors:

  • Sudden change in attitude or willingness
  • Asymmetry or movement abnormalities
  • Sensitivity to touch (withers/back/hind end)
  • Changes around tack and mounting
  • Stall and ground behavior shifts
  • Performance decline
Contact a veterinarian if:
  • The behavior is new, worsening, or unpredictable
  • There are visible asymmetries
  • You notice head bobbing, toe dragging, or hind‑end inconsistencies
  • The horse refuses normal activities or becomes suddenly dangerous (bucking/rearing etc.)
  • You’ve ruled out tack issues and training inconsistencies
A full lameness exam, flexions, nerve blocks, back palpation, and possibly imaging can pinpoint the problem.

References

1. Dyson, S, et al., Evaluation of poor performance in competition horses: A musculoskeletal perspective. Part 1: Clinical assessment, Equine Vet Educ, 2016

2. Martin BB, Reef VB, Parente EJ, et al. Causes of poor performance of horses during training, racing, or showing: 348 cases (1992–1996). J Am Vet Med Assoc. 2000;216:554–558.

3. Fraipont A, Van Erck E, Ramery E, et al. Subclinical diseases underlying poor performance in endurance horses: Diagnostic methods and predictive tests. Vet Rec. 2011;169:154.

4. Knight PK, Evans DL. Clinical abnormalities detected in post-race examinations of poorly performing Standardbreds. Aust Vet J. 2000;78:344–346.

5. Data on file, Equine Orthobiologics Market Research Study Parts 1-4 US Market Research Dept. Jun 27 2025.

6. Bosch G., et al. Effects of platelet‐rich plasma on the quality of repair of mechanically induced core lesions in equine superficial digital flexor tendons: a placebo‐controlled experimental study. J Orthop Res. 2010, 28(2): 211-217. http://doi.org/10.1002/jor.20980

7. Chahla J., et al. A call for standardization in platelet-rich plasma preparation protocols and composition reporting: a systematic review of the clinical orthopaedic literature. J Bone Joint Surg Am. 2017, 99(20): 1769-1779. http://doi.org/10.2106/JBJS.16.01374

8. Kon E., et al. Subchondral and intra-articular injections of bone marrow concentrate are a safe and effective treatment for knee osteoarthritis: a prospective, multi-center pilot study. Knee Surgery, Sports Traumatology, Arthroscopy. 2021, 29: 4232–4240. http://doi.org/10.1007/s00167-021-06530-x

9. Bourebaba, L., et al., Osteochondritis dissecans (OCD) in Horses - Molecular Background of its Pathogenesis and Perspectives for Progenitor Stem Cell Therapy. Stem Cell Rev Rep. 2019, 15:374-390. http://doi.org/10.1007/s12015-019-09875-6

10. Fluvac had the most doses sold of all equine vaccines in the United States. Animatytix Equine Vaccines Segment Data, December 2024.

11. Zoetis Inc. Data on file. Study report no. 14OREQBIO-1.

12. Oertly M, Gerber V, Anhold H, et al. The accuracy of Serum Amyloid A in determining early inflammation in horses following long-distance transportation by air. AAEP Proceedings. 2017:460-461.

13. Usimaki A, Ciamillo S, Barot D, et al. Single injection of intra-articular autologous protein solution in horses with acute interleukin-1B-induced synovitis decreases joint pathology scores. EVI July 25, 2024. https://doi.org/10.1111/evj.14203

14. Chunekamrai, S., Krook, L.P., Lust, G., Maylin, G.A. "Changes in articular cartilage after intra-articular injections of methylprednisolone acetate in horses." Am J Vet Res. 1989 Oct;50(10):1733-41.

15. Wernecke, C., Braun, H. J., & Dragoo, J. L. (2015). The effect of intra-articular corticosteroids on articular cartilage: A systematic review. Orthopaedic Journal of Sports Medicine, 3(5), 2325967115581163. https://doi.org/10.1177/2325967115581163

16. Page AE, Johnson M, Parker JL. The Effects of Intra-Articular Triamcinolone and Autologous Protein Solution on Metabolic Parameters in Horses. Animals (Basel). 2024 Aug 2;14(15):2250. https://doi.org/10.3390/ani14152250

17. Page AE, Rauber-Ramos AM, Humiston M. Initial investigation into the metabolic effects of intra-articular betamethasone on normal and insulin dysregulated horses. JEVS, Volume 147, April 2025. https://doi.org/10.1016/j.jevs.2025.105404

Dormosedan is a registered trademark of Orion Corporate, distributed by Zoetis under license. Stablelab is a registered trademark of Epona Biotech Limited, used under license.
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