08/27/2026
Soundness Exam Essentials 🩺🐴
A thorough lameness or soundness exam is about more than just finding something on an image—it’s about determining what is actually causing the horse discomfort.
🔹 History — Understanding what you’re seeing at home, under saddle, and when the problem started helps guide the exam.
🔹 Static & dynamic exam — We assess the horse standing still and then evaluate movement to identify asymmetries, gait abnormalities, and patterns of discomfort.
🔹 Diagnostic analgesia (blocking) — Blocking helps us localize where the pain is coming from. Once the painful area is identified, imaging can help determine the underlying cause.
📸 Why does blocking matter before imaging?
Horses can have multiple abnormalities on radiographs or ultrasound that may not actually be causing their current discomfort. Without blocking, it can be difficult to know whether an imaging finding is clinically significant—or simply an incidental finding.
The goal isn't just to find an abnormality. It's to connect the dots between pain, location, and pathology. 🐴🧩