Equine colic refers to abdominal pain rather than a single disease and can arise from many causes, ranging from gas buildup to intestinal impaction. Horses with colic might show subtle signs such as reduced appetite or lethargy, or more obvious behaviors like pawing, flank-watching, rolling, or repeatedly getting up and down. Because some types of colic can become life-threatening quickly, recognizing early signs and contacting a veterinarian promptly can improve the horse’s outcome.

This episode is sponsored by CareCredit.

About the Experts:

Michael Fugaro, VMD, Dipl. ACVS, is the owner and founder of Mountain Pointe Equine Veterinary Services, in Hackettstown, New Jersey. Fugaro received his VMD at the University of Pennsylvania’s School of Veterinary Medicine, in Kennett Square, where he graduated in 1997. He then completed a large animal internship at the University of Guelph, in Ontario, Canada, and a large animal surgical residency at Purdue University, in West Lafayette, Indiana. Previously, Fugaro was the resident veterinarian and a tenured full-professor at Centenary University, in Hackettstown. He has also taught as a visiting instructor at Rutgers University in the Animal Science Department, in New Brunswick, New Jersey. Fugaro has held veterinary positions with the New Jersey Department of Agriculture’s Division of Animal Health and the New Jersey Racing Commission. He has also been the president of the New Jersey Association of Equine Practitioners, an advisory board member for the Rutgers University Board for Equine Advancement (RUBEA), and an admissions committee member for University of Pennsylvania's School of Veterinary Medicine. When not performing surgeries, Fugaro enjoys golfing and going to the gym. He resides in Morris County, New Jersey, with his wife, Donna, and dog, Curtis.

Bianca Ruspi, DVM, is a third-year resident in equine surgery at Rood & Riddle Equine Hospital in Lexington, Kentucky. She attended the University of Kentucky (UK), in Lexington, for her undergraduate degree and Cornell University, in Ithaca, New York, for veterinary school. She is interested in orthopedic surgery and joint disease and is pursuing a PhD at UK's Gluck Equine Research Center following her residency.

As horses age, managing their soundness using a multimodal approach becomes increasingly important. Experts emphasize proactive joint care, appropriate exercise, and routine veterinary evaluations. Regular, low-impact work helps maintain joint mobility and muscle support, while avoiding long periods of confinement, which can worsen stiffness. Strategic hoof balance, body condition management, and early intervention for mild lameness are key. With thoughtful management and early attention to subtle changes, many senior horses can remain comfortable and active for years.

During this episode, two experts discuss keeping horses sound as they age.

About the Experts:

Lauren Trager, DVM, MS, Dipl. ACVSMR, is a clinical assistant professor of equine sports medicine at the Virginia Maryland College of Veterinary Medicine, in Blacksburg. She is a diplomate of the American College of Veterinary Sports Medicine and Rehabilitation. Trager loves to teach and enjoys working on challenging lameness and poor performance cases, particularly those with neck and back pain and anything that involves advanced imaging.

Howland M. Mansfield, DVM, CVA, CVMMP, of Summerville, South Carolina, received her DVM from Tuskegee University School of Veterinary Medicine, in Alabama, and completed internships in both general equine medicine and surgery and in advanced equine reproduction. She is certified in both veterinary acupuncture and veterinary medical manipulation. She has practiced along the East Coast over the course of 14 years, in addition to time in Germany providing veterinary care for some of the most elite show horses in Europe. In 2012 Mansfield was named by the South Carolina Horseman’s Council as the Horse Person of the Year for her efforts in equine rescue and in combating animal cruelty. She joined American Regent in 2023 as a technical services veterinarian where she can support the welfare of and improve health care for horses and small animals throughout the U.S.

Managing a horse diagnosed with metabolic problems means understanding how conditions such as equine metabolic syndrome (EMS) and insulin dysregulation increase the risk of serious complications, including laminitis. Horses with metabolic problems often benefit from controlled diets low in sugars and starches, tailored to prevent spikes in blood insulin and support healthy body condition. Regular exercise and weight management should be part of a comprehensive plan because activity can help improve insulin sensitivity and supports overall metabolic health. While there’s no cure for these conditions, strategic, research-based care can help improve your metabolic horse’s well-being.

During this podcast, two experts answer listener questions about managing horses that have metabolic problems.

About the Experts:

1. Greg Schmid, DVM, originally from Canada, moved to Ohio as a teenager, where his family trained dressage and eventing horses. He earned a Bachelor of Science in equine science from Otterbein University, in Westerville, Ohio, and a DVM from The Ohio State University, in Columbus. After graduation, Schmid completed an internship at B.W. Furlong & Associates, in Oldwick, New Jersey, and then worked with Dr. John “Doc” Steele in a hunter/jumper-focused practice covering the East Coast. He later practiced in Portland, Oregon, working with various English and Western sport horses. Schmid joined Dechra as an equine professional services veterinarian in September 2020 and now lives in Asheville, North Carolina.
2. Caitrin Lowndes, DVM, is a research fellow at the Van Eps Laminitis and Endocrinology Laboratory at the University of Pennsylvania’s New Bolton Center, in Kennett Square, with a background in field practice. Her main area of research is the improved diagnosis and management of insulin dysregulation, with particular interest in how that research can be translated into clinical practice for the treatment and prevention of laminitis.