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Pre-Purchase Exams (PPE) for Horses: What You Need to Know


When buying a horse, whether for performance, pleasure, or breeding, it’s essential to conduct a thorough pre-purchase exam (PPE). A PPE helps determine the horse's overall health and soundness, giving potential buyers a clear understanding of any existing or potential health issues. This process is critical in making an informed decision, potentially saving you from future heartache or financial strain.

This article outlines what is typically included in a PPE, explains why these exams are important, and provides detailed information on additional considerations based on the horse’s age, pre-existing conditions, and intended workload.

What’s Included in a Standard Pre-Purchase Exam?

A typical pre-purchase exam will vary depending on the veterinarian, the horse’s intended use, and the buyer’s preferences, but it generally consists of the following components:

  1. Health History Review: The vet will inquire about the horse’s medical history, past injuries, treatments, and any known issues such as lameness, colic, or respiratory concerns.

  2. Physical Examination: This involves a hands-on assessment of the horse’s body condition, skin, eyes, ears, mouth, teeth, and feet. The vet will also listen to the heart and lungs, and check for any irregularities such as murmurs or respiratory issues.

  3. Lameness Evaluation: A thorough assessment of the horse’s musculoskeletal system, including observing the horse walk, trot, and canter on a straight line and in circles. Flexion tests may also be performed to isolate potential joint problems.

  4. Hoof and Leg Evaluation: The vet will check the hooves for balance, alignment, and issues like cracks or abscesses. They will palpate the legs and joints, looking for swelling, heat, or irregularities in movement.

  5. Neurological Exam: This is done to assess the horse’s coordination and response to various stimuli, ensuring there are no neurological deficits or underlying diseases.

  6. X-Rays: Depending on the horse’s age, work type, and the buyer’s requests, radiographs may be taken of the feet, legs, and sometimes the back. This helps identify underlying joint issues, fractures, or bone abnormalities.

  7. Bloodwork: Vets often run blood tests to check for signs of infection, inflammation, or other systemic issues. Some buyers may also request drug screening to ensure the horse hasn’t been given performance-enhancing substances.

  8. Endoscopic Exam (Optional): For horses intended for high-intensity sports, an endoscopic exam may be conducted to assess the airways for abnormalities or obstructions.


Why PPEs Are Important

A PPE is not only a tool to identify obvious health issues but also to uncover subtle or latent problems that could become significant later. For example, a horse might seem sound during a quick trial ride but may have early signs of arthritis, navicular syndrome, or hoof imbalances that could lead to long-term lameness. Additionally, PPE results can influence price negotiations, as horses with minor issues might still be suitable for some buyers if the price reflects their condition.


How PPEs Influence the Purchasing Decision

A comprehensive PPE gives buyers leverage to make informed decisions. The exam can uncover issues that may be manageable with proper care or could suggest the horse isn’t suitable for the buyer’s intended purpose. In some cases, discovering serious conditions may lead to withdrawing from the purchase altogether. On the other hand, if the horse has pre-existing but manageable conditions, buyers can adjust their care plans and factor in future costs for treatment or maintenance.


Additional Considerations Based on Age

As horses age, certain health concerns become more prevalent. These age-related considerations can impact your PPE:

  • Young Horses (1-6 years old): In younger horses, the primary focus is on growth plate development, skeletal alignment, and any conformational abnormalities that could predispose the horse to future lameness or soundness issues.

  • Horses Aged 7-12: This is often the prime working age for horses, but conditions such as navicular syndromemay start to appear, particularly in horses with smaller feet or those used in high-impact sports. X-rays of the navicular bone are recommended to check for early signs of degeneration, as treatment and management for navicular syndrome can be costly and affect the horse’s ability to perform.

  • Older Horses (13 and above): Older horses are more prone to arthritis, joint degeneration, and soft tissue injuries. X-rays of the hocks, stifles, and pasterns may help reveal signs of osteoarthritis, while blood tests can assess systemic health issues that often appear with age, such as metabolic diseases.


Additional Considerations for Pre-Existing Conditions

Horses with known pre-existing conditions need a more targeted evaluation to ensure their continued suitability for work or pleasure riding. Here are a few specific conditions that require careful attention:

  • Laminitis: Horses with a history of laminitis should undergo detailed hoof X-rays to assess the degree of rotation or sinking of the coffin bone. Chronic laminitis can result in painful, debilitating episodes, so it’s important to understand the horse’s current status and the likelihood of recurrence.

  • Previous Injuries: If the horse has a history of tendon or ligament injuries, soft tissue ultrasound imaging may be necessary to evaluate the extent of healing and whether scar tissue or other complications are present. Horses with severe previous injuries may have limitations on their future workloads or soundness.

  • Colic or Other Digestive Issues: Horses with a history of colic or digestive disturbances may require a more in-depth evaluation of their gastrointestinal health. Blood tests can be helpful in identifying potential underlying issues like gastric ulcers or metabolic problems.


Additional Considerations Based on Type of Work and Workload

The type of work you plan for the horse plays a huge role in determining what additional evaluations are necessary during a PPE:

  • Speed Event Horses (Barrel Racing, Pole Bending): These horses undergo extreme stress on their hocks and stifles. X-rays of these joints are recommended to check for early signs of arthritis, bone spurs, or cartilage wear that could limit performance or lead to injury.

  • Working Cow Horses and Reining Horses: Horses used for reining and cow work require healthy and durable hocks, stifles, and fetlocks, as the nature of these disciplines demands sharp turns, quick stops, and high-speed maneuvers. Special attention should be paid to these joints, and x-rays are highly recommended to assess the risk of future joint degeneration or soft tissue strain.

  • Dressage Horses: For horses used in dressage, back and neck X-rays may be needed to evaluate spinal alignment and detect any signs of kissing spine or other issues that could impair flexibility and performance.


Final Thoughts

A thorough pre-purchase exam (PPE) is one of the most important steps when buying a horse. Not only does it provide essential insights into the horse’s current health, but it also helps predict future soundness and longevity. By including age-specific evaluations, focusing on pre-existing conditions, and tailoring the exam to the horse’s intended workload, buyers can make informed decisions, whether to negotiate a fair price or to pass on a potentially risky purchase.

Always consult a qualified veterinarian and farrier when performing a PPE, and ensure that they have experience with the type of horse and discipline in question. This collaborative approach will help ensure a successful and lasting partnership between you and your new horse.

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