Tendon injuries in sport horses are largely preventable through progressive conditioning programs, appropriate footing, and recognition of early warning signs before catastrophic failure.
Tendon injury prevention is significantly more welfare-positive than rehabilitation after injury. Prevention requires progressive conditioning that allows tendon tissue to adapt to workload, recognition of early warning signs (subtle heat, swelling, or tendon thickening), appropriate footing that reduces concussive forces, and managing fatigue by avoiding excessive training sessions. Routine ultrasound monitoring for high-performance horses allows early detection and management of core lesions before they progress to full rupture. Prevention-focused equine management is not only better for welfare but significantly reduces the financial and emotional costs of treating major tendon injuries.