Vitamin E and selenium deficiencies cause serious muscle disease in horses, with particular risks for foals and horses on certain diets.
Nutritional myodegeneration causes severe muscle pain equivalent to whole-body cramping. Affected foals cannot suckle effectively, may become recumbent, and suffer from profound weakness and pain. The condition is entirely preventable through appropriate maternal supplementation during pregnancy in selenium-deficient areas. Adult horses on restricted diets or in selenium-poor areas may develop milder but still welfare-significant muscle disease causing stiffness, poor performance, and pain. Regional soil selenium maps allow targeted supplementation programs that prevent deficiency disease. Veterinary guidance is essential as selenium has a narrow therapeutic window - over-supplementation causes toxicity that is as serious as deficiency.