Exertional rhabdomyolysis causes severe muscle pain and dysfunction in horses, with multiple underlying causes requiring specific management strategies.
Tying-up causes acute, severe muscle pain - affected horses are clearly distressed and unable to move without agony. The condition is particularly welfare-concerning because it can be triggered by well-intentioned training. Understanding the underlying cause (RER, PSSM, or sporadic) enables targeted management that dramatically reduces recurrence. PSSM horses managed with appropriate low-starch diets and consistent exercise rarely experience episodes. RER horses benefit from regular exercise schedules and reduced excitement before work. Prevention through correct diagnosis and management prevents repeated painful episodes.