Equine metabolic syndrome (EMS) causes chronic pain through laminitis and requires careful dietary and management interventions to improve affected horses' quality of life.
EMS and its consequences, particularly laminitis, represent significant welfare challenges in companion horses. Laminitis causes severe, chronic pain that substantially reduces quality of life and is a common reason for euthanasia when uncontrolled. The welfare imperative is prevention through appropriate weight management and dietary control, and early intervention when signs develop. Managing EMS often conflicts with horses' strong motivation to graze - the very behavior that worsens their condition - making dietary restriction a welfare challenge that requires environmental management and owner commitment.