Box rest prescribed for injury or illness causes significant psychological suffering in horses. Managing the welfare consequences of confinement is as important as treating the underlying condition.
Box rest imposes a profound welfare cost that is often underestimated by owners and veterinarians focused on physical recovery. The combination of movement restriction, social isolation and reduced foraging opportunity creates psychological suffering that may be as significant as the original injury. Wherever possible, strict box rest should be replaced by controlled movement. When confinement is unavoidable, ad libitum forage, companionship, environmental enrichment and social contact significantly reduce suffering.