Overview of equine Cushings disease (PPID), welfare implications, and management approaches.
Equine Cushings disease welfare is significantly improved by early detection and appropriate medical management. PPID-associated laminitis causes severe pain and welfare compromise. Pergolide treatment effectively controls progression and reduces laminitis risk when started before severe disease develops. Owner education about early signs and annual testing for horses from middle age are the most important welfare interventions. Hoof care management alongside medical treatment is essential.