Stringhalt is a perplexing condition that affects horses, causing uncontrolled jerking movements, difficulty walking, and abnormal gaits in their hind legs. It’s a distressing sight for any horse owner or enthusiast, but understanding the symptoms, causes, and treatment options can provide valuable insight into managing this challenging condition.
In this comprehensive guide, we’ll delve into the symptoms of stringhalt, explore its potential causes, discuss diagnosis and treatment options, and even touch on prevention and prognosis. Whether you’re a seasoned equestrian or simply curious about equine health, this article will equip you with the knowledge to navigate the complexities of stringhalt in horses.
Key Takeaways:
What Is Stringhalt In Horses?

Credits: Horselife.Org – Charles Allen
Stringhalt in horses is a neurological condition affecting the hindlimbs, characterized by abnormal movement and gait abnormalities.
This condition is caused by the overactivity of the digital extensor muscles, leading to exaggerated involuntary flexion of the hock and fetlock joints. As a result, affected horses may exhibit sudden, jerky, and exaggerated movement of the hindlimbs, resembling a high-stepping action.
Clinical symptoms and signs of stringhalt include hyperflexion of the hindlimbs, difficulty in walking or turning, and an inability to fully extend the limb during movement. Affected horses may display signs of discomfort and frustration when attempting to move, making it challenging for them to perform routine activities.
What Are The Symptoms Of Stringhalt?
The symptoms of stringhalt in horses manifest as uncontrolled jerking movements of the hind legs, difficulty walking or standing, abnormal gait, and muscle atrophy.
These uncontrolled jerking movements, known as ‘hyperflexion’, are highly distinctive and often intensify when the horse is asked to move backward. The difficulty in walking or standing is a result of the hind legs being suddenly jerked upwards, impacting the horse’s gait and balance.
The abnormal gait, characterized by exaggerated lifting of the hind limbs, can lead to lameness and greatly affect the horse’s performance. Along with these physical symptoms, muscle atrophy may develop, leading to weakness and reduced muscle mass in the affected areas.
Uncontrolled Jerking Movements Of The Hind Legs
One of the primary symptoms of stringhalt in horses is the occurrence of uncontrolled jerking movements or spasms in the hind legs, significantly impacting the animal’s mobility and coordination.
These involuntary movements can range from subtle twitches to pronounced and disruptive spasms. The affected limb may suddenly and excessively flex, resulting in exaggerated and high-stepping gait. This abnormal movement hampers the horse’s ability to walk, trot, or perform other physical activities, leading to compromised hindlimb function and reduced overall performance.
The uncontrolled jerking movements often intensify when the horse is under stress or excitement, exacerbating the challenges faced by the animal and its handlers.
Difficulty Walking Or Standing
Stringhalt in horses often leads to difficulty in walking or standing, posing challenges for the affected animals in their daily activities and pasture mobility.
This condition can significantly impact a horse’s well-being, affecting not only their physical capabilities but also their mental state. Equine clinicians use a combination of physical examination, gait assessment, and neurological testing to evaluate the severity of stringhalt. Depending on the diagnosis, treatment options may include rest, anti-inflammatory medications, or even surgical intervention. With proper care and management, many horses can experience a significant improvement in their mobility and overall quality of life.
Abnormal Gait
Abnormal gait is a common symptom of stringhalt in horses, leading to distinctive changes in the animal’s movement patterns and posture.
When affected by stringhalt, a horse may exhibit exaggerated and jerky movements, known as ‘hyperflexion’ of the hindlimbs. This condition can severely impact the horse’s ability to move comfortably, resulting in a visibly altered gait. The abnormal movements are often more pronounced during backing up or turning, making it easier to observe the irregularity in the horse’s gait during these activities.
Clinically evaluating a horse with suspected stringhalt involves a thorough examination of its gait, posture, and limb coordination. Veterinarians may conduct neurological tests to assess the nerve function and muscle tone. Diagnostic imaging, such as radiography or ultrasonography, may also be employed to visualize any structural abnormalities in the limbs or nerves that could contribute to the condition.
The implications of stringhalt for affected horses can be significant, impacting their performance, comfort, and overall well-being. Depending on the severity, stringhalt can limit the horse’s athletic abilities and predispose them to secondary complications, such as musculoskeletal issues and discomfort. It is crucial for horse owners and equine professionals to recognize the signs of stringhalt and seek veterinary care to address the condition promptly and effectively.
Muscle Atrophy
Muscle atrophy is another notable symptom associated with stringhalt in horses, leading to weakened and deteriorated muscle structure in the affected hindlimbs.
As the muscles in the hindlimbs weaken and waste away, the affected horses experience a significant decline in their movement abilities. This leads to difficulties in walking, trotting, and even standing still. The decreased muscle mass also impacts the overall stability and strength of the affected limbs, making it challenging for the horses to engage in regular activities and exercise.
The clinical significance of this muscle atrophy is profound, as it directly influences the recovery prospects of horses with stringhalt.
What Causes Stringhalt In Horses?
Stringhalt in horses can be caused by various factors, including toxicity from plants or chemicals, nerve damage, nutritional deficiencies, and genetic predispositions.
Plant toxicity, such as ingestion of ragwort, St John’s wort, or Paterson’s curse, can lead to neurological issues in horses, resulting in symptoms of stringhalt. Exposure to certain pesticides or herbicides may also contribute to nerve-related conditions.
Nerve damage, often caused by trauma or compression, can induce stringhalt in horses. This damage disrupts the normal functioning of nerves, leading to abnormal movements in the affected limb.
Nutritional imbalances, particularly deficiencies in vitamin E, selenium, or thiamine, can affect nerve health, potentially triggering stringhalt. Inadequate levels of these essential nutrients can impact nerve conduction and muscle control.
Genetic factors are another potential cause of stringhalt, with certain breeds and bloodlines displaying a predisposition to the condition. Some equine genetic disorders can manifest as stringhalt due to abnormal nerve function or muscle coordination.
Toxicity From Plants Or Chemicals
One of the potential causes of stringhalt in horses is the toxicity resulting from ingestion of specific plants or chemicals, such as flatweed (Hypochoeris radicata) or Lathyrus species.
Flatweed, also known as catsear, can induce stringhalt in horses when ingested due to the presence of alkaloids affecting the nervous system. Similarly, Lathyrus species, including sweet peas and vetches, contain neurotoxic amino acids that lead to gait abnormalities.
The impact of plant or chemical toxicity on stringhalt development manifests as hind leg stiffness, exaggerated upward movements, and a lack of coordination during movement. Affected horses often exhibit discomfort and reluctance in walking or trotting, significantly impairing their performance and overall well-being.
Nerve Damage
Nerve damage is another significant factor that can lead to the onset of stringhalt in horses, affecting the neural pathways and hindlimb coordination.
When nerve damage occurs, communication between the brain and hind limbs is disrupted, leading to uncoordinated movements and spasms characteristic of stringhalt. The neurological effects can be profound, impacting the horse’s mobility and overall well-being.
Clinical assessments involve thorough neurological examinations to identify the extent of nerve damage and its specific effects on limb coordination. The recovery prospects for stringhalt due to nerve damage depend on the severity of the condition and the success of treatment strategies, such as physical therapy and medication, aimed at promoting nerve regeneration and improving hindlimb functionality.
Nutritional Deficiencies
Nutritional deficiencies, particularly in essential vitamins and minerals, can contribute to the development of stringhalt in horses, impacting their overall health and hindlimb function.
Stringhalt, a neurological disorder, is often associated with imbalances in vitamin E, B1, and selenium, which play critical roles in nerve function and muscle health. Clinical manifestations of stringhalt include exaggerated and involuntary upward movements of the hind legs, leading to gait abnormalities and discomfort. Addressing these nutritional imbalances through appropriate supplementation and dietary adjustments is crucial for the recovery and management of stringhalt in affected horses.
Genetics
Genetic predispositions can also play a role in the development of stringhalt in horses, influencing the neurological and musculoskeletal factors associated with the condition.
The hereditary aspects of stringhalt link closely with genetic predispositions. Research indicates that certain breeds exhibit a higher susceptibility due to specific genealogy. This underlines the importance of understanding the inheritance patterns contributing to the condition, aiding in proactive management and breeding decisions.
Clinically, genetic influences can manifest in varying severity and presentation, impacting the prognosis and treatment approach. Studying the genetic markers associated with stringhalt presents an opportunity for personalized medicine, enhancing tailored interventions for affected horses.
Consideration of genetic factors extends to the recovery phase, as rehabilitation strategies may need to accommodate inherent genetic influences. This emphasizes the need for a comprehensive, individualized recovery plan that integrates genetic predispositions into the rehabilitation process.
How Is Stringhalt Diagnosed?
The diagnosis of stringhalt in horses involves comprehensive clinical assessments, neurological evaluations, and diagnostic imaging to ascertain the underlying neurological and musculoskeletal factors contributing to the condition.
Stringhalt in horses is characterized by exaggerated, upward movement of one or both hindlimbs during exercise or when backing up. In clinical evaluations, veterinarians observe the gait, muscle tone, and overall coordination of the horse. Neurological assessments focus on reflexes, proprioception, and limb strength. Diagnostic tests such as electromyography (EMG) can help identify abnormal muscle activity, while imaging modalities like radiography and ultrasound are used to visualize any structural anomalies or abnormalities in the affected limbs. Magnetic resonance imaging (MRI) may provide detailed insights into the spinal cord and nerve roots, aiding in the confirmation of the condition.
What Are The Treatment Options For Stringhalt?
The treatment options for stringhalt in horses encompass surgical interventions, medications, physical therapy, and nutritional modifications tailored to address the neurologic and musculoskeletal aspects of the condition.
When considering surgical interventions, neurectomy, where a portion of the affected nerve is removed, is a common approach to mitigate severe signs of stringhalt. This can be complemented by medical treatments, such as the administration of muscle relaxants and anti-inflammatories to manage the symptoms. Physical therapy involving controlled exercises and rehabilitation strategies is essential to improve muscle coordination, strength, and flexibility.
Adjusting the horse’s diet to include nutritional supplements that support nerve health and muscle function can play a vital role in managing the condition. Dietary modifications, such as increasing intake of omega-3 fatty acids and vitamin E, are often recommended. Each of these treatment modalities aims to minimize the impact of stringhalt on the horse’s mobility and overall well-being.
Surgery
Surgical intervention can be considered as a treatment option for severe cases of stringhalt in horses, aiming to address the underlying musculoskeletal and neurological factors through targeted procedures.
There are several surgical approaches available for addressing stringhalt in horses. One common procedure is tenotomy, which involves the transection of the lateral digital extensor tendon to alleviate the symptoms of stringhalt. This approach is often recommended for cases where conservative treatments have been ineffective.
Another approach is neurectomy, where the affected nerve is surgically removed to relieve the abnormal muscle contractions associated with stringhalt. Post-operatively, careful monitoring and rehabilitation are essential to ensure successful outcomes and minimize the risk of complications.
Medications
Medications, including neuro-modulating agents and muscle relaxants, are often prescribed as part of the treatment regimen for stringhalt in horses, aiming to manage neurologic symptoms and muscle hypertonia.
Neuro-modulating agents such as gabapentin and amitriptyline are commonly utilized to modulate nerve signaling and reduce abnormal firing in the affected neural pathways. These medications work by affecting the neurotransmitters involved in pain perception and nerve function, thereby alleviating the discomfort and abnormal muscle function associated with stringhalt.
Muscle relaxants like botulinum toxin injections or oral dantrolene sodium aim to reduce the excessive muscle contractions and spasticity seen in stringhalt. Botulinum toxin acts by inhibiting the release of acetylcholine at the neuromuscular junction, preventing the excessive muscle contractions, while dantrolene sodium directly interferes with the muscle contraction process at the cellular level.
Physical Therapy
Physical therapy plays a crucial role in the rehabilitation of horses with stringhalt, focusing on muscle strengthening, coordination exercises, and gait retraining to improve hindlimb function and mobility.
Through customized exercise programs, physical therapists tailor specific routines to address the particular movement impairments resulting from stringhalt. These regimens often include targeted stretches, proprioceptive exercises, and structured conditioning to enhance muscle tone and flexibility.
Rehabilitation protocols may incorporate hydrotherapy and equine treadmill sessions, offering low-impact yet effective methods for promoting strength and balance in affected limbs.
The introduction of physical therapy not only aids in alleviating the symptoms of stringhalt but also focuses on preventing potential relapses, thereby improving the overall comfort and performance of horses.
Nutritional Changes
Nutritional modifications, including tailored diet plans and supplementation, are essential components of the treatment approach for stringhalt in horses, addressing the underlying nutritional deficiencies and promoting recovery.
Specific dietary interventions for stringhalt may involve reducing the intake of carbohydrates and sugars while increasing the consumption of omega-3 fatty acids and other anti-inflammatory nutrients. By doing so, the inflammatory response in the affected nerve tissues can be managed, potentially alleviating the symptoms of stringhalt.
The addition of vitamin E and selenium to the diet can support muscle function and nerve health, contributing to the alleviation of symptoms. These nutritional adjustments play a crucial role in the overall management and treatment of stringhalt in horses.
Can Stringhalt Be Prevented?
Preventing stringhalt in horses involves mitigating exposure to potential toxic plants, ensuring balanced nutrition, and implementing regular veterinary evaluations to detect early signs of neurologic or musculoskeletal abnormalities.
Stringhalt in horses can be prevented by educating oneself about the toxic plants commonly found in pastures and ensuring that the equine environment is free from them. Nutritional management plays a crucial role in preventing stringhalt, with an emphasis on providing a balanced diet rich in essential vitamins and minerals such as vitamin E and selenium. Regular veterinary evaluations can help in early detection of any neurologic or musculoskeletal abnormalities, allowing for timely interventions and preventative measures to be put in place.
What Is The Prognosis For Horses With Stringhalt?

Credits: Horselife.Org – Willie Nguyen
The prognosis for horses with stringhalt varies based on the severity of the condition, the response to treatment, and the extent of neurologic and musculoskeletal recovery, necessitating individualized assessments and management plans.
Stringhalt prognosis depends on various factors, including the presence of concurrent musculoskeletal issues, such as lameness or joint stiffness, which may impact the overall recovery process. The duration and intensity of the symptoms can also influence the prognosis, as early and effective treatment can often lead to more favorable outcomes.
Although some cases of stringhalt may resolve with appropriate management and rehabilitation, others may require ongoing supportive care. Long-term prognosis can be influenced by the development of secondary complications, such as muscle atrophy or gait abnormalities, potentially affecting the horse’s ability to resume normal activities.
Frequently Asked Questions
What is stringhalt in horses?
Stringhalt is a neuromuscular disorder that causes horses to have exaggerated and abnormal movements in their hind legs.
What are the symptoms of stringhalt in horses?
Some common symptoms of stringhalt in horses include exaggerated and jerky movements of the hind legs, difficulty walking, and difficulty standing still.
What causes stringhalt in horses?
The exact cause of stringhalt in horses is unknown, but it is believed to be related to nerve damage or inflammation in the hind legs.
Can stringhalt be cured?
Unfortunately, there is currently no known cure for stringhalt in horses. However, with proper management and treatment, the symptoms can be managed and the horse can lead a comfortable life.
How is stringhalt diagnosed in horses?
Stringhalt is typically diagnosed through a physical examination and observation of the horse’s movements. X-rays or other diagnostic tests may be used to rule out any underlying causes.
Is stringhalt contagious between horses?
No, stringhalt is not a contagious condition and cannot be spread between horses. It is believed to be a result of individual nerve damage or inflammation in each affected horse.



