Why is your sport horse not performing at its best? In this insightful round table discussion, Dr. Mike Pownall and the veterinary team at McKee-Pownall break down the multi-layered causes of poor performance in equine athletes. From subtle lameness and dental pain to ulcers and metabolic disease, this episode explores the interconnected systems that influence your horse’s health and rideability.Joined by Drs. Esther Millares, Natalie Sanza, and Katelyn McNicol—with lead vet assistant Karen Foell—this episode emphasizes the importance of early detection, diagnostic precision, and a collaborative care approach. Whether you’re a competitive rider, trainer, or passionate owner, this episode will change the way you think about what’s really going on when your horse feels “off.”Timestamps00:00 – Welcome to the EquiConnect Podcast01:20 – Why poor performance isn't just lameness03:00 – Most common causes of lameness in sport horses05:20 – When it’s not the limbs: other sources of poor performance07:00 – Dental health: the missing link in equine performance09:15 – Signs of dental pain and behavioural clues11:00 – How often should your horse’s teeth be checked?12:30 – Bit-related injuries and overlooked oral discomfort13:00 – Gastric ulcers: pain, behavior, and underperformance15:00 – Why diagnosis matters before treatment17:30 – Preventing ulcers through diet, stress reduction, and training plans20:00 – Understanding metabolic disease: EMS and Cushing's23:30 – Preventing laminitis and managing metabolic horses25:00 – Myths that delay proper care27:00 – Supplements, shoeing, and the importance of diagnostics30:00 – New tools: regenerative therapies and smarter supplements32:00 – The power of teamwork: vet, farrier, body worker, nutritionist33:00 – Final thoughts and takeawaysQuotes“Believing a stiff horse is just naughty is like blaming your car for being slow when the tires are flat.” – Dr. Esther​ Millares“Dental pain can be constant and invisible—but it affects everything from eating to contact under saddle.” – Dr. Katelyn McNichol“Gastric ulcers don’t just hurt—they change your horse’s entire mindset.” – Dr. Natalie ​Sanza“Education and empathy—not judgment—are how we improve sport horse care.” – Dr. Esther​Millares“Diagnosis isn’t just a step—it’s the foundation for treatment that works.” – Dr. Natalie​ SanzaKey Takeaways & ResourcesDiagnosing Poor PerformancePoor performance is rarely caused by a single issue. Often, subtle lameness, gastric discomfort, dental problems, and metabolic disorders overlap.Know your horse’s “normal.” Behavioural changes are often the first clue.Dental HealthSubtle dental pain may show up as training resistance, chewing abnormalities, or changes in body condition.Annual dental exams are essential; some horses benefit from 6–9 month intervals.Gastric UlcersUlcers cause both physical and behavioural symptoms and are common in sport horses.Gastroscopy is the gold standard for diagnosis and should guide tailored treatment plans.Management includes low-stress environments, frequent hay access, and limited high-intensity work.Metabolic ConditionsEquine Metabolic Syndrome (EMS) and Cushing’s Disease (PPID) can impact energy, recovery, and condition.Laminitis prevention starts with early diagnosis, diet changes, and consistent exercise.Advanced TherapiesTools like stem cell therapy, PRP, and IRAP are extending equine careers and targeting healing.Collaborative CareOptimal health outcomes come from teamwork: vets, farriers, nutritionists, trainers, and body workers.Trust your gut—if your horse doesn’t feel right, investigate further.Learn more at http://www.mckeepownall.caContact us at [email protected] with us on social:Linked In https://www.linkedin.com/company/mckee-pownall-equine-servicesFacebook https://www.facebook.com/McKeePownallEquineServices/Instagram https://www.instagram.com/mckeepownallvet/?hl=enYouTube https://www.youtube.com/channel/UCj6fmvGm8DO6NHta0IOvs2AThis podcast is not a substitute for regular & emergency veterinary care. Our purpose is to inform & educate horse people not to diagnose & treat medical conditions without a valid a veterinary-client-patient relationships.