At Jamie Vet Clinic, lameness evaluation begins with a comprehensive discussion from the referring veterinarian, owner, rider, and trainer. This is followed by a physical exam, typically consisting of visual assessment both in-hand and under saddle on varying surfaces, as well as diagnostic analgesia to pinpoint the injury location. Realizing that the most elusive lamenesses are sometimes best assessed by the rider, Dr. Jamie works closely with his team of professional riders to identify any gait abnormalities during work. Once a diagnosis is reached, Jamie Vet Clinic develops a thorough treatment plan, which may include:

> Graduated exercise program using Aqua-Pacer water treadmill.

> Cold salt spa therapy.

> Monitored turn out for increasing duration's.

> European walker or hand-walking.

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As recovery progresses and condition is re-assessed, treatment may then evolve to include:

> Controlled exercise under saddle, in ring on on track.

> Gradual increase to normal exercise routine.

> On-site conditioning for competition.