Equine Lymphoedema: What It Is and How to Manage It

Lymphoedema is a condition that affects many horses, yet it’s often misunderstood or overlooked until it becomes a persistent issue. Whether you're managing performance horses, older companions, or draught breeds, understanding lymphoedema is essential for maintaining long-term limb health and overall wellbeing.

At Rookery Equine, we work closely with horse owners, vets, and therapists to support effective, evidence-based management of conditions like lymphoedema. Here’s what you need to know.

What Is Equine Lymphoedema?

Lymphoedema is the build-up of lymphatic fluid in the tissues, most often seen in a horse’s lower limbs. It’s typically caused by poor drainage through the lymphatic system, leading to swelling, inflammation, and over time, changes in skin and tissue structure.

In chronic cases—especially in certain heavy breeds—this condition can progress to Chronic Progressive Lymphoedema (CPL), which requires long-term management and specialist care.

Common Causes

• Injury or trauma to the limb
• Infections such as cellulitis
• Restricted movement or box rest
• Poor circulation
• Genetic predisposition, particularly in heavy horses
• Obesity or metabolic conditions

Symptoms to Watch For

• Noticeable swelling in the lower legs (especially hind limbs)
• Skin thickening or folds, particularly in chronic cases
• Stiffness or reduced mobility
• Recurrent skin infections or flare-ups of conditions like mud fever

The Importance of Early Intervention

Left unmanaged, lymphoedema can become a long-term issue. Early recognition and proactive management can make a significant difference to your horse’s comfort and performance.

At Rookery Equine, we believe in a multi-modal approach that combines expert advice, manual therapies, movement, and advanced therapeutic technologies.

Management Options

1. Regular Movement

Exercise helps stimulate the lymphatic system and prevent fluid build-up. Where turnout isn’t possible, in-hand walking or controlled exercise is essential.

2. Compression Therapy

Compression bandages or wraps, when applied correctly, can significantly reduce swelling. Our team can advise on safe and effective use for your horse.

3. Manual Lymphatic Drainage (MLD)

This gentle, hands-on technique encourages lymph flow and reduces inflammation. Our trained professionals offer MLD as part of a tailored treatment plan.

4. Advanced Therapies

We offer access to a range of supportive technologies, including:

• Tecar therapy (radiofrequency stimulation) to improve circulation and support lymphatic drainage
• PEMF therapy for cellular regeneration
• Low-level laser therapy to reduce inflammation and promote healing

These modalities are non-invasive and can be integrated into rehabilitation or wellness programmes.

5. Targeted Skincare

Horses with lymphoedema are more prone to skin infections. Maintaining healthy through using barrier creams and dermalogical shampoos on the skin can prevent flare-ups.

6. Nutritional Support

A balanced diet plays a vital role in managing inflammation and supporting circulation. We can recommend professionals who can advise on supplements and feeding strategies to complement your horse’s care plan.

Continuing Education for Owners & Professionals

All practitioners are required to maintain annual CPD (Continuing Professional Development), and we’re proud to offer introductory training sessions for vets and physios who want to better understand therapies like Tecar and their application in conditions such as lymphoedema.

If you’re a professional looking to expand your knowledge or a horse owner seeking tailored support, we’re here to help.

Let’s Work Together

If your horse is showing signs of lymphoedema, or if you’d like support integrating new therapy options into your horse's routine, please get in touch. Our experienced team is happy to advise on the best approach for your horse’s individual needs.

📩 Contact us to book a consultation or find out more about our therapy services and CPD training.