Road to Recovery


With the numbers of neglected, abandoned, or mistreated horses steadily rising and cresting at 100,000 annually, even healthy equines without disability or behavioral problems may end up on the ‘unwanted list. Those fortunate enough to be shielded from future harm present a host of challenges for emergency facilities.

Signs of neglect

Open or untended wounds and cracked and curling hooves certainly indicate some form of neglect, but evidence of sustained hunger in a horse is hard to deny. In cases of a severely malnourished or starving horse, its skeletal ribs or hip bones protrude unnaturally. Listless ears and a nearly motionless frame tell a devastating story of a horse’s efforts to conserve any energy left in its emaciated body. The process of starvation in a horse mirrors that of a human suffering from anorexia or cancer. If the body fails to ingest sufficient nutrients for brain performance and organ function, it consumes stores of fat and carbohydrates to supply the energy needed to maintain its internal systems. A regularly fed horse replaces these nutrients from food. A starved body, once fat and carbohydrate stores wane to nothing, raids its own tissues for protein - the only other source available for its survival. Protein is a component of every tissue in the body though unlike fat and carbohydrates no stockpiles exist. Consequently, a starving horse attacks any source of protein available including vital organs such as the heart and its compromised gastrointestinal system. In essence, a starving horse turns on its own body and consumes itself to survive.

Critical first ten days

Providing food to an impoverished animal is a natural instinct for many but transitioning a horse from the starved stage to one of health is often mired by the best of intentions. Refeeding syndrome develops when a horse is given concentrated calories too quickly, first disrupting the metabolic system before leading to heart, respiratory, or kidney failure. Researchers at the University of California – Davis designed a nutritional program to minimize the effects of refeeding syndrome with a focus on slowly stabilizing a horse’s weight. In line with the program recommended by UC-Davis, a nutritional regimen should begin by feeding affected horses frequent, small amounts of high-quality alfalfa to reintroduce the protein and electrolytes necessary for a normal metabolism. An emaciated shelter horse receives one pound or a 1/6 of a flake of hay every four hours for the first three days. During days four through seven, the amount of hay given at each feeding inversely shifts with the number of daily feedings. Ideally, by day six a horse consumes four pounds of hay every eight hours. By increasing the amount of hay given per feeding and reducing the number of times a day a horse is fed its systems are allowed to recover safely. Ready and continual access to clean and fresh water throughout the program is a must. Evidence of recovery After months and even years of neglect, horses often begin to rebound within the first two weeks of responsible care. Engaged ear movement, a softness or curiosity in their eyes, and normal carriage of the head and neck appears as the first noticeable improvements. Weight gain comes more slowly, but within three to five months of rehabilitation a horse can reach its normal body weight. The body condition score, a numerical method for assessing a horse’s degree of body fat, provides a consistent measure of an animal’s physical wellbeing. Scores range from one, indicating a starved or emaciated animal, to nine, evidence of an overweight horse. A score of three indicates a nutritionally deficient horse, too, while a score of five or six is optimal for health.


Shelters can only do so much to guard against poor treatment let alone bring a rescue back to health. It takes an entire community behind a rescue to make it successful.


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