Horses with metabolic problems such as equine metabolic syndrome (EMS) or pituitary pars intermedia dysfunction (PPID) might be at increased risk for joint disease. Obesity associated with these conditions can place added strain on joints, potentially contributing to discomfort or reduced mobility. In this Ask TheHorse Live excerpt, Howland Mansfield, DVM, CVA, CVMMP, of American Regent Animal Health explains the connection between equine metabolic problems and hind-limb lameness.This podcast is an excerpt of ourAsk TheHorse Live Q&A, Understanding Hind-Limb Lamenesses in Horses. Listen to thefull recording here.About the Expert: Howland M. Mansfield, DVM, CVA, CVMMPHowland M. Mansfield, DVM, CVA, CVMMP, of Summerville, South Carolina, received her DVM from Tuskegee University School of Veterinary Medicine, in Alabama, and completed internships in both general equine medicine and surgery and in advanced equine reproduction. She is certified in both veterinary acupuncture and veterinary medical manipulation. She has practiced along the East Coast over the course of 14 years, in addition to time in Germany providing veterinary care for some of the most elite show horses in Europe. In 2012 Mansfield was named by the South Carolina Horsemans Council as the Horse Person of the Year for her efforts in equine rescue and in combating animal cruelty. She joined American Regent in 2023 as a technical services veterinarian where she can support the welfare of and improve health care for horses and small animals throughout the U.S.