A Spanish study of 70 primarily Warmblood and Iberian dressage horses undergoing multiple orthopaedic assessments over time found that Iberian horses had superior outcomes compared to Warmbloods, possibly due to differences in movement quality, soundness, and temperament. Despite a high prevalence of persistent or recurrent injuries—especially in fetlock and suspensory ligament regions—many horses improved or maintained their performance levels, with 61% reaching Prix St Georges level or higher by the study’s end. Horses initially examined for routine evaluation had better outcomes than those presented for lameness or reduced performance, highlighting the value of early and regular orthopaedic monitoring.

The study emphasized the importance of comprehensive clinical exams, including gait analysis and diagnostic imaging, combined with tailored treatments such as joint medication, shockwave therapy, corrective shoeing, and exercise programs. Management factors like saddle fit, rider position, and training techniques were critical to minimizing injury progression and optimizing performance. The findings suggest that consistent veterinary evaluation and targeted interventions can help dressage horses manage orthopaedic issues effectively, enabling them to reach their athletic potential despite ongoing lameness or musculoskeletal challenges.