Dr. Neigh's Blog
Acupuncture benefits all horses from young to the aged and is an added resource for improving the health and performance of sports horses. It provides a drug free alternative and is an added tool to resolve challenging issues. Advanced dental techniques are offered for all horses which improves their ability to eat, decreases feed costs, preserves their teeth longer and improves comfort and performance for horses when bridled.

We offer top of the line technology, diagnostics and treatment.  This includes the newest in digital ultrasonography, digital radiography, focused and radial shockwave therapy, regenerative medicine and complementary therapies.  Dr. Grim is also accredited at the Helen Woodward Animal Center where she has hospital privileges for in depth procedures or critical care patients.
We are a full-service Equine Veterinary Mobile Practice in North San Diego County with 24 hour emergency service.  General Medical care along with preventative medicine are the foundation for good health for all animals.  In addition, emphasis on Sports Medicine for the equine athlete keeps them sound and working through all events. Dr Grim is one of the few veterinarians in the area offering advanced equine dentistry in San Diego and she has added integrative medicine through her study of acupuncture, herbs and other complementary modalities.
Lisa A. Grim, DVM, Inc


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"After 23 years in practice, growth and change and new information is always exciting.  As we delve into advances in sports medicine, advanced dentistry and acupuncture our mission is to offer cutting edge medicine coupled with care and concern to keep your horse healthy, happy and sound!"
Integrative Equine Veterinary Medicine for Complete Wellness and Optimal performance

Dr. Neigh's Blog

Herd Dynamics affecting your Horse's Behavior

by Lisa Grim, DVM on 08/03/15

We often hear that horses are herd animals and socialization is important to their well being. They are also prey animals, a fact which drives some of their behaviors as well.  Some of my clients have property where their horses are out and living together, but many others do not have this opportunity yet have their horses housed closely together and/or turn them out in areas adjacent to other horses.  We can learn from some of the behaviors of herd horses and use this information even on horses that do not live in a group to help alleviate problems and potentials injuries. And hopefully provide a more comfortable and safer environment for our horses.

One tid-bit from this article that I learned is that the most dominant horse in the heard may not be dominant in all activities or all of the time.  There apparently is a variety of factors including social status that cause the other horses to follow a leader or allow the leader to push them in a particular direction.  But there is always a top dominant horse and below there is a social hierarchy that sets up an order in which the horses get access to resources such as food, shelter and water.  So this is why you will see one or two skinny horses in a group when you feel like there should be plenty of food for everyone.  And this is why some of these less dominant horses may need to be fed separately.  Also this top position may change over time, so know that herd hierarchy can change.

Horses use many signs to communicate with each other and the herd.  The more closely horses know each other and have their hierarchy developed the more subtle the signs.  This may be ear or tail movements to more obvious running after another, biting or kicking.  They also use vocal sounds, snorts and blows.  And they can use stomping or pawing with their hooves to communicate.  Horses also get cues from smell which is why they often smell other's droppings.

We'd all like to think our horses are friends. Sometimes they are, but sometimes they may not be more than social companions. If a horse is housed near only one other horse this may be their only choice for socialization which appears to be so important for horses. So how do we know if horses are friends?  Most  researchers shy away from these terms as they are a bit anthropomorphic. But those of us who have spent years observing and interacting with horses would say that some horses truly are firends.  Shear proximity (spending a lot of time close together) may be a sign as well as mutual grooming (chewing on each other's withers)

So how can we use this information for horses housed in close proximity? Many times when a new horse is moved into a new environment next to other horses there is a lot of commotion at first.  There may be kicking, squealing and biting.  It usually sounds pretty dangerous at times and when the horses make contact with the walls they can injure themselves.  Since it is not always possible to introduce a new horse slowly into this "herd" it might be prudent to bandage the horses' legs who live nearby.  Feeding the surrounding horses away from the new horses head so they are not so close while eating.  If possible create a barrier so they cannot see each other eating.  You can also try some natural quieting products such as Zylkene or Synchill.  If you have not heard of these please call and I can provide more information.  If  after several days things have not calmed down, it is possible that this new horse would be better moved before somone gets injured.  In the wild these horses would not choose to be next to each other and one of them would back down or leave.  We have created a false environment that becomes challenging to their innate instincts and behavior.

Another important time when herd behavior should be monitored is when horses are ridden closely together either on a trail ride or cruising around a show.  Being the rider you are in charge 100% and so watching your horse's behavior at all times is imperative for everyone's safety. I have heard many stories after the fact when two horses started fighting or running off and the riders admitted that they had ignored the early warning signs of a cocked hear or bared teeth.  I even had a client get kicked in the leg while riding, fracturing her tibia.  The kick of course was intended for her mare.  So learn to watch your horse's sublte cues carefully.  Take time to observe your horses regularly and you will become an expert in your horse's behavior in no time!

Rehabilitation from Injury

by Lisa Grim, DVM on 07/30/15

A recent article I wrote for Natural Horse Magazine:

Injury Rehabilitation

"Injuries can happen to any horse, at any age.  They can happen from a miss-step, an accident or from a sports injury no matter what the sport"......... learn more about treating the whole horse during the rehabilitation period.


Healthy Holiday Horse Treats

by Lisa Grim, DVM on 12/23/14

Horses are not suppose to eat sugar!  No....really!  Here is a more healthy version of a lot of horse treats.  Give it a try and let me know what you think!  Happy Holidays! 

Apple and Oat Chewies


1 1/2 cups unsweetened apple sauce

1 cup oat bran cereal or ground oatmeal

1/2 cup all purpose flour

Preheat oven to 350 degrees, Oil a 9"x9" square baking pan, Spread the batter evenly in the cake pan and bake for 20-30 minutes until firm to the touch.  Keep unused treats in the refrigerator.

Introduction.....The life of a Horse Vet

by Lisa Grim, DVM on 09/28/14

I've been told that I should be writing a blog!  :) 

Not only to get down in writing all the thoughts and information rattling around my head, but instead of just having info put out in a Newsletter, a blog goes out into the World Wide Web!  And that is supposed to be a good thing! Hmmmm, OK I guess I'm up for change!  I'm always open to new medical information and techniques so why not be open to the ever changing computer world!  Hey, even my mom texts me now, LOL!

.....Hello writers block!  So I will ramble on a bit here about how I came to be a horse vet and why I do what I do. 

I was introduced to horses when I was about 5 when my best friend across the street used to take horseback riding lessons and we used to play with her plastic Breyer horses.  I was hooked right then and I'd never met a horse before.  When my parents bought a house in Del Mar and I was devastated about leaving all my friends behind, they bribed me with the ill fated promise that we could have a horse at the new house.....well that didn't quite happen (Thank God since no one knew how to care for a horse!) I eventually took horseback riding lessons, worked as a groom, and finally owned a horse at 15.  But I look back and wonder how a 5 year old's passion for something she'd never seen in person turned into a life long career and love affair. I feel lucky that I was so guided at a young age, that I became directed and persistent in what I wanted to do. I also feel lucky that everyday I get to be touched by horses.  You are horse people so you know.....they are very special, sensitive if not spiritual animals.  Just their presence can heal.  I've seen horses that can be boisterous and challenging, slow down and quietly sniff a child....as if they know they have to be extra careful.  I know there is a lot of romanticism with horses but I also have witnessed many special moments that keep their place in my life in special regard.

So, back to a day in the life of a vet.  Hmm, every day is different, some are slow, some busy, some stressful and some plain fun.  But I guess what I do want to convey is that in every case I see, every horse I am treating, I take that home.  I take on the responsibility for helping your horse get better.  I mull over and think about your horse's issues at night, because maybe there is a better way or maybe there is something else we can do.  I also think about you, the extra work you may now have to do, or the stress and pain you might be feeling if your horse is really sick. So, if I call you to check on your horse (sometimes repeatedly), just know that you and they have been on my mind.  Let me know, even if everything is fine.  I love to hear the good results even if it seems mundane to you.  And I want to hear if there hasn't been improvement, maybe I can suggest something different.  I tell my friends that it's not a job or even a career, but being put in the special place of caring for the well-being of a horse...it is more like a calling and it is my life.

That sounded a bit grandiose, and most of you know that I am pretty down to earth, I just truly feel honored to have the career/life that I have.

Next time....back to giving you information on topics you can use to help your horse.