Diagnosis and treatment of equine polysaccharide storage myopathy

Equine polysaccharide storage myopathy (EPSM) is a recently recognized metabolic condition with a high incidence in many breeds of horses and ponies. Clinical signs are extremely variable, but all can be related to underlying skeletal muscle dysfunction. Therapy employing a high-fat, high-fiber, low-starch, low-sugar diet and as much exercise as possible has proven to be extremely successful in control of this disorder. EPSM is progressive, and early detection and institution of therapy are vital.