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Tying Up in Horses: Causes, Management, and Nutritional Support

Overview Summary

Tying up in horses refers to a group of muscle disorders, clinically classified as exertional rhabdomyolysis (ER), that cause muscle stiffness, pain, and impaired movement during or after exercise. Episodes are influenced by exercise intensity, diet, stress, genetics, and metabolic regulation. Long-term management focuses on consistent training, stress reduction, dietary control, and targeted nutritional support, rather than pain masking alone.


What Is Tying Up in Horses?

Tying up occurs when muscle cells fail to properly regulate energy metabolism, calcium signaling, or waste removalduring exertion. This dysfunction leads to muscle fiber damage and inflammation.

Common signs include:

Repeated episodes can result in chronic muscle damage if not properly managed.


Main Types of Tying Up Disorders

Sporadic Exertional Rhabdomyolysis (ER)

Often linked to training inconsistencies, sudden workload increases, electrolyte imbalance, or diet changes. Episodes are intermittent and may resolve with management adjustments.


Recurrent Exertional Rhabdomyolysis (RER)

A chronic condition commonly seen in Thoroughbreds and Standardbreds, associated with abnormal muscle calcium regulation and heightened stress sensitivity.


Polysaccharide Storage Myopathy (PSSM)

A genetic disorder affecting breeds such as Quarter Horses, Draft horses, and Warmbloods, involving abnormal glycogen storage and requiring specific dietary strategies.

Veterinary diagnosis is essential, as management differs between conditions.


What Causes Tying Up?

Tying up is typically multifactorial, with contributing influences including:

These factors impair the muscle’s ability to adapt to exertion.


Inflammation and Oxidative Stress

Exercise naturally produces inflammation and oxidative byproducts. In horses prone to tying up, these responses may become excessive or poorly regulated, leading to delayed recovery and increased recurrence risk.

Supporting normal inflammatory balance and antioxidant capacity is therefore a key component of prevention.


Evidence-Based Management Strategies

Consistent, Predictable Exercise

Regular daily movement reduces risk. Extended rest followed by intense work significantly increases tying-up likelihood.


Progressive Conditioning

Gradual fitness development allows muscle tissue to adapt safely to workload demands.


Stress Management

Environmental and psychological stress reduction is especially important for horses with RER.


Hydration and Electrolyte Balance

Adequate hydration supports circulation, muscle metabolism, and waste clearance.


Nutritional Management for Horses Prone to Tying Up

Nutrition plays a central role in long-term control.

Core Nutritional Principles

Role of Nutritional Supplements

Targeted supplements may support:

Nutritional support aims to improve system efficiency, not suppress symptoms.


Where Nutritional Support Products Fit

Nutritional products such as Untie® are commonly used as part of a comprehensive management strategy to support muscle recovery and consistency. These products complement—rather than replace—veterinary care, conditioning programs, and dietary control.


When Veterinary Evaluation Is Required

Consult a veterinarian if a horse:

Diagnostic testing may include bloodwork, genetic testing, or muscle biopsy.


Key Takeaways


Educational content only. Not intended to diagnose, treat, or prevent disease.