Millbrook Equine Veterinary Clinic P.C.




Veterinary Clinic P.C.

Personalized Equine Ambulatory Care

Our doctors have extensive knowledge of general medicine. We consult with one another routinely and will draw upon the expertise of specialists when necessary. We evaluate and treat the following systems of the horse:

  • Musculo-skeletal
  • Reproductive
  • Ophthalmologic (eye)
  • Respiratory
  • Alimentary (mouth, stomach, intestines, liver and pancreas)
  • Cardiovascular
  • Endocrine (hormones and metabolic systems)
  • Urinary
  • Neurologic

Additionally, we are always available for consultation and questions about nutrition and general horse care.

Advanced Reproductive Services

MEVC offers a full range of reproductive services for both mares and stallions. We perform ambulatory services on your farm or horses can be brought to the Millbrook Equine Reproductive Lab at Keane Stud in Amenia, NY for breeding management. We are experienced in all types of breeding from fresh semen to chilled or frozen semen.

Our stallion services include breeding soundness exams, training of young stallions, semen collection, evaluation and shipments. Stallions can be brought to our breeding facility at Keane Stud. This facility includes a safe, enclosed breeding shed, breeding phantom for stallion collection and reproductive laboratory for semen processing. Mare services include breeding soundness exams, estrus cycle management for live cover, chilled semen and/or frozen semen and pregnancy management. Embryo transfer services are available. Embryos can be harvested from your mare and shipped to a recipient mare or transferred to your own recipient mare.

Specialized reproductive services include twin management as well as infertility workups and treatments for both mares and stallions.

Sports Medicine: Lameness and Performance Evaluations

At Millbrook Equine Veterinary Clinic (MEVC), we are committed to maximizing the athletic potential and long term well-being of our patients. From high level performance horses to pleasure horses, our aim is to partner with owners and trainers to enhance the full potential of their equine athletes. We address both clinical lameness and subtle issues that may not be readily apparent, yet still have an effect on the horse's performance.

Lameness describes any abnormality in a horse's gait. It can be present in one or more limbs at a given time. Some lameness cases are apparent even when the horse stands still, but most cases require the horse to be in motion for detection. Lamenesses are most often caused by structural or functional problems with muscle, tendon, ligament, joint or bone. How a lame horse is examined depends largely on the type of lameness. All lameness exams begin with a discussion of the horse's history, presentation, and a physical exam. Most exams may include an evaluation of the horse in motion, in hand or under saddle, and flexion tests. Other diagnostics tools such as nerve and joint blocks help to localize the source of discomfort.

Radiography and ultrasound are used to diagnose the cause of the lameness. Digital radiography with eFilm digital enhancement software and digital ultrasound are advanced imaging systems that provide more accurate diagnostic information than ever before.

We treat lameness using state-of-the-art ultrasound guided injection techniques and real time digital radiographs to administer treatments directly into injured tissues in order to improve healing. The suite of treatments may include: Traditional anti-inflammatories, Chondroprotectants, Stem Cell Therapy, Extracorporeal Shock Wave Therapy (ESWT), IRAP® Therapy, and Platelet Rich Plasma (PRP).

Pre-Purchase Exams

We provide thorough, in-depth evaluations of horses considered for purchase. Our pre-purchase exams may incorporate any of the following diagnostic tools: Comprehensive physical exam, Lameness exam, Blood work, Drug screening, Digital radiography, Ultrasonography, and Endoscopy

Each pre-purchase exam is tailored to the buyer's needs and the intended use of the horse.

If you are considering the purchase of a horse and you are not already an established client, it is very simple to become a client.

A note about pre-purchase exams:
The veterinarian's job is neither to pass nor fail an animal. Rather, it is to provide you with important information regarding any existing medical problems and to discuss those problems with you so that you can make an informed pre-purchase decision. As experienced veterinarians, we can advise you about the horse's current physical condition and be a valuable partner in the process of providing you with objective, health-related information; of course we cannot predict the future! (Attributing the AAEP and Bayer Animal Health)


Veterinary Chiropractic is the science, art and philosophy concerned with good health through restoration and maintenance of a properly functioning neuromusculoskeletal system, without the use of drugs or surgery.

Veterinary Chiropractic care is a manual therapy, which can be used for many health and performance problems. It focuses on the biomechanical dysfunction of the spine and its effect on the entire nervous system throughout the body.

Veterinary Chiropractic treatment does not replace traditional veterinary medicine; however, it can provide additional means of diagnosis and treatment options for spinal problems as well as biomechanical related musculoskeletal disorders. Veterinary Chiropractic can often eliminate the source of acute or chronic pain syndromes.


IVAS certified acupuncture is available upon request and offered as part of many ongoing lameness management cases. Acupuncture treatments are performed at the farm. This treatment has proven to be successful with performance horses, particularly those with neck and back problems. Acupuncture therapy is also an effective way to treat some arthritic conditions and allergies.

Dependable 24 hr Emergency Coverage

Outside of office hours, one of our veterinarians is on call at all times and can be reached for emergencies by contacting our answering service at (845) 677-5500.

Office Hours: Monday-Friday 8:00 am to 5:00 pm

All regular appointments should be scheduled through the office during normal business hours by calling (845) 677-5500.

Messages left on the office answering machine after hours are received the following business day (during regular business hours).

Cutting Edge Diagnostics and Therapies

Digital Radiography
Millbrook Equine Veterinary Clinic has multiple digital radiography units that can be used on the farm to obtain high quality radiographs (x-rays) of our patients. These units enable us to capture images using a specially designed plate which transfers the image to a computer for immediate evaluation. Digital radiography is more efficient and allows our clients to view the radiographs at the time they are taken. It also allows rapid transfer of digital images to other professionals.
Digital Ultrasound

Millbrook Equine Veterinary Clinic has several ultrasound units used for a variety of diagnostic purposes. Reproductive ultrasound is used to monitor estrus cycles, uterine and ovarian health, and early embryonic development.

Digital ultrasound is routinely used in a lameness work-up to diagnose a wide range of musculoskeletal problems, guide therapeutic injections, and evaluate blood flow using Doppler.

Ultrasound can also be used to image specific structures in the chest and abdomen. Valuable information can be obtained in cases of pneumonia, colic, and late term pregnancy.

Dentistry photo

Dental care is an important component of routine veterinary health care. Regular dental attention helps horses to optimize the nutrition that they get from their diet and facilitates early diagnosis of problems, such as malocclusions, tooth fractures, and infections. Eliminating sharp enamel points and dental malocclusions can also help with performance, making athletes more comfortable with the bridle. We use a variety of tools, including power and hand floats.

A routine dental procedure involves standing sedation, a thorough dental exam, and powerfloating the necessary areas. Hand floats are also used as needed. Motorized tools are used judiciously and our first priority is always the horse's comfort and well-being.

Endoscopy & Gastroscopy

Millbrook Equine Veterinary Clinic has a 1 meter and a 3 meter endoscope for visualizing the upper airway, mouth, esophagus, and stomach.

Pro-Stride Therapy

Pro-Stride APS is a concentrated solution of cells, platelets, growth factors, and anti-inflammatory proteins (including IL-1ra). It is a product derived from the patient's own blood. The processing of the blood takes about 20 minutes and can be done on the farm, immediately after collection from the horse. Pro-Stride has been clinically demonstrated to provide pain relief as far out as 52 weeks following a single injection.This innovative treatment has fewer negative effects on the joint than traditional corticosteroid joint injections, making it safe for use in young horses; as well as Cushings, Laminitis, and Insulin Resistant (IR) horses. Since the therapy uses the horse's own anti-inflammatory protein, there are no drug withholding times for competitors at the FEI and USEF levels.

Lameness Locator

The Equinosis® Q with Lameness LocatorĀ® is a real-time, handheld, field-based system that enables a veterinarian to objectively measure lameness in horses with non-invasive inertial sensors. The technology uses accelerometers to measure up and down movement of the head and pelvis. These sensors will register as small as 1 mm differences in movement. A gyroscope measures the orientation of the RF limb in space, which helps the software pinpoint which limb is causing the horse to move abnormally. Bluetooth sends all this information back to the tablet. The software analyzes 200 data points per second (10-20x faster than human eye). This technology helps the veterinarian objectively determine if the horse is lame. Further information describes the severity of the lameness, the leg(s) causing the lameness, and which part of the stride is most affected. The Lameness Locator is especially useful for evaluating subtle performance problems and multiple-limb lamenesses. It is also helpful for evaluating the response to nerve blocks or lameness therapies.

Extracorporeal Shock Wave Therapy
Extracorporeal shock wave therapy uses focused high-energy sound waves to treat a targeted area of injury. Horses with suspensory ligament desmitis, chronic back muscle soreness, and certain bony and soft tissue injuries can be helped with this therapy. Following diagnosis of the problem, ESWT is performed on a standing, sedated horse and each treatment usually takes about 20 minutes. The treatment is delivered from the shock wave unit to the surface of the horse's skin with a hand unit that is directed by the veterinarian. In most cases, a series of several treatments are spaced at 2-3 week intervals to enhance healing and provide pain relief.
Platelet Rich Plasma (PRP) Therapy

PRP therapy can be used to help healing of injured tendons and ligaments. PRP is a substance derived from the horse's own blood, which is then injected into the area of injury. The platelets are separated out from the patient's blood using a special centrifuge and suspended in a small amount of plasma, resulting in a substance that is rich in growth factors. This is a simple, yet effective way to enhance healing of tendons and ligaments. This treatment can be accomplished in one visit to the farm and many cases will respond over time with a single PRP injection.

Stem Cell Therapy

Stem cell therapy uses the horse's own stem cells for treatment of musculoskeletal disease. A sample of bone marrow is harvested from the sternum of the horse and sent to Dr. Nixon's laboratory at Cornell ( where the cells are grown in tissue culture and multiplied, so that they are available in larger numbers for treatment. The harvesting procedure can be done at the farm under mild sedation. Following culture, the stem cells are shipped back to MEVC and injected directly into the area of concern. This treatment is helpful for a variety of conditions such as tendon and ligament injuries, osteoarthritis, and OCD lesions.

Colostrum Bank

Millbrook Equine and Rhinebeck Equine are working together to make a colostrum bank available to local breeding farms. Colostrum is available at either location for any foal in need. For colostrum pickup, please call Millbrook Equine at (845) 677-5500. After hours pickup is at Rhinebeck Equine at (845) 876-7085, located at 26 Losee Ln, Rhinebeck, NY.

Donations to Our Bank

We need your help! Your donation to the bank will ensure that we have colostrum available when needed. When you donate to our bank, the colostrum will be tested to ensure its quality. The amount that you donate will always be available to you free of charge. If you need more than you have donated, colostrum will be available at $50/pint, which can be refunded if you donate back. Net proceeds from the program will be donated to Akindale Thoroughbred Rescue.

Kits for colostrum storage are available at Millbrook or Rhinebeck Equine; frozen colostrum can also be dropped off at either location. If you have any further questions about donating, please contact Dr. Alana King at Millbrook Equine (845) 677-5500 or Dr. Laura Javsicas at Rhinebeck Equine (845) 876-7085.


Coming soon