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ECEVS Ambulatory Care

Full-Service Equine Ambulatory Care

East Coast Equine Veterinary Service offers a variety of cutting edge services to ensure the proper diagnosis and treatment of our patients. We are dedicated to providing the most up to date comprehensive and compassionate diagnostics and treatments for our equine patients.


Our services include the following:

Client Services

Emergency Services

Emergency ServicesAvailable 24 hours a day, 365 days a years. Please contact (908) 852-1300 if you have a medical emergency.

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Preventative Health Management & General Medicine

Preventative Health Management & General Medicine East Coast Equine Veterinary Service provides first rate veterinary care on the farm for routine general medicine and emergency needs. Preventive medicine and routine patient care, including, but not limited to, vaccinations, deworming, dentistry, wellness exams, digital Coggins tests (this includes your horses photos and can be emailed anywhere at any time), and digital health certificates (these too can be emailed anytime, anywhere), are performed regularly. Pre-purchase examinations, lameness evaluation, dermatologic evaluation, and ophthalmic evaluation may also be performed on the farm.

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Comprehensive Nutritional Evaluations

The Comprehensive Nutritional Evaluation service will evaluate the current diet and if required, formulate a recommended diet based on the information gathered about your equine’s health and activity level. ECEVS will compile a customized nutrition program tailored to meet your horse’s individual needs. Specialized rations can also be devised for horses prone to metabolic conditions, laminitis, and Cushing’s disease.

Nutritional Evaluations Include:

  • On-Farm Consulting: We provide consulting services for individual horses or for full barns. We take a full history of the horse’s background, needs, and conditions, and provide recommendations for diet and feeding practices.
  • Forage and Grain Sampling/Analysis: Forages and grains are sampled and tested for their nutritional content (Protein, energy, fiber, micronutrients, and macronutrients) to assist in formulating an appropriate diet.
  • Feed Assessment and Recommendation: Clients will receive a full report and feeding recommendation provided by your veterinarian.

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Pre-Purchase Evaluations

Pre-Purchase EvaluationsPrior to the important investment of purchasing a new horse, a complete pre-purchase examination is recommended. The format can be tailored to your specific needs, but involves at the minimum a thorough physical examination from head to tail which includes an ocular, neurologic, lameness, and cardiac examination. Digital radiographs are encouraged to establish a baseline of skeletal changes. Blood work, reproductive exams, EKG, ultrasound exams, and upper airway endoscopy are also among the ancillary procedures available.

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Sports Medicine and Lameness Evaluations

Sports Medicine and Lameness EvaluationsNoticing lameness – or any abnormality in your horse’s gait – is troublesome for all horse owners. All of us want immediate information about how the lameness can be resolved. Lameness is most often noted in a horse’s muscle, joint or bone, and soft tissue structures. Some lameness’s are easily diagnosed by history or presentation; others require progressive evaluation including palpation, joint flexion, diagnostic nerve/joint blocks, digital X-rays, ultrasound, and other diagnostic procedures. Our state of the art equipment allows for the accurate evaluation of bone abnormalities and soft tissue injuries including arthritis, bone chips, and tendon and ligament strains and injuries. During the exam, digital images are portrayed instantly so that you and the doctor can confer immediately.

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Castrations and Minor Field Surgeries

Castrations and Minor Field SurgeriesWe perform minor surgeries in the field such as castrations, laceration repair, caslick procedures, and biopsy sampling. If more extensive surgery is required, we will refer you to a referral equine surgical hospital.

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cryosurgeryCryosurgery is the use of a controlled stream of liquid nitrogen to freeze skin masses on the horse. This is a fairly non-invasive way to treat various skin cancers where surgical resection is difficult or dangerous. The horse is sedated and the area anesthetized with a local anesthetic. A small cone or shield is positioned over the mass and a concentrated spray of liquid nitrogen applied to the area. It is then allowed to thaw and the procedure repeated three times. As the mass freezes and thaws the water inside the tumor cell crystalizes and ruptures the cell, killing it. One specific advantage is that tumor tissue extending beyond the visible margin is also destroyed. Cryosurgery can also be used as an additional treatment combined with surgical debridement and local chemotherapy to treat squamous cell carcinoma, equine sarcoids, and mast cell tumors.

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DentistryDentistry has been progressing furiously the last few years.  Better equipment and understanding of the equine mouth have helped veterinarians provide a much needed improvement in dental service delivery.  East Coast Equine utilizes motorized equipment as well as traditional hand tools in this function.  Sedation and radiology are used as needed to provide more comfort and better diagnosis for your horse’s dental needs.

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Reproductive Services

Reproductive ServicesEast Coast Equine Veterinary Service provides reproductive services including:

  • Rectal palpations
  • Uterine culture & sensitivities
  • Uterine biopsies & cytology
  • Fresh cooled semen artificial insemination
  • Pregnancy exams and hormonal profiles
  • Neonatal services including IgG testing and plasma transfusions if necessary. Angular limb deformity analysis

We are available to assist you in your endeavor to have a live healthy foal from its conception through weaning.

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Diagnostic Tools & Imagining

Digital Radiography

Digital RadiographyDigital radiography is cutting edge technology that allows instant visualization of x-rays on a computer screen, and eliminates film. These images can have the brightness and contrast manipulated as well as be enlarged to view small or subtle abnormalities. The images can be burned to a CD, printed out, or e-mailed. Digital radiography is state of the art equipment resulting in increased efficiency in image acquisition and unparalleled image quality.

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Digital Ultrasonography

Digital UltrasonographyDigital ultrasonography is available to evaluate soft tissue structures. Injuries to structures such as tendons and ligaments are most commonly ultrasounded. Chests and abdomens can be scanned to evaluate heart, lungs, abdominal organs and fetal assessment in pregnant mares. In foals, umbilical abnormalities and lungs can be evaluated via ultrasound. East Coast Equine uses the latest digital ultrasound system, which allows high resolution imaging for the clearest projected pictures and dynamic digital video clip storage and playback. These images can be burned onto a CD, printed, or E-mailed.

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Endoscopy provides visual examination of the upper airway from the nasal passage to the end of the trachea. This allows the veterinarian to assess and evaluate the upper-airway for conformational, infectious, neoplastic, traumatic, or neurologic abnormalities. Endoscopy can accompany any pre-purchase/sale examination giving the buyer information needed on the status of the horses upper airway. Lesions or abnormalities within the upper airway can hinder any performance horses ability to perform at competitive levels. Endoscopic examination can determine what the cause of abnormality is and what steps will need to be made to correct the underlying problem. Endoscopy can also provide visual examination of the guttural pouches, and flushing of the guttural pouches can be performed more accurately with the visual aid of an endoscope.

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Video Gastroscopy

East Coast Equine is equipped with a 3m portable video endoscope which allows us to perform gastroscopy at your farm or boarding stable. Our scope provides visualization of the esophagus, stomach, and proximal duodenum (beginning of the small intestine). This state-of-the-art technology provides the best quality for thorough examinations. The video endoscope projects the image onto a computer monitor so the veterinarian is able to point out areas of concern to the owner or trainer. We are able to take still images in addition to video images to keep in the horse’s record or to send to a referral institution depending on the severity of the diagnosis.

Gastroscopy is the only way to diagnose gastric ulcerations and the best way to monitor response
to therapy. Gastroscopy is a relatively non-invasive procedure that involves passing a 3 meter video
endoscope into the stomach to check for ulcers. The horse must be fasted prior to the procedure
in order to visualize the entire gastrointestinal system. Horses are sedated for gastroscopy to
minimize stress to your animal and optimize the evaluation. Signs of gastric ulcers include poor
performance, weight loss, reduced appetite, irritability, and recurrent mild colic. If your horse is exhibiting some of these signs, you may want to get him “scoped.” In certain cases, gastroscopy is also used to obtain tissue biopsies to evaluate for signs of intestinal inflammation or neoplasia, in horses suffering from weight loss.

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TonoVet Plus

The tonometer is a diagnostic tool we use to measure intraocular pressure (IOP). Our tonometer has a light weight rebounding probe that allows for very quick and gentle contact with the surface of the cornea to obtain a reading. IOP is mainly measured in cases of glaucoma, which is increased pressure of the eye typically resulting from inflammation of the eye. Certain conditions that cause intraocular inflammation in horses include uveitis, ocular tumors, or luxation of the lens. One of the most common causes of glaucoma in horse is equine recurrent uveitis (ERU). It may be important to monitor IOP over time in cases of glaucoma as it can potentially lead to vision loss if not controlled. A normal IOP reading is between 17 and 28 mmHg.

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Pro-Stride Injection™ ~ ACT – PROTEIN SOLUTION

Pro-StridePro-Stride ACS is a drug-free, advanced form of regenerative medicine for treatment of inflamed joints. In Sports Medicine “regenerative therapy” is a term in reference to clinical therapies that focus on utilizing the horse’s own body to promote self-healing. The Pro-Stride ACS system accomplishes this self-healing by using the horse’s biological components (cells, platelets, plasma, etc.).


The procedure starts by taking a sample of the patient’s blood and processing the sample stall-side or in clinic. The processed Pro-Stride sample contains Platelet Rich Plasma (PRP) and Interleukin-1 Receptor Antagonist Protein (IRAP). PRP contains both the signals and the matrix proteins to “jump-start” the regeneration process. IRAP inhibits damaging inflammatory molecules in the joint.  In chronic injury such as osteoarthritis, healing becomes stuck in the initial inflammatory phase. Before healing can begin in earnest, the inflammatory signals must be silenced and replaced with signals which promote tissue regeneration. This is accomplished by using PRP and IRAP to work synergistically to promote joint healing. This concentrated solution is then injected into the affected joint.

The Science behind it

Pro-Stride APS is a proprietary dual-device system whose output produces a concentrated solution of cells, platelets, growth factors, and anti-inflammatory proteins.


  • ⦁All-Natural (from patient’s own blood)
  • ⦁Clinically demonstrated effectiveness*
  • ⦁Convenient (no incubation, <20-minute processing, ambulatory)

Interleukin-1, also known as IL-1, and tumor necrosis factor alpha, also known as TNF-alpha, are the key pro-inflammatory proteins called cytokines which need to be blocked from damaging the tissue. These inflammatory cytokines bind to the cell surface receptors on the cartilage and start the process of cartilage breakdown which ultimately leads to joint pain and damage.

There are several naturally occurring inhibitors (anti-inflammatory proteins) of the pro-inflammatory cytokines IL-1 and TNF-alpha.  These include the interleukin-1 receptor antagonist protein (IRAP), also known as IL-1ra, SIL-1r, also known as Soluble interleukin-1 receptor and STNF-rs, known as Soluble tumor necrosis factor receptors.

Benefits of Pro-Stride ACS treatment include:

  • ⦁30-minute blood processing
  • ⦁Single visit/injection
  • ⦁Clinically demonstrated to provide pain relief up to one year from a single treatment, with the potential for disease-modifying effects.
  • ⦁Natural (drug-free) therapy
  • ⦁There are no drug withholding times for those competing at the FEI and USEF levels
  • ⦁Excellent alternative for overweight or metabolically challenged patients to avoid steroid use.

Pro-Stride Injection will reduce pain associated with arthritis and deliver naturally occurring anti-inflammatory proteins. Pro-Stride Injection is capable of slowing cartilage degradation and improving mobility. This treatment has longer duration of efficacy when compared to traditional joint injections using steroids and hyaluronic acid.  It is also a great option for horses that initially respond to a steroid injection but have recurrence within just a few months.


If you are interested in utilizing this therapy in your horse, please call the office at 908-852-1300.

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Stem Cell

Stem CellStem Cell therapy is a newly available regenerative medicine and treatment that uses stem cells from your horse to repair injured or damaged tissues. A small sample of adipose tissue (fat) is removed from the horse and cultured to produce large numbers of autologous adult stem cells. These cells are then used to treat a variety of conditions, including tendonitis, ligament injuries, osteoarthritis, and OCD defects. Stem cells are injected directly into the site of the area that requires treatment, and develop into new cells of the desired tissue type to help in repair.

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IRAP (Interleukin 1 Receptor Antagonist Protein) is naturally in the body. It used to treat OA (osteoarthritis) in horses. IRAP has been shown to be effective in the treatment of OA where other intra-articular methods have not been successful. IRAP Therapy allows us to concentrate the antagonist protein toward Interleukin 1, which causes damage to the joint leading to discomfort and pain for your horse. IRAP therapy can allow your horse to remain pain free, as well as increase the healing process of their joint giving the horse a healthier joint for a longer period of time. Whole blood is drawn from the horse, incubated for 24 hours, and then spun down and processed.

The IRAP is then drawn up and injected into the joint or joints of interest. Multiple doses of IRAP can be obtained from one blood draw and can be frozen for future use in the arthritic joint or joints.

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PRPPRP is one of the latest cutting edge treatment options that can be used to jump-start the healing cascade and accelerate tissue regeneration in skin, soft tissue, and bone.  PRP has been used in horses to treat ligament and tendon injuries, eye ulcers, and skin wounds.  It is particularly beneficial in treating injuries in areas of limited vascularization, or blood flow.  These growth factors have been shown to stimulate tendon and ligament healing.  The enhanced healing response on a cellular and molecular level may ultimately improve the quality of repair, improve the prognosis for return to performance, and decrease the incidence of re-injury.

>>>Please download our Spring 09 Newsletter for more information on Intra-Articular and Soft Tissue Therapies.

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Mesotherapy is a technique that was developed by a French physician, Dr. M. Pistor, in 1952. Since then, the technique has become widespread in human patients across Europe before becoming popular in other animals. Mesotherapy for the equine patient was introduced to the United States by veterinarian Dr. Jean Marie Denoix in the spring of 2002.

Mesotherapy is a series of microinjections into the mesoderm, the middle layer of skin, to stimulate the giant fibers. These fibers communicate with the major nerve tracts within the spinal cord and inhibit the conduction of pain signals to the brain. The goal of the treatment is to stop the pain spasm cycle caused by inflammation from a multitude of conditions including, but not limited to, osteoarthritis of the spine ("kissing spines"), cervical (neck) pain, generalized muscle pain and inflammation, and/or a lameness issue of the forelimb or hindlimb. A combination of medication is injected through very small needles into the interdermal layer of skin at a depth of only 4-6mm.

The number of treatments needed depends on the underlying condition and the chronicity of the problem. Depending on the condition being treated and the horse’s response to therapy, 1-3 treatments spaced 2-3 weeks apart are recommended. Following mesotherapy, the horse is rested for 2-5 days before returning to normal work. After the initial series of treatments, "maintenance" treatments may be indicated at a future date if the horse begins to show returning signs of discomfort.

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acupunctureAcupuncture in both animals and humans is a practice that dates back to 650 B.C. It is defined as the stimulation of a specific point on the body, an acupoint, for a therapeutic effect. The acupoints have been found to house a high density of free nerve endings, mast cells, small arterioles, and lymphatic vessels. When these points are stimulated, there is a release of beta-endorphin, serotonin, and other neurotransmitters that work to relieve pain in the body. The ancient Chinese discovered that the health of the body depends on the state of Qi (pronounced "chee"). Qi is the vital life force, or energy, that flows freely along channels in the body. When the flow of Qi is blocked, pain or disease may result. Acupuncture stimulation resolves Qi stagnation, freeing the flow of Qi to relieve pain and enable the body to heal itself.

Acupuncture has been shown to be effective in the following conditions:

  • Musculoskeletal problems: muscle soreness, back pain, osteoarthritis, degenerative joint disease, neck pain
  • Neurologic disorders: laryngeal hemiplegia, facial and radial nerve paralysis
  • Other chronic conditions: anhidrosis, inflammatory airway disease, cough, uveitis, geriatric weakness, skin problems
  • Performance enhancement and prevention of disease

Treatments usually take about one hour. Acupoints may be stimulated in a variety of ways including dry needling, aqu-acupuncture, electro-stimulation, and moxibustion. The number of treatments needed/recommended is based on the severity and duration of the condition. A single treatment may be enough for an acute condition, and usually a series of 3-10 treatments can resolve a chronic problem. Some degenerative conditions may need monthly treatments to show a consistent effect.

>>>For more information on Acupuncture, please watch the our video below and download the Acupuncture FAQ

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Extracorporeal Shock Wave Technology (ESWT)

ESWTESWT, commonly known as “shock wave” is a noninvasive, high-intensity, pressure wave treatment, which is commonly used in human and veterinary medicine. It helps the body in relieving pain, speeding healing and improving quality of healing.

“Shock wave” is a physics term to describe a rapid increase in pressure, such as the energy from an explosion or thunder resulting from lightening. “Shock wave” does not refer to electrical shock.

Shock wave provides a high energy, focused, pressure wave that causes a biological response in treated tissue, which will stimulate and accelerate the healing process. The pressure wave acts as a mechanical force at the cellular level causing various biological reactions, including the release of proteins associated with decreased inflammation and increased blood vessel formation.

Shock wave has been proven effective for a variety of conditions, including:

  • Tendon and ligament injuries: stimulating, accelerating and improving the healing process
  • Wound healing: healing chronic wounds, antibacterial properties
  • Bone healing: speeding healing and improving bone density
  • Osteoarthritis/Degenerative Joint Disease: alleviating pain and inflammation and slowing the disease process

Typically you can see results with 1-3 treatments, however it is important to note that it takes time for the biological responses to take place and healing is seen over a period of time, not immediately. A brief analgesic period is sometimes seen and usually passes by 3-4 days post- treatment. It is therefore, important that the horse is rested during this period although confinement is not necessary. The horse can generally return to work or performing soon after treatment; however, this varies depending on the severity of the injury.

>>>For more information on Shock wave, please watch the our video below and download the Shock Wave Therapy FAQ

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Laboratory Services

In-House Lab Complete Blood Count &
Chemistry with Fibrinogen (CBC/Chem)

LaboratoryECEVS has the ability to run CBC/Chem in-house. This allows ECEVS rapid turnaround for blood results, diagnosis and possible treatment. Blood testing is commonly used to help diagnose illness or injury in horses. It can also help determine the state of your horse’s health during regular physical exam visits. Although a CBC or a chemistry profile can be performed separately, these tests are frequently done at the same time; when the results are interpreted together, they provide a good overview of many of the body’s functions. Your veterinarian will combine test result information with physical exam findings, medical history, and other information to assess your horse’s health status and determine if additional testing should be recommended. CBC/Chem test results tell a veterinarian what is going at on in the horse’s bloodstream at the time the blood was drawn. What is in a CBC/Chem you might ask or what is my veterinarian looking for? Red Blood cells, white blood cells, serum, and platelets counts are the 5 blood components that a veterinarian will look at. The numbers, shapes, and sizes of blood components can tell a veterinarian if a horse is possibly anemic, losing blood, is dehydrated or fighting an infection. The Chemistry profile is a panel of tests that analyzes organ function (kidney, liver, etc).

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Fecal Egg Count

fecalDue to so many years of frequent rotational deworming, a high degree of resistance to the common anthelmintics (dewormers) has developed in our worm populations; therefore, ECEVS recommends a fecal-based deworming program. The best way to know whether your horse has a high or low parasite burden is to evaluate his/her manure for parasite eggs – a test known as a Fecal Egg Count (FEC). A FEC test is performed in our office laboratory by our veterinarians and trained veterinary technicians. For the test, simply collect 2-3 fresh manure balls and place them in a plastic baggie. If you can’t get the sample to our office right away, refrigerate it overnight.

Horses are categorized based on the amount of eggs found in their manure:

  • High Shedders – contain >500 eggs per gram (EPG) of manure
  • Moderate Shedders – contain 200-500 EPG
  • Low Shedders – contain <200 EPG

Based on your horse’s individual parasite load, an individualized deworming protocol will be developed by your veterinarian. For example, a “low shedding” horse (70% of horses) usually only needs to be dewormed twice a year! We recommend performing a fecal exam in the spring and fall of the first year of your new program, then just once a year after that to ensure that your horse’s needs are not changing.

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istatiStat is a portable handheld clinical analyzer that can provide results in 2-3 minutes. It delivers accurate blood-gas, electrolyte, chemistry, and hematology results with just a few drops of blood. With the iStat unit ECEVS can obtain results, diagnose, discuss results with clients, and begin treatment immediately at the point-of-care.

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SAA Test

SAA or Serum Amyloid A is a biomarker protein that is produced in the liver when inflammation caused by an infection is present. SAA serves as a marker of inflammation that increases and decreases quickly giving real-time information using a blood test. In normal horses, SAA is found in very low levels and is not secreted until inflammation from infection occurs. At the first instance of infection SAA levels rise immediately. This response is faster than most complete blood counts and fibrinogen. It is extremely sensitive to onset, duration, and the end of an infection. SAA levels can be followed to see the response to treatment and can indicate whether or not the treatment is effective. SAA can detect the presence of
infection allowing for earlier treatment, monitoring effectiveness of treatment, and when to end a
treatment. All of this can be done immediately at point-of-care.

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East Coast Equine Veterinary Service, LLC • PO Box 91 • 33B Kennedy Road • Tranquility, NJ 07879 • (908) 852-1300

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