Joint injections are a valuable tool in equine sports medicine—but they shouldn't be considered routine maintenance or performed simply because a horse is "due." Every injection should begin with a thorough clinical examination and a clear understanding of what problem is being treated.In this episode of The Soundness Check, Dr. Michelle Correia and Dr. Rachel Buchholz discuss the role of joint injections in equine sports medicine. They explore common misconceptions surrounding injections, why treatment decisions should always begin with a thorough clinical examination, and how veterinarians determine whether a horse is an appropriate candidate. The conversation also touches on the different categories of injectable therapies and how factors such as diagnosis, workload, and long-term performance goals influence treatment choices.Because successful sports medicine isn't about injecting a horse because they're "due"—it's about understanding the horse in front of you and choosing the right treatment at the right time.

Overriding dorsal spinous processes—often referred to as "kissing spines"—can be an intimidating diagnosis for any horse owner. But what does it actually mean, and how does it influence performance?In this episode of The Soundness Check, Dr. Michelle Correia and Dr. Rachel Buchholz discuss what overriding dorsal spinous processes are, why imaging findings don't always tell the whole story, and how clinical signs, physical examination, and rehabilitation all play an important role in determining the best treatment plan.Because a diagnosis is only one piece of the puzzle—and understanding the whole horse is what leads to the best decisions.**Quick disclaimer before you jump in: you'll hear Dr. Michelle accidentally say 'overarching spinous processes' a few times throughout this episode. We promise she means overriding dorsal spinous processes—sometimes even sports medicine brains get ahead of themselves!**

Rehabilitation comes in many forms, but not all rehab plans are created equal.In this episode of The Soundness Check, Dr. Michelle Correia and Dr. Rachel Buchholz compare and contrast the human and equine rehabilitation worlds while discussing the green flags and red flags they look for in a rehab plan. From passive treatments and exercise selection to communication, progression, and measurable goals, they break down what effective rehabilitation should actually look like.Whether you're recovering from an injury yourself or helping your horse return to performance, this episode will help you ask better questions and understand what separates a thoughtful rehabilitation program from one that may not be setting you up for long-term success.

When performance changes show up, it’s not always easy to know where the problem is coming from. Is it a training limitation, a communication issue, fatigue, weakness—or an underlying medical concern? And how do you start telling the difference?In this episode of The Soundness Check, Dr. Michelle Correia and Dr. Rachel Buchholz unpack how they evaluate performance or behavior changes in sport horses. They discuss the subtle signs that can point toward a medical issue, as well as the situations where training, workload, or communication may be contributing to the problem instead.Because not every change in behavior under saddle requires medical intervention—but involving your team early when something changes can make all the difference in catching issues before they become bigger problems.

In the Season 2 premiere of The Soundness Check, Dr. Michelle Correia and Dr. Rachel Buchholz dive into best practices around diagnostic imaging in the sport horse, including when imaging is helpful, how to avoid over-interpreting findings, and why clinical context matters just as much as the image itself. Sponsored by Hallmarq Standing Equine MRI, this episode explores how advanced imaging fits into modern sports medicine and how riders, trainers, and owners can get the most out of the diagnostic process.Because imaging should support decision-making—not replace it.

Not every performance problem in the ring comes from a musculoskeletal issue!In the Season 1 finale of The Soundness Check, Dr. Michelle Correia (horse + human physio) and Dr. Rachel Buchholz (equine sports medicine vet) dig into the hidden factors that quietly impact performance — from GI dysfunction and respiratory limitations to neurological or systemic muscle issues. They discuss how these subtle signs can show up as small performance changes, why they’re easy to miss, and how to start investigating what’s really going on beneath the surface.Because understanding performance means looking beyond the obvious — and sometimes, what you can’t see is what matters most.If you have any follow up questions OR an episode topic request for next season- let us know! You can contact us here: Dr. Michelle Correia and Dr. Rachel Buchholz

Just because a horse is aging doesn’t mean their athletic career is over. But keeping senior athletes performing well takes a different approach.In this episode of The Soundness Check, Dr. Michelle Correia (horse + human physio) and Dr. Rachel Buchholz (equine sports medicine vet) talk about what it takes to keep aging horses sound, strong, and happy in their work. From managing joint health and medical histories- to adjusting conditioning programs and expectations- they share insights on how to support horses through each stage of their athletic lifespan.Because aging is inevitable—but decline doesn’t have to be.

In today's world there’s no shortage of tools marketed to help horses recover and perform better. But what does the science actually say?In this episode of The Soundness Check, Dr. Michelle Correia (horse + human physio) and Dr. Rachel Buchholz (equine sports medicine vet) unpack the complex world of at-home and owner-accessible modalities. They discuss why equine research can be challenging, what evidence we do have, and how to think critically about when and how to use different options.It’s not about dismissing any tools—it’s about understanding where they fit, what they can (and can’t) do, and how to make informed choices for both horse and rider.

Rest isn’t the absence of work—it’s a vital part of performance management.In this episode of The Soundness Check, Dr. Michelle Correia (horse + human physio) and Dr. Rachel Buchholz (equine sports medicine vet) dive into what intentional rest really means for both horse and rider. We talk about how to strategically fit recovery into training, what rest really looks like for the competitive sport horse, and how to use downtime to build stronger, more resilient athletes on both sides of the partnership.From recognizing early signs of overtraining to finding balance between effort and recovery, this episode helps you understand the importance of rest for both horse and human.

Rehabilitation isn’t just about rest—it’s about rebuilding strength, resilience, and confidence in a way that lasts.In this episode of The Soundness Check, Dr. Michelle Correia (horse + human physio) and Dr. Rachel Buchholz (equine sports medicine vet) break down what real rehabilitation should look like for both horses and riders. (spoiler: it should be PROGRESSIVE!) We dig into recovery timelines, how to safely progress after injury, and what to do when setbacks happen along the way.Whether you’re bringing a horse back from lameness or recovering from your own injury, this episode gives you practical insights on how to navigate the rehab process without losing sight of long-term performance goals.