The popularity of competitive endurance riding is growing worldwide and this has led to considerable changes in the discipline (e.g., fitter and faster horses and different types of injuries), which create challenges to all involved in the sport, including veterinarians. During endurance competitions, horses are closely monitored by veterinarians throughout the ride, with the aim of removing from the competition animals whose welfare appears to be endangered. This close monitoring provides veterinarians with an insight into problems during competitions. However, there is a relatively small amount of clinically relevant, evidence-based data published on endurance horses, and this article reviews the evolution of the discipline, the published information on epidemiological data on endurance rides, the problems veterinarians face at competitions, and highlights those areas where research is warranted.
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