A good lameness examination is essential to diagnosing soundness issues. Because veterinarians cannot ask their patients where is hurts, they are dependent upon visual cues from the horse as it moves. A lameness evaluation includes a physical exam, visual evaluation of the horse being ridden and/or free lunging in our round pen, palpation of the limbs and joints, evaluating range of motion, watching the horse travel in a straight line and on a lunge line, and response to flexion of the joints. Further diagnostics include nerve blocks, joint blocks, radiographs, and ultrasound. Our state of the art Digital X-ray Unit provides our clients with immediate, high definition results. The initial diagnostic work-up may be performed in the field as long as a firm, even surface is available.