06/22/2026
Great information! I have been managing my gelding that has PSSM2 for many years now. It took me a long time to figure out how to properly manage him. I definitely advise reaching out to your vet and someone trained in equine nutrition to help you navigate this muscle myopathy.
My horse has PSSM. What can I do to support him nutritionally and manage this condition?
What is it?
▪️Polysaccharide Storage Myopathy (PSSM) is a muscle disorder that affects how horses store and utilize sugars.
What are the types?
▪️PSSM1 is caused by a genetic mutation in the glycogen synthase 1 gene. Having the mutation does not guarantee clinical signs. For example, approximately 69% of Percherons carry the mutation, but only about 31% experience tying-up episodes.
(Consult your veterinarian for appropriate testing.)
▪️PSSM2 describes horses with abnormal sugar accumulation in muscle tissue but without the gene mutation.
What are the signs?
▪️Muscle stiffness
▪️Sweating
▪️Reluctance to move
▪️Shifting lameness
▪️Tight abdomen
▪️Muscle tremors
▪️Standing stretched out as if needing to urinate
▪️Dark, coffee-colored urine
How can we manage it?
▪️Consistent exercise. Daily movement is one of the most important management tools.
▪️Limit pasture intake. Remove from lush pasture or restrict access with scheduled grazing or a grazing muzzle.
▪️Test your hay. Ideally, combined starch and sugar (NSC) should be around 12% or less.
▪️Choose low-NSC feeds. Horses needing additional calories should obtain them primarily from fat rather than starch and sugar. If they do not require extra calories, extra fat is not necessary.
▪️Monitor Vitamin E. Work with your veterinarian to establish appropriate levels through bloodwork.
▪️Provide electrolytes daily.
Bluebonnet Recommendations
Feed or balancer (fed at recommended rates):
▪️Intensify Omega Force
▪️Low Starch Ultra
▪️Pro Balance Diet Balancer
Vitamin E
▪️Consider a liquid source for 30–60 days, followed by Immune E/C for long-term maintenance. Use bloodwork to monitor levels.
Hydrate & Recover
▪️ Because muscle health depends heavily on proper electrolyte status, many horses prone to muscle soreness or tying-up episodes benefit from daily supplementation.
Muscle Recharge
▪️If episodes persist despite the above management strategies, consider adding Muscle Recharge daily.
If you suspect PSSM, always contact your veterinarian first.