EPM vs Wobbler Syndrome vs Lyme Disease in Horses

Updated November 14, 2025

In this episode of Ask the Vet, Dr. Lydia Gray and SmartPaker Sarah talk about the differences in Equine Protozoal Myeloencephalitis (EPM), wobbler syndrome, and Lyme disease in horses. Watch as they discuss what may be done to treat horses that are diagnosed with each condition.


SmartPak Equine, LLC strongly encourages you to consult your veterinarian regarding specific questions about your horse's health. This information is not intended to diagnose or treat any disease, and is purely educational.