Digital X-ray technology allows to take multiple views at the same time and give much quicker results. Digital X-rays  have a higher resolving capability than standard x-rays and help give us a more accurate diagnosis. 




Xeroradiography is a special ultra fine imaging technique for lameness and other problems.  The unit uses specially sensitized screens that give higher resolution on the edges of bone and better visualization of soft tissue structures.  In cases where lesions may be suspected but not seen on routine radiographs, xeroradiography may provide the necessary information to make a diagnosis.

Dr. Casey currently own and operates the only xeroradiography unit in Maryland.  In addition, Dr. Casey regularly consults with other veterinarians nationwide with regards to xeroradiography. 


Lameness is any alteration of the horse's gait.  Such abnormalities can be caused by pain in the neck, withers, shoulders, back, loin, hips, legs, or feet.  Identifying the source of the problem is essential to proper treatment.

Veterinarians have specific systems for performing examinations, depending on the reasons for the examination.  However essential features of a thorough examination include:

  • The medical history of the horse
  • A visual appraisal of the horse at rest
  • Evaluation of the horse in motion
  • A thorough hands-on exam
  • Application of hoof testers to the feet
  • Joint flexion tests
  • Drug tests

Dr.Casey performs the following diagnostic tests in order to isolate the specific location and cause of lameness:

  • Radiographs
  • Diagnostic nerve and joint blocks
  • Scintigraphy (Nuclear scanning)
  • Arthroscopy
  • Ultrasound (Sonography)
  • Blood, synovial (joint) fluid, and tissue samples
Sports Medicine

In addition to Xeroradiography, Dr. Casey incorporates riding a horse as part of an examination, if necessary.

Some common problems of sport horses:

  • Degenerative Joint Disease
  • Navicular Disease
  • Traumatic Arthritis
  • Tendon and Ligament Injuries
  • Foot Problems


Diagnostic Riding Examinations/Evaluations

If warranted/needed, Dr. Casey incorporates riding a horse as part of an examination.  With many years of experience as a rider, Dr. Casey has been able to detect and diagnose a problem that otherwise might be overlooked.

General Veterinary Medicine and Surgery
  • Pre-Purchase Exams
  • Coggins Test
  • Vaccinations
    • West Nile Virus
    • Rabies 
    • Potomac
    • Equine Influenza
    • Equine Rhinopneumonitis 
    • Tetanus
    • Botulism
    • Strangles
    • Encephalomyelitis (EEE) (WEE) (VEE)
  • Deworming
  • Basic Dental Care
  • Castration Surgery 
  • Dermatological Problems
  • Wound Treatment
  • Most general surgical procedures 
  • Advanced surgical procedures for displacement of the soft pallet, entrapment of the epiglottis, paralysis of the recurrent laryngeal nerve ( roaring)

Dr. Casey is available to treat general medical and emergency problems on site.

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Equine Joint Disease by James M. Casey D.V.M., M.S.  
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Detailed Information on Equine Joint Disease

Equine Joint Disease by James M. Casey D.V.M., M.S.  

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Articles: Tendon Injuries (Bowed Tendons) in Horses
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