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In this episode, we sit down with Dr. Audrey DeClue, an equine veterinarian known for challenging the way lameness is traditionally diagnosed in horses. Instead of immediately focusing on the limb and relying on nerve blocks, Dr. DeClue takes a “horse-first” approach, looking at the entire horse, including conformation, biomechanics, and the axial skeleton. Dr. DeClue helped popularize the concept of “body lameness,” encouraging veterinarians and horse owners to consider how the horse’s body, posture, and movement patterns contribute to pain and performance issues. By stepping back and evaluating the whole horse, she has developed a diagnostic philosophy that is changing how many veterinarians approach lameness cases. In this conversation, we discuss: What “body lameness” really means Why traditional limb-focused diagnostics can sometimes miss the bigger picture How conformation and the axial skeleton influence movement and pain Why Dr. DeClue sometimes rides horses herself to better feel where the lameness originates The importance of putting the horse first when approaching complex lameness cases This episode is for veterinarians, veterinary students, horse owners, and anyone interested in equine performance and biomechanics.