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Referred lameness is secondary by definition. Even though it isn’t considered to be “real” and doesn’t factor into the treatment strategy, its existence dramatically facilitates our ability to accurately assess the poorly performing horse. Like all secondary issues, referred gait deficits provide valuable insight into the nature of the primary problem.

Referred deficits, although seemingly obscure, are fairly easy to predict in the lame horse. Proper identification and classification of the primary component usually exposes the basis behind any referred elements. And, as previously mentioned, acute characterization of a referred component can correspondingly lead us to likely primary instigators.

It is important to note that primary deficits will typically generate referred deficits of comparable nature. In the event that referred lameness manifests, the observer will usually find that:

 A primary weight-bearing lameness in the forelimb generates a referred weight-bearing lameness in the contralateral hind limb.