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Patient Relationship
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A licensed veterinarian may perform musculoskeletal manipulation (MSM) on a horse provided that a valid veterinarian/client/patient relationship has been established.
Safe Treatment
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The licensed veterinarian must determine through an examination that the MSM therapy will likely not be harmful to the patient.
Contractor
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An employee of the veterinarian or an independent contractor, such as an equine massage therapist, may perform MSM on a horse under the direct or general supervision of the veterinarian.
Responsibility
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Whether the veterinarian, employee of the veterinarian or an independent contractor performs the MSM, the veterinarian will be held responsible for the diagnosis of and treatment given the animal.
Non-Treatment MSM
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In regards to massage performed without a veterinarian's supervision, massage is acceptable as long as it does not involve diagnosing or treating the animal.
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Texas Regulations on Equine Massage
According to the Texas Board of Veterinary Medical Examiners, equine massage is allowed as an alternate, nonstandard therapy under the supervision of a veterinarian for the purpose of diagnosis and treatment of an equine.