If this is a mature horse that was normal, both physically and conformationally, it is likely to be O.K. In the past, many horses stood in tie stalls with very limited exercise during the winter months in cold climates. However, a number of potential concerns need to be addressed. Have the feet been trimmed during the time in the tie stall? Before starting an exercise program, the feet need to be in good shape to prevent possible flexor tendon injury when exercise is started. Also, depending upon the horse's temperament and diet, it may be very excited when first leaving the stall. Therefore, initial exercise should be hand walking (if it can be done safely), or the horse should be turned out in a small paddock/round pen on a warm non-windy day to limit excessive exercise. Additionally, if the horse has lacked sufficient hay or forage during this stalled period, several behavioral vices may develop. Some of these include cribbing, wood chewing, and weaving. Additionally, horses without access to adequate forage can develop nutritional deficiencies, ulcers and other health issues. Finally, tie stalls often do not have good ventilation at the front end of the horse. If the feed was dusty or the horse has a tendency for COPD/heaves, the respiratory system may need to be managed in the future. As a rule, horses are much healthier mentally and physically when turnout is provided.

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