Diagnostics of lameness
The key factor in orthopaedic diseases is accurate diagnosis.
At our clinic, we ensure the highest internationally recognized standards in equine orthopaedic diagnostics. Thorough examination, anesthesia, and modern imaging techniques enable us to establish a precise diagnosis and initiate appropriate therapy.
Contact:
Dr. Maciej Przewoźny, DVM, PhD | Tel.: +48 600 855 362
E-mail: m.przewozny@klinika-konie.com.pl
Sports medicine
A veterinary field where success can only be achieved if medical expertise in biochemistry, physiology, and orthopaedics goes hand in hand with the involvement of the owner, trainer, and rider. Thanks to this cooperation, our clients can be very successful in sports arenas.
Contact:
Maciej Przewoźny, DVM, PhD
Phone: +48 600 855 362
Email: m.przewozny@klinika-konie.com.pl
Vet check
A thorough clinical examination along with radiological and endoscopic examinations makes it possible to objectively evaluate the current health status of the horse and to assess whether it might be an obstacle to the intended use.
Contact:
Maciej Przewoźny, DVM, PhD
Phone: +48 600 855 362
Email: m.przewozny@klinika-konie.com.pl
Regenerative medicine
Every single organism has the ability to repair damaged tissues. By applying appropriate recovery therapy, we are able to accelerate the process and improve the quality of newly created tissue. We encourage you to get familiar with the therapeutic methods used in our clinic or to contact us directly.
Contact:
Maciej Przewoźny, DVM, PhD
Phone: +48 600 855 362
Email: m.przewozny@klinika-konie.com.pl
Platelet-rich plasma
Today, a therapy using platelet-rich plasma (PRP) is one of the most commonly used recovery therapies in the treatment of tendon injuries. The process of making the preparation includes taking the patient's blood, and then separating a small amount of plasma homogenate rich in endogenous growth factors (IGF-1, TGF, PDF and others) by the centrifugation processes. These factors accelerate the recovery of damaged fibres and increase cell proliferation and differentiation. Such preparation is injected directly into the damaged area and supported by ultrasound monitoring. The whole procedure takes no more than 90 minutes.
Marrow pluripotent cells
Pluripotent mononuclear cells are characterised by an unlimited number of splits and the ability to differentiate into other specialised body cells, such as cells building ligaments and tendons - tenocytes. Thanks to an injection targeted at the damaged tissue, these cells form a storage of repair cells. The procedure is based on taking the bone marrow from the patient's sternum (the procedure is performed on a standing horse, subjected to sedation and local anaesthesia.) The collected material is centrifuged in a special machine, which separates individual fractions of cells creating a cell preparation. In our clinic we use a combination of the above described method with platelet-rich plasma. The prepared homogenate of autogenous platelet and myeloid cells is applied in a tendon, to the damaged area, with the support of ultrasound monitoring. Such a combination is the most effective method of accelerating the recovery process and improves the scar itself.
IRAP
Orthokine®vet IRAP is an alternative method used to treat tendon injuries and inflammatory changes in the joints. The process involves the application of autologous serum proteins produced from the patient's own blood, which is subjected to the incubation process. These substances are meant to eliminate the process of ongoing inflammation and accelerate tissue recovery. The preparation-making process takes from 8 to 24 hours. The obtained material can be frozen and applied at a later time, as required. In case of degenerative changes in the joints, it is recommended to carry out a series of minimum 3 injections at seven-day intervals.
PRO STRIDE
This is the latest therapy method aimed to eliminate pain and inflammation in the joint. This effect can be achieved by applying, on a spot, concentrated preparation containing cells, platelets, growth factors and anti-inflammatory proteins obtained from the patient’s blood in a short centrifugal process. One of the advantages of this method is a long-term effect thanks to a single application and the natural composition of the preparation, thus having no side effects like in the case of long-term application of steroidal drugs to the joints.
MRI
Magnetic resonance imaging allows us to visualize areas that are not accessible with other imaging methods. A prime example is the structures enclosed within the hoof box, which acts as a barrier to sound waves, severely limiting their use. Similarly, early changes in bone, cortical bone, and articular cartilage are not visible in radiographic imaging. This examination is performed under general anaesthesia after all horseshoes have been removed. If no further examination or treatment is required, the horse may leave the clinic the following day.
Contact:
Maciej Przewoźny, DVM, PhD
Phone: +48 600 855 362
Email: m.przewozny@klinika-konie.com.pl
Scintigraphy
It is a modern and fully objective imaging method that enables early detection of existing pathological changes within the skeletal system, even before radiological changes occur.
Other recommendations for scintigraphy:
- suspicion of problems in an area that is difficult to visualise, such as the pelvis, spine or limbs;
- diagnosis of weaker athletic performance;
- weak lameness or that of more than one limb;
- in case of dangerous horses
This test is performed in sedation on a standing horse. After intravenous application of the radioactive isotope, it circulates through the body, settling in the bones, in places which have an increased metabolic rate. The horse is then scanned with a specially designed camera to detect where the radionuclide has accumulated.
The horse must remain in isolation for at least 72 hours after the isotope application. During this time the isotope is metabolised and completely removed from the body. This examination is completely painless and safe for the horse.
Contact:
Maciej Przewoźny, DVM, PhD
Phone: +48 600 855 362
Email: m.przewozny@klinika-konie.com.pl
Radiology
Radiological examination is the most frequently used imaging technique in veterinary medicine. It is used to visualise pathology within the bone tissue, which is important in forecasting future utilisation of the horse. The clinic is equipped with three modern digital X-ray systems of the highest quality, including two mobile ones, which enable full diagnostics also in the field.
Contact:
Maciej Przewoźny, DVM, PhD
Phone: +48 600 855 362
Email: m.przewozny@klinika-konie.com.pl
Ultrasonography
Ultrasound diagnostics is invaluable for pathologies of soft tissues, mainly tendons and ligaments but also closed structures within the chest or abdominal cavity. Ultrasound diagnostics makes it possible to accurately locate the lesions and assess their extent, thus helping to select the appropriate treatment and monitor the remedial processes.
Contact:
Maciej Przewoźny, DVM, PhD
Phone: +48 600 855 362
Email: m.przewozny@klinika-konie.com.pl
Joanna Bierła, DVM
Phone: +48 519 702 526
Email: j.bierla@klinika-konie.com.pl
Arthroscopy
This is a low-intrusive procedure aimed at removing free fragments, also known as chips, from the joints. If no radiological documentation has been provided prior to the procedure, each patient has an X-ray taken for the joint operation. An ultrasound examination is also carried out in order to ensure a more precise location. If you decide to carry out an arthroscopy and do not have full radiological documentation, this is the best time to get the documentation complete and, if other free fragments are found, remove them in a single procedure.
Arthroscopy is performed under general anaesthesia. The risks associated with it are detailed in the General Anaesthesia tab. Two small skin incisions are made around the joint. A surgical tool is inserted into the joint through one of them, and a camera is inserted through the other one to observe the former. At the same time, the articular cartilage and, in the case of the knee, the ligament of the meniscus are evaluated, which is of prognostic importance to determine the future use of the horse for sports. After the removal of the free part, the inside of the joint is cleaned with Shaver and rinsed.
The patient stays in the clinic for at least 10 days after the procedure, when the skin seams are removed. As a rule, an X-ray scan is taken during the post-surgery period to confirm the correctness of the procedure. On the day of leave, the owner receives a set of documents of the horse together with a detailed plan for movement and recommendations for the coming months.
Contact:
Maciej Przewoźny, DVM, PhD
Phone: +48 600 855 362
Email: m.przewozny@klinika-konie.com.pl
General anaesthesia
Most surgical procedures require immobilisation of the patient and elimination of pain in order to be performed safely. This can be achieved by sedation and local or general anaesthesia. Like most veterinary procedures, it involves some risk, so before the owner signs the consent for the procedure to be carried out, they should get acquainted with all the most common complications.
Contact:
Joanna Bierła, DVM
Phone: +48 519 702 526
Email: j.bierla@klinika-konie.com.pl
Surgery
In our clinic, we provide comprehensive treatment for patients with colic symptoms – both conservative and surgical – in accordance with the highest standards of veterinary medicine. Surgical procedures are performed both on an elective basis and in emergency cases, covering operations within the gastrointestinal tract, as well as surgeries involving the musculoskeletal system and soft tissues.
Contact person:
vet. Miłosz Grabski
tel. +48 506 589 702
e-mail: m.grabski@klinika-konie.com.pl
Laboratory
Thanks to the equipment of our laboratory, we can continuously monitor the health of our patients through biochemical analysis and blood morphology. In addition, in case of respiratory diseases, there is a possibility to perform rapid cytological diagnostics and blood allergy tests. For more specialised tests we cooperate with laboratories from Poland and abroad.
Contact:
Joanna Bierła, DVM
Phone: +48 519 702 526
Email: j.bierla@klinika-konie.com.pl
Airway endoscopy
Endoscopic examination of the respiratory system allows for the imaging of pathological conditions in the nose, guttural pouches, throat, larynx, trachea and bronchi. Additionally, it is possible to take material for further laboratory or histopathological examination in case of proliferative changes.
Contact:
Joanna Bierła, DVM
Phone: +48 519 702 526
Email: j.bierla@klinika-konie.com.pl
Ophthalmology
We diagnose the most common ophthalmic diseases in horses. The specialist equipment used for this purpose enables us to visualise the details that are important in monitoring the effectiveness of the treatment undertaken.
Contact:
Joanna Bierła, DVM
Phone: +48 519 702 526
Email: j.bierla@klinika-konie.com.pl
Gastroscopy
Anterior gastrointestinal mucosal ulcers are a common health problem in horses, regardless of age or use, and their diagnosis can only be made on the basis of gastroscopic examination. This examination is recommended for patients with recurrent colic, diarrhoea, poor physical condition and those horses that do not achieve the expected results in sport. The patient should consume nothing at least 12 hours and have limited access to water for the last 4 hours prior. To achieve such an effect, the horse is left for the night in a box with sawdust and the evening rest is avoided. If this is not possible at home, the patient should come to the clinic the day before the examination.
After the horse is sedated, a nasal-stomach probe is put in and the stomach is rinsed from the remains of the food. After the remains have been removed, a camera is introduced in the same way, which allows to view the condition of the oesophageal, gastric and duodenal mucosa. In the event proliferative lesions are present, it is possible to take material for histopathological examination. This examination may also be performed in the field with portable equipment.
Contact:
Joanna Bierła, DVM
Phone: +48 519 702 526
Email: j.bierla@klinika-konie.com.pl
Dentistry
In addition to visits by blacksmiths, vaccinations and deworming, dental care is an indispensable element of horse health prevention and results from anatomical conditions. By correcting the teeth, we enable the proper crumbling of the feed and thus the correct digestive processes and ensure comfort for riding. After the horse is pharmacologically sedated, a full oral examination is carried out and, if necessary, further diagnostic procedures such as radiological or endoscopic examination of the upper airways and/or sinus system.
Cheek teeth removal is performed on a standing horse in sedation and local anaesthesia. For complicated cases, teeth are removed under general anaesthesia. Please get familiar with the risks involved. Should problems with teeth result in paranasal sinusitis, the patient requires hospitalisation involving day-to-day washing of the infected structures and endoscopic sinus examinations. These examinations require trepanation of the head bones - depending on the symptoms, it may require an opening of 2cm in diameter or an exposure of a larger skull surface.
Contact:
Hubert Urbaszek, DVM
Phone: +48 512 584 231
Email: h.urbaszek@klinika-konie.com.pl
Internal medicine
We deal with the diagnostics and therapy of horse internal medicine. These are possible thanks to our top-quality veterinary equipment, such as an ultrasound scanner or endoscope, as well as our laboratory equipment.
Contact:
Joanna Bierła, DVM
Phone: +48 519 702 526
Email: j.bierla@klinika-konie.com.pl
Physical Therapy
We appreciate the value of physical therapy, which is why we often use various types of rehabilitation procedures to support the treatment of major orthopaedic diseases. Depending on the type and duration of the injury, the rehabilitation plan is prepared individually for each patient. In addition to physiotherapeutic procedures, horses are provided with a daily portion of movement in the carousel or longeing, as indicated.
Contact:
Maciej Przewoźny, DVM, PhD
Phone: +48 600 855 362
Email: m.przewozny@klinika-konie.com.pl
Laser therapy
High-Energy Laser therapy is used to treat tissues by means of cellular regeneration. Consistent, monochromatic laser light is used to strongly stimulate the healing and regeneration of the majority of biological tissues. The output power is approximately 30-50 times greater than that of conventional cold laser therapy and is characterised by a very deep penetration. Laser therapy reduces swelling and inflammation within the tissues, accelerates the healing of wounds and relieves pain. It makes the scar from tendon injuries more flexible and smooth.
Shockwave therapy
Shock wave therapy is one of the best ways of treating chronic orthopaedic disorders of the horse, such as those of the upper intercostal muscle injury or tendonitis. Apart from accelerating the healing processes and improving the quality of the newly created tissue, it has a pain alleviating effect. Treatments are performed 3-4 times at 10-14 day intervals. The shockwave generator is a portable machine, thus offering a possibility to carry out the therapy in the stable. The great advantage of this method is its long-lasting results, lack of side effects and the possibility of using it in combination with traditional treatment methods.
EQultrasound
This is a low-frequency ultrasound therapy. Amongst its advantages are deep penetration, complete painlessness and the possibility of performing the treatment in acute conditions. Thanks to three different types of probes, there is a possibility to action multiple areas. The effect of deep heat and vibration is used in the rehabilitation of muscle injuries, while the acoustic effect promotes the recovery of both soft tissues and bone tissue. Please note that EQultrasound can be used as a substitute for the shockwave therapy or as a device supporting it. It is used to treat tendon damage, bone and joint inflammation and is used to lessen calcifications.
TENS
Topical electrical nerve stimulation is mainly used to inhibit pain in Head Shaking disease.
Cold Therapy
In the case of orthopaedic diseases, cold therapy is one of the most important elements immediately after they occur. We possess Ice Horse Cooling Machine by Zamar. In addition, since November 2017, we have been testing the effectiveness of the liquid nitrogen chamber, which allows us to cool down larger parts of the patient’s body at the same time.
Water treadmill
We have a speed adjustable treadmill, which is filled with water to a desired height once a horse is inside. This therapy can be used for the rehabilitation of the horse after an orthopaedic procedure, damage to the tendon, putting the horse into training and as a method supporting exercise. In particular, it is recommended for horses that feel pain and discomfort in the spinal area. Hydrotherapy supports the general development of muscles, especially the back and neck areas, brings relief to muscles and joints after trainings and improves their blood supply and regeneration.
Working in the field
We have three fully equipped ambulances that enable us to provide comprehensive veterinary care for horses outside the clinic. With modern equipment and a team of experienced veterinarians, we can quickly reach your horse, perform diagnostics on-site, and begin appropriate treatment immediately. Our priority is the safety and well-being of the animals and peace of mind for their owners – we are ready to assist with emergencies as well as scheduled field visits.
Contact persons:
vet. Szymon Szot
Tel.: +48 784 094 394
E-mail: s.szot@klinika-konie.com.pl
vet. Hubert Urbaszek
Tel.: +48 512 584 231
E-mail: h.urbaszek@klinika-konie.com.pl
Dr. Maciej Przewoźny
Tel.: +48 600 855 362
E-mail: m.przewozny@klinika-konie.com.pl
Meet the dedicated professionals of Equi Vet Serwis Clinic
Veterinarians
Hubert Urbaszek DVM
Maciej Przewoźny DVM Ph.D.
Tel.: +48 600 855 362
Miłosz Grabski DVM Dipl. ECVS
Miłosz Grabski, DVM, Dipl. ECVS, graduated from the Faculty of Veterinary Medicine at the University of Edinburgh. After graduation, he completed a one-year clinical internship at Rood & Riddle Equine Hospital in the United States, followed by a position at Dierenkliniek De Bosdreef in Belgium. After gaining several months of experience at the local clinic, he undertook a three-year specialist training in surgery at the Horse Hospital at the University of Bristol. This training culminated in his membership in the European College of Veterinary Surgeons as a certified specialist in surgery.
Prior to joining Equi Vet Serwis, Dr. Grabski spent four years at the Department of Veterinary Medicine of the Uppsala Referral Hospital in Sweden. He has actively participated in numerous scientific and educational symposia, including the Advanced Dentistry Course (2011), Regenerative Medicine Course (2011), VDS Prepurchase Examination Course (2011), AO Principles of Equine Fracture Repair (2012), European College of Veterinary Surgeons Summit (2012), Equine Laparoscopy Course (2012), Equine Upper Airway Symposium (2013), American College of Veterinary Surgeons Summit (2014), AO Advanced Equine Fracture Management Course (2015), European College of Veterinary Surgeons Summit (2017), Arthrex Advanced Arthroscopy Course (2019), and European College of Veterinary Surgeons Summit (2019).
He is also the author of several publications on equine diseases. At Equi Vet Serwis, Miłosz primarily focuses on surgery and provides on-site patient care. In his free time, he enjoys traveling with his family and taking daily walks with his dogs.
Phone: +48 506 589 702
e-mail: m.grabski@klinika-konie.com.pl
Hubert Urbaszek DVM
Field and hospital duties
Graduate of the Faculty of Veterinary Medicine at the University of Warmia and Mazury in Olsztyn (2017). He gained valuable clinical experience during a six-month internship at the renowned Tierklinik Lüsche in Germany, where he worked alongside some of the leading equine specialists in Europe. In 2022, he obtained the title of Specialist in Equine Diseases.
From the beginning of his career, Hubert has focused on developing his skills in equine dentistry – from preventive care and modern treatment techniques to advanced tooth extractions. He has participated in prestigious international courses and conferences (including VetPD, Sassebi, and the European Veterinary Dental Forum), where he honed the latest diagnostic and therapeutic methods.
At Equi Vet Serwis, Hubert is a cornerstone of the team – his precision, knowledge, and practical experience make him recognized as one of the leading equine veterinarians in Poland in the field of dentistry. He combines an individual approach to each patient with innovative techniques, providing dental care for horses at the highest European level – both during field visits and in the clinic.
tel. +48 512 584 231
Joanna Bierła DVM
Specialist in Internal Medicine
In-Clinic Duty
Meet our exceptional veterinarian – a graduate of the University of Life Sciences in Wrocław (2021), who has been professionally connected with EQUI VET SERWIS – a renowned equine clinic – since the very beginning of her career. After completing her internship at our clinic and a prestigious placement at Demorette Asse in Belgium, she has been independently managing internal medicine cases since 2022 and specializes in equine anesthesia and intensive care.
Continuously expanding her expertise, in 2023 she began specialist studies at the University of Liverpool, and in 2025 she gained valuable experience during a prestigious externship at the famous Rood and Riddle Equine Hospital in Kentucky. Her passion lies in equine internal medicine and modern intensive care, where every procedure and clearly defined action plan are of utmost importance.
She is not only an excellent specialist but also a personable, approachable, and highly compassionate individual. Every day she proves herself as a passionate and dedicated veterinarian, committed to her patients and their owners. Outside of work, she enjoys hiking mountain trails and exploring the world of cinema.
By entrusting your horse to our team, you can be confident that your animal is cared for by a professional with international experience who continually develops her skills to provide even more effective treatment.
e-mail: j.bierla@klinika-konie.com.pl
Piotr Bobrowski DVM
Piotr Bobrowski is a veterinary surgeon for whom working with horses is not just a profession, but above all a true passion. He gained experience at renowned centers in Poland and abroad, including a surgical internship at the Hagyard Equine Medical Institute in Kentucky, USA, and a prestigious arthroscopy course by Arthrex in Munich.
Since 2024, he has been a member of the International Veterinary Wound Healing Association (IVWHA) board, and in 2025 he was a speaker at the IVWHA World Conference in Barcelona, where he delivered a lecture on modern surgical wound management techniques.
On a daily basis, he works as a surgeon and veterinarian at EQUI VET SERWIS, combining his knowledge, practical experience, and individualized approach to each patient. He has also built his expertise as a practice owner, academic lecturer, anesthesiologist, and practitioner at major clinics in Poland, Sweden, Turkey, and Italy.
Privately, Piotr is a man full of boundless energy and diverse interests: in his free time, he trains in mountain biking, practices Muay Thai, travels by motorcycle and his “reliable” UAZ, and agriculture is one of his great passions. As a horse owner himself, he has an even deeper understanding of the needs of his patients and their caretakers.
Through the combination of modern treatment methods, practical experience, and patient-centered openness, Piotr diligently cares for the health and welfare of the horses entrusted to him every day.
Phone: +48 502 538 171
Szymon Szot DVM
tel.: +48 784 094 394
Natalia Gabrych DVM
Stationary duties
Graduate of Veterinary Medicine at the University of Warmia and Mazury (2021). She gained clinical experience during an internship at the renowned Tierklinik Lüsche in Germany (2023–2025). Her scientific interests focus on genetics, diagnostic imaging, and neurology – in particular on brain diseases and functions.
At Equi Vet Serwis, Natalia brings a unique perspective in the field of neurology, complementing our team’s expertise and enabling us to better diagnose and manage the most demanding cases. Thanks to her passion for this discipline, she enriches the knowledge of the entire team and supports the development of modern diagnostic and therapeutic approaches in equine neurology.
Outside of her professional work, she is passionate about music, drawing, and writing stories. In her free time, she enjoys literature – from crime novels to fantasy. She also loves computer and board games, listens to true-crime podcasts, and learns foreign languages.
