ENFOLD

Optimize Function

Elevate Performance

Equine Functional Medicine in Northern Idaho

Reimagined

We regularly provide farm calls throughout the Palouse region, including Potlatch, Moscow, and Lewiston, with scheduled travel throughout Northern Idaho (Lewiston to Coeur d’Alene) and periodic visits to Southern Idaho and the Treasure Valley.

Equine Acupuncture, Spinal Manipulation, & Body Lameness

Optimizing skeletal function and movement is fundamental to the soundness, longevity, and comfort of our equine athletes. We focus on identifying and treating the root causes of movement dysfunction to restore efficient biomechanics and lasting soundness.

All of the parts are important

Functional Medicine Evaluates the Whole Picture

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Comprehensive History
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Posture
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Nutrition
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Hoof Balance
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Movement
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Muscle Development
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Tack Fit

Experience & Expertise

Licensed veterinarian with 15+ years of experience and advanced training in acupuncture and veterinary medical manipulation, dedicated to improving comfort, function, and performance.

Our comprehensive approach looks beyond symptoms to identify underlying contributors to performance issues, including biomechanics, tack fit, conditioning, nutrition, and living environment. By addressing these interconnected factors, we support lasting soundness, resilience, and athletic longevity.

Services

Acupuncture supports pain relief, tissue healing, and neuromuscular function—improving overall comfort, mobility, and performance. Research in both veterinary and human medicine shows acupuncture can modulate pain pathways, reduce inflammation, and influence muscle tone and nerve function. In horses, it is widely used to address back and neck pain, muscle soreness, and movement restriction, and is often integrated with rehabilitation and performance care to support lasting soundness.

Chiropractic care (referred to in veterinary medicine as spinal manipulation or veterinary medical manipulation) helps restore normal joint motion, reduce discomfort, and improve mobility in performance horses. By addressing areas of spinal and pelvic restriction, treatment can enhance neuromuscular coordination and movement efficiency. It is commonly integrated into performance and rehabilitation programs to support comfort, function, and injury prevention.

Every examination begins with a detailed assessment of your horse’s gait, posture, and balance both in hand and, when appropriate, under tack. We evaluate limb loading, movement symmetry, and whole-body biomechanics to identify sources of pain or dysfunction—including those originating beyond the limbs. This comprehensive approach allows us to detect subtle restrictions and compensation patterns that can affect comfort, performance, and long-term soundness.

Shockwave therapy uses high-energy acoustic waves to stimulate healing in deep tissues, making it especially effective for the back, neck, and joints. It increases blood flow, reduces pain, and activates the body’s natural repair processes.

Common uses:
Back and neck pain, facet arthritis, SI pain, soft tissue injuries, and performance-related soreness.

Treatment:
Typically 1–3 sessions are needed. Because of the intensity, light sedation is often recommended for comfort and accuracy.


Shockwave vs. Laser

Shockwave

  • Deeper penetration
  • Stronger regenerative response
  • Fewer treatments (1–3)
  • Often requires sedation

Laser (Class IV)

  • More superficial
  • Reduces inflammation and supports healing
  • Requires more frequent treatments
  • No sedation needed

Our Class IV therapeutic laser delivers deep, targeted light energy to stimulate cellular repair, reduce inflammation, and support faster recovery in equine athletes. This form of photobiomodulation has been shown in veterinary and human studies to enhance circulation, modulate inflammatory pathways, and promote tissue healing. It is commonly used in horses to treat tendon and ligament injuries, muscle soreness, joint inflammation, and back pain, and integrates well with rehabilitation and performance care programs.

Mesotherapy is a minimally invasive treatment used in horses to address localized pain and inflammation, particularly along the neck, back, and topline. The technique involves placing very small amounts of medication or therapeutic agents just under the skin in targeted areas using fine needles. By stimulating the superficial nerves and tissues, mesotherapy can help interrupt pain pathways, improve circulation, and reduce muscle tension. It is commonly used for conditions such as back soreness, muscle spasm, sacroiliac discomfort, and performance-related pain. When combined with a comprehensive evaluation of movement, biomechanics, and contributing factors such as saddle fit or training demands, mesotherapy can be a valuable tool for improving comfort, restoring normal function, and supporting long-term soundness in performance horses.

“Dr. Permenter takes a holistic approach to every individual horse, and I’ve never seen my horses sounder, healthier, or happier!”

“Dr. Stephanie is an incredible equine vet my horses were so blessed to call their Primary Veterinarian and Bodyworker Extraordinaire before she moved. I highly recommend utilizing her veterinary services along with her chiropractic work and acupuncture.  Your horses will thank you!”

“Dr. Permenter has been my equine veterinarian and practitioner for many years.  I trust her with everything from my foals to my retired horses.  She is exceptional at maintaining performance horses and ensures they are ready to compete.  She always has the best interest of the horse in mind and she is skilled in finding the root cause of any issue or problem.  I highly recommend Dr. Permenter!”

Dr. Stephanie Permenter

Dr. Stephanie Permenter

Veterinarian & Owner

Expert Care. Proven Results.

Dr. Stephanie Permenter grew up in southern Idaho surrounded by horses, spending her childhood riding, showing, and training. From an early age she was fascinated not just by horses themselves, but by how they move, learn, and perform in partnership with people. That curiosity sparked a lifelong drive to understand and improve the horse as both athlete and companion.

After earning her veterinary degree from Washington State University, Dr. Permenter completed an internship at a large equine hospital in Minnesota before returning to Idaho to build an ambulatory equine practice serving performance and pleasure horses. Over her 15-year veterinary career, she has increasingly focused on integrative therapies, pursuing advanced training through the Chi Institute in Veterinary Acupuncture and Veterinary Medical Manipulation (chiropractic care).

For the past three years, she has also worked in small animal emergency medicine, an experience that broadened her clinical perspective and ultimately brought her and her family to the Moscow, Idaho area. She now lives there with her husband and son while continuing her equine integrative practice.

Today, Dr. Permenter’s work centers on evaluating the whole performance horse. She is passionate about identifying the underlying reasons a horse moves or performs the way it does—recognizing that soundness and athletic ability are shaped by many interconnected factors. Her approach considers the entire system: body pain and lameness, limb flight patterns, hoof balance, oral comfort, tack fit, and nutrition.Her goal is to help each horse achieve optimal balance, comfort, and willingness—supporting longevity in performance and a stronger, more harmonious partnership with the rider.

Are you noticing any of these signs in your horse?

Subtle behavioral or performance changes are often early warning signs of deeper physical discomfort or dysfunction.

  • Back Sensitivity
  • Girthiness
  • Hollow & Bulged
  • Tighter to One Side
  • Laziness/Lack of Drive
  • Cold Backed
  • Hopping at the Trot
  • Swapping Leads
  • Cross Firing
  • "Goat on a Rock" Posture
  • Sleep Deprivation
  • Fetlock Sores
  • Difficulty with One Lead
  • Difficulty Picking Feet Up
  • Poor Topline Muscling
  • Shivers or Stringhalt
  • Stall Kicking
  • Tack Lameness
  • Asymmetric Shoulders
  • Head Shaking
  • Bucking or Rearing
  • Avoiding Bit Contact
  • SI (Sacroiliac) Pain
  • Kissing Spines
  • High/Low Hoof Asymmetry
  • Carpal Wobble
  • Moodiness

Learning Center

Articles exploring equine health, biomechanics, integrative therapies, and practical approaches to improving comfort and performance.

Connect With Us

Comfort. Function. Performance.

We are based outside of Potlatch, but offer appointments throughout Northern Idaho, serving horses from Lewiston to Coeur d’Alene, with scheduled visits to Southern Idaho and the Treasure Valley.

Please reach out to discuss your horse or set up an appointment.

Restore Balance. Restore Motion.