Lameness and medical concerns in the sport horse have increased dramatically and likely are attributed to the increased use and performance level of these animals. To keep up with medical demands, we have seen an increase in our diagnostic capabilities and technologies as veterinarians. The concern that I have, as a clinician, is that the drive for these ever increasing technologies to aid in our diagnosis is rising, but it is not being counter driven by new therapies to manage the problems discovered. We raise our capabilities, hopefully to detect problems earlier, but yet our intervention techniques have not changed, giving the same results in the end for the patient. I think at times, we are missing the obvious when it comes to assisting these patients.