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Equine Physiotherapy Services

A woman grooming a brown horse inside a barn.

Equine Physiotherapy

Equine physiotherapy plays a vital role in maintaining the health, performance, and well-being of horses across all disciplines. It involves the use of specialized, non-invasive techniques to assess, diagnose, and treat musculoskeletal conditions, as well as to prevent injuries and optimize athletic potential.


Core services


Static Assessment - This involves observing the horse at rest to identify subtle conformational irregularities, asymmetry, muscle atrophy, and signs of discomfort or abnormal posture.


Dynamic Assessment - Observing the horse in motion (in hand, on the lunge, or under saddle) helps pinpoint gait abnormalities, compensatory movement patterns, and lameness issues. This may include slow-motion video analysis for detailed review.


Palpation and Manual Examination - A hands-on assessment of all major muscle groups, joints, and ligaments to detect tenderness, heat, swelling, muscle tension, fascial restrictions, and reduced range of motion.


Treatment modalities - Physiotherapy utilizes a variety of hands-on and electrotherapy techniques tailored to the individual horse's needs and condition.


Manual Therapies


These techniques are performed using the therapist's hands to manipulate soft tissues and joints.


Massage: Therapeutic massage to relieve muscle tension, improve circulation, and reduce pain.

Myofascial Release: Targeting the connective tissue (fascia) to restore elasticity and mobility.

Stretching and Mobilization: Specific techniques to increase joint range of motion and flexibility.

Acupressure: Applying pressure to specific points to alleviate pain and stimulate healing.


Electro Therapies


The application of specialized equipment to promote healing and reduce pain.


Laser Therapy (Low-Level) - Anti-inflammatory and pain relief, tissue regeneration, wound healing, acute pain, soft tissue injury.

Transcutaneous Electrical Nerve Stimulation (TENS) - Pain management for musculoskeletal conditions and post-operative care.

Neuromuscular Electrical Stimulation (NMES) - Prevent muscle atrophy (muscle wasting) and re-educate muscle function. This non-invasive therapy stimulates the nerves and muscle fibers, aiding in post-operative care, kissing spines, nerve damage, and improving muscle tone and symmetry.


Rehabilitation Programmes


Customized exercise and management plans following injury, surgery, or chronic conditions are essential in equine physiotherapy.


Phased Rehabilitation: Structured programs progress from rest and passive mobilization to controlled active exercise (e.g., pole work, hill work) and eventual return to work.

Core Strength and Stability: Exercises designed to engage the deep stabilizing muscles of the trunk (e.g., carrot stretches, specific groundwork).

Owner Education: Training owners on safe and effective techniques for home exercise, passive stretching, and maintenance care.


Prices


Equine Physiotherapy Initial Assessment - £60

Equine Physiotherapy Follow up - £55

Electrotherapy session (30 mins) - £30

Groundwork Sessions

A dedicated groundwork physiotherapy session concentrates on assessing and treating musculoskeletal conditions while the horse is moving and performing exercises on the ground, without a rider. This approach enables the physiotherapist to observe movement patterns, symmetry, and muscle engagement in a controlled environment, essential for effective rehabilitation programmes.


Core Objectives


Dynamic Assessment: To observe the horse's natural movement, gait abnormalities, and compensatory patterns without the influence of tack or rider weight.

Musculoskeletal Activation: To use specific groundwork exercises to isolate, activate, and strengthen targeted muscle groups, improving core stability and body awareness.

Proprioception Enhancement: To employ exercises that challenge balance and coordination, encouraging the horse to use its body more efficiently and reduce the risk of injury.

Owner Education: To teach the owner/handler precise, therapeutic groundwork techniques they can integrate into the horse's daily routine.


Typical Session Structure


Observation & Gait Analysis & Clinical History


15-20 minutes


Visual assessment of the horse at walk and trot in straight lines and on circles. Focus on head carriage, limb placement, foot fall, stride length, and spinal movement. Spoken clinical history with owner.


Therapeutic Groundwork Exercises


20–30 minutes


Introduction of specific exercises tailored to the horse's needs (e.g., pole work, lateral work in hand, hill work, use of cavaletti, backing up, belly lifts).


Re-Assessment & Feedback


5–10 minutes


Review of the horse's movement post-exercises and discussion of the treatment plan, including homework exercises for the owner.


Prices


Groundwork session (1hr) - £45

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