In addition to the very good advice you have received, you may want to put her on about 10 days of robaxin/bute (check with a vet for dosage, blah blah blah) and see what happens. Because if all the problems disappear after about day 3-5 (when the loading effect is reached) and reappear about day 12 (when it wears off), well, you’ve narrowed down the filed of suspects.
However even if problems don’t disappear or become significantly less severe, you still have detective work to do. It could be behavioral, it could be medical but very likely it is medical and rapidly becoming behavioral as well. And it would be super nice if bute+robaxin is the definitive test, but sadly it is just the quickest/easiest thing to do to rule out certain issues.
I recently ran into a similar issue. I started my young horse and he was fine, just super easy. And we went on a few years and he was fine. Looking back I realize he was increasingly more “nervous/worried” under tack starting about two years ago, but between a work schedule from hell, elbow surgery and some craptacular winters, I put that down to a whole lot of hit or miss riding. But starting last summer, I noticed he was a lot more cold backed for increasingly longer periods, and if I didn’t pay attention… Yeah, lawn dart (he’s um, extremely athletic in this area. It’s 0 to bronc with no middle ground). I had the list: bute/robax, saddle fit (seemed less likely since he wears 3 different saddle type at any given point - butet, western and hybrid for trail riding) followed by chiro/vet for further dx. Eh, the chiro came first for a variety of reasons, and much to my surprise, it was literally a magic cure (I expected at best, some improvement). So I put it down to some acute injury that was helped out considerably by adjustment. Had a few more sessions and he was back to his normal self. Relaxed, easy going, not cold backed after you walked him out about 20 steps (which is how he has always been).
Then a really bad thing happened: in a Very Bad Day, through a series of events, the hybrid saddle ended up underneath his stomach, and let’s just say I’d just as soon NEVER relive that again. Neither would he, I’m sure. How he was alive and both he and the saddle were 99% unscathed is beyond me. But NOW he was super worried about the saddle, and I can’t exact blame him. And that PTSD (post traumatic saddle disorder) pretty much hid (to me, anyway) that it really wasn’t just PTSD, the pain was coming back.
I have a person who rides him 1x a week and we were mulling this over, when I said, “he just seems nervous all the time, even when he doesn’t have a hump in his back… and that’s just not him.” So I did the bute robaxin test, with a fairly aggressive level of robaxin as well as a 3 shot series of adequan. He didn’t really change at all, it had no discernible effect. Things came to a head when I schooled him around some jumps on Friday and he was fine. Not relaxed, but given how long it had been since we jumped, well within acceptable. And then the next day he was an different horse and I foolishly trotted him over an X. And he landed bucking. Fortunately I was expecting it and mostly stepped off (then hurt both arms hanging on, but whatevs). But that was a light bulb moment for the dim witted. I have 100% of this horse’s history. It isn’t entirely behavioral. It’s probably rapidly approaching a serious behavioral issue, but that isn’t its roots. So off we went to the vet clinic.
“That’s the soundest lame horse I’ve ever seen.”
Well I guess there is something to be said for waiting until the problem is obvious. I had him scoped (100% pristine, clean awesomeness) within 18 months so we ruled out ulcers in advance, and of course the bute/robaxin test failure said a lot as well. But he was one ouchy pony on mid thoracic palpation (I believe the quote was “he’d kick me back to vet school if I do this again”). I opted to skip the bone scan since it wasn’t really changing the treatment, and I threw all the guns at him: back injection/osphos and then mesotherapy and intra-articular neck injections a few weeks later.
3 weeks after the osphos/back injection it was amazing. I actually didn’t realize how much his trot deteriorated until it was back. But it was also obvious there was a good bit of “behavioral” left. I’m sure most of it was related to the saddle slipping because he was hyper aware/worried about anything on the side it slipped down first, but I think there was a good bit of “hey, I’m a good horse, but this has been hurting for a while” as well. So I tackled the behavioral side with a lot of frequent saddlings, no hard work, but frequent short sessions, LOTS of treats when tacking up and first walking off, some judicious use of a 1/2 cc of ace to let him take a deep breath (first time with a saddle back on - buck session galore btw, first trail ride, first hunter pace) and a lot of Confidence EQ. I tried perfect prep at first, but didn’t see anything with it and the CEQ is easier, and I think tailor made for this situation. It has 10 packets per box, and I used it for every ride for the first box, and I planned to go every other ride for the next box, but I kind of forgot and he doesn’t seem to need it, so now I’m saving it for the next big change (jumping, etc.)
He’s been great physically (fingers crossed it works, but there is a chance it will not hold) and getting slowly but steadily better, mentally. I started treating him in early July, and it was last week when me and his other rider decided he has finally returned to the old horse, just happily relaxed and round, doop-de-dooping along with about the prettiest most balanced canter I have ever sat on.
And even with all that good news, I am still hyper vigilant. I’m guessing he’s now a horse that I will not be allowed to make too many mistakes on, and I have to factor that into the equation, every ride, every time. I have a lot of good history so that counts for something, but our new history sucks big time.
Which is all a really long post to say you kind of have to be a detective to sort this out, there may/ may not be a good ending, but most importantly, I think this horse is telling you she is probably not going to tolerate too many mistakes on the rider’s part, so you need to factor that into your equation as well.