I’m also in the thick of this with one horse, but thankfully I have another that has kept me riding. My horses are also at home, so it isn’t a big deal to try different things for the headshaker. She can be a pasture puff if need be as long as she is comfortable and can maintain a good quality of life. Most of the time she does NOT headshake in turnout.
I have tried: generic zyrtec, Cypro, acupuncture, chiropractic, nose nets, melatonin daily at 5pm, MSM, magnesium, UV fly mask 24/7. My vet wanted me to try Gabapentin, but I think it is unrealistically expensive as a maintanance drug. Unfortunately nothing has worked well enough for her to continue working. She is not a candidate for being in the barn when the sun is out as she needs her 24/7 turnout to be sane. I did allergy testing but never did the shots as I am not totally convinced it is allergy related. I tried riding on a warmer, sunny day in the middle of winter and she was headshaking. That leads me to believe it is not allergies, but I’m keeping that in mind for the future.
She does not headshake in the indoor and one day while riding outside the clouds blocked the sun shining on the ring. She went from headshaking like crazy (we were wandering around at a walk while a friend was riding another horse) to being able to do W/T work. I was convinced it was photic at that point, but the 24/7 UV fly mask did not help. She wore it for probably 2 months straight. I learned this spring/summer that she cannot tolerate a fly mask at all anymore because I think they aggravate the nerves in her face. She headshakes almost nonstop in T/O within about an hour of having a fly mask on. It resolves shortly after removing it.
I haven’t ridden her lately, but as of now she is comfortable in turnout. She is on MSM and Magnesium as well as a trial supplement for horses with heaves. We did go through a few weeks earlier this summer where she was headshaking a lot in the field. It’s heartbreaking to watch. I have decided that if she gets to the point that she cannot be comfortable being a horse then I will put her down, which is a shame as she is very talented, well-bred, and only 9.
Still on my list to try: Dex pulsing, Regumate, Top Stock, and the Ivermectin protocol (<— you’ll see this a lot in the FB groups).
I wish you the best of luck! The frustrating part about finding what works for your horse is that you need to give each thing a chance for a few weeks or a few months.