Sadly, I know about PSSM.
Someone here once said it’s a lousy diagnosis and isn’t that the truth. I’m owned by a mustang that was dx’d type 2 via muscle biopsy and he arrived with several serious health problems and now we’re just down to getting him feeling his best to deal w the PSSM. My guy has never tied up either but is mostly reluctant to move and certainly under saddle. But he’s made great improvements and diet is huge. And exercise.
Is yours type 1 or 2? What I’ve found helpful is getting your diet tight. But first need to know which type.
What is your climate? They are happier with warm muscles.
And are your feet kept short toe and well trimmed? That helps.
There’s a FB group too. Quite active. 27,000 members
https://www.facebook.com/groups/202978353056065
I’ve made progress with diet and doing a consult w Claire Thunes next week (PhD in equine nutrition) to see if it can be made even better). I’d recommend you working with a quaified nutritionist who doesn’t work for a feed maker or get compensated for what you purchase…