The never ending SI rehab

Luckily my barn does not care if you take lessons or not. In my case I thought it would be helpful once a week for my trainer to set poles, gymnastics or what have you and make sure I was doing them properly (straight straight straight!!) and also be there to move things around. When we’re relegated to the indoor for most of the winter setting ground poles/trot poles/gymnastics can be challenging because different people want to do different things and move things all over the place. I will take everyone’s advice and lay off the lessons for the time being. There’s a huge mirror in the indoor and I can monitor his straightness there. And he usually works pretty straight anyway. Lots of practice! I agree that she’s not the right person for this horse, at least not right now. I actually could use the extra money to pay for the chiro/vet/farrier! Haha. He is a very important horse to me. I currently own two and they’ll probably be the last I can afford. I can afford to help him along right now and even if I could afford to buy a new one, I could never replace this guy. For all his antics he is just a phenomenal horse. He tries so hard to get things right. My chiro says that most horses with muscles as spasm-y as his were when she met him would have bucked me off or really acted up. Not my guy, he takes things in stride as it were and at his worst throws a small tantrum. If you saw what he can do in turnout (leap sideways 3 strides in one and high enough to clear the 4ft fence) you would appreciate how important it is that he controls himself, even when uncomfortable, under saddle.

Mouse&Bay - I agree. I do hate it when any trainer discusses your horse with the vet. I can understand the usefulness of everyone being on the same page but in my horse’s case this has never happened. I am happy to read your post because it may be time for me to put on my big girl pants and have this discussion with my trainer. I have never heard her say a good thing about him, it is always a negative comment about something and I feel as though she seems to have more credence than I do because she’s a professional. In other words, instead of getting the vets opinion she gives her own and the vet responds to that. I don’t think it’s very helpful or productive. I didn’t know if I was being overly sensitive myself!

HeyMickey - I decided to treat my guy with chiro because it was what the massage therapist recommended. I’d never worked with a chiro before so really didn’t know what to expect but I found one of the best in the area and after my horse’s first few adjustments (plus strengthening) he was much better. My vet who isn’t very familiar with chiropractic work prescribed robaxin for the muscle tightness. He was on it for two weeks and I didn’t notice it made any difference. I guess I have stuck with chiropractors because I had my guy bone scanned and ultrasounded by a top vet in my area (not my main vet) and they couldn’t find anything “wrong” with his SI. In other words, his isn’t a typical tear in the SI region, his issue stems originally from a conformational/early pelvic bone injury (maybe during birth?). His injury went undiagnosed and healed long ago, before he was broke so I’m fighting years of improper muscle development. I mean you wouldn’t notice really by looking at him - today if you didn’t know he had an SI issue and didn’t have a history with them you wouldn’t necessarily see it. Yeah one side of his SI is a little higher, but his rump is full and his muscles are more or less even. But he has a lot of tightness and old habits that come out occasionally and I’m constantly fighting his muscle memory from compensation all these years. I’m sure it’s much the same with your guy - the only difference being that my guys injury is very old. I am open to other ideas in addition to my chiro though - I am interested in the H wave and all these other ways to target the large muscles with which I am fighting! I will send you a PM :slight_smile:

slp2 - Thank you for your input! Yes. Very frustrating! And I do think that as I wrote in my message to Hey Mickey, that my horse’s injury is very old so I would guess you are right in that he didn’t heal properly from the initial injury. My thought is that although the injury itself healed (and there is no sign of it) the muscles set themselves in whatever way worked at the time to hold his pelvis in place. So although I’m not working with an injury per say, I am working with the aftermath of one so I should treat it like a slow healing injury. I hope that when he is built up properly he will be strong enough to hold the adjustments. Good for you for knowing something was wrong with your horse. I think the best thing to come of this scenario for me is that I know my horse is not just being a jerk, I have found that when he is comfortable he is the most willing and compliant horse I’ve owned. He is a real trier and he likes to know he has done well.

grayTBmare - I think you’re absolutely right. My trainer buys and sells and one of her greatest strengths in one respect is not getting too attached to any one horse. I am not like that at all - I own a horse for a day and am convinced I’ll have it for life. I don’t think she understands my attachment to this horse, or anyone’s really. She loves horses but she thinks that they owe it to us to work hard for their living arrangements. When they cannot do the job we expect of them she loses interest. Because she can - she can sell it or find it a new home/job etc. I cannot - like you said, I don’t have another option. It further complicates the issue that I am beyond attached to this horse. I am heartened by your comment that small readjustments are to be expected. My old chiro told me that my horse will most likely always need an adjustment here and there, basically 3 steps forward 1 step back for a while, but that it shouldn’t limit him or make me worry. Naughty horses…Haha. We had a lot of snow a few weeks ago and most of the horses at my barn just stand there waiting to come in. Not mine! He was frolicking, eating the snow, playing, walking through it. He wanted to stay out all day. He’s a good boy. Sounds like there are a lot of “full of life” horses on this thread. Nice to hear.

rhymeswithfizz - I think a good physical therapy program is key. I hope that you are right - it would be wonderful if the issues I am dealing with really are all strength related and that he will hold his adjustments when stronger. He does hold most of them now, but hopefully he will hold his femur adjustment more consistently when stronger. Fingers crossed! I think I’m still surprised and frustrated sometimes because if you looked at him you would think he was very strong, but my chiro says he’s going to fill out way more and that he’s weak! I understand now that it is possible for him to be very fit but also be too weak in some places to hold all of his adjustments. It’s just weird to think about when you see his body, watch him play in the paddock or feel him move under you. He is 100% TB but he looks like a Warmblood! Like a lot of warmbloods he is slow to mature and fill out completely though.

Perhaps it would help readers to have my horse’s whole story. SI issues are not as well understood as other issues so maybe my guy’s story can help others? I bought him 3 years ago as a big gangly 4 year old. I come from the hunter jumper world, he comes from a top eventer/breeder. I met the horse, rode him, loved him, bought him. We had a hellish winter - 3-4 feet of snow, no indoor, lots of hacking road work at the walk, some trot. From January to April. He was a good boy but he started losing muscle tone on his right hind side. Thought it was the saddle. Had the saddle refit and kept going. By April there was dramatic muscle loss but no lameness. Could not figure it out. Had another horse doing the same work who was fit and had great topline. A vet from the office of my main vet said he had an old jumpers bump, don’t worry,not lame, no problem. Started with my trainer in May to get the muscle back. She said she had never seen a horse whose pelvis was as unlevel as mine. Learned how to ride in more of a dressage position and ask horse to work more from behind, in shoulder in because he had a tendency to hold his inside hind too much to the inside and perhaps that was why the right hind was atrophied. Started with massage therapist and chiropractor. Massage therapist said he was very sore in his right glute. Chiro came the first time and said horse was majorly out of alignment, back muscles were very tight on the right side and were preventing nerves from firing properly to the right gluteals which caused the atrophy and that my horse was “hip hiking” or not going through the full range of motion in the pelvis which made the muscle atrophy appear much more dramatic. Adjusted him and told me to slowly (over the course of 4 days) work back up to our regular program. Came again a month later and said my horse had held the adjustment quite well and that he didn’t see his pelvis to be of great concern. Still my trainer wasn’t offering a very bright prognosis for my horse and pointed out again and again how he didn’t move like normal horses, how things seemed more difficult for him than for other horses. I bit the bullet and had a poll to tail bone scan at a very big name horse vet without the knowledge of anyone at the barn because I was so worn out from people telling me how messed up my horse looked. Horse came up clean. No signs of anything in the SI or anywhere else. Had his SI ultrasounded to be very sure and they said his ligaments look great, no signs of trauma, left side of pelvis is 1cm higher than the right side but gluteal muscles are even. The vet had a great attitude - I went in there thinking I had a broken, completely messed up horse and this guy said “If you tilt your head to the side he looks completely normal. I’ve seen horses with way worse asymmetry than him and it hasn’t limited them a bit. He is completely sound. His conformation should not hold him back.” Basically the vet told me he either broke his hip when very young or he was just born this way and gave me a strengthening program. I went back to work with my guy with a new sense of calm and reassurance. Horse filled out a lot, started showing, did his first novice event, got a 28 in our first novice dressage together, clear SJ, one bobble at the water jump XC - fence judge marked a stop at the water although 2 witnesses say he did not. I didn’t know you could challenge and I didn’t care because it was so much fun and I was psyched. Two weeks later horse did some stupid antic in his paddock and was NQR. Chiro came and “fixed” him but two weeks later he slipped in the mud and came out of alignment again but worse than he ever had. Was not unsound but was not moving properly behind. Unfortunately my chiropractor was out of town for the next few weeks and I knew my horse couldn’t wait that long. Regular vet said “well we’ve found his limitation” and gave me some stretches and I called a new chiropractor. New chiro came and put him back together then said to start over again with 2 months of trotting: no canter, no jumping. Hacks, ringwork without small circles, hills at the walk. She said he had a lot more muscling up to do before his body could hold his pelvis in place properly and that my current training schedule was way too much. She said he had a lot of promise, told my trainer “It would be a mistake to give up on this horse. He is going to do great things.” And I thought for the first time that my trainer would finally get it. Yes! We’d be on the same page!! Nope. Nothing changed. Except my horse. He is stronger than ever now and getting stronger. He did slip on the ice two weeks after his chiro appointment and did a split. Seemed ok though, not off, not resistant, so kept working him. That’s when the dreaded gymnastic lesson took place and he couldn’t canter the zig zag exercise with the 10m circles to roll back jumps which led to my trainer telling my chiro that he’s not jumping properly. Yikes. Long year. Anyway, there’s our story. To make matters slightly worse at the moment, my excellent footed (no really, he has EXCELLENT feet - low heeled but very big and very solid) horse went and got his first abscess under his snowball pad so we’re relegated to walking under saddle for a few days. I know I should be hand walking but he can be a nightmare. He is SO fit and feels great and I think leaping about and rearing would be detrimental to the foot while a nice calm walk undersaddle will allow me to keep him stretched out and supple. Plus my barn only turns each horse out for a few hours a day. Limited paddocks. So the longer I can walk him myself the better. Which brings me to my next question…Are there any great exercises for strengthening the hind end at the walk? Today I did transitions within the walk, shoulder in, haunches in, a little leg yielding and walked him through ground poles. He’s totally sound on the foot and I wrapped it very well and the indoor has a very forgiving surface and no rocks/bumps/etc.

[QUOTE=Hey Mickey;7329490]
Yes…How’d you know? ha
He had a 7 panel round pen that he was turned “out” in and that proved to be too much space for him.
I ended up having to move him unexpectedly and the place he’s at temporarily doesn’t have a place for him to go and I just can’t trust him. He[/QUOTE]

Mine moved the round pen. While in it. He picked up some of the panels and re placed them. But was unable to let himself out. Luckily.

>>>“Long story short she had us do an exercise two weeks ago that was verging on too hard for him (too much collection at this point in time). That’s fine - no harm, no foul. Easier next time? No. Next lesson at least 3xs harder for him. Basically a zig zag of connected jumps - jumping one, roll back 10m circle to the next, switch leads, 10m circle to the next. He couldn’t do it at the canter - not many large horses could do this exercise properly. It’s VERY hard.”<<<
Wow, that is a very hard exercise for a sound, fit, going Training level horse! We did it this summer and yes, I agree, that was an inappropriate exercise for your horse at this point in an injury. Sheesh. QUIT THE LESSONS!…

My story does not have a happy ending but the rehab was similar. I had a 17.1hh unraced TB who suffered greatly with EPSM. He was a major behavior problem on a good day bc when he got cramps, he acted out. In a big way. The EPSM made him into an unthinking ball of explosives. He was a great horse in a bad body and no matter what, would never be a retirement/pasture pet candidate. (Picture RH leg stuck in trailer divider, picture 17.1 hh TB hanging over chest bar in trailer, picture 17.1hh TB jumping out of Dutch door stall at GMHA, etc)

So, after 6 years of trying to figure him out and train him up and coping with his setbacks from the EPSM, he was competing successfully at Prelim. Miracle of miracles. In a clinic with Woff, Jim wanted to know why we weren’t moving up to Int but Woff didn’t know the back story. Anyhow, we did the real 3-day at Morven. We did a bunch of Prelims and one fine day in October he came out in the morning dragging a hind toe. S-I injury. Stall rest and see how he does. The stall rest was like yours, OP. His stall looked like a patchwork quilt with plywood patches all over the place. I did lots of clicker training to ease the boredom and barn destruction. Gallon jugs of rocks hanging in his room. I gave him his Jolly Ball but the playing with that caused a split open head. All this time he was seeing his chiro/massage therapist a couple of times a week. I was icing him like mad-Get a BIG ice pack and flop it up there and keep it there for 20 minutes 4-5-6 times a day but deff after he’s “worked”. You can also freeze water in styrofoam cups. Hold the cup upside-down and rub the surface of the ice over the injury. As the ice melts, peel the plastic down. Finally we were allowed to hand-walk. Well that was a nightmare. I figured out a lip chain was my friend. We were able to walk out the driveway and back (about 100 yards). When he was allowed ‘small paddock turn out’, I built an electric pen, 12’x12’, inside my 20’x20’ infirmary paddock. That was a brainstorm-one day he did blast down the pen tape but HA HA, Buster, you’re still only in a 20x20… So before too long (February-that’s 4 months of hand-walk and tiny turn out) I was allowed to get on. That was tricky too. February in Maine is not conducive to walking a rehabbing TB…We got it done. We walked for 4 months. In mid-May we got to trot. Walk an hour, on hills and 18" caveletti. Add in 5 total minutes of trot, in 10-30 second intervals. Add 10 minutes of trot. He was doing so well he was allowed the 20’x20’ infirmary. In July he was allowed out in his field and guess what. He blew it out again. Almost immediately.

So my words to you are Take Your Time. OMG it is such an aggravating, frustrating, heartbreaking injury BUT they CAN come back if you are really careful and go really slowly. It sounds like you’re at the point of walking only, for a good long time. Keep the naysayers away from you. Do everything in your power to keep your horse cheerful. Use the time with him to build the relationship even if he drives you crazy. These dark days are made for bonding. Be careful with his diet too. I’d get him off all sugar and on high fat-fat is a cool calorie meaning it doesn’t make him hot. Boy o boy, I hope you have success. You can rely on the COTH to help you through. Best of luck.

These sort of injuries are heartbreakers. It would bother me quite a bit that the bone scan doesn’t show an injury.

Bottomline though, these sort of injuries do take a VERY long time. Having rehabbed a lot of horses, not everyone understands what it takes or has the patience to do it properly.

But I do think they are frustrating injuries and depending on the rider’s goals, this horse may not worth the investment to rehab because they may not be able to hold up to that level.

You have decide what you want to do and what you goals are with this horse. Your motivation and support needs to come from within and not from others. What I do recommend doing is setting an end game with a reasonable time frame. Such as, I will give this a year of rehab and see where that gets us. Your rehab plan has to be flexible with specific times to evaluate when you add more work etc. but also strict about not doing too much. Start a journal to plot your progress or lack of progress and set a time to evaluate. Don’t constantly second guess what you are doing but set specific times that you will evaluate your progress and goal. This will hopefully help both discussions with others (you can explan the rehab program better) and keep from driving yourself nuts by constantly second guessing yourself and your plan.

RiverBendPol - Thank you for your post. I’m sorry about your horse. I agree that all of this is a great bonding time. My guy certainly seems to look forward to seeing me. I actually tried to teach him some tricks with a carrot last year but had to stop because he tried too hard! I hung a cone in his stall this year to help with the normal boredom (all horses only get 2 hours outside - I begged for more so he sometimes gets 4). I fill the cone with carrots when I leave and he dumps them out and plays with the cone. He refused to play with it until I hung it up. He likes to work so I’m glad to do anything with him really.

[QUOTE=bornfreenowexpensive;7334123]

You have decide what you want to do and what you goals are with this horse. Your motivation and support needs to come from within and not from others. What I do recommend doing is setting an end game with a reasonable time frame. Such as, I will give this a year of rehab and see where that gets us. Your rehab plan has to be flexible with specific times to evaluate when you add more work etc. but also strict about not doing too much. Start a journal to plot your progress or lack of progress and set a time to evaluate. Don’t constantly second guess what you are doing but set specific times that you will evaluate your progress and goal. This will hopefully help both discussions with others (you can explan the rehab program better) and keep from driving yourself nuts by constantly second guessing yourself and your plan.[/QUOTE]

Agreed. My motivation definitely comes from within - I never feel like giving up on him, I just get depressed sometimes when I feel like no one around me understands. I know it shouldn’t bother me so much but it does. My horse provides a lot of support but sometimes the things others say can really cut away at you.

I plan on having this horse for the long term. I try to take notes every time something of interest happens but mainly to keep track of what I’ve done so I can make sure I’m keeping things interesting - to make sure I’m not spending too much time working on this or that, make sure we’re getting out to the beach or hacking on the buckle. I think the most difficult part of his rehab for me is that you can’t see that anything is wrong with him! Ahhh! Honestly, if you got on and rode this horse you wouldn’t know ANYTHING was wrong with him. Sigh. I guess that’s like most SI horses. Either way, I listen to my chiro and whatever she says goes.

My chiropractor says to give him another month or so of trotting with limited canter work (read a few trot/canter, canter/trot transitions OK but not canter sets). I’m happy with this. I’m very motivated to make him as strong as I can and I don’t care if all I can do for now is trot. I won’t push him if I’m not supposed to. She did say to push him at the trot - do EVERYTHING I can within the trot to push his limits. Obviously I’ll pull him back if he needs it but she’s just being extra conservative. She doesn’t expect any issues and was adamant that the trot work be challenging. I’m hoping this means that our lateral work and transitions in the trot will be flawless in a month or two :wink: The walking I’m doing for the next few days has only to do with his healing abscess, not his SI. My guess is that the chiro will reevaluate him next month at his scheduled appointment.

Yes but it may help if you do two things. Set a long deadline. So there is a point that you stop if you are not making progress. If you don’t care and are happy to do what ever with this particular horse then that is fine. But your current trainer will not understand (which is fine) but it is how you have to explain your goals to her. Your goal is to progress THIS horses in the manner he is capable and to the level he is comfortable.

The journal should be more detailed than just what you did. But should be how he felt. If you have to create self motivation, it can be helpful to read back how much he has improved. It can also keep you more realistic if he is not improving which can help you adjust your goals for him.

Good luck!

Oh! Gotcha. I will do that. It definitely makes me feel better to look back and see progress. I will think hard about what my long-term goal is and a timeframe for progress. Good advice. Thank you.

One thing my vet/chiropractor/trainer had me doing with my mare was really pushing the long/low/round frame. We are starting to move her frame up a bit now, but the difference it made in her muscling is amazing. Her lower back and hind end look like a completely different horse than they did in the spring.

Another thing for when you start jumping again that my trainer mentioned to me yesterday: once you get through the flatwork only phase and move on to the jumping, they are never allowed to travel incorrectly again. We are taking the time to really emphasis the flatwork over fences stuff… aim for more pretty, huntery rounds.

You have all of us to support you, so don’t give up on your boy yet. It sounds like he is a special horse. I kept a chart of all of April’s workouts from the recovery so far, if you want them. It really helped me track the progress and know that even when we had crappy days, we were still moving forward. Amazingly, the time didn’t go all that slowly.

I wasn’t able to make it through the wall-of-text post about his entire history, but I’ll mention briefly that I have had several horses with major SI issues. One was my mare who took me through the 1.40m jumpers despite not being scopey enough to have been able to do it (what a heart she has!). She has “dinosaur vertebrae” through her SI region (4 or 5 vertebrae that are truly frightening to look at) and it took us a year or so of chiropractic, acupuncture, and conditioning work to get her to really use herself well and after that she required supportive chiro and a spot on conditioning program to keep her going at the upper levels. The final piece of the puzzle that got us there, though, was using Shockwave in conjunction with the chiropractic that allowed her to hold her adjustments.

My gelding came off of the track with a pelvis that was tilted forward and sheared to one side. I really never thought he’d be straight behind. But 2 years of chiropractic, massage, acupuncture, and then finally also shockwave in his SI region set him straight. He’s got stereotypically bad TB feet, and so we have to be super careful with how he’s shod because his SI region is the first to tweak when his feet are out of balance (which was an issue recently because of new farriers coming through after my great farrier moved). He’s now showing at the 1.50m level and I hope to get him into some 1.60m classes this next year (if my checkbook ever comes back into existence again!).

And then I’ve had a couple of others, though not that I’ve taken into the upper level stuff.

My “ticket,” so to speak, has been my vet/chiro/acupuncturist. She’s phenomenally brilliant with her ability to figure out what’s going on with a horse and how to make it go better. And then she also recognizes that she can use help when a pelvis is involved and brings in another specialist to help her get a horse’s pelvis set straight. And she’s also wiling to bring in many other modalities of work to get the horses where they need to be (massage, chinese herbs, laser therapy, etc.). And then, of course, having a great farrier is probably the second most important element. And right behind that is a great conditioning program. I think that supportive conditioning is almost always required with an “SI horse.” I still back my horses up a hill into my arena every single day, warm up with at least 20 min of long-and-low stretchy work, do a lot of lateral work/transitions/trot poles work to help strengthen the hind end, and have everyone turned out 24/7.

I don’t see a tweaked SI as the end of the world any longer. And also, as someone else mentioned, it is helpful to look back on how things used to be, and I do that frequently when I feel like we’re stalling out. The difference between today and 6 months ago is a lot bigger than the difference between today and yesterday!

Sorry about the wall of text!! I didn’t expect anyone to make it through it. I just thought that the full history should be there incase it can help enlighten people about my scenario or more importantly to give information to others for their own horses.

I will speak with my chiro about shockwave - I don’t know a thing about it but it sounds promising and I would like to do whatever I can (afford!!) for this horse. I’ll look into it more and see if it’s an option financially anyway. She does acupuncture and lots of work with touch but not massage or laser therapy. He seemed to respond well to a cold laser (IV) in the past but the lady can only come out 1x a month and at that rate I wasn’t sure if it was an integral part of his recovery.

I am a BIG fan of long and low :slight_smile: Horse and I have started a 20 minute warm up routine of long and low. I do lots of shoulder fore/shallow shoulder in (looong stretch nose to tail as opposed to a collected one) where we focus on bend through his whole body and not too much on how many tracts he is on. My emphasis for him is relaxation and moving his shoulders around really helps. He can get cranky about being asked to collect too early and really enjoys stretch/collect/stretch work - he starts snorting contentedly and sighing.

A quick anecdote for all is today I was soaking his foot (abscess recovery) in his stall while he ate hay. He looked at the water bucket with his foot in it, looked to where he wanted to turn, looked back at the soak, and instead of taking his foot out he pivoted his body and kept soaking! You could really see him think it through - he seems to understand that he’s supposed to keep the foot in there. It made me smile. Then he tried to sample the beta dine/epsom salt solution…

Get yourself some of these for the abcess! They are a fantastic product.
http://hamiltonbiovet.com/collections/stayons

Also, Banixx is amazing stuff.
http://banixx.com/for-horses

These 2 are my new go-to solutions

Thanks! How do you use the banixx? Spray into the abscess instead of packing with ichthammol?

PNWJumper- how often do you or did you use the shockwave therapy?

[QUOTE=TBAper;7336068]

PNWJumper- how often do you or did you use the shockwave therapy?[/QUOTE]

We only did it once.

With my mare, she would get adjusted and hold it for about a month before starting to regress. My vet finally thought about shockwave and on a whim shockwaved her back while adjusting her. She pretty much held her adjustments from that point forward. We never did it again and she jumped around the big stuff for 4 or 5 years after that (we still did other things like yearly hock injections and regular chiropractic).

We did it with my gelding a lot earlier. We had him in a pretty good place and we shockwaved without going through the adjustments that didn’t hold routine.

Posted by OP

My thought is that although the injury itself healed (and there is no sign of it) the muscles set themselves in whatever way worked at the time to hold his pelvis in place. So although I’m not working with an injury per say, I am working with the aftermath of one so I should treat it like a slow healing injury.

Just as an FYI–this is exactly what happened to my horse. The vet said that she probably injured her SI as a youngster (maybe age 2–before I got her). The area where the injury occurred did not heal with normal ligament fibers–instead it was just scar tissue (disorganized fibers). So, despite the fact that it likely happened years ago–she still needed to do a 2 month stall rest to decrease the inflammation in the area (which was probably present for years) Then, the very specific rehab program started to “lay down” the correct ligament fibers, and they became stronger over the 3 months of progressive work. The ultrasounds from the “before” and “after” are pretty amazing.

Depending on the actual injury your horse has, it’s possible that there is scar tissue or damage that could still be present (and be reversed)–if you can work with a vet to determine whether the injury is bony or ligaments and then advise you on a rehab program.

[QUOTE=slp2;7337359]

Depending on the actual injury your horse has, it’s possible that there is scar tissue or damage that could still be present (and be reversed)–if you can work with a vet to determine whether the injury is bony or ligaments and then advise you on a rehab program.[/QUOTE]

Your post is very helpful - and it is interesting to hear that it was possible to repair the ligament fibers in your horse so late after the initial injury itself.

According to the vets who did the ultrasound, my horse’s ligaments appear to be healthy and undamaged. The bone also looks normal - according to the bone scan. His issue appears to be muscular.
He has some scarring in his right gluteal muscle where he tore it in an unrelated incident, being a brat in his paddock on ice leaping about. That injury has healed although it plays a part in the strengthening of the area - it is that right femur that doesn’t hold the adjustment most of the time. The ligaments show no sign of previous or acute injury.

The vets consensus seems to be that my guy needs to build and repair muscle. He is tight and weak and needs to build new muscular patterns. For instance, his left glute and right quad are stronger than his right glute and left quad. This can cause his back to tighten too much on one side if he doesn’t stretch or can allow his pelvis to shift. It’s not a HUGE difference side to side, but it’s enough to hinder his full potential. Because the muscles have been like this for so long it will take a while to get them and the nerves firing properly.

The way I understand it, his pelvis being unlevel is not so much as issue on it’s own if we can get his muscles working evenly and strengthen them enough to hold the pelvis in place. He may never appear level from behind but we can decrease the movement of the SI and prevent excessive muscle tightness/spasm. If he will hold his adjustments and continue to fill out muscularly there is a good chance he can go on to be a normal horse (who needs chiropractic work from time to time).

I think that you should invest your money in a good equine vet who works with sport horses and lameness issues. Chiro is like giving your horse an extensive massage. It feels nice but it isn’t going to help with a long term soundness issue. I would not waste my money on continued adjustments hoping that he will eventually “hold” them but that is my personal belif.

If he ends up being sound I would seek out a trainer who can work him through his issues with a rehab program. Sometimes people and horses need physical therapy to push through an issue to make them stronger. Perhaps your current trainer thinks she sees a weak horse who needs to be made stronger and a rider who has some PTSD regarding her horse’s injuries. It’s easy to see lamness in a horse that has been lame for a long time and outside eyes can be good.

Good advice on the rehab program and outside eyes.

Just to be clear, this is not a lameness or soundness issue :slight_smile: It is an issue of weakness. He doesn’t go “off” even when he’s “out of alignment.” I had an excellent equine vet (not my usual vet - I trailered him to the big name equine hospital in my area) who does work with top sport horses and lameness issues who declared him perfectly sound. That was a little less than a year ago. My regular vet (I have a non-chiro vet and a chiro/vet) agrees that the horse is sound, even at his worst. These are chiropractic issues. The horse may not hold the adjustments every time, but the issues are muscular in nature, in my case, and the stronger his muscles get the better the adjustments hold. I do understand that I may be flushing some of the money :wink: My goal is to keep strengthening him between the chiro visits to get those muscles big and supportive. I’m not saying that chiropractic work (he gets chiro + b-12 & acupuncture) is the only way to go about it, I haven’t tried shock wave or H wave or any of the other alternative therapies or injecting (other than b-12). I will keep an open mind but am going to keep the chiro on board for now. I have seen great results and Mr. Horse is definitely looking better after the adjustments.

[QUOTE=slp2;7337359]
Posted by OP
Depending on the actual injury your horse has, it’s possible that there is scar tissue or damage that could still be present (and be reversed)–if you can work with a vet to determine whether the injury is bony or ligaments and then advise you on a rehab program.[/QUOTE]I wonder if any Vet has ever tried Prolotherapy for ligament issues? I tore all the ligaments in my right SI and rehabbed for years (PT, shockwave, e-stim, cold laser, you name it!) but prolotherapy (the dextrose/inflammatory kind)was the only thing that strengthened the joint and had me almost back to normal. Now I stay in line with ROLFing, to treat the secondary effects of my muscles learning new (wrong) patterns as a result of years of protecting/compensating for the injury. Has anyone ever heard of a Vet using dextrose prolotherapy on a horse?

[QUOTE=J4J;7343284]
Has anyone ever heard of a Vet using dextrose prolotherapy on a horse?[/QUOTE]

I haven’t but how interesting! Glad that it worked for you and glad that you are feeling better. At the risk of sounding very silly, what is ROFLing? My brain went to “rolling on the floor laughing” and I know that’s not right. :wink:

[QUOTE=TBAper;7343645]
At the risk of sounding very silly, what is ROFLing? My brain went to “rolling on the floor laughing” and I know that’s not right. ;)[/QUOTE]
HaHa! It’s what I always think of too!
ROLFing is structural integration, basically feels like a mix of deep tissue massage, trigger point and chiro. Here’s a link