Equine

Equine services

Resources to support your
horse between sessions.

Guidance on stretching, stable management, session preparation and aftercare so you can play an active role in your horse's recovery, performance and long-term wellbeing.

1Stretching Routines

Stretching routines

Before & after exercise

Consistent stretching helps warm muscles progressively, improve joint mobility and support recovery. Always progress slowly over several weeks, allowing your horse to build strength, mobility and confidence gradually.

Before exercise

Mobility & Activation

Before exercise, focus on mobility and free-flowing movements followed by muscle and core activation through controlled isometric engagement.

Mobility exercises

  • Baited neck flexion, extension & lateral rotation series
  • Scapula glides
  • Hip circles

These exercises should involve continuous movement in and out of the horse’s comfortable range of motion rather than prolonged holding.

Mobility exercises

  • Belly lifts
  • Pelvic tucks
  • Tail pulls

Avoid Before excercise

  • Deep stretches held in lengthened positions
  • Fast or jerky movements
  • Overstretching or excessive baiting
  • Pushing beyond your horse’s natural ability

Always progress slowly over a number of weeks, allowing your horse to build strength, mobility, and confidence gradually.

A combination of mobility and activation exercises helps warm the muscles progressively, improve joint mobility, and prepare the body to properly support the weight of a rider during exercise.

After exercise

Stretch & Lengthen

Following exercise, deeper baited stretches can be introduced and held in fully lengthened positions for approximately 7–30 seconds.

Post-Exercise Stretches

  • Lateral neck stretches
  • Forelimb stretches
  • Hindlimb stretches

These deeper, sustained stretches are safest and most effective once your horse is thoroughly warmed up after work. They can help reduce post-exercise muscle tightness, improve flexibility, and support recovery — particularly for stabled horses with limited turnout or paddock time.

Avoid After excercise

  • Stretching beyond your horse’s natural range
  • Moving too quickly or forcefully through stretches

Always progress slowly over a number of weeks, allowing your horse to build strength, mobility, and confidence gradually.

Deeper stretches can help reduce post-exercise muscle tightness, improve flexibility, and support recovery — particularly for stabled horses with limited turnout or paddock time.

2Stable Management

Stable Management

Environment & daily care

The stable environment plays a significant role in your horse’s musculoskeletal health. Small changes to flooring, space, and feeding position can reduce strain and support recovery between sessions.

Stable size icon

Stable Size

Stables must be large enough for horses to safely lie down, roll over and stand without risk of becoming cast.

Horses
Min. 3.65m × 3.65m (12ft × 12ft)

Large ponies (13.2hh+)
Min. 3.05m × 3.65m (10ft × 12ft)

Flooring & Bedding icon

Flooring & Bedding

Where possible, stables should include non-slip rubber matting rather than hard flooring surfaces.

Rubber matting helps reduce the risk of slipping when wet particularly in shod horses while also minimising unnecessary strain on the tendons, ligaments, and joints during prolonged periods of stabling.

There should also be plenty of comfortable bedding in the form of shavings or similar on top of your rubber matting.

Feeding position icon

Feeding Position

Where appropriate and safe for the individual horse, feeding from the floor is encouraged.

Feeding from the ground promotes more natural grazing behaviour, allowing the horse to eat with the head and neck extended downward. This position can assist with gentle stretching through the neck and back between exercise sessions.

In comparison, prolonged feeding from hay nets has been associated with:

  • Repetitive strain injuries
  • Excessive one-sided muscle tension
  • Neck discomfort and impingement

This is largely because horses often pull hay from the same direction repeatedly, resulting in thousands of repetitive one-sided movements each day.

Hydration icon

Hydration

Horses should always have access to fresh, clean water, particularly following a physiotherapy session.

Manual therapy and rehabilitation treatments encourage circulation and lymphatic drainage, increasing the movement of waste products and toxins through the body. Proper hydration is essential to support this process, and many horses will naturally increase their water intake following treatment when fresh water is readily available.

3Preparation & Aftercare

preparation & aftercare

Getting the most from your appointment

A little preparation before and after each session makes a significant difference to the accuracy of assessment and the effectiveness of treatment.

Before your appointment

Preparation

Do Not Work Your Horse Prior to the Appointment

Horses should be relaxed and rested before their physiotherapy session. They should not be ridden, lunged, or warmed up beforehand. For this reason, many owners choose to schedule appointments on a designated rest day or plan their training schedule around treatment sessions.

Every physiotherapy appointment — including follow-up sessions — begins with a reassessment to monitor changes since the previous visit. Your practitioner will evaluate:

  • Movement quality and gait patterns
  • Muscle development and posture
  • Lameness or discomfort
  • Overall progress and functional improvement

Always progress slowly over a number of weeks, allowing your horse to build strength, mobility, and confidence gradually.

If a horse has already been worked prior to assessment, subtle lameness patterns or compensatory movement changes can be much harder to identify accurately.

After your appointment

Rest & Recovery

Rest Following Treatment

To achieve the greatest benefit from treatment, horses should ideally rest for at least 24 hours following a physiotherapy session.

Treatment increases circulation and oxygen-rich blood flow to muscles, tendons, ligaments, and joints. This supports:

  • Reduced muscle tension
  • Improved tissue recovery
  • Enhanced joint nourishment
  • Better overall rehabilitation outcomes

While light riding after treatment is often safe, returning to work too soon may reduce the longevity and effectiveness of the results, meaning more frequent treatment sessions may be required.

Recovery days are a vital part of your horse’s training program. Horses become stronger during periods of recovery, not simply during exercise itself. Appropriate rest and rehabilitation are essential for developing strong, resilient athletes capable of performing consistently while minimising injury risk.

Horses Must Be Clean and Dry

Your horse must be clean and completely dry for both assessment and treatment.

Hands-on physiotherapy relies heavily on palpation to assess:

  • Muscle tension
  • Texture and tone
  • Heat and inflammation
  • Areas of discomfort or restriction

Wet coats or excessive sweating make accurate assessment and effective massage treatment impossible. If your horse is wet on arrival, the session may need to be cancelled and the appointment fee may still apply due to lost treatment time.

A Handler Must Be Present

A handler must be available for the entire duration of the appointment, particularly during initial assessments.

Having a handler present allows us to:

  • Safely assess and work around your horse
  • Perform accurate gait and lameness evaluations
  • Observe movement patterns effectively
  • Produce the most appropriate treatment plan on the day

Without a handler, we cannot safely complete essential movement assessments such as trot-ups and lameness evaluations.

4When to Call a Physio

When To Call A Physio

If you suspect your horse is lame, uncomfortable or in pain, contact us as soon as possible. Physiotherapy is not only for injury recovery — it plays an essential role in preventative care, performance maintenance and overall wellbeing.

Ridden horses are athletes, and regular body maintenance is crucial to keeping them healthy, comfortable, and performing at their best.

Recommended Treatment Frequency

For horses in consistent or high-level work, we generally recommend physiotherapy sessions every 4 weeks as a minimum guideline.

However, treatment frequency should always be tailored to the individual horse and may vary depending on:

  • Age
  • Conformation
  • Workload and discipline
  • Existing injuries or conditions
  • Rider influence and biomechanics

Some horses may benefit from sessions every 2–3 weeks, while others maintain comfort and performance with appointments spaced 6–8 weeks apart.

At Perfect Balance Animal Clinic, all treatment plans and follow-up schedules are individualised and adjusted over time according to your horse’s specific needs and progress.

Signs Your Horse May Benefit From Physiotherapy

If you suspect your horse is lame, uncomfortable or in pain, contact us as soon as possible. Physiotherapy is not only for injury recovery — it plays an essential role in preventative care, performance maintenance and overall wellbeing.

Twitching or sensitivity over the back or saddle area

Behavioural changes such as bucking, rearing, or reluctance to move forward

Resistance or difficulty working on one rein

Loss of muscle tone or condition

Uneven hoof or shoe wear

Difficulty maintaining the correct canter lead

Struggling with transitions

Knocking rails or poles

Head shaking or nodding in specific gaits

Carrying the tail consistently to one side

Early intervention can help prevent small compensations from progressing into more significant injuries or performance limitations.

Noticed any of these signs?

Early intervention helps prevent small compensations from becoming significant injuries.
Get in touch and we’ll discuss the best next step for your horse.

All ages & breeds Tailored rehab plans
Evidence-based treatment Evidence-based treatment
Certified physiotherapists Certified physiotherapists

A few notes from our clients

Double Quote

From the first assessment, I felt confident
my horse was in good hands. I highly recommend
their dedicated treatment.

Luisa Reese

Director

The team was incredibly professional and caring
throughout the entire process. I strongly recommend their
expert approach.

Henley Love

Executive

From my first visit, they made me feel at
ease. I highly recommend their
personalized care.

Selene Felix

CEO