Everything Horse magazine November 2015 | Page 40

and more. Then imagine this plank has processes on it, as the plank bows more the processes will be brought even closer together, then add the weight of a person sitting on top of the plank and I would be surprised if the plank doesn't bow so much it touches the floor or breaks, and nearly all of the processes will be touching. The horses core muscles, the multifidus muscles, need to be strong to help the back defy gravity. Riders without knowledge of how to work the horses core correctly can be putting their horse at great risk of spinal problems. Treatment What does the treatment involve? Some professionals believe that KS no matter what the severity, can be treated by physical therapy alone. Depending on the severity, I am not of this belief. If it is low – moderate in severity and there is no fusion taken place yet, then yes physical therapy along with correct riding and training can correct them problem. However, if moderate to severe, I think that surgical intervention followed by a controlled rehabilitation and physical therapy is essential to 40 correct KS, not just physical therapy alone. Surgical interventions that are carried out usually involve removing the top of bone from every other alternating DSP in the area with the problem, so they are no longer able to touch. Other options include corticosteriod injections, interspinous ligament desmopathy, mesotherapy, shock wave therapy and Tildren. Speak to your vet to find out more about these options. Rehabilitation and physical therapy involves strengthening the core, strengthening the long back muscles, and improving flexion through the spine using something like a pessoa, aqui-ami, pilates bands, or equicore system, also using pole work, long reining, stretches, massage, mobilisations, adjustments and manipulation. The programme can be quite intense with exercises to be done 2-3 times per day. If you are not able to carry out the programme effectively due to other commitments; work, children etc. it can be best for your horse if you send them to a dedicated rehabilitation facility where the work can be carried out to the letter, to give your horse the best possible chance of full recovery. How can I prevent my horse from developing KS? Develop core and back strength is the most important thing to do – if you are not sure how to do this speak to your physical therapist or instructor. Regular check ups with your physical therapist to pick up any changes to musculature early so this can be relieved, and you can alter your training if required before the muscles begin to pull too much on the vertebrae. Also, to give an assessment of your horses core and some exercises to improve it. Regular checks of the tack especially the saddle (by a qualified saddle fitter), so that it can be corrected before it starts to affect the muscles. Get signs of lameness investigated quickly so the horse doesn't have to alter its spinal posture to accommodate a different way of going for too long. If you are in any doubt over your horses health Everything Horse UK Ltd and Michelle Woolrich, Cheshire Equine Therapy, strongly advise you should contact a qualified vet. Before any type of therapry can take place full permission must be sought by the horses registered vet. Everything Horse Magazine • Issue 26• November 2015