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IN the early stages of injury, it can be beneficial to reduce the level of pain, both from a welfare point of view and to enable the horse to exercise properly and build up muscle in an efficient fashion. This may involve veterinary treatment alongside local cold therapy, where ice or cold water is applied to the affected area.

Adjunctive treatment such as acupuncture, physiotherapy, manipulative therapy and massage may then be helpful as the horse comes into work, provided there is collaboration between therapist and vet.

Mobilising any injured joint to encourage a good range of flexibility can pay off in the long run. Stretching exercises can entertain a horse on box rest and will also enable him to maintain some degree of core strength. It has been shown that regular baited stretches (such as carrot stretches, pictured below) can increase the size of the muscles in the back although, interestingly, other studies have shown that daily stretching may lead to a decreased range of motion. Stretches should always be performed in moderation.

As the horse comes back into work, gymnastic exercises such as trotting over poles can further increase joint mobility.