Osteopathy – Sam Sherrington

Prehabilitation and Rehabilitation

Prehabilitation is a Proactive/preventive approach to manual therapy, exercise, diet and lifestyle, designed to maximise health and wellness, and minimise individual risks for injury and disease. Well-studied in human medicine, prehabilitation is found to be valuable in ‘high risk’, aged, frail or obese patients, as well as younger patients who wish to maximise their athletic performance or if injured and facing surgery, to return to their chosen sports as soon as possible. It is especially valuable when an animal is requiring surgery, and as a pre-operative approach integrates biomechanical assessment and appropriate manual therapy treatment, individualised home exercises plus diet and lifestyle advice in advance of surgery. Prehabilitation has been shown to promote lower complication rates and earlier restoration of functional activities and status during the recovery from surgery. Good quality systematic reviews show a positive impact of pre-operative exercise therapy on physical function, quality of life, postoperative complications and length of hospital stay.

border collie with toy in mouth waiting for a command

Most animals have been developing compensations for minor slips, trips and falls for many months or years prior to pain or lameness becoming evident. Individualised prehabilitation helps to make sure the animal is moving well and has the best possible strength prior to undergoing surgery. This is believed to help improve the outcomes of surgery by promoting healthy circulation, minimising inflammation, reducing pain related behaviour and movement limitations, reducing strain on the healing tissues and as a bonus will often reduce the animals reliance upon medication to control inflammation and pain both before and after the surgery.

Rehabilitation takes a similar approach around the inclusion of biomechanical assessment and appropriate manual therapy treatment, individualised home exercise, diet and lifestyle advice in respect to promoting the most efficient and successful recovery after orthopaedic surgery or acute injury. Rehabilitation typically follows a pattern guided by the natural healing mechanisms within the associated tissues.

Inflammation is the main factor to manage for the first 2 – 4 weeks depending on the individual situation. This typically includes medication and rest, however these can also be complimented by gentle therapeutic options such as lymphatic drainage, laser and kinesiology taping to help the tissues clear the active inflammation and bring fresh blood supply into the healing tissues. Treatment is always considered on a case by case basis in conjunction with veterinary advice, as individual factors play a large role in the suitability of therapies during the acute stage. Gentle modalities such as laser, kinesiotaping and lymphatic drainage often appropriate immediately post surgery, and specific home exercises may be able to help maintain the nervous and muscular system function in relation to the injury.

Weeks 5-8, are crucial in ensuring the affected tissues are building their passive and active function in a symmetrical and biomechanically correct manner in order to ensure that the repairing tissue is as healthy and functional as possible. Again, passive and active techniques, more advanced exercises and modalities may be applied as appropriate to promote healthy tissue repair.

Remodelling, during weeks 9-12 is when the fun really begins. This is where, if previous stages have been completed with success, we can really start to challenge the body while still being aware there is much change still happening within the healing tissues. Monitoring the dog during this period is particularly important as they often begin to feel ‘like new’ and can easily overdo it. Rehab exercises can increase in complexity as we challenge both the musculoskeletal tissues as well as the nervous system which controls healthy movement.

Months 3 – 6 are the cherry on top as far as rehabilitation goes. While it may seem as though the dog is back to normal, it is very important to continue monitoring them for any signs that their tissues aren’t strengthening symmetrically or fully. Owners are coached on how to monitor their animals for small asymmetries or movement patterns in their own animals specific case, to help pick up early signs of trouble. This helps to reduce the likelihood of long term development of osteoarthritic changes that are common when surgical procedures have occurred. Typically at this stage home exercises should be part of normal daily life, with lifestyle changes well integrated to help the animal continue well into their older years. I always aim to make these lifestyle factors and exercises as easy to integrate into daily life as possible, which makes it significantly more likely that they will be maintained through the animals lifetime.

Please don’t hesitate to get in touch to discuss how Osteopathy and ABM can help your individual animal, with their own specific requirements be their very best.

If you are already struggling with an adult dog who has uneven movement patterns there is plenty you can do to improve their comfort by introducing a routine of safe stretches and exercises. I have compiled a comprehensive range of these within my eBook – The Canine Athlete Warm-Up and Cool-down Manual, which is a safe way for you to start exploring better musculoskeletal health for almost any dog. Check it out HERE or get in touch if you’re uncertain how to get started for your specific dog’s problems.

The best way to avoid IVDD in your Dachshund puppy! AKA – Things to do with every puppy to give them the best chance of a long and physically strong life.

Is there anything cuter than a puppy? Yes! A Chondrodystrophic puppy! Image by congerdesign from Pixabay You’ve done your due diligence and painstakingly selected a breeder who has carefully screened their breeding dogs for the common health problems in these breeds including Intervertebral Disc Disease (IVDD) and the big day arrives when you bring your … Continue reading “The best way to avoid IVDD in your Dachshund puppy! AKA – Things to do with every puppy to give them the best chance of a long and physically strong life.”

Is there anything cuter than a puppy? Yes! A Chondrodystrophic puppy!

Image by congerdesign from Pixabay

You’ve done your due diligence and painstakingly selected a breeder who has carefully screened their breeding dogs for the common health problems in these breeds including Intervertebral Disc Disease (IVDD) and the big day arrives when you bring your new bundle of joy home.

Knowing you have a breed which is more prone to spinal and musculoskeletal problems, it is worth having a plan for prevention in place from day 1. Dachshunds are by far the most likely to be affected by IVDD, however if you have chosen any chondrodystrophic breed (Long body/Short legs) it’s well worth getting ahead of the inherent risk for back troubles from the very start.

Most breeders and breed societies have several good basic recommendations to help keep your dog healthy and injury free, including:

Prevent your dog from jumping – train your dog to wait to be lifted up and down from beds/sofas or use steps/ramps.

Avoid stair use – installing ramps and gates where needed so as to be able to monitor their use.

Maintain a healthy body weight, especially through puppy-hood.

Avoid vigourous chasing/tugging/rumbling/tumbling games by themself or with others.

These basics are an excellent start, however there is much more you can do to help ensure your little friend has the best chance of avoiding major troubles.

Keep your dogs nails short. Long nails change the angle of the whole lower limb, and cause many of the dogs postural muscles to function in unhealthy manners. This creates increased strain both in the legs and the torso. If you can hear your dog’s nails tapping as they stroll around the house, they are too long. The best approach is to gently handle your puppy’s paws and toes as part of their daily routine, and learn to trim them regularly yourself. Whilst taking them to the vet for sedation to have them done once every few months is an option, it’s not a great one, as they’re much more likely to end up being cut too short, causing pain and bleeding and making the whole process more unbearable each time. I will do up a full post on the way I find best to trim nails without catching the blood vessel, however in the meantime you can find some quick guides on my facebook feed here, here and here.

Avoid slippery floors. If you have a house full of slipper polished floorboards or tiles, consider laying down runner mats through the main pathways your dog uses in the house. As cute as it is, don’t encourage games of fetch up and down corridors that aren’t carpetted. We’ve all seen the videos on youtube of what happens when these sorts of games are played, and whilst they initally seem amusing the risk of serious injury, particularly to the spine, that they pose is no laughing matter.

Next – Keep your dogs weight DOWN! Whilst yes, they can resemble sausages, little but long dogs really do need a very definite waist and palpable ribs with light coverage. This also very much applies to the bull breeds who have unfortunately become poster children for obesity. There is a massive difference between muscly bulk and chunky fat. A body condition score of between 4 and 5 is ideal (see chart below). These little dogs generally have a low capacity for extra calories, so remember, a couple of extra snacks a day can easily add up to the equivilent of a humans eating a couple of extra cheeseburgers a day. Keeping your dog lean will minimise the impact on both legs and spine. Also, don’t fall for the fallacy that young dogs need extra for growth. Healthy growth comes from a well balanced diet that provides appropriate nutrients. A pure excess of calories only creates extra mechanical effort on joints and systemic inflammation, and is the last thing that will help your growing dog. If you are unsure on how best to feed your dog, please reach out and I can direct you to one of many excellent experts/resources available to help you make the best decisions.

One of the most powerful things I think you can do, is incorporate prehab (yes, like rehab, only before the problem happens!). The one basic set of exercises you can begin from puppyhood that I feel has the most bang for it’s buck, whilst also being super easy to incorporate into the daily routine, is changes of position.

A commonly accepted sloppy ‘puppy’ sit. Don’t be fooled, puppies with healthy bodies can absolutely start learning healthier postures.

By gently luring the puppy forwards until their pads are both firmly on the floor in a nice straight sit position and rewarding them for this position, it is easy to help them learn that straight sits are worth doing!

It’s as simple as teaching your dog to do a straight sit, down and stand. Yep, that’s it. Sounds easy right? Well, yes it can be, however making sure it is properly straight is the key. Most dogs will develop a habit of slumping to one side or the other, and this often reflects a weakness in their postural muscles. This is why working towards having them be able to do half a dozen to a dozen repetitions of straight changes of position, once or twice a day (while they’re patiently waiting for their breakfast or dinner is a perfect time!) by the time they are 6 months old is extraordinarily powerful in developing healthy movement patterns and protecting joints from the rigours of youth .

When they are 8 weeks of age start asking for one or two of each position as a learning exercise and as they grow and show keenness they can slowly be asked to do more repetitions to begin building strength and stamina. The movements that they practice will greatly influence how they use their body for the rest of their daily activities.

Stay tuned for an in depth look into this process over the coming weeks, and in the meantime please don’t hesitate to contact me to discuss how we can help get your puppy started using their body so as to minimise their future risk of injury!

Don’t forget that even if you are already struggling with an adult dog who has uneven movement patterns there is plenty you can do to improve their comfort by introducing a routine of safe stretches and exercises. I have compiled a comprehensive range of these within my eBook – The Canine Athlete Warm-Up and Cool-down Manual, which is a safe way for you to start exploring better musculoskeletal health for almost any dog. Check it out HERE or get in touch if you’re uncertain how to get started for your specific dog’s problems.

Osteopathy and the Older Dog

When our dogs get older we often seek extra ways to help them. Osteopathy can be invaluable in adding quality to their lives, read on to find out how.

Life can be tough on the body, even for the best loved and pampered pooch, and by the time they reach their ‘Golden Years’ they can be starting to show their age in many different ways. Their metabolism slows down, often increasing weight and lowering their ability to regulate their body heat. This extra weight in itself, adds strain to already worn joints, which in turn make it harder to get your dog out for some gentle exercise to help manage the weight gain. Older dogs often also experience changes in their temperament, becoming grumpy or aggressive towards family members, especially other pets and children. This is frequently due to undiagnosed or under-treated pain, and goes hand in hand with depression, a reduced social capacity and loss of function in their normal daily activities. Pain management often becomes a big problem when the elderly dog shows the commonly seen increasing signs of side-effects and reactions to medication, and an increased reliance on them to manage simple daily tasks. I frequently hear owners feeling powerless to break this cycle – a feeling having very few satisfactory answers to helping their dog manage as their age creeps up.

Osteopathic care is a gentle approach to helping any animal function the best they can taking into account the conditions they are experiencing. Osteopaths are university trained professionals who are able to recognise where the body can function more efficiently, helping the animal move closer to ‘homeostasis’ – the body’s sense of optimal balance, ease and functioning. Osteopaths use primarily manual therapy techniques, as well as adjunctive techniques such as laser, kinesiology taping and exercise prescription.

Human studies focusing on Osteopathic Treatment in the elderly have shown improvements in respiratory function, functional ability, balance and wellbeing. There has also been noted reduction in pain levels, medication reliance and assistance with some side effects of medications such as constipation commonly seen with some pain medications. These studies, while conducted on humans, have great relevance for guiding the kind of allied care we can offer for elderly dogs, in conjunction with care provided by your Veterinarian.

Osteopathy helps to restore an animals range of motion of all joints and soft tissues of the body, creating an ability to move more comfortably through activities of daily living. In conjunction with Hydrotherapy, we can then add numerous general and specifically tailored exercises and activities for the dog and owner to complete at home to help build added strength and function. In the elderly, it always amazes me how many of the co-morbidities (additional conditions such as failing organs, sight, hearing etc) can become less bothersome when the dog is up and moving more efficiently. Movement really is the most amazing medicine for all bodies.

If you are already struggling with an adult dog who has stiffness or uneven movement patterns there is plenty you can do to improve their comfort by introducing a routine of safe stretches and exercises. I have compiled a comprehensive range of these within my eBook – The Canine Athlete Warm-Up and Cool-down Manual, which is a safe way for you to start exploring better musculoskeletal health for almost any dog. Check it out HERE or get in touch if you’re uncertain how to get started for your specific dog’s problems.

For more information or to discuss how I can help your Golden Oldie live their very best life, please give me a shout on 0452 472 959 or shoot me a message @centaurusosteo on facebook.

In Defence Of The Basics

In Defence Of The Basics – 5 things every rider should be doing with their horse.

Image by Mabel Amber, still incognito… pixabay

I suspect I often sound like a broken record or that I’m actually not trying hard enough to give really interesting rehab exercises… and I promise you, I’m getting a bit tired of hearing my own voice on the topic too, but simultaneously I’m becoming more and more convinced that there’s an epidemic of foundations-phobia, a.k.a. groundwork-phobia. Either of which correlates closely with quick-fix-itis and I-can’t-understand-why-he’s-lame-again-itis.

So, in defence of the basic foundations of strong, healthy, well coordinated horses – I have decided to compile a list of some of the most important exercises I believe every, yes – EVERY, horse owner should be doing with their horse, on a regular basis. In my very humble opinion, if every horse was able to do these things correctly, with strength and good form, there would be a whole lot less soreness and brewing unsoundness in our beloved equines, and they would be immeasurably safer for us to be sitting on and entrusting to carry us around.

So, the 5 things I think every horse owner should be doing with their horse.

1 – Lunging for warm up

Yep, I said it. Lunging as part of your every day routine. When I say lunging, the last thing I mean is the old image of standing in the middle of a fixed circle, with your horse traveling at speed around you with any range of contraptions holding him into a set shape.

When I think of a good warm up lunge I’m thinking of the rider also getting a good warm up.

Use all the space you have. Get your own legs moving. Only use as much equipment as you absolutely must to ensure the horse is traveling in a relaxed and posturally beneficial manner. If a horse has been allowed to develop a habit of galloping around, full tilt, with his head in the air, I personally don’t mind simple gadgets like a bungee or chambon used sympathetically so as to show the horse a biomechanically appropriate way to travel. It’s also worthwhile to find someone who knows how they should be fitted correctly and safely to show you how to fit them, safely and correctly. Whilst doing so, it’s crucial to also build in appropriate cues and aids to reduce the reliance on the gadgets. The goal being – to be able to pop on a simple cavasson on and be able to communicate to your horse that you want him to warm up through walk, trot and canter and carry out a few transitions both between and within each pace, while maintaining an energetic, stretchy frame.

Training a horse on the lunge.

2 – Poles

I know I’ve already talked about poles, but they’re just so darn useful that I feel some more discussion is never a bad thing. It’s truly marvelous what can be achieved with a handful, or even less, poles and if you’re feeling adventurous a few baby potties! (insert potty.jpg)

1 pole –

It’s as simple as making sure your horse can step over it! I can feel the eye rolls from here, but it always amazes me how many people accept that their horse is “clumsy”, hence abandoning the idea of pole work, and yet haven’t taken the steps necessary to help that same horse develop the very basics of proprioception. This especially confounds me when they then expect them to jump real jumps. To me, this is a recipe for disaster, as a horse who isn’t able to muster enough control over his own feet at a walk, trot or canter to avoid stepping on or tripping over a single pole is highly unlikely to have the awareness or strength to safely and repetitively control his limbs over jumps. This also applies to trail riding – Do you really want to be on top of a horse, walking through the bush, stepping over fallen branches and through varied terrain on a horse who can’t see his way to stepping over a pole on a manicured surface without tripping??
With one pole, you can also place it parallel to a fence line and have your horse walk through, both forwards and backwards. The trick is straightness. Particularly when backing, this exercise will show up unevenness in range of motion and muscular development very quickly and so is something I find hugely beneficial both as an assessment tool and as a strength and coordination building exercise.

2 Poles –

Continue traversing the poles at all three paces. Make sure not to neglect walk. Because there is no moment of suspension and lower levels of momentum in walk, stepping over poles in walk relies entirely on muscular effort. For horses with poor coordination or proprioception, it can be surprisingly difficult to either lengthen or shorten the stride to navigate just two poles. For these horses, try to begin with the poles placed at an appropriate distance for their individual stride (see distances below), allowing them to step through easily, and then adjust as they know the task to increase the challenge.
To further increase muscular effort, control and coordination, raise the outer edge of the poles. This is where the potties come in. They make amazingly stable yet light pole holders! The outside limbs will have to lift slightly more, engaging both the core and the muscles throughout the shoulder and hip girdles, as well as taking the joints through a larger range of motion.
Place poles parallel away from a fence line and repeat walking through both forwards and backwards. Removing the physical barrier of a fence line can be quite a step up for horses with very ingrained unevenness.

Equitation obstacle barriesr on the showground

3 Poles –

Continue as for two poles. Again, keep in mind that when adjusting their stride to slightly longer or shorter than their natural stride length, it will be another step in the challenge so start small. Use your judgement as to your horse’s individual needs and ability, some horses do seem to need to experience tripping over a pole now and then to give them a little reminder of what the job is, but do ensure the footing is good to avoid serious sliding or falls. We’re aiming to reduce a horse’s risk of injury, not add to it!
Beginners pick up sticks. Arrange the poles close to each other at random angles, beginning with them all flat on the ground, so they are very stable and unable to roll on each other. Lead or lunge your horse through at a walk giving him a chance to really watch where he is putting his feet. Assuming this goes well, and using your best judgement to avoid your horse tripping/putting a foot on a pole etc, progress to trot.
Beginning maze – Arrange two poles parallel to create a channel as previously and use the extra pole to sit perpendicularly at the end creating a ‘turn’. This can either be stepped over in walk or trot after navigating the channel, or used as a guide to turn in walk or trot, aiming to avoid touching the pole.

4+ poles –

Line of poles in all three paces. Each time you add a pole, make sure the distances are initially returned to a natural stride length, and once the additional pole is no issue then you can shorten or lengthen the stride. The ends can be raised, either all on one side or alternately. With 4+ poles it is easy to arrange the poles around a bend in a fan like arrangement, making adding shorter and longer strides very easily achieved by moving closer to or further away from the centre of the fan. Progress as before to raising the outer edge.
Continue pickup sticks with more poles. When the horse is really paying attention to his feet and where he is putting them, you can add planks to test his proprioception a little more. If you have flat edged poles you can cross them over each other, but be very careful doing this with round poles as they will roll.
Maze – arrange the poles into a series of channels with turns and walk and trot through, rein-back, introduce transitions at various points to add challenge. Make it a little harder by making the channels narrower.
With at least 6 poles and when you are completing these exercises under saddle you can create an S bend, allowing you to add some lateral bend control and suppleness into the exercise. This is brilliant for testing a horse’s evenness, and responsiveness to the basic bending aids.

A word on repetitions for poles – When you’re starting with a horse who is in the relearning or rehabilitating stage, it is absolutely crucial to know when to STOP. I generally advise max of around 6 repetitions over the string of poles in each direction. So that’s whether they’re at the 1 pole stage or the multiple poles stage. If your horse is springing through with ease and clearly no where near fatigue, you can begin adding a couple of extra repetitions. It is amazing how quickly a horse can go from ease to struggle though, so watch carefully and even if you’ve planned for 6 reps and you see your horse suddenly start to have more difficulty on the 4^th repetition, stop. It is always better to stop a repetition or two too soon, than to push to the point of true fatigue and have your horse make a serious mistake, step or trip on a pole and land on his head or backside. If the horse is kept at this level of working without hitting significant fatigue, you can use poles on a daily basis to improve proprioception and coordination and strength. If using poles to build muscular bulk you will need to play with some fatigue, and then give the horse rest days without poles to allow the tissues that have hit fatigue to recover and build strength.

Distances – (Distances are approximate and will vary depending on the size, breed and condition of your horse)

Walk and trot – 4-5 tightrope (heel to toe) steps or one large human strides (approx. 0.8 – 0.9m/ 3 foot) Canter – Three large human strides (approx. 3.66m or 12 foot)

3 – Backing up straight and around a bend

Largely covered within the poles section, this is a skill I think is often seriously neglected. When backing, either with the poles as a guide or without, the main aim is to help the horse develop straightness, an ability to take the hind leg through a larger range in the stance phase and develop strength to lift and step back in the swing phase. Rein back is particularly useful for hindquarter and core development especially in cases involving stifle dysfunction. It also promotes excellent mobility through the back and development of the back muscles.

Begin with one stride if it’s a brand new exercise and particularly if your horse is showing signs of particularly poor proprioception in general. Build slowly towards a half dozen strides. Using the fence line or poles can make developing straightness easier, while reversing up a slight incline can make it more challenging.

4 – Stepping under self on a small circle

This is a movement often seen done at speed when developing a “one rein stop” or to disengage the hindquarters for behavioral management. From the perspective of using it to build strength, coordination and a full range in the horse’s hind limb movement, it is far better done at a slower speed and on a larger diameter.

I like to begin in hand with the horse walking around the handler in a small circle of around 10 metres. By shifting your position slightly towards the horse’s hindquarters, bringing the nose in and asking him to make the circle smaller you will see him take a stride or two where his inside hind crosses over underneath his body. Progressively work on this same movement until you hit a small circle of around a metre diameter, where he is continually stepping the hind-leg under around the circle. What you want to avoid is the horse disengaging and swinging the hindquarters rapidly. You want deliberate, controlled steps with the hind legs through a full range of both adduction (moving under the body) and abduction (moving away from the body).

In a similar vein, this can be done as a small figure of 8, switching from one hind leg stepping under to the other.

Under saddle this obviously translates well to turns on the forehand, (again beginning on a larger diameter circle and bringing the front end more and more still as you progress).

5 – Moving laterally

Finally, in order to really get your horse thinking about controlling the movement of his front and back end in all directions, I really like a horse to be able to side pass in hand. To achieve this, it is easiest to make use of the fence line and face towards it. Stand facing your horse’s shoulder and ask him to move away from you. If you’ve added an “over” or “away” cue when doing the small circles, this should be a fairly natural progression with the cue aimed towards the torso rather than the back end. Start with a step or two, and aim for half a dozen steps in each direction at the most. Over time you can play with moving the shoulders a little more than the hindquarters and vice versa, as well as doing this without the fence line to restrict the forward motion.

Begin the ground work exercises daily to begin with, completing around half a dozen or so repetitions of each exercise (lunging – aim for 10 mins max for warm up). Remain watchful for signs your horse is fatiguing before the allotted 6 repetitions in each direction. That’s ok. We all start somewhere and some horses will genuinely begin to fatigue before they get through the half dozen. By challenging your horse carefully each day you will be amazed by how quickly he will change. I like to consider this a 4-6 week process at minimum of building through the complexity of each exercise. Some horses with really old patterns of faulty movement may take a lot longer. When all the exercises are easy, it is nice to make them a part of your weekly routine around 2-3 times per week. Many of these can also be adapted to be done under saddle as well, but I still like people to be doing these in hand 2-3 times a week so the horse gets an opportunity to move in all these ranges without the added weight of a rider on their back.

Ridden poles.jpeg

Ideally, before embarking on this programme, I like to make sure a horse is as balanced and restriction free as possible by giving him a full Osteopathic assessment and treatment. Failing that, if during the process your horse is finding one side particularly challenging, or not developing strength evenly, continues to trip or stumble or really just isn’t getting any particular part of the programme, then it is a wise idea to get them checked over by an Osteopath or other ABM professional.

In conclusion, if you can work your horse through this collection of basics, I truly believe you’ll have a far stronger, more coordinated, supple and less injury prone athlete to take into whichever discipline you fancy.

So there you have it, let me know how you get on if you embark on this, I love hearing the many and varied ways horses make their way to better physical health.

Horsey Pick Up Sticks – More on Proprioception

I discussed the benefits of polework in helping a horse improve their proprioception and condition previously, and have been meaning to post about another favourite when I accidentally found these notes I’d made quite some time ago, hiding in my phone :/ Enjoy!

Step 1 – Grab 4 or 5 of poles and pop them down at random angles close to each other.

Walk your horse through, allowing him full freedom of head and neck so he can view the poles and adjust his steps as required. This step will be very basic for many horses, however I consider it an important one as it will show up if the horse is severely lacking in proprioceptive skill or the strength to carry himself through, which would make the full exercise quite dangerous.

When your horse is navigating the exercise with ease shift the poles around so he has to readjust, bring some closer together and cross some over. We ideally want to avoid him stepping onto a pole and having it roll under his foot, so allow him plenty of time to pick through and if he’s the particularly clumsy sort, spend extra time working on varying distances with poles flat on the ground before crossing any over. As an aside, hexagonal/octagonal poles are a very good thing if you’re investing in new poles!

Step 2 – Once your horse is solid with step 1, increase the complexity of the pattern, adding extra poles or even adding in some narrow planks if available. The goal is to keep the horse concentrating on where he needs to place his feet with every step. Pick your way through in many different directions so the distances change.

I tend to err on the side of caution and recommend this exercise always be done in walk, though I do know some who manage well in a steady trot. Let safety always be your friend when considering if trot is an option, and set the poles back to an easier configuration before pointing your horse at them in trot for the first time.

Further, I also recommend it be done only in hand, at least until the horse is very accustomed to the point of the game, AND he has done some solid basic pole work under saddle so he has the strength to keep his posture under control whilst carrying you.

This is an excellent exercise both for condition and for rehabilitation and one which, if included regularly, can really improve your horses sure-footedness and core condition while also offering a really good lengthen and strengthen while you’re at it!

Polework

How to use easy polework exercises to build a strong foundation of soundness for your horse.

When it comes to options to help your horse develop a better, more functional posture and increased strength as well as improving their awareness of where it is they are putting their feet and how they are controlling their body (proprioception), Polework is something every horse owner would benefit from understanding.

Proprioception (/ˌproʊprioʊˈsɛpʃən, -priə-/ PROH-pree-o-SEP-shən), from Latin proprius, meaning “one’s own”, “individual”, and capio, capere, to take or grasp, is the sense of the relative position of one’s own parts of the body and strength of effort being employed in movement.

One of the biggest problems I see in horses of all ages and experiences is a lack of this proprioceptive awareness, both in the core and the peripheries, which sets them up to use their body incorrectly and to ultimately be far more likely to succumb to soreness, under-performance and injury.

As well as appropriate osteopathic techniques and treatment which will free up restrictions and help allow the horse to use his body in a more biomechanically correct fashion, the work the owner does in the period between treatments plays a huge role in determining the outcome. All the manual therapy in the world won’t change a horses soundness and fitness for its work if the work it is doing continues to be done in the way it has always been done – the way that built it up to develop soreness and unsoundness in the first place. This is where polework, both on the lunge (or free) and under saddle, can really help change things.

It often seems believed that unless you’re doing something really complicated you may as well not bother, but in reality the majority of horses would hugely benefit from the regular inclusion of the most basic polework exercises. Consider this: Would you expect to launch straight into a high level gymnastics programme without mastering the very basics of how to use your body correctly? This is exactly how we need to be thinking about most of our horses who have, at one stage or another, whether due to training deficiencies or conformational tendencies, formed a habit of using their body less than optimally.

The pictures below, from my friend Sal, which prompted me to jot down these thoughts, are an excellent example of the value of poles.

The horse, Finn, is a 4 year old. He is in the process of being backed so has not had the years of vertical forces through his back that is the hallmark of the older ridden horse. He naturally carries himself ‘proudly’, that is to say he has a tendency to lift the head, disengage the core and hollow the back. Without specific work to help him learn to carry himself with his core engaged, lengthening and lifting his lower neck/thoracic sling muscles, and intentionally placing his feet, he shows a fairly typical young horse tendency to develop his musculature incorrectly. Fortunately he has a very diligent owner who has spent time regularly working him over trot poles at varied distances.

In the first picture it is easy to see how he is engaging the core and lifting the shoulder while using his body to slow the movement as he figures out where his feet are supposed to be landing. This is all part of the proprioceptive system at work – know where your legs and body are at all times or risk falling on your face.

This series of pictures illustrates beautifully the increased core activation, the lift through the thoracic sling, the lifting and lengthening of the epaxial muscles and ribcage, the engagement and intentional placing of the feet. All in all the horse is experiencing a huge increase in the amount of physical and neurological work he is doing, simply by being challenged to reach and place his feet between poles on the ground. By the 4th picture he had really figured things out, was lifting beautifully in front, measuring his stride, engaging the core and hindquarters and traveling really lightly over the poles.

Some pole work options:

Easy option 1: Stick 3-4 poles down in a straight line at a fairly normal 4-4.5 feet apart. For me this is simply 4 or so of my riding boots toe to heel or one decent step measuring from the heel of the hind foot to the toe of the forward foot. Give or take according to your horses size/length of stride so your horse can come through at its normal stride length without falling on his or her face.

Bring the poles together by a foot, and repeat. This will help your horse slow down, pick his way through more carefully and engage the core and the hocks some more.

Bring the poles apart by a foot or so. Try to keep your horse coming through with a nice steady rhythm rather than rushing full tilt and cat leaping over a pole or two in the process. This will help your horse reach, lift through the thoracic sling while also switching on the core and engaging the hocks.

Once your horse really knows to watch where he’s putting his feet, you can arrange the poles with slight variations in the distances or even in a pick-up-sticks kind of arrangement. For this I always recommend letting him walk through while he picks his way through. We’re aiming to reduce the chance of injury, not increase it 😉

Even easier option 2 (very good if you’re on board, less up and down for you):

Take your poles to a corner and set them up in an arc. Bring him through in the centre (normal stride length), then vary between closer to the centre for a shorter stride, or to the outside for a longer stride. You can even come through in a fairly straight line so you start with short strides and finish with longer stride. My most excellent illustrative capabilities show this below:

With the arc of poles, you can then progress to raising the outside of the poles to create a little more lift and activity in the outside limbs. This is especially useful if your horse has a tendency to lean or hang into one shoulder, or if you’re aiming to increase hock and glute activity.

Don’t forget to do both directions!

From these basics, you can progress to many and varied exercises which encourage both horse and rider to develop ever increasing levels of bodily strength and control, but always remember – if you can’t get these basics 100% then the chances of getting the harder ones done in such a way that both you and the horse are benefiting are slim.

And finally, when you’re doing these under saddle, do your horse a huge favour and try to stay in a light seat over the poles. But also, don’t throw your weight over his neck, forcing him onto the forehand either. Get a friend to video you, so you can really watch the way both you and your horse are doing these exercises. Ultimately you want him working with balance and engagement both front, back and core. If you’re achieving this both on the ground and under saddle then you’re good to start upping the ante and increasing the trickiness of the work, and even leaving the ground!

Finally, have a really honest and stern talk with yourself if you do find you’re struggling with your own balance, core and proprioception – Get yourself an Osteopathic treatment to unwind your own dodgy tissues, then get in touch with someone talented in helping riders develop these skills such as Rebecca Ashton at Equest Elite. You owe it to your horse!

Horse vs Rider – How heavy is too heavy?

Yep, I’ve had requests to do so, and i’m taking a deep breath and opening up this can of worms…

Photo Credit: Courtesy Kristen Janicki

This perspective is my own, based on clinical practice observations which tend to be backed up by the findings of a very rudimentary review of recent available literature. For a really thorough literature review, have a look here. This one conducted by Ruth Taylor; BSc (Hons) Equestrian Sports Science of Hartpury College, in 2016 looks into the research available around the topic. It is very well worth a look if you’re interested in the evidence behind the current suggested limits.

I see many horses with back soreness, and unfortunately, rider weight is one factor which does come into it. More so than rider weight though, I have noticed there appears to be a strong correlation between the riders overall fitness (if I’m asking if you do other sports, or any specific fitness work besides riding, that’s why).

It’s generally accepted that riders should be somewhere between 10 and 20% of the horses bodyweight. This to me completely fails to take into account that there are heavier riders who are very forgiving of their horse – using their core correctly, keeping in balance with the horses movement and generally not hindering their horse in the goal of staying balanced throughout their work. It also fails to specify that a quite light rider who is very unbalanced, and who is on a horse with a poorly fitted saddle may be far more deleterious to the horses biomechanical wellbeing than the aforementioned heavier rider. It also fails to take into consideration the horses morphology – a stocky well boned, broad loined horse would obviously be more likely to withstand heavier weights and/or less balanced riders before soreness occurs than a fine boned, narrower horse would. Fitness also likely plays a part and a horse who has been properly and gradually conditioned with biomechanically correct work, is likely to hold up to heavier rider weights better than a poorly conditioned horse, working with the topline hollowed, who was pulled out of the paddock and asked to go out for a weekends activity.

My ultimate take therefore is that while it’s important to be mindful of your weight vs your horses weight, it is also important to consider the type of horse you ride in regards to morphology and the work you want to do. Further, if you’re suspicious that you might be slightly underhorsed or your horse is showing signs that this might be a factor I would advise that you consider improving both of your ability to control your bodies through biomechanically sound movement training.

For you that might include an Osteopathic treatment plan, to ensure you can move symmetrically without injuring your self. Then, general fitness work (I personally love a mix of HIIT and light strength work to avoid cutting into my very small windows of available time), but also investing in some really good Pilates classes to learn how to control your core and use your limbs independently without losing that core control the moment you try to move. Remember, core control is about movement and function. If you can’t control it while moving then it’s pretty pointless. Keeping yourself balanced and light over your horses centre of gravity will hugely reduce the impact of any weight ratio imbalance that exists between you and your horse.

For your horse, I would highly recommend ensuring he is able to move symmetrically and remove any existing soreness by having him assessed by a good Animal Biomechanical Medicine practitioner (membership list here of fully qualified and insured Osteopaths, Chiropractors and Vets who’ve studied this stuff at University level). Also be sure that your tack fits. Your saddle needs to fit both of you or it will be an uphill battle to perform in a balanced manner which will reduce this ability to cope if there is an imbalance in regards your weight ratio. Very importantly – treat him like an athlete. Regardless of your chosen discipline, he not only has to go out and perform a bunch of extra movements than he would in the paddock, he has to carry you whilst doing so. Find someone who can teach you what a correct frame looks like, not just one where he is holding his neck all pretty, but one where he is using his core consistently, where he is swinging evenly through the back, where he is stepping evenly from behind and keeping his centre of gravity balanced throughout the work he is doing. Ensuring he is able to do this might involve spending time each day warming him up with correct lunge work (that is, not galloping around full pelt to get the bucks out) preferably including ground work and pole exercises. Again, your ABM professional can help to formulate a plan which incorporates specific exercises which are relevant for your horse specifically. I personally love when people incorporate groundwork into their normal routine as it also means they are getting to routinely look at their horse moving and so pick up on changes in movement which might indicate soreness well before the horse actually throws a lame step.

So there you have it… it’s not a straight forward answer at all, but it is one which we should all be contemplating when choosing our horses and/or managing the ones we already have.

I hope this has helped and if you’re keen to increase the balance and performance you and your horse have when out enjoying your chosen discipline please don’t hesitate to get in touch.

Osteopathy And The Stressed or Anxious Horse.

How Osteopathy can help your horse’s mood.

A study published in 2017 has begun to give some credence and ask some interesting questions about chronic stress or depression in our horses. According to Jodi Pawluski and team(1) a group of horses showing signs of compromised welfare (living conditions fostering social restrictions, limited space and interactions with inexperienced riders) showed abnormally low cortisol levels.

Cortisol, aka ‘the stress hormone’ is one useful indicator of the way the horses Autonomic Nervous System (ANS) is working. The ANS is a largely unconscious mechanism which regulates bodily functions such as the heart rate, digestion, respiratory rate, pupillary response, urination, and sexual arousal. It is also involved in controlling blood sugar levels, regulating metabolism, helping to reduce inflammation, and assisting with memory function. It has two complimentary sides – the Sympathetic “flight/fight”and the Parasympathetic – “rest/digest”. When there is a balance these work nicely together to maintain homeostasis – a happy balance. Sympathetic stimulation acts to increase the blood pressure, heart rate, respiratory rate, blood sugar levels and muscular tension. All these are characteristic of the sympathetic nervous system driven “flight/fight” reaction so commonly seen both humans and animals. Elevated cortisol is one marker of Sympathetic activity. On the flip side, insufficient or suppressed levels of cortisol, as can occur when stress is chronic, reduces all these functions. One may think ‘Great! The opposite of flight/fight is rest/digest. That’s good, right?’, but unfortunately this isn’t the case. When cortisol levels become abnormally low, the body is on an almost constant ‘go slow’, with symptoms including fatigue, muscle weakness, lack of motivation or drive, an inability to cope with stress and depression. Neither state is conducive to a happy, enthusiastic individual, whether horse or human.

Further studies are obviously needed to help drill down into the relative influence of common management practices when it comes to our horses, though without a doubt the more a horse can live like a grazing herd animal and be handled by knowledgeable and gentle handlers, the better. In reality there are many things which limit this ideal situation, and we as horse owners have a duty of care to try to mitigate the effects our environment and interactions have on our horses. For many the idea that Osteopathy can help to do this might be a new one. Many studies and much clinical evidence exists to support the idea that Osteopaths can play a significant role in helping to restore balance to the ANS function of our horses.

Recently I’ve had the pleasure of working with a thoroughbred mare who has had what can only be described as more than her fair share of stressful experiences in her life. Being used as a surrogate for several years, and being a highly sensitive mare, she has developed a strong fight response to the sensation of being confined. This likely relates to being handled within a crush and coming to associate pressure against her sides or hindquarters as a stressful and threatening thing. This, of course, makes closing her into a horse float a highly charged event. Her owner has been working patiently with her, doing regular training to help desensitise her to touch on her sides and hindquarters as well as to teach her the float is a safe environment and has got her to the stage where she self loads, however as soon as she feels the divider or ramp come up she begins double barrelling and swinging her hind end from side to side to the point of inflicting wounds on herself. This naturally only serves to reinforce her inherent stress response and belief that confinement is dangerous. In general, she was noted to be an aloof and non-affectionate mare who displayed many stress responses both in handling and in the paddock. When ridden she works and is quite relaxed and happy, however would never mouth the bit and regardless how much suppling work was done would never display a single drop of saliva at the lips.

Our initial treatment involved working through the ribcage to encourage freedom of motion at the costovertebral joints all the way to the thoracolumbar junction to effect the adrenals sympathetic ganglion as well as to encourage full function of the diaphragm during respiration. She was found to be a very shallow breather and the ribcage as a whole was quite immobile. Human studies have shown significant effects of osteopathic techniques on stress hormones, one in particular using a technique known as Rib Raising (2). This technique addresses the costovertebral joints through the length of the ribcage and is clinically well known to be a powerful way of helping balance the autonomic nervous system due to the anatomical link to the sympathetic ganglia. Further work was done to put a calming stimulus into the sacrum, which is also associated with the sympathetics. Again, the sympathetic side of the autonomic nervous system is the one which drives the fight/flight response.

The parasympathetics, drive the “rest and digest” functions. This is the calm and relaxed state of affairs. Structurally this is in part composed of cranial nerves that supply the face, cardiovascular system, respiratory system and gastrointestinal system. Parasympathetic function can be readily supported by allowing the jaw and diaphragm to function optimally. By encouraging full diaphragmatic function with simple exercises, it is possible to also give the vagus nerve a nice bit of stimulation. In the image below we are looking at numbers 3, 15 and 16, so you can see how far reaching work around the jaw and poll can be and how the diaphragm (which divides the thorax from the abdomen) may stimulate parasympathetic function via the vagus nerve.

Immediately after the first treatment the mare was noted to be far more calm than usual, quietly wandering around the small yard we were working on another horse in, picking at grass. This was noted by the owner to be quite unusual behaviour for a mare who was usually on guard around other horses and tended to pace the fence line if not in her own paddock. I left the owner with several easy exercises to do daily to help keep the autonomic nervous system more balanced. Over the next week I was pleased to receive several updates saying how relaxed the mare had become, a total change in character. The next visit we decided to push our luck a little and give her her treatment standing next to the horse float, a space she would usually become anxious and on edge. Initially obviously nervous we quietly worked through similar areas, noting a big improvement in passive range of motion and tissue tension around the ribcage as well as a greater capacity for diaphragmatic breathing. The owner was again pleased to see the mare calm and relaxed and picking grass while standing next to her least favourite piece of metal.

Our next plan is to work towards adding more stimulus by opening the tail gate and potentially eventually treating her or doing daily exercises to flick her nervous system into ‘rest and digest’ while standing on the horse float. It may take a while to retrain her nervous system that this is not a threatening situation which requires a fight response, however initial changes have been very positive and have reaffirmed how powerful Osteopathic treatment can be for modulating this crucial part of our nervous system.

For those interested in more reading about how Osteopathic treatment can help us (and presumably our horses) towards a less stressed and more healthy state, I have attached are some extra references for studies (2, 3 & 4) which also have shown preliminary findings of positive effects of various Osteopathic technniques on the autonomic nervous system in both relaxed and stressed humans, measuring indicators for sympathovagal function at heart level, cortisol levels and immune function.

It is a fascinating aspect of Osteopathic practice which I always enjoy seeing results from. As with all natural approaches, results will vary and een after 15 years of practice i’m still often surprised by how much change can be achieved, and in ways I wasn’t necessarily anticipating. The main principle of Osteopathy is that if the tissues in the body are moving and functioning to the best of their ability then that body will head towards homeostasis (a happy healthy balance), and the path that takes is sometimes a little unpredictable but with time and patience it’s a rare case where we can’t help the horse achieve that balance in their system.

Update – After posting this, I received a call from the mare in questions owner. She was thrilled to report she had spent an afternoon during the week playing with the mare around the whole travelling in the float issue. She began with groundwork exercises to calm the mares nervous system as prescribed. Then as she was going so well progressed to loading her, letting her stand, bringing the divider across, again waiting, bringing up the tail gate and the final test a slow drive around the block. The mare maintained her composure the entire time besides one small kick out when actually moving. Upon return she stood calmly for another 5 minutes with the tail gate down and waited for the cue to back off. Naturally the owner is absolutely thrilled to be approaching the stage she can again contemplate taking her lovely horse out again! I’m also thrilled to see the changes 2 treatments have brought to this lovely mare’s general day to day anxiety levels. Stay tuned and I’ll add more updates as they come to hand.

References/Further Reading:

1 – Pawluski, J., Jego, P., Henry, S., Bruchet, A., Palme, R., Coste, C., Hausberger. M. Low plasma cortisol and fecal cortisol metabolite measures as indicators of compromised welfare in domestic horses (Equus caballus). PLOS ONE, 2017; 12 (9): e0182257 DOI: 10.1371/journal.pone.0182257

2 – Henderson, A.T., OMS III; Fisher, J.F., OMS III; Blair, J., OMS I; Shea, C., OMS III; Li, T.S., DO; Grove Bridges, K., PhD. Effects of Rib Raising on the Autonomic Nervous System: A Pilot Study Using Noninvasive Biomarkers. The Journal of the American Osteopathic Association, June 2010, Vol. 110, 324-330.

(Twenty-three participants were recruited, of whom 14 completed the study (7 in each group). Subjects who received rib raising had a statistically significant decrease in α-amylase activity both immediately after (P=.014) and 10 minutes after (P=.008) the procedure. A statistically significant change in α-amylase activity was not seen in the placebo group at either time point. Changes in salivary cortisol levels and flow rate were not statistically significant in either group.
Conclusions: The results of the present pilot study suggest that SNS activity may decrease immediately after rib raising, but the hypothalamic-pituitary-adrenal axis and parasympathetic activity are not altered by this technique. Salivary α-amylase may be a useful biomarker for investigating manipulative treatments targeting the SNS. Additional studies with a greater number of subjects are needed to expand on these results.)

3 – Fornari, M. DO (Italy); Carnevali, L. PhD; Sgoifo, A. PhD. Single Osteopathic Manipulative Therapy Session Dampens Acute Autonomic and Neuroendocrine Responses to Mental Stress in Healthy Male Participants. The Journal of the American Osteopathic Association, September 2017, Vol. 117, 559-567. doi:10.7556/jaoa.2017.110

(Conclusion: The application of a single OMTh session to healthy participants induced a faster recovery of heart rate and sympathovagal balance after an acute mental stressor by substantially dampening parasympathetic withdrawal and sympathetic prevalence. The OMTh session also prevented the typical increase in cortisol levels observed immediately after a brief mental challenge.)

4 – Saggio, G., DO; Docimo, S., DO; Pilc, J., DO; Norton, J., DO, RN; Gilliar, W., DO. Impact of Osteopathic Manipulative Treatment on Secretory Immunoglobulin A Levels in a Stressed Population. The Journal of the American Osteopathic Association, March 2011, Vol. 111, 143-147.

(Conclusion: High levels of human secretory immunoglobulin A (sIgA) have been shown to decrease the incidence of acquiring upper respiratory tract infections. This study demonstrates the positive effect of OMT on sIgA levels in persons experiencing high stress. Results suggest that OMT may then have therapeutic preventive and protective effects on both healthy and hospitalized patients, especially those experiencing high levels of emotional or physiological stress and those at higher risk of acquiring upper respiratory tract infections.)

Osteopathy for the Agility Dog

How to avoid and treat agility injuries for a long and fruitful agility career.

It’s a well known fact that for all the amazing benefits Agility offers dogs and their handlers and the relationship between both, it can be a hard sport physically on the dog (and the handler, but that’s another story!). Injuries can be either acute or chronic in nature, and management of the inherent risks presented by obstacles such as A-frames, jumps and seesaws is an important part of making sure your dog gets to have a long and enjoyable agility career. Factors which add to the risk of agility are the speed at which the dog is travelling, the tight lines often needed to navigate today’s courses and the athleticism required to traverse these obstacles, all of which leave the dog open to repetitive stress on various parts of their body as well as potential falls from or hitting the obstacle.

From a training perspective it is very worthwhile to aim to minimise the repetitive nature of the work the dog does, especially with young dogs whose growth plates are still very susceptible to damage from excess and repetitive pressure. Keeping the work they do varied, while practicing the skills might look like breaking the exercise down into small chunks and practicing each part at a much slower and more controlled pace to perfect the skill, then building those parts to perform the full obstacle. Working on many small varied parts of the greater task, at a slower pace, allows the trainer and dog to refine their skills and communication while avoiding many high speed repetitions of the full obstacle.

As mentioned above, injury to growth plates in young dogs is one worry when involved in intense competitive training, and this is largely mitigated by changing the way the dog is worked at least until physical maturity. Other risks such as sprains, strains, contusions (bruising from hitting an obstacle) and postural changes due to repetitive movements of an asymmetrical nature can be more readily managed or mitigated with the help of Osteopathy and other rehabilitation or wellness options such as swimming.

Osteopathically we look at the way the dog is moving and using their body and then palpate (feel) to identify any restrictions in the joints and any tender points, tightness or weakness in the muscles, ligaments or tendons. When identified, gentle manual techniques ranging from soft tissue work (massage like techniques) through to joint manipulation can be applied to restore healthy and full range movement throughout the body. Ensuring that the musculoskeletal system has full movement not only allows these tissues to function well, it also allows the circulatory and nervous systems which have branches running all through these tissues to function optimally. This promotes healing and gives the dog the best chance of recovering fully from any injuries, as well as helping to avoid injuries in the first place.

Agility buffs, your dogs are athletes! Their bodies are working very hard while having an absolute ball, so make sure you give them the benefit of keeping that body working to it’s best ability and you’ll give them the best chance of a long, enjoyable and injury free time leaping and bounding their way through their favourite pastime.

Specifically for our sporting dogs, but also for almost every other dog – I have compiled a comprehensive range of safe and effective stretches and exercises within my eBook – The Canine Athlete Warm-Up and Cool-down Manual, which is a safe way for you to start exploring better musculoskeletal health for almost any dog. Check it out HERE or get in touch if you’re uncertain how to get started for your specific dog’s problems.

Why does my dog lick to the point of bleeding?

A common problem dog owners find themselves facing is when their beloved dog develops a habit of excessively licking a paw or leg, or sometimes even a body part to the point a sore develops. Often this is put down to anxiety, however it is frequently also triggered by a pain sensation which either becomes chronic. Because the action of licking tends to release endorphins which reduce pain or stress, the dog then continues the excessively frequent licking even when it is exacerbating damage to the area . This frequently feeds into a very difficult to resolve behavioural loop Similar to the way we humans rub a sore muscle or joint, our dogs are simply seeking to find the best way they can to manage the discomfort. So what can we do to try to break this pattern of licking?

Firstly, and particularly if open sores are present we will want the owner to be consulting a vet for investigation for assessment for underlying factors such as parasites, allergies and arthritic joints amongst other sources as well as for topical management strategies, whether that be antibiotics, antifungals, antihistamines etc to help settle the local tissue response. An Elizabethan collar may also be an appropriate strategy to help break the licking habit and protect the skin while the underlying problem is addressed. In unison with Veterinary assessment, Osteopathic assessment takes the approach of looking for restrictions within the neuromusculoskeletal structures of the body, particularly those related to the region which appear to be painful or irritated.

One of the most common sources of lick sores when no definitive underlying problem has been identified is referred pain or nerve pain from a more central restriction or dysfunction in the body. In such cases, we assess the tissues and joints from the spine, limb and associated areas which could be creating a change in the function of the nerves, blood vessels and pain sensitive structures all the way to the tip of the toes. If you’ve ever sat on your leg or slept on your arm and then moved to find your limb initially ‘dead’, closely followed by a strong pins and needles sensation or many other odd sensations associated with nerve and blood flow restriction, you’re sure to be able to picture the sensations your dog is trying to ease. The recent addition of Fascial Counterstrain techniques to my practice has added an extra layer of depth to the assessment and treatment of the very deep neurovascular structures which influence many of the recurrent and chronic pain sensations felt by both us and our animals. By finding these kinds of restrictions in the tissues it is often possible to relieve much irritation around these very senstive structures and eliminate or significantly reduce the symptoms.

Along with individual assessment, it’s much the same for our animals as it is for us, in that adopting a regular preventative movement practice can be extremely useful in unwinding and preventing daily aches and pains. Think of the positive effects of intentional gentle stretching or yoga, and you’ll have a sense of these benefits. If you have a dog who is showing significant discomfort in their limbs or body, especially if paired with uneven movement patterns a thorough consult is absolutely worthwhile, however there is plenty you can do at home to improve their comfort. I have compiled a comprehensive range of safe and effective stretches and exercises within my eBook – The Canine Athlete Warm-Up and Cool-down Manual. Within it you will find a generalised routine for you to start exploring better musculoskeletal health for almost any dog. Check it out HERE or get in touch if you’re uncertain whether this might be a useful way to get started unwinding your specific dog’s problems.