Anatomy, Equine, Injury and Rehab, Injury Management

Equine Acupressure: To the point of it!

You may be asking what is acupressure and how can it help my horse? If so then the following post will help answer this question.

Equine acupressure has the same roots and theory as acupuncture. It involves the application of pressure from fingers rather than the use of needles making it safe and noninvasive (acupuncture in the UK can only be performed by equine vets). It can be used as a stand alone treatment or integrated into a sport massage to help support your horses health.

Acupressure is based on traditional Chinese medicine, which offers a method of natural healing by trying to maintain the innate balance of the body. Acupressure uses invisible lines of energy flow called meridians, and along these lines are specific points which can influence the body when pressure is applied. There are 14 meridians connecting organs with other parts of the body. It is thought that energy (Chi) that flows along these meridians can get blocked causing symptoms to develop. By applying pressure the balance and energy flow can be restored. Chi (energy) is composed of Yin and Yang, which are two dynamic forces that are the opposite to each other. Yin is seen to be represented by water, wet, cold, nourishing, and dark (to name a few), whereas Yang is fire, dry, hot, active, red and consumes. When Yin and yang are in balance chi is flowing harmoniously and the body is healthy, however when they are not in balance there is disharmony and disease develops. Acupressure can help restore balance and act as a preventive.

Acupressure can have the following benefits

  • Releases natural occurring pain relieving chemicals in the body
  • Reduces inflammation and swelling
  • Increases blood flow allowing an increased rate of recovery from injury
  • Increase energy levels and wellbeing
  • Decrease anxiety
  • Encourage relaxation
  • Help joint lubrications and movement

When working on equine clients I often integrate acupressure points into my bodywork (massage) sessions to help create a bespoke and more holistic approach. I frequently find horses relax hugely with use of acupressure by their eyes softening, heads lowering, muscles relaxing and often dosing off. This allows me to be more effective in treating areas of discomfort as well as supporting the horses overall health.

If you would like to discuss the potential use of acupressure in your horses treatment then do contact Pollyanna using the form below


Anatomy, Biomechanics, Human, Injury Management

Feet the foundation of movement: Part three keeping your feet happy

In the the first blog of this series we looked at anatomy and function of the foot and then proceeded to discuss some common injuries in part two. This part looks into exercises that can help keep your feet supple and strong for everyday life.

Video on exercises to help keep your feet supple and strong

I hope the video was helpful if you have any questions then do please get in touch

Biomechanics, Equine, Horse & Rider, Injury and Rehab, Injury Management

Horse Pilates: Encouraging core engagement through movement

In the run up and during lockdown my clients and friends have increasingly been using the words Horse Pilates to describe part of what I do to help horses move better. To the point that even the Daily Telegraph have used that term in an article published recently. So I thought a blog post about Horse Pilates was needed.

What is Horse Pilates?

Human Pilates was developed by Joseph Pilates. He develop it when in the UK to help injured soldiers from the War to recover. Pilates believed that mental and physical health are closely linked and this is something that can be taken and applied to horses. Pilates is a low impact set of exercises aimed at strengthening muscles while improving postural alignment and flexibility. Any fitness level can benefit and Pilates exercises should be part of any training or rehab plan for a horse.

The focus of Pilates exercises are on the core. However it should also include other areas such as the hips, abdominals, back, inner and outer thigh. The core is the foundation and these other areas are all connected and need to be able to function as a whole.

In regard to horses what we term carrot stretches were a series of movements developed by Hillary Clayton and Narelle Stubbs and can be coined as the first form of Pilates exercises for horses. These exercises help develop the deep core and spinal muscles. They are a combination of stretches, stabilising exercises and lifts which are the first port of call to develop core. However with any exercise caution should be taken that it is the correct exercise for your horse and therefore consulting a professional to help is really important.

Intermediate & Advanced Pilates

Hilary Clayton and Narelle Stubbs exercises could be termed your beginner Pilates for horses as with human Pilates beginner exercise should still be practiced by intermediate and advanced students as it makes sure the deep core muscles are functioning and that the global muscles have not taken over, which often happens in very athletic inviduals. If this happens then the individual is more open to injury and it would be the same in the horse. However a horse can be stretched further so including straight line pole work and walking backwards would be the next step up. The horse can be progressed further by introducing raised poles (cavelletis) and lateral movement such as stepping under. Pole work on circles and in trot would progress things even further, shoulder in from the ground all increase the demand and complexity of the movement.

By working with your horse from the ground you can also develop your partnership with your horse. You don’t want to be doing lots of reps. This isn’t about increasing cardio fitness but about developing finer movements that are controlled. As the horse is able to control their movement through the use of its core muscles then its ability to work under saddle will greatly improve. Their balance will be better and there will be improvement in dealing with a rider on board. This is also a key time to work on yourself and develop your core strength. Your horse will appreciate this hugely.

So every horse can benefit from Pilate type exercise being added to their exercise regime. However professional help should be sort to guide you as the owner as to what would benefit your horse. If you would like to discuss things further do contact Pollyanna.

Biomechanics, Equine, Injury and Rehab, Injury Management

Case Study Part Two: Road to Recovery

Willow Road to Recovery

In part two we discussed Willows history and issues that were causing her complex lameness, which you can find more detail in Case study Part One: Complex lameness. In this part we are going to discuss what treatments were used and Willows progress.

Treatment

Willow’s treatment was started very gently. In this case less is more. Willow is also a very receptive and expressive horse, which as a therapists is brilliant as she leads her own treatments. It is so important to listen and respond to a horses reaction. In this case Willow directs me on duration and areas she needs working on. Willow is also very responsive to acupressure points.

Her treatment began with Bladder 25 to help strengthen her lower back, address any stiffness or pain in this area. Willow responded by lowering her head almost to the ground and softening her eye to the point that she almost went to sleep. This allowed me to massage through her hind quarters to release further tension and relieve pain. Willows neck and poll muscles were also released through a number of soft tissue techniques. As well as her adductors on her inner thigh. This caused increase tone and activation through the TFL and quadriceps.

To finish of the session 5 gentle dock pulls were included on both sides to help strengthen and activate the TFL and quadriceps. A number of belly lifts were also performed to help activate the core muscles and stretch through the back.

Initial Outcome

Just from the above treatment and exercise Willow showed immediate improvement. Firstly her TFL (tensor latae fascia) and quadriceps started to activate. Had increased tone and secondly she was far less sensitive through her back and hindquarters. Her movement seemed eased but was still showing signs that were present on initial assessment. However the goal of making Willow more comfortable was achieved.

Continued Treatment

The original plan was to come and treat Willow little but often to allow her body to make small adjustments and to not overload her system with change. So visits were made twice a week for about two weeks. During this time I was fully aware that the country might go into lockdown and that I wouldn’t be able to come up to physically treat Willow. So Willow’s owner was taught how to do some of the key techniques that were helping Willow the most and given equipment to allow progress if I couldn’t be there. Willows owner was also doing some of acupressure points on a daily basis in between my treatments.

So in the second treatment acupressure point Bl 25 continued to be used along with the introduction of Bl 21 which helps with atrophy, gastrointestinal issues, edema , back pain and general weakness. Each session I added a new point Bl 11 (helps strengthen bones and joints, nourishes and facilitates blood flow, benefits joint problems and also helps neck and spinal pain), Bl 19 (helps with hip pain and gastrointestinal issues) and lastly Bl 23 (helps with general weakness, lower back pain and estrous cycle). The owner was also taught these points as treatment progressed. Willow responded well to all these points

Massage through Willows back, hindquarters, neck and poll were also carried out to help activate muscles and release tension that has developed due to compensatory mechanisms. Again Willow responded well over the two weeks

Exercises

Initially dock pulls and belly lifts were introduced. Gradually the number of repetitions were increased and this was something Willows owner performed between sessions. In the second treatment weight shift directed through the shoulder was introduced this along with dock pulls were to encourage Willow to use her stabilising muscles. To start the main aim was to develop Willows core to give her a stronger foundation to develop more global muscle strength.

Willow was introduced to some foot pads. Just one placed under a fore foot to start and then moved to a hind foot. The foot pad was placed under for as long as Willow would stay. This was often a couple of minutes. This was again to encourage Willow to use the finer muscles to stabilise herself.

Before I got to progress Willow further lockdown occurred. However with guidance Willows owner was able to progress her exercises gradually. Walking over a pole in straight lines was introduced then progressed over a week to a figure of out over a pole. These progressions occurred over a 3 week period from initial treatment.

Willows owner continued with all the above acupressure points, exercises and pole work by week 4 she was walking over 2 poles in a row with several repetitions. By week 5 Willow was introduced to slightly raised poles done in hand exercises. Willow is also on a track for the summer months so poles and obstacles to step over were introduced to encourage her to use her hind quarters more throughout her daily life. By week 6 straight line trotting in hand was introduced. By week 7 3 poles on a circle at walk was performed with no ill effect.

Progress

Walk up 3 months after initial assessment

Willow showed great improvements in her walk and confidence by week 2 of initial treatment. She was also getting increased turnout time. By week 3 she was back out on full turnout and her Bute had been gradually decreased as well. Within a month Willow was out 24/7. Willows feed was also changed to help increase weight and muscle mass by phasing in Copra and Speedi beet into her seaweed, brewers yeast, lucerne and chaff. Gradually the lucerne was phased out and replaced with Agrobs Leichengrass. There were two aims with these changes one was to reduce any feed stuffs that might cause increase in inflammation (hoof friendly) and to help increase condition.

The above photographs show a vast improvement in muscle mass and posture. The video further up also shows huge improvement in movement patterns. Willow will always have some sacroiliac issues but with careful management she should be able to lead a happy and comfortable life.

If you have any concerns about your own horse and lameness then do consult a vet or contact Pollyanna with any queries and she will try and help the best she can.

Chat to Pollyanna

Biomechanics, Equine, Injury and Rehab, Injury Management

Case Study Part One: Complex Lameness

Willow the complex case of lameness

This case follows the assessment and treatment of a 19 year old horse, Willow. It shows the complexity of a case that has multiple factors interacting together and that by viewing the horse as a whole all these factors can be addressed in an efficient and effective way. This first part introduces Willow’s history and the problems that were being experienced by her. The second part will discuss treatment used and the outcome.

History

Willow is an Irish cross (possibly thoroughbred with some Arad), she is 19 yrs old, 15.1hh in height and of a slight build. Willow has had hock surgery and been owned by the current owner for 9 years.

I have been giving Willow bodywork session for the last year and she also receives McTimoney chiropractic treatment from a very good practitioner. Willow has exhibited an unlevel pelvis on a number of occasions. This is potentially linked to an underlying issue within her sacroiliac joint, which could be a result of previous activities or injury. Willow had been ridden western style and potentially barrel raced in the past. With her current owner she is hacked and schooled at a low level. Willow has been barefoot for the last year.

Willows issues

Over the winter Willow lost a bit of condition and then the mud came. Willow seemed to find the mud particularly difficult to deal with. Willow developed some heat in her right fore and lameness. After a vets visit an abscess was ruled out. However it was noted that her gait was abnormal. Not just in her right fore but the hind legs as well. The vet placed Willow on restricted turnout on a firm flat surface for 4 weeks with Bute and then review her progress.

Willow’s owner asked me to come and help make Willow more comfortable. On initial assessment Willow showed a complicated lameness, by this I mean there were a number of potential issues going on. Firstly you had the forelimb lameness which was likely to be secondary refered lameness. There was also axial lameness going on, which can be harder to identify. Willow also showed left non weight bearing lameness in her hind due to the flight pattern and placing it along her midline when stepping through, this also affected her cornering to the left. She was also hesitant to place her left hind hoof down. Willow also walks on 3 tracks and has a slight head bob down suggesting a hind limb lameness. Lastly Willow’s right hind has a slight wobble when transferring weight onto it.

Willow on initial assessment

Closer look

On palpating, Willow showed a decreased tone and atrophy in her hind quarters specifically the quadriceps and gluteals bilaterally. Willow also showed decreased activation through her tensor fasciae latea and quadriceps on her right hind, this would explain the shaking through this leg when starting to weight bear. Willow was particularly uncomfortable through the lumbar and sacral area when palpated. Her neck showed tightness bilaterally but more so on the left.

The above introduces the issues that Willow has experienced. In part two we will discuss treatments and how Willow progressed. If your horse presents as lame always consult your vet before getting hold of a bodyworker. If you have any questions or concerns then please do get in contact with Pollyanna.

Chat with Pollyanna

Or email

Follow on

Human, Injury Management

It is time to sort those injuries out

The end of the hockey season is upon us, our bodies are starting to feel the accumulation of all the hard work put in. Mentally and physically fatigue is starting to show, now is the time to allow yourself to recover and address any niggles or injuries picked up.

Recovery

Recovery is often overlooked by many athletes but is the key to making gains in physical and mental performance.

” Train smart not hard”

is something I say regularly to athletes I have worked with, especially endurance athletes. Often athletes believe that poor performance is due to not training hard enough, but often its because they don’t integrate enough recovery time into their training. Due to this athletes become stale and progress does not occur. However, by making sure recovery occurs in training on a regular basis will allow the body to adapt and adjust to the stresses placed on it during training. Further to this training volume and intensity need to also be adjusted to create stress on the body. If we did the same all the time the body would not get fitter and performance levels would not improve. This means that during the off season, in any sport, not just hockey, a good amount of recovery time needs to be scheduled in before training commences.

Once the season is finished it is okay to take a week off and not doing any physical activity. Yes you might loose some fitness but this can easily be retained in no time from a well constructed training plan. Low level activity can be reintroduced after a week to allow a gradual increase in volume with the intensity being relatively low. This begins to build a base for the rest of your fitness and it is always a good idea to build a broad endurance base. Taking up other sports like cycling or swimming are great for this. They have less impact on joints but build cardio fitness.

I slightly digress, so a bit of time out allows the mind and body to recovery from the high intensity hockey season. It reboots and refreshes the system, it is also a good time to see your sports therapist or physiotherapist, to address any injuries or niggles and allow them time to recovery.

Addressing injuries or niggles

During your down time it is good to pinpoint any injuries or niggles that have occurred throughout the season even if you feel you have recovered from them. Once pinpointed you can develop a strength and conditioning training plan, which you can implement during your off season. This will allow you to return to pre-season training with any weaknesses or imbalances addressed reducing your incidence of injury during the season.

Key areas to address in hockey players

Through my time working with hockey players I have identified three areas, that if worked on during the off season could help prevent injuries during the hockey season.

  1. Develop a deep core through specific exercises such as Pilates. I specifically haven’t used strengthen as developing deep core muscles is more than just strengthening them, it is often down to learning how to activate these muscles (transversus abdominis, pelvic floor and multifidus), and not using global muscles groups to perform these exercises. By developing the deep core allows the body to stabilise for any activity. This in turn allows you to develop stronger global muscles increasing global strength, power and speed. Without a well developed deep core you will sustain injuries as you increase the intensity of training.
  2. Work on releasing your hip flexors (Iliopsoas). So often hockey players come to me complaining their hamstrings are tight or their gluteals hurt. This is more often than not down to tightness in the iliopsoas. Hockey has a large amount of hip flexion causing the iliospoas to be in a contracted position, encouraging it to shorten. This causes anterior pelvic tilt, which subsequently puts the hamstrings on stretch as well as the gluteal muscles. This gives the perception that the hamstrings are tight when in fact they are not. In regards to the gluteals they feel tender because they are also in a stretched position. This causes the gluteals to not activate as well and therefore make it difficult to strengthen them. This creates more work for the hamstrings as they will compensate for the gluteals not activating. So the hamstrings have a pretty hard time playing hockey. By stretching and releasing the iliopsoas regularly you will keep the hamstrings and gluteals a lot happier.
  3. After releasing the iliopsoas the hamstrings and gluteals can then be strengthened. By doing this you will increase hip stability, reduce injury and allow a good foundation for speed and power to be built on. Including gluteal bridges and nordic hamstring curls can go a long way in reducing your injury risk.

The off season is a great time to get on top of everything so that you come back into the season stronger and better prepared that the previous one. This will help your performance and reduce your injury risk. So go out there enjoy the warmer weather and work on yourself.