Helen Thornton Equine Osteopathy & PEMF

Helen Thornton Equine Osteopathy & PEMF Helen Thornton:Forever a student of the horse.Eq Sports Therapist, Equine Manual Osteo. PEMF horse, rider & pets. www.helenthornton.com
(1)

Workshops/courses/webinars; horse owners & therapists. IAAT AHPR
Register your email: https://www.helenthornton.com/email-updates

๐—›๐—ข๐—–๐—ž๐—ฆ. ๐—ฆ๐—จ๐—ฆ๐—ฃ๐—˜๐—ก๐—ฆ๐—ข๐—ฅ๐—œ๐—˜๐—ฆ. ๐—ฆ๐—œ ๐—๐—ข๐—œ๐—ก๐—ง.๐—” ๐—ง๐—ข๐—ข ๐—–๐—ข๐— ๐— ๐—ข๐—ก ๐—ฆ๐—–๐—˜๐—ก๐—”๐—ฅ๐—œ๐—ข.Could the shape of your horseโ€™s hindquarters be telling you more tha...
03/09/2026

๐—›๐—ข๐—–๐—ž๐—ฆ. ๐—ฆ๐—จ๐—ฆ๐—ฃ๐—˜๐—ก๐—ฆ๐—ข๐—ฅ๐—œ๐—˜๐—ฆ. ๐—ฆ๐—œ ๐—๐—ข๐—œ๐—ก๐—ง.
๐—” ๐—ง๐—ข๐—ข ๐—–๐—ข๐— ๐— ๐—ข๐—ก ๐—ฆ๐—–๐—˜๐—ก๐—”๐—ฅ๐—œ๐—ข.

Could the shape of your horseโ€™s hindquarters be telling you more than you realise?

I see this pattern all the time.

A raised (kyphotic) lumbar area followed by a dip through the back towards the lumbosacral region, often with L6 held more in extension.

A pelvis that appears to drop away behind it. Less development through parts of the gluteals and quadriceps, while the hamstrings become much more developed and dominant.

Itโ€™s common enough that we can start to think itโ€™s simply how some horses are built.

๐—•๐˜‚๐˜ ๐—ฐ๐—ผ๐—บ๐—บ๐—ผ๐—ป ๐—ฑ๐—ผ๐—ฒ๐˜€๐—ปโ€™๐˜ ๐—ป๐—ฒ๐—ฐ๐—ฒ๐˜€๐˜€๐—ฎ๐—ฟ๐—ถ๐—น๐˜† ๐—บ๐—ฒ๐—ฎ๐—ป ๐—ป๐—ผ๐—ฟ๐—บ๐—ฎ๐—น.

And this is where I think we need to stop looking at hocks, suspensories, stifles, backs and SI regions as completely separate problems.

Because the hindlimb doesnโ€™t function separately from the pelvis and lumbar spine.

The muscles creating movement at the top of the limb influence what happens further down it, while the nerves supplying the hindlimb arise from the lumbosacral region ......(that dip)!

Then add the diaphragm, abdominal pressure, fascia, organs, hoof balance, training and the rest of the horseโ€™s compensatory pattern...

Suddenly a ๐—ต๐—ผ๐—ฐ๐—ธ ๐—ฝ๐—ฟ๐—ผ๐—ฏ๐—น๐—ฒ๐—บ isnโ€™t necessarily only a hock story.

And a ๐˜€๐˜‚๐˜€๐—ฝ๐—ฒ๐—ป๐˜€๐—ผ๐—ฟ๐˜† ๐—ฝ๐—ฟ๐—ผ๐—ฏ๐—น๐—ฒ๐—บ isnโ€™t necessarily only a suspensory story.

Why do this back shape, hock issues, suspensory strain and SI dysfunction seem to turn up together in so many horses?

๐—œ ๐—ฑ๐—ผ๐—ปโ€™๐˜ ๐˜๐—ต๐—ถ๐—ป๐—ธ ๐—ถ๐˜โ€™๐˜€ ๐—ฐ๐—ผ๐—ถ๐—ป๐—ฐ๐—ถ๐—ฑ๐—ฒ๐—ป๐—ฐ๐—ฒ.

And I donโ€™t think we can keep looking at the hock, the suspensory or the SI region as though each exists in its own little box.

๐—ง๐—ต๐—ถ๐˜€ ๐—ถ๐˜€ ๐—ฒ๐˜…๐—ฎ๐—ฐ๐˜๐—น๐˜† ๐˜„๐—ต๐˜† ๐—œ ๐—ธ๐—ฒ๐—ฒ๐—ฝ ๐˜€๐—ฎ๐˜†๐—ถ๐—ป๐—ด: ๐—น๐—ผ๐—ผ๐—ธ ๐—ฎ๐˜ ๐˜๐—ต๐—ฒ ๐˜„๐—ต๐—ผ๐—น๐—ฒ ๐—ต๐—ผ๐—ฟ๐˜€๐—ฒ.

Image: science direct, with my own text

๐—ฌ๐—ผ๐˜‚๐—ฟ ๐—ต๐—ผ๐—ฟ๐˜€๐—ฒ ๐—ต๐—ฎ๐˜€ ๐—ฎ ๐—ต๐˜‚๐—ป๐˜๐—ฒ๐—ฟ'๐˜€ ๐—ฏ๐˜‚๐—บ๐—ฝ. ๐—•๐˜‚๐˜ ๐—ถ๐˜€ ๐—ฎ๐—ป๐˜†๐—ผ๐—ป๐—ฒ ๐—น๐—ผ๐—ผ๐—ธ๐—ถ๐—ป๐—ด ๐—ฝ๐—ฎ๐˜€๐˜ ๐—ถ๐˜โ‰๏ธMost horse owners recognise a "hunter's bump".You look ac...
29/08/2026

๐—ฌ๐—ผ๐˜‚๐—ฟ ๐—ต๐—ผ๐—ฟ๐˜€๐—ฒ ๐—ต๐—ฎ๐˜€ ๐—ฎ ๐—ต๐˜‚๐—ป๐˜๐—ฒ๐—ฟ'๐˜€ ๐—ฏ๐˜‚๐—บ๐—ฝ. ๐—•๐˜‚๐˜ ๐—ถ๐˜€ ๐—ฎ๐—ป๐˜†๐—ผ๐—ป๐—ฒ ๐—น๐—ผ๐—ผ๐—ธ๐—ถ๐—ป๐—ด ๐—ฝ๐—ฎ๐˜€๐˜ ๐—ถ๐˜โ‰๏ธ

Most horse owners recognise a "hunter's bump".

You look across the top of the pelvis and the tubera sacrale appear prominent. Also close together. Sometimes there's a deep groove between them and the whole top of the pelvis seems to stand out.

But in some horses, that visible shape is only one part of a much bigger pattern.

There is a severe pelvic presentation called a ๐Ÿ’ฅdepressed sacrum๐Ÿ’ฅ

โ—๏ธ๐—ง๐—ต๐—ถ๐˜€ ๐—ถ๐˜€ ๐—ป๐—ผ๐˜ ๐˜€๐—ถ๐—บ๐—ฝly ๐—ฎ๐—ป ๐—ฆ๐—œ ๐—ท๐—ผ๐—ถ๐—ป๐˜ ๐˜๐—ต๐—ฎ๐˜ ๐—ต๐—ฎ๐˜€ ๐—น๐—ผ๐˜€๐˜ ๐—ฎ ๐—น๐—ถ๐˜๐˜๐—น๐—ฒ ๐—บ๐—ผ๐—ฏ๐—ถ๐—น๐—ถ๐˜๐˜†/๐˜€๐˜๐—ฎ๐—ฏ๐—ถ๐—น๐—ถ๐˜๐˜†.

It is a significant positional disorder of the sacrum in relation to the two ilia, and once that relationship changes, the rest of the body has to reorganise around it.

๐ŸŸฃ The compensation chain, in one line:
๐—ฆ๐—”๐—–๐—ฅ๐—จ๐—  โ†’ ๐—Ÿ๐—จ๐— ๐—•๐—”๐—ฅ ๐—ฆ๐—ฃ๐—œ๐—ก๐—˜ โ†’ ๐—ง๐—›๐—ข๐—ฅ๐—”๐—–๐—ข๐—Ÿ๐—จ๐— ๐—•๐—”๐—ฅ ๐—๐—จ๐—ก๐—–๐—ง๐—œ๐—ข๐—ก โ†’ ๐—ง๐—›๐—ข๐—ฅ๐—”๐—ซ โ†’ ๐——๐—œ๐—”๐—ฃ๐—›๐—ฅ๐—”๐—š๐—  โ†’ ๐—ฆ๐—›๐—ข๐—จ๐—Ÿ๐——๐—˜๐—ฅ๐—ฆ โ†’ ๐—™๐—œ๐—ฅ๐—ฆ๐—ง ๐—ฅ๐—œ๐—• โ†’ ๐—–๐—˜๐—ฅ๐—ฉ๐—œ๐—–๐—”๐—Ÿ ๐—ฆ๐—ฃ๐—œ๐—ก๐—˜ โ†’ ๐—ง๐— ๐—

That's where it gets interesting.

Look first at the hindquarter.

The top of the pelvis can develop a very characteristic appearance, with a deep groove around the tubera sacrale.

The muscle pattern can become equally obvious. You may see overdeveloped, ropey or heavily loaded muscle through parts of the gluteal and hamstring region, while other areas lose normal volume and support.

So when I see a big muscle, I do not automatically think: strong muscle.

Sometimes a muscle is big because it is doing far too much.

The question is always: why has the horse needed to build that pattern?

Now follow it through the hindlimbs and spine.

In the depressed-sacrum pattern, the hindlimbs can rotate outwards. The sacrococcygeal region can be held in hyperextension. The caudal lumbar spine can move into hyperextension as well, while the thoracolumbar junction compensates in the opposite direction and moves into increased flexion.(roach)

Then the pattern moves further forwards.

The thoracic spine may become hyperextended. The respiratory diaphragm can become held towards an inspiratory position.

And that is not a trivial detail.

The diaphragm is not just a breathing muscle. It's part of the pressure system between the thorax and abdomen. It's attached into the sternum, ribs and lumbar region, and it has direct relationships with the pleural, vascular and visceral systems around it.

If the diaphragm becomes maintained towards inspiration, pressure relationships within the thoracic and abdominal cavities change. That can alter the movement of the viscera, the mechanics of the ribs and thorax, and the way blood and lymph move through the body.

In this depressed-sacrum pattern, the consequences described include congestion through the limbs, thorax, abdomen and head, reduced ventilation of the lungs, and altered blood flow to and from the heart. The visceral consequences can include altered support of the pelvic organs and functional disturbance of the viscera.

And then there is the autonomic component.

Irritation around the stellate ganglion is described as contributing to endocrine imbalance. Strain through the craniosacral system is associated with changes in vitality, immune function and behaviour.

So suddenly we are a very long way from: "my horse has a bump over its SI."

And we still haven't finished following the mechanical pattern.

One of the particularly recognisable changes described with a depressed sacrum is a deep, square-shaped hollow behind the withers and shoulders. Further forwards again, the cervical spine can move into overextension. The splenius, rhomboid and serratus musculature can lose normal bulk. The shoulders can become restricted. The first rib becomes part of the compensatory pattern. And the TMJ can lose mobility.

That is why this pattern is so valuable to understand.

Not because every horse with a hunter's bump has a depressed sacrum. They do not.

And not because every horse with an SI dysfunction develops this severe presentation. They do not.

But a depressed sacrum gives us an extreme, very clear example of what compensation really looks like - and compensation throughout the whole horse does happen without a depressed sacrum too.

If the pelvis can no longer manage force normally, the horse does not stop functioning. It adapts. The lumbar spine changes. The thorax changes. The diaphragm changes. The shoulders change. The neck changes. The jaw changes. The autonomic system becomes involved. The vascular and visceral systems become involved.

๐—ง๐—ต๐—ฒ ๐—ต๐—ผ๐—ฟ๐˜€๐—ฒ ๐—ถ๐˜€ ๐˜€๐˜๐—ถ๐—น๐—น ๐—ผ๐—ป๐—ฒ ๐—ฏ๐—ผ๐—ฑ๐˜†.

And this is exactly why simply treating the place that looks worst is rarely the whole story.

A large hamstring may not need strengthening. A hollow behind the shoulder may not be a saddle problem. A stiff neck may not begin in the neck. A restricted jaw may not begin at the jaw.

Sometimes those things are the evidence of the compensation, not the origin of it.

And that is the question I keep coming back to: what has the rest of the horse had to change in order to accommodate the pelvis?

The treatment strategy for this severe pattern reflects that. It does not stop at the SI region. It includes work through the diaphragms, respiratory diaphragm, TMJ, first rib and front limbs, as well as reducing strain through the sacrum and coccygeal region.

๐ŸŽ Because once the compensation has become whole-body, the treatment thinking has to become whole-body too.

The depressed sacrum is an extreme example and deserves its own teaching in much greater depth. But it demonstrates one of the most important principles: the compensation does not stop where the dysfunction started.

๐Ÿ’• So if your horse has a hunter's bump, don't just stare at the bump. Look at the hindquarter. Look at the muscle pattern. Look at the lumbar spine. Look behind the withers. Look at the shoulders. Look at the neck. ๐—Ÿ๐—ผ๐—ผ๐—ธ ๐—ฎ๐˜ ๐˜๐—ต๐—ฒ ๐˜„๐—ต๐—ผ๐—น๐—ฒ ๐—ต๐—ผ๐—ฟ๐˜€๐—ฒ.

Because sometimes the most important thing about the bump is not the bump at all. It's everything the horse has had to change around it. Most importantly to help these horses the WHOLE horse needs assessing.

๐——๐—ผ๐—ฒ๐˜€ ๐˜†๐—ผ๐˜‚๐—ฟ ๐—ต๐—ผ๐—ฟ๐˜€๐—ฒ'๐˜€ ๐—ฏ๐˜‚๐—บ๐—ฝ ๐—บ๐—ฎ๐˜๐—ฐ๐—ต ๐˜๐—ต๐—ถ๐˜€ ๐—ฝ๐—ฎ๐˜๐˜๐—ฒ๐—ฟ๐—ป > ๐—ผ๐—ฟ ๐˜€๐—ผ๐—บ๐—ฒ๐˜๐—ต๐—ถ๐—ป๐—ด ๐—ฑ๐—ถ๐—ณ๐—ณ๐—ฒ๐—ฟ๐—ฒ๐—ป๐˜?

๐—ช๐—›๐—”๐—ง ๐—œ๐—ฆ ๐—ง๐—›๐—˜ ๐——๐—œ๐—™๐—™๐—˜๐—ฅ๐—˜๐—ก๐—–๐—˜ ๐—•๐—˜๐—ง๐—ช๐—˜๐—˜๐—ก ๐—ง๐—ฅ๐—˜๐—”๐—ง๐—œ๐—ก๐—š ๐—ง๐—›๐—˜ ๐—”๐—ฅ๐—˜๐—” ๐—”๐—ก๐—— ๐—ง๐—ฅ๐—˜๐—”๐—ง๐—œ๐—ก๐—š ๐—ง๐—›๐—˜ ๐—›๐—ข๐—ฅ๐—ฆ๐—˜? ๐Ÿด๐Ÿ‘‡โ€œMy horse is tight through his back.โ€โ€œShe has...
28/08/2026

๐—ช๐—›๐—”๐—ง ๐—œ๐—ฆ ๐—ง๐—›๐—˜ ๐——๐—œ๐—™๐—™๐—˜๐—ฅ๐—˜๐—ก๐—–๐—˜ ๐—•๐—˜๐—ง๐—ช๐—˜๐—˜๐—ก ๐—ง๐—ฅ๐—˜๐—”๐—ง๐—œ๐—ก๐—š ๐—ง๐—›๐—˜ ๐—”๐—ฅ๐—˜๐—” ๐—”๐—ก๐—— ๐—ง๐—ฅ๐—˜๐—”๐—ง๐—œ๐—ก๐—š ๐—ง๐—›๐—˜ ๐—›๐—ข๐—ฅ๐—ฆ๐—˜? ๐Ÿด๐Ÿ‘‡

โ€œMy horse is tight through his back.โ€
โ€œShe has an SI problem.โ€
โ€œHeโ€™s always restricted through his poll.โ€
โ€œSheโ€™s tight behind the shoulder.โ€

These observations may all be completely valid

But the area where you find the problem isnโ€™t necessarily where the problem began.

And this is where treating an area and treating the horse can become two very different things.

If I find restriction through the lumbar spine, I could simply work on the lumbar spine. But why is it restricted?

Is the sacrum influencing the lumbar mechanics?

Is the pelvis compensating for something happening lower down the limb?

What is the diaphragm doing?

Are the ribs moving normally?

Is there altered tension through the fascial system?

Could there be a visceral influence?

What is happening with vascularity and neurological input to the area?

And what has the rest of the horse had to change to accommodate it?

๐—ง๐—ต๐—ฒ ๐—ฏ๐—ผ๐—ฑ๐˜† ๐—ฑ๐—ผ๐—ฒ๐˜€๐—ป'๐˜ ๐—ณ๐˜‚๐—ป๐—ฐ๐˜๐—ถ๐—ผ๐—ป ๐—ฎ๐˜€ ๐—ฎ ๐—ฐ๐—ผ๐—น๐—น๐—ฒ๐—ฐ๐˜๐—ถ๐—ผ๐—ป ๐—ผ๐—ณ ๐˜€๐—ฒ๐—ฝ๐—ฎ๐—ฟ๐—ฎ๐˜๐—ฒ ๐—ฝ๐—ฎ๐—ฟ๐˜๐˜€.
โŒ The pelvis doesn't stop at the pelvis.
โŒ The spine doesn't work independently of the ribs.
โŒ The jaw isn't disconnected from the neck.The musculoskeletal system isn't separate from the nervous, vascular, fascial, or visceral systems.

Everything is adapting to everything else.

So if we repeatedly find ourselves treating the same โ€œtightโ€ area, it is worth asking a different question:

๐—ช๐—ต๐˜† ๐—ฑ๐—ผ๐—ฒ๐˜€ ๐˜๐—ต๐—ฒ ๐—ต๐—ผ๐—ฟ๐˜€๐—ฒ ๐—ธ๐—ฒ๐—ฒ๐—ฝ ๐—ป๐—ฒ๐—ฒ๐—ฑ๐—ถ๐—ป๐—ด ๐˜๐—ต๐—ฎ๐˜ ๐—ฎ๐—ฟ๐—ฒ๐—ฎ ๐˜๐—ผ ๐—ฏ๐—ฒ ๐˜๐—ถ๐—ด๐—ต๐˜? ๐—ฆ๐—ผ๐—บ๐—ฒ๐˜๐—ถ๐—บ๐—ฒ๐˜€ ๐˜๐—ฒ๐—ป๐˜€๐—ถ๐—ผ๐—ป ๐—ถ๐˜€ ๐—ป๐—ผ๐˜ ๐˜๐—ต๐—ฒ ๐—ฝ๐—ฟ๐—ผ๐—ฏ๐—น๐—ฒ๐—บ.

Sometimes it is the body's solution to another problem.That is one of the fundamental differences in an osteopathic approach. I'm not simply looking for "what can I release?"

I'm looking for: ๐—ช๐—ต๐—ฎ๐˜ ๐—ฝ๐—ฎ๐˜๐˜๐—ฒ๐—ฟ๐—ป ๐—ต๐—ฎ๐˜€ ๐˜๐—ต๐—ถ๐˜€ ๐—ต๐—ผ๐—ฟ๐˜€๐—ฒ ๐—ฐ๐—ฟ๐—ฒ๐—ฎ๐˜๐—ฒ๐—ฑ - ๐—ฎ๐—ป๐—ฑ ๐˜„๐—ต๐˜†?

Ultimately, the aim isn't to make one area move better for a few days. It is to give the horse's whole system the best opportunity to move, regulate, and function better as a whole. ๐ŸŒŸ

Image: The Equine Documentalist

#

๐ŸŽ๐—ช๐—›๐—ฌ ๐—ช๐—ข๐—จ๐—Ÿ๐—— ๐—” ๐—›๐—ข๐—ฅ๐—ฆ๐—˜ ๐—ง๐—›๐—”๐—ง ๐—ž๐—˜๐—˜๐—ฃ๐—ฆ ๐—Ÿ๐—ข๐—”๐——๐—œ๐—ก๐—š ๐—ข๐—ก๐—˜ ๐—ฆ๐—›๐—ข๐—จ๐—Ÿ๐——๐—˜๐—ฅ ๐— ๐—”๐—ž๐—˜ ๐— ๐—˜ ๐—œ๐—ก๐—ง๐—˜๐—ฅ๐—˜๐—ฆ๐—ง๐—˜๐—— ๐—œ๐—ก ๐—œ๐—ง๐—ฆ ๐——๐—œ๐—”๐—ฃ๐—›๐—ฅ๐—”๐—š๐— ?๐ŸซBecause the diaphragm is not sim...
25/08/2026

๐ŸŽ๐—ช๐—›๐—ฌ ๐—ช๐—ข๐—จ๐—Ÿ๐—— ๐—” ๐—›๐—ข๐—ฅ๐—ฆ๐—˜ ๐—ง๐—›๐—”๐—ง ๐—ž๐—˜๐—˜๐—ฃ๐—ฆ ๐—Ÿ๐—ข๐—”๐——๐—œ๐—ก๐—š ๐—ข๐—ก๐—˜ ๐—ฆ๐—›๐—ข๐—จ๐—Ÿ๐——๐—˜๐—ฅ ๐— ๐—”๐—ž๐—˜ ๐— ๐—˜ ๐—œ๐—ก๐—ง๐—˜๐—ฅ๐—˜๐—ฆ๐—ง๐—˜๐—— ๐—œ๐—ก ๐—œ๐—ง๐—ฆ ๐——๐—œ๐—”๐—ฃ๐—›๐—ฅ๐—”๐—š๐— ?๐Ÿซ

Because the diaphragm is not simply a breathing muscle sitting quietly at the back of the rib cage.โฃ๏ธ

And if you followed my last post about the horse that has a supposedly โ€œgood reinโ€ and โ€œbad reinโ€, this is where that story starts to get even more interesting.

We talked about the horse that continually organises itself around/loads into the same shoulder. On one rein it motorbikes into it. On the other, it appears to bend beautifully but actually overbends and loses that same shoulder to the outside. Meaning that same shoulder is a dominant loading shoulder.

We also started looking underneath that apparently simple shoulder problem at the first rib and thoracic inlet.

But there is another structure in that conversation that most riders would never associate with a horse falling onto one shoulder:

๐—ง๐—ต๐—ฒ ๐—ฟ๐—ฒ๐˜€๐—ฝ๐—ถ๐—ฟ๐—ฎ๐˜๐—ผ๐—ฟ๐˜† ๐—ฑ๐—ถ๐—ฎ๐—ฝ๐—ต๐—ฟ๐—ฎ๐—ด๐—บ

Most of us think about the diaphragm in one context: breathing or inspiration.

๐Ÿ’ฃ But anatomically, the diaphragm sits in the middle of a much bigger mechanical and neurological conversation.

๐Ÿฆด It attaches into the sternum, ribs and lumbar region, separating the thoracic and abdominal cavities. The aorta, oesophagus and caudal vena cava all pass through it.

So immediately we are dealing with something that sits between the back, ribs, thorax, abdomen and circulation.

But the relationship that really interests me begins much further forwards.

๐—ง๐—ต๐—ฒ ๐—ฝ๐—ต๐—ฟ๐—ฒ๐—ป๐—ถ๐—ฐ ๐—ป๐—ฒ๐—ฟ๐˜ƒ๐—ฒ.โ—๏ธ

The phrenic nerve arises from the mid cervical region and travels caudally through the neck alongside the ventral scalene muscle.

And that matters because the ventral scalene attaches directly onto the first rib.

The phrenic nerve is usually introduced as the motor nerve to the diaphragm, and of course that is hugely important.

But it is not only motor.

It also carries sensory information associated with structures including the pericardium, pleura, diaphragm and peritoneum.

So this nerve travelling from the neck towards the diaphragm is not simply carrying the motor drive for diaphragm contraction. It is also part of the sensory conversation coming back from some major thoracic and abdominal structures.

That immediately gives us a fascinating anatomical relationship between the mid cervical region, first rib and thoracic inlet, pleural and pericardial structures, diaphragm and peritoneal environment.

๐—”๐—ป๐—ฑ ๐—ฟ๐—ฒ๐—บ๐—ฒ๐—บ๐—ฏ๐—ฒ๐—ฟ ๐˜„๐—ต๐—ฒ๐—ฟ๐—ฒ ๐˜๐—ต๐—ฎ๐˜ ๐—ป๐—ฒ๐—ฟ๐˜ƒ๐—ฒ ๐—ถ๐˜€ ๐˜๐—ฟ๐—ฎ๐˜ƒ๐—ฒ๐—น๐—น๐—ถ๐—ป๐—ด.

๐Ÿ’ซ The scalene muscles are involved in neck mechanics, first rib elevation and respiration. So before the phrenic nerve has even reached the thorax, we already have a relationship involving the mid cervical spine, scalenes, first rib and thoracic inlet. ๐Ÿคฏ

The phrenic nerve then passes through the thoracic inlet in close relationship with the subclavian artery and vein, before continuing through the thorax towards the diaphragm.

So the nerve supplying your horseโ€™s major respiratory muscle begins in the neck and travels through the very same first rib and thoracic inlet region we were discussing in relation to the shoulder.

โ—๏ธ๐—ง๐—ต๐—ฎ๐˜ ๐—ถ๐˜€ ๐—ฎ ๐—ฐ๐—ผ๐—ป๐—ป๐—ฒ๐—ฐ๐˜๐—ถ๐—ผ๐—ป ๐˜„๐—ผ๐—ฟ๐˜๐—ต ๐—ฟ๐—ฒ๐—บ๐—ฒ๐—บ๐—ฏ๐—ฒ๐—ฟ๐—ถ๐—ป๐—ด.

Because the thoracic inlet is not empty space.

It is a compact gateway between the neck and thorax, with major structures continuing towards the forelimb.

Through this region travel neural, vascular and lymphatic structures. The first rib forms an important part of its boundary.

Think about what is meeting in this relatively small area:

๐Ÿ”น first rib
๐Ÿ”น scalene muscles
๐Ÿ”น lower cervical region
๐Ÿ”น brachial plexus
๐Ÿ”น subclavian vascular pathway
๐Ÿ”น phrenic nerve
๐Ÿ”น pleural structures

This is why the geometry and mobility of the first rib and scalene region are so interesting osteopathically.

There is another reason the diaphragm belongs in a conversation about movement.

At faster gaits, breathing and locomotion in the horse become closely coupled. At canter and gallop, horses commonly synchronise the respiratory cycle with the stride cycle, often approaching one breath for each stride.

That tells us something important.

๐—•๐—ฟ๐—ฒ๐—ฎ๐˜๐—ต๐—ถ๐—ป๐—ด ๐—ฎ๐—ป๐—ฑ ๐—น๐—ผ๐—ฐ๐—ผ๐—บ๐—ผ๐˜๐—ถ๐—ผ๐—ป ๐—ฎ๐—ฟ๐—ฒ ๐—ป๐—ผ๐˜ ๐˜๐˜„๐—ผ ๐—ฐ๐—ผ๐—บ๐—ฝ๐—น๐—ฒ๐˜๐—ฒ๐—น๐˜† ๐˜€๐—ฒ๐—ฝ๐—ฎ๐—ฟ๐—ฎ๐˜๐—ฒ ๐˜€๐˜†๐˜€๐˜๐—ฒ๐—บ๐˜€ ๐—ผ๐—ฝ๐—ฒ๐—ฟ๐—ฎ๐˜๐—ถ๐—ป๐—ด ๐—ฏ๐—ฒ๐˜€๐—ถ๐—ฑ๐—ฒ ๐—ผ๐—ป๐—ฒ ๐—ฎ๐—ป๐—ผ๐˜๐—ต๐—ฒ๐—ฟ.

The movement of the limbs, thorax, abdominal contents and diaphragm are mechanically interacting during locomotion.

So when we talk about diaphragm mobility, rib mobility and thoracic mechanics, we are not only talking about what happens while the horse stands quietly breathing in the stable.

We are talking about a system that has to organise itself rhythmically while the horse is moving.

And then there is the neurological side of the front end.

Equine research has shown that compression affecting the caudal cervical nerve roots can produce forelimb lameness, and that the severity may vary depending on things such as rein, head position and work under saddle.

That should make every rider and bodyworker think.

Because suddenly the horse that feels different on one rein, changes with head position or repeatedly organises itself around one shoulder may be giving us information about a much more complex region than the shoulder alone.

That does not mean every horse with those signs has nerve compression.

It means the anatomy gives us another question to ask.

And there is still another layer.

๐—ง๐—ต๐—ฒ ๐—ฑ๐—ถ๐—ฎ๐—ฝ๐—ต๐—ฟ๐—ฎ๐—ด๐—บ ๐—ฎ๐—น๐˜€๐—ผ ๐—ต๐—ฎ๐˜€ ๐—บ๐—ฒ๐—ฐ๐—ต๐—ฎ๐—ป๐—ถ๐—ฐ๐—ฎ๐—น ๐—ฟ๐—ฒ๐—น๐—ฎ๐˜๐—ถ๐—ผ๐—ป๐˜€๐—ต๐—ถ๐—ฝ๐˜€ ๐—ณ๐—ผ๐—ฟ๐˜„๐—ฎ๐—ฟ๐—ฑ๐˜€ ๐˜๐—ต๐—ฟ๐—ผ๐˜‚๐—ด๐—ต ๐˜๐—ต๐—ฒ ๐—ฝ๐—น๐—ฒ๐˜‚๐—ฟ๐—ฎ๐—น ๐˜€๐˜๐—ฟ๐˜‚๐—ฐ๐˜๐˜‚๐—ฟ๐—ฒ๐˜€.

Within the osteopathic model I was trained in, the pleural dome and its suspensory relationships connect back towards the lower cervical region, T1 and the first rib.

So we can start following a relationship that looks something like:

๐—–๐—˜๐—ฅ๐—ฉ๐—œ๐—–๐—”๐—Ÿ ๐—ฅ๐—˜๐—š๐—œ๐—ข๐—ก โ†’ ๐—ฆ๐—–๐—”๐—Ÿ๐—˜๐—ก๐—˜๐—ฆ โ†’ ๐—™๐—œ๐—ฅ๐—ฆ๐—ง ๐—ฅ๐—œ๐—• โ†’ ๐—ง๐—›๐—ข๐—ฅ๐—”๐—–๐—œ๐—– ๐—œ๐—ก๐—Ÿ๐—˜๐—ง โ†’ ๐—ฃ๐—›๐—ฅ๐—˜๐—ก๐—œ๐—– ๐—ก๐—˜๐—ฅ๐—ฉ๐—˜ โ†’ ๐——๐—œ๐—”๐—ฃ๐—›๐—ฅ๐—”๐—š๐— 

And if you follow the mechanical relationships back the other way:

๐——๐—œ๐—”๐—ฃ๐—›๐—ฅ๐—”๐—š๐—  โ†’ ๐—ง๐—›๐—ข๐—ฅ๐—”๐—ซ โ†’ ๐—™๐—œ๐—ฅ๐—ฆ๐—ง ๐—ฅ๐—œ๐—• โ†’ ๐—•๐—”๐—ฆ๐—˜ ๐—ข๐—™ ๐—ก๐—˜๐—–๐—ž โ†’ ๐—ฆ๐—›๐—ข๐—จ๐—Ÿ๐——๐—˜๐—ฅ ๐—ฅ๐—˜๐—š๐—œ๐—ข๐—ก

This is why the diaphragm is not โ€œjust about breathingโ€.

Its movement is part of thoracic mechanics, rib motion and pressure change with every single breath.

And if one part of that system has lost mobility, the body does what horses are exceptionally good at doing.

It adapts.

That adaptation may appear somewhere completely different from where it started.

This is also why I am very cautious about simple recipes.

Horse loads one shoulder? Treat the shoulder.

First rib feels restricted? Treat the first rib.

Diaphragm feels restricted? Release the diaphragm.

That is not the point.โฃ๏ธ

โ‰๏ธThe important question is:

๐—ช๐—ต๐˜† ๐—ถ๐˜€ ๐˜๐—ต๐—ฎ๐˜ ๐˜€๐˜๐—ฟ๐˜‚๐—ฐ๐˜๐˜‚๐—ฟ๐—ฒ ๐—ต๐—ฎ๐˜ƒ๐—ถ๐—ป๐—ด ๐˜๐—ผ ๐—ฏ๐—ฒ๐—ต๐—ฎ๐˜ƒ๐—ฒ ๐—ฑ๐—ถ๐—ณ๐—ณ๐—ฒ๐—ฟ๐—ฒ๐—ป๐˜๐—น๐˜†?

โš ๏ธThis is where direct testing matters.

Looking at the horse gives us a hypothesis. The riderโ€™s description adds another layer. Posture and movement give us more clues. But then the structures themselves have to be assessed for mobility.

The first rib should move with respiration.

The thorax should move.

The diaphragm should move.โžก๏ธ ( remember the relationship with the sacrum in webinar 2.).....

& The cervical region should be able to adapt.

Sometimes what appears to be a shoulder pattern turns out to have relationships much further through the horse.

Which brings us straight back to the pelvis.

Because if the horse has already had the SI/pelvis treated and genuinely feels better behind, but continues to use exactly the same established front end pattern, perhaps the original dysfunction has changed while some of the compensations built around it are still very well practised.

๐—”๐—ป๐—ฑ ๐˜๐—ต๐—ถ๐˜€ ๐—ถ๐˜€ ๐˜„๐—ต๐—ฒ๐—ฟ๐—ฒ ๐—ช๐—ฒ๐—ฏ๐—ถ๐—ป๐—ฎ๐—ฟ ๐Ÿฏ ๐—ถ๐˜€ ๐—ด๐—ผ๐—ถ๐—ป๐—ด.

We started in webinar 1 with the SI joint and pelvis.

Now we are following what happens as we travel forwards through the horse, into the thorax, diaphragm, first rib, cervical region and beyond.

Webinar 3 is not another webinar about treating the SI joint. It is about understanding why the SI joint never existed in isolation in the first place.

Details and booking will follow shortly.

For now, next time your horse repeatedly falls onto the same shoulder, ask yourself one more question:

๐—ช๐—ต๐—ฎ๐˜ ๐—ถ๐—ณ ๐˜๐—ต๐—ฒ ๐˜€๐—ต๐—ผ๐˜‚๐—น๐—ฑ๐—ฒ๐—ฟ ๐—ถ๐˜€ ๐—ป๐—ผ๐˜ ๐˜๐—ต๐—ฒ ๐—ฏ๐—ฒ๐—ด๐—ถ๐—ป๐—ป๐—ถ๐—ป๐—ด ๐—ผ๐—ณ ๐˜๐—ต๐—ฒ ๐˜€๐˜๐—ผ๐—ฟ๐˜† ๐—ฎ๐˜ ๐—ฎ๐—น๐—น?

๐ŸŒปI think we all need people who inspire us.It doesn't matter how experienced we become, how long we've been doing someth...
24/08/2026

๐ŸŒปI think we all need people who inspire us.

It doesn't matter how experienced we become, how long we've been doing something, or how much we've already learned.

There should always be people who make us stop and thinkโ€ฆ

People who add another piece to the puzzle, challenge our thinking, or simply give us that little bit of inspiration to keep developing.

I've spent this weekend David Landreville- On the Vertical hoof clinic, and unusually for me, this one wasn't really about adding something to my professional work.

It was about ๐—บ๐—ฒ ๐—ฎ๐—ป๐—ฑ ๐—บ๐˜† ๐—ต๐—ผ๐—ฟ๐˜€๐—ฒ, ๐——๐˜‚๐—ณ๐—ณ๐˜†. โค๏ธ

I'm an equine osteopath. I have absolutely no intention of becoming a hoof trimmer ๐Ÿ˜‚

But Duffy needs small, regular tweaks between visits from my own trimmer, and I wanted to understand enough to be able to do those for ๐—ต๐—ถ๐—บ.

What I didn't necessarily expect was how much I would enjoy watching the way David works.

Because although he's working with the hoof and I'm working with the body, there was something very familiar about it.

Make a change.

๐—ง๐—ต๐—ฒ๐—ป ๐—ด๐—ถ๐˜ƒ๐—ฒ ๐˜๐—ต๐—ฒ ๐—ต๐—ผ๐—ฟ๐˜€๐—ฒ ๐—ฏ๐—ฎ๐—ฐ๐—ธ ๐—ต๐—ถ๐˜€ ๐—ณ๐—ผ๐—ผ๐˜ ๐—ฎ๐—ป๐—ฑ ๐˜€๐˜๐—ฒ๐—ฝ ๐—ฎ๐˜„๐—ฎ๐˜†.

Watch.

Wait.

And see what the horse has to say about what you've just done.

That really resonated with me because it's such a huge part of how I work with the body.

Sometimes the most important part of a treatment is when I'm seemingly doing absolutely nothing.

I'm standing back.

Watching the horse process.

Watching the posture change. The breathing. The eyes. The nervous system. The way they organise themselves after the input they've just received.

Did they like that change?

Did they initially think absolutely notโ€ฆ and then, a few moments later, realise oh actuallyโ€ฆ that feels different?

Because the horse gets a say.

For me, treatment should never just be a sequence of techniques that I perform on a horse.

It's a conversation with the horse's body.

You give an input, then you listen to the response.

And sometimes you need to have the patience to do absolutely nothing while their body works out what you've just changed.

Perhaps that's one of the reasons I enjoyed this weekend so much. Different profession. Different structures. But something in the philosophy felt very familiar.

And then there's Duffy himself. โฃ๏ธ

One day I will tell his whole story.

This not so little Connemara and I have had quite a few years.

He's been through hell and back and, amongst other things, very nearly lost his life to peritonitis.

And, completely unrelated, during those same few years I very nearly lost mine to sepsis.

Different circumstances. Different bodies.

But two pretty monumental fights.

And somehow, through all of it, ๐˜„๐—ฒ ๐—ด๐—ผ๐˜ ๐—ฒ๐—ฎ๐—ฐ๐—ต ๐—ผ๐˜๐—ต๐—ฒ๐—ฟ ๐˜๐—ต๐—ฟ๐—ผ๐˜‚๐—ด๐—ต. โค๏ธ

So this weekend wasn't about collecting another qualification or adding another service.

It was simply about learning something that might help ๐—บ๐˜† ๐—ต๐—ผ๐—ฟ๐˜€๐—ฒ.

And perhaps that's what continuing to learn should be.

Not collecting certificates.

Not trying to know everything.

Just staying curious enough to recognise when somebody has something valuable to teach you.

And being humble enough to remain a student, however far along your own journey you might be.

I'm very grateful for the people who have done that for me over the years - professionally and personally.

And I suspect most of us, if we really think about it, can name a few people who have quietly changed the direction of our journey too. โค๏ธ

#๐“ฑ๐“ธ๐“ป๐“ผ๐“ฎ๐“ต๐“ฒ๐“ฏ๐“ฎ #๐“ฑ๐“ธ๐“ป๐“ผ๐“ฎ๐“ต๐“ฒ๐“ฏ๐“ฎ

Something different this weekend for CPD> At David Landreville- On the Vertical  Just for my own horse ,to learn skills ...
22/08/2026

Something different this weekend for CPD> At

David Landreville- On the Vertical

Just for my own horse ,to learn skills for his hoof journey.

25th August โ€“ Rare Full Yard AvailabilityA rare date has just become available for a full yard visit on Tuesday 25th Aug...
20/08/2026

25th August โ€“ Rare Full Yard Availability

A rare date has just become available for a full yard visit on Tuesday 25th August, after the yard originally booked for this date needed to postpone for a couple of weeks due to veterinary care.

This also creates rare availability for new clients to be added to my client list, particularly for yards or areas that I haven't previously been able to accommodate.

This is currently the only date I have available for a whole-yard visit for approximately the next six weeks.

The number of horses I can accommodate will depend on location, so if you have a group of horses at your yard and would like me to come to you, please get in touch.

๐Ÿ“ UK-wide enquiries welcome

Welcome to please tag or share the post. I

Helen Thornton
Equine Osteopathy & PEMF



Helen Thornton Equine Osteopathy & PEMF

YOUR HORSEโ€™S EASY REIN MIGHT BE LYING TO YOUYouโ€™ve had the SI treated. Behind, the horse feels different, genuinely bett...
20/08/2026

YOUR HORSEโ€™S EASY REIN MIGHT BE LYING TO YOU

Youโ€™ve had the SI treated. Behind, the horse feels different, genuinely better. More push, more swing through the hindquarter, perhaps even more willingness to work.

So why is the rein pattern still exactly the same as it was before?

Because hereโ€™s the horse we all know.

One rein feels easy. They bend nicely, the neck feels soft, the circle feels comfortable and everything appears to come together.

Then you change the rein and suddenly it feels like youโ€™re riding a motorbike.

The horse loads into one shoulder, the body doesnโ€™t really follow the circle and the head and neck may even kink towards the outside.

So naturally we say, โ€œThatโ€™s his stiff rein.โ€

But what if the other rein isnโ€™t actually the good rein at all?

What if your horse doesnโ€™t have a good rein and a bad rein, but one compensation showing up in two completely different ways?

Take a horse that prefers loading its left shoulder.

On the right rein, that horse may feel wonderfully willing to bend right.

Sometimes too willing. The neck bends easily, the horse drifts through the outside of the circle and you gradually lose control of that left shoulder.

It feels like bend. But is the horse genuinely bending through its whole body around that circle, or has it simply become very good at producing a false bend and escaping through the outside shoulder?

Now put exactly the same horse onto the left rein.

It still wants to organise itself around that left shoulder, except this time it canโ€™t escape through the circle in quite the same way. Instead, it loads down into that shoulder, travels around the circle like a motorbike and may kink its head and neck back towards the right.

So to the rider we have two apparently different problems:

๐Ÿ”น Right rein: plenty of apparent bend, but we lose the outside shoulder.
๐Ÿ”น Left rein: very little true bend, and the horse loads into that same shoulder.

Yet underneath, we may actually be looking at the same preferred loading strategy on both reins.

And that is why Iโ€™m always slightly cautious when somebody tells me their horse has a โ€œgood reinโ€.

Good at what?

Good at genuinely bending through the whole body, distributing load and following the line of the circle? Or good at finding the easiest route around a restriction it has been compensating for?

Those are two very different things.

This is where my rider brain and my osteopathic brain meet. As a rider, I recognise that feeling immediately. As an equine osteopath, I donโ€™t want to stop at what I can feel from the saddle.

I want to know why that horse is so committed to that shoulder.

Sometimes there may be primary pathology elsewhere and the horse is altering its movement because it is protecting something.

At other times, a horse may have travelled through a compensatory pattern for years and other structures have gradually taken the consequences of that repetitive loading.

So the riding pattern is incredibly useful information, but it is still only a clue.

I certainly wouldnโ€™t look at the difficult rein and automatically conclude, โ€œThe neck is tight, therefore the neck is the problem.โ€

Because tucked underneath what riders generally call โ€œthe shoulderโ€ is one of the most interesting junctions in the horseโ€™s body:

The first rib and the thoracic inlet.

๐Ÿฆด The first rib isnโ€™t simply rib number one in a row of eighteen. Together with T1 and the manubrium of the sternum, it helps form the cranial entrance into the thorax.

Once you start looking at what attaches there, and more importantly what has to travel through that region, a โ€œheavy shoulder and stiff neckโ€ starts to look considerably more interesting.

The scalene muscles attach directly onto the first rib and connect it into the lower cervical spine. Their function includes elevating the first rib during inspiration, flexing the neck and, when acting unilaterally, contributing to side bending of the neck.

So already we have a direct mechanical relationship between:

๐Ÿ”น the first rib
๐Ÿ”น the base of the neck
๐Ÿ”น cervical side bending

A structure sitting deep at the inside of the shoulder is therefore mechanically linked into how the lower neck moves.

But that is only one part of the story.

๐Ÿ’ซ The base of the neck is also a neurovascular gateway to the forelimb.

The nerve roots destined for the shoulder and front limb organise into the brachial plexus through this region. At the same time, the subclavian vessels are travelling through the same anatomical neighbourhood on their way towards the forelimb.

And all of this is happening around the scalenes and the first rib.

In my osteopathic training, hypertonicity through the scalene region and the resulting compression around the base of the neck is something we specifically consider because of what is passing through that confined space.

Iโ€™m not only interested in the muscle that feels tight. Iโ€™m thinking about what that tightness may be influencing.

๐Ÿ’ฅ The neural structures supplying the forelimb are there. The vascular supply to the forelimb is there. The first rib is there. The cervical spine is immediately above it.

Suddenly, โ€œthe horse keeps falling onto its shoulderโ€ is not such a simple shoulder problem.

๐Ÿซ The subclavian artery then continues towards the limb and becomes the axillary artery as it passes into the forelimb region. So the vascular pathway supplying that limb is travelling through the same general area in which we are considering the first rib, scalene muscles and brachial plexus.

That gives us a remarkably busy anatomical crossroads:

๐Ÿ”น First rib
๐Ÿ”น Lower cervical spine
๐Ÿ”น Scalene muscles
๐Ÿ”น Brachial plexus and forelimb nerve supply
๐Ÿ”น Subclavian vascular pathway

And we still havenโ€™t finished.

Because another very important nerve travels through this region:

๐ŸŸฃ๐Ÿ’ซ The phrenic nerve.

The phrenic nerve arises from the mid cervical region and travels caudally alongside the ventral scalene. It passes through the thoracic inlet in close relationship with the subclavian artery and vein, before continuing through the thorax towards one of the most influential structures in the body, the respiratory diaphragm.

And this is where the anatomy becomes properly osteopathic.

The diaphragm is not sitting at the back of the rib cage minding its own business.

Through the pleural dome and the fascial and ligamentous structures associated with this region, there are relationships back into the lower cervical spine, T1 and the first rib.

๐Ÿ’ฃ So now the horse that โ€œjust falls onto one shoulderโ€ is standing over an anatomical crossroads involving:

๐Ÿ”น the neck
๐Ÿ”น the first rib
๐Ÿ”น the thoracic inlet
๐Ÿ”น the front limb
๐Ÿ”น the brachial plexus
๐Ÿ”น the vascular system
๐Ÿ”น the respiratory diaphragm

This is the part that gets missed when we keep naming the piece of the horse that appears to be struggling.

The shoulder may absolutely be involved.

But why is it involved?

Is it driving the pattern, or is it simply the place where a much bigger compensation is expressing itself?

And before anybody reads this and decides that every horse that motorbikes on one rein has a first rib problem, no. That isnโ€™t how this works.

This is where direct testing matters.

The first rib should move with respiration. During inspiration it travels cranially; during expiration it travels caudally.

If I suspect the first rib may be involved, I can assess whether that respiratory movement is actually available.

That gives me information that simply watching a horse travel around a circle cannot.

Looking gives me a hypothesis. Riding feel gives another piece of the story. The ownerโ€™s history adds more. Direct testing tells me whether the structure I suspect is actually moving as it should.

Sometimes what I find is exactly what the visual picture made me expect.

Sometimes it isnโ€™t.

The pattern may involve the first rib, neck or thorax. It may involve something completely different that has caused those areas to compensate. Or it may have a relationship travelling much further back through the horse to the pelvis and the way force is being transmitted forwards through the body.

Which is exactly why โ€œthe SI has been treatedโ€ doesnโ€™t necessarily mean the story has finished.

The original dysfunction may have changed, while a compensation the horse has used for months or years remains very well practised.

That is why โ€œheโ€™s just stiff on the left reinโ€ actually tells us very little.

So next time you ride the supposedly easy rein, donโ€™t just ask whether your horse can turn its head and neck.

Look at the whole horse.

๐Ÿ”น Is the body genuinely following the circle?
๐Ÿ”น Where are the shoulders actually travelling?
๐Ÿ”น Are you controlling the outside shoulder, or is it quietly disappearing?
๐Ÿ”น Then change the rein. Does the horse suddenly load into that very same shoulder?

Because your horse may not really have a good rein and a bad rein at all.

It may have one compensation showing up two different ways, and the โ€œeasyโ€ rein may simply be where the horse has become exceptionally good at hiding it.โ—๏ธ

Sometimes that compensation starts exactly where you would expect.

And sometimes it started somewhere you would never think to look.โ•๏ธโ—๏ธ



Address

Market Rasen

Alerts

Be the first to know and let us send you an email when Helen Thornton Equine Osteopathy & PEMF posts news and promotions. Your email address will not be used for any other purpose, and you can unsubscribe at any time.

Contact The Business

Send a message to Helen Thornton Equine Osteopathy & PEMF:

Shortcuts

Share

Category