09/03/2026
Therapist thoughts....
The majority of neck issues I see in my practice begin with the horse (or human) using the head as a counterbalance for weakness which causes tension in the neck.
A dip in the neck just in front of the withers is a good indicator that the horse is traveling elevated in the front end, hollowed out in the back, and weak in the hind end. A longer scoop up the neck tells us the pattern of weakness has been a long-standing one.
When the hind end is strong enough to support the individual... The core will also be strong enough to support and round the back, which will allow the head to return to a neutral position... And the neck will relax.
Sometimes weakness looks like an obvious lack of tone or obesity... These horses (and humans) tend to respond well to therapeutic exercise and progress quickly in most cases.
Sometimes weakness is restriction and tension that gives the illusion of "being fit" when it's actually just rigid, tight fascia that does not allow freedom for correct movement. We see this most often in racehorses, performance horses, and people under high stress and repetitive jobs.
To the casual eye it looks like the horse is "ripped and fit". As a therapist, I see "tight and dysregulated".
Over time these dysfunctions become bony changes in the neck that require injections and maintenance.
I also find that training aids and over-bitting are common problems as well, but when I ask owners why they need a tie down, head setter or draw reins... Usually the answer is that the horse needs help balancing or won't use their rear... A major indicator of hind end weakness.
Even in humans, I find the majority of neck issues are rooted farther down in the body. It's amazing how patterns tend to overlap, isn't it.
Exceptions to this pattern would be traumatic events that damage the area directly... Setting back, falling, bites or kicks, being roped, head stuck in something... You get the idea.
As we covered in my last post, hoof angles can also play a big part in causing or correcting problems in posture that will create neck tension.