Permenter Equine Veterinary Services

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Permenter Equine Veterinary Services Integrative equine veterinary care focused on soundness, biomechanics, and performance for horses in Northern Idaho and the Palouse region.

Permenter Equine Veterinary Services provides integrative equine veterinary care throughout the Palouse region and Northern Idaho. Our focus is on helping horses move comfortably, perform confidently, and maintain long-term soundness through comprehensive evaluation of movement, posture, biomechanics, and musculoskeletal health. Dr. Stephanie Permenter brings over 15 years of equine veterinary experience with advanced training in acupuncture and veterinary spinal manipulation (chiropractic). These therapies, combined with thoughtful assessment of tack fit, body pain, and performance biomechanics, help address the underlying causes of discomfort that can lead to lameness or performance issues. Our goal is to support both equine companions and performance horses by restoring balance, improving function, and helping horses perform at their best throughout every stage of life.

I’m excited to share that Permenter Equine Veterinary Services is reopening, now serving horses throughout the Palouse r...
03/11/2026

I’m excited to share that Permenter Equine Veterinary Services is reopening, now serving horses throughout the Palouse region and Northern Idaho.

Some of you may remember my previous equine practice, Desert Sage Equine, which served horses in the Treasure Valley and southern Idaho. While my family and I have since relocated to the Moscow area, my passion for working with horses and helping them perform at their best has remained the same. I will continue to make occasional service trips to the Treasure Valley and southern Idaho, and I look forward to reconnecting with many of you there.

Horses have always been at the center of my life—from growing up riding and showing to pursuing veterinary medicine and spending the past 15+ years working with equine athletes. Over time, my work has increasingly focused on identifying subtle sources of pain, imbalance, and performance limitation that can be difficult to detect but have a significant impact on how horses move and feel.

This practice is built around a whole-horse approach to soundness and performance. I provide integrative services such as movement and posture evaluation, acupuncture, veterinary spinal manipulation (chiropractic), laser therapy, and other treatments designed to restore balance, improve comfort, and support long-term soundness.

Many performance issues develop gradually and involve multiple contributing factors—from body pain and compensation patterns to saddle fit or training demands. My goal is to help owners better understand their horse’s movement and work together to find solutions that improve comfort, restore function, and help horses perform at their best.

I’m excited to reconnect with the equine community and meet many new horses and riders in this region.

📍 Serving the Palouse region and Northern Idaho
🚛 Occasional service trips to Southern Idaho and the Treasure Valley
📩 Please reach out to discuss scheduling or upcoming travel days.

I find when we start discussing rehabilitation for back pain and postural abnormalities, people are frequently intereste...
02/05/2021

I find when we start discussing rehabilitation for back pain and postural abnormalities, people are frequently interested in getting their horse back in a surcingle or using a training aid. This article discusses pressures found under surcingles- increased pressure can negatively affect locomotion and inhibit what you are trying to accomplish.

TRAINING ROLLER PRESSURES – ARE THEY OF CONCERN?

Ground schooling activities including lunging, are routinely performed in the training and rehabilitation of horses. Training rollers (from here on: roller) are commonly used to provide attachment for training aids however, little attention is given to the fit and design of the roller, and the effect it has on the horse.

It may be thought, that as there is no rider (or saddle) during lunging, the pressures beneath the roller may not be of any significance. Previously we have demonstrated (1) in trot and canter, when lunging, using a roller fitted with a wool pad and dressage square, designed with two foam pads providing a semi sort of gullet, that roller pressures were located directly on the midline of the back (spine) (Image A ). Despite no rider or saddle, the roller pressures were greater than those thought to cause back discomfort and of a similar magnitude to those seen during ridden exercise suggesting that the pressures observed are influenced by locomotor forces and roller design (1).

We should not underestimate the effect that rollers have on the locomotor apparatus of the horse, especially in horse’s who are undergoing rehabilitation for back related conditions. Pressures of this magnitude, directly on the spine are not ideal. Like saddle and bridle pressures (see previous blogs), the pressures were influenced by locomotion. In trot, two peak pressures occurred, coinciding with the stance phase of the forelimbs and in canter, one peak pressure occurred coinciding with the stance phase of the inside forelimb.

The location and magnitude of pressures beneath the roller was influenced by the training aid being used. When using side reins high pressures beneath the roller were located towards the front edge of the roller, likely due to the connection of the side rein with the roller/bit, pulling the roller forwards and down. When using a Pessoa training aid, areas of high pressures were located towards the back edge of the roller (Image B ) again, when considering the attachment of the Pessoa, attaching to a ring positioned on the back (centre) of the roller, during locomotion, the roller is tilted backwards (1).

Training aids are used for multiple reasons however, in the context of this blog, if using a training aid with a roller which is creating high pressures directly on the midline of the back, then it seems reasonable to suggest that any benefits of lunge exercise and or the training aid, are likely to be diluted. As I have said many times, horses will develop a locomotor strategy to alleviate any discomfort caused, in this case, by the roller. This is amplified when considering the already existing locomotor adaptions as a result of circling versus moving in a straight line. If we apply this to our lunge session: lunging horses on a ~20m circle, for ~15-20 minutes, in trot/canter, during each stance phase of the forelimb, a peak pressure directly on the midline of the horses back occurs, of a magnitude similar to pressures seen during ridden exercise.

Like everything else, considering roller fit and design is essential – some take home messages:

🟢Users should ensure that the roller is well padded providing clearance of the midline (spine).
🟢When using training aids, ensure that during locomotion, the training aid is not causing the roller to tilt or draw down on the horses back.
🟢Consider girth fit and design (see previous blog) when lunging.
🟢Use of a correctly fitted saddle (providing there is no clinical reasoning) and positioning the roller over the top maybe advantageous.

Hope this is of interest. Please SHARE to raise awareness of the importance of training roller fit/design.

Please like our page to keep upto date with Blogs.

Kind Regards

Dr. Russell MacKechnie-Guire
www.centaurbiomechanics.co.uk



1. Mackechnie-Guire R, Mackechnie-Guire E, Bush R, Fisher D, Fisher M, Weller R. Local Back Pressure Caused by a Training Roller During Lunging With and Without a Pessoa Training Aid. Journal of Equine Veterinary Science. 2018;67:112-7.

This is perhaps the most important reason to work with a veterinarian when your horse has back pain. Many times the hors...
12/09/2020

This is perhaps the most important reason to work with a veterinarian when your horse has back pain. Many times the horses I am examining have underlying issues that need diagnosed and treated at the same time as the back pain.

Merry Christmas to all!!!
12/25/2019

Merry Christmas to all!!!

Breaking news! Santa had to call in the reinforcement crew!

03/15/2019

INTERNATIONAL BUYERS OUTSIDE THE USA, YOUR PRICE WILL REFLECT ADDITIONAL VAT OR IMPORT TAX COSTS. This one of a kind video is an 8 and 1/2-hour plus professionally…

01/03/2019

THIS

I hope everyone is enjoying their families and furry loved ones! Merry Christmas!!!
12/25/2018

I hope everyone is enjoying their families and furry loved ones! Merry Christmas!!!

Happy Halloween everyone!
11/01/2018

Happy Halloween everyone!

Have a spook-tacular, and safe, Halloween!

10/13/2018

Seems legit.

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Harvard, ID

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