Equine Soft Tissue Injuries

Equine Soft Tissue Injuries Info. ideas, studies. Practical management of Equine Soft Tissue Injuries . Educational and support

03/07/2026

Fascial Signaling: Telocytes in Connective Tissue Adaptation

A telocyte is a specialized interstitial (connective tissue) cell found in many organs — including fascia — that appears to play a role in cellular communication and tissue coordination.

They’re relatively newly described cells (identified in the early 2000s), and they’ve generated a lot of interest in fascial and connective tissue research.

What makes telocytes unique?

The defining feature of a telocyte is its extremely long, thin cellular extensions called telopodes.

These telopodes can extend for hundreds of microns, forming a three-dimensional communication network within connective tissue. They look almost spider-like under microscopy — small cell body, very long filament-like arms.

Where are telocytes found?

Telocytes have been identified in:
• Fascia
• Tendons
• Skeletal muscle
• Heart
• Lungs
• Intestines
• Uterus
• Skin

They are especially common in loose connective tissue and interstitial spaces — exactly where force transmission and cellular signaling occur.

What might telocytes do?

Research is ongoing, but proposed functions include:

1. Cellular communication

Telocytes appear to form connections with:
• Fibroblasts
• Stem cells
• Immune cells
• Nerve endings
• Blood vessels

They may help coordinate local responses by transmitting signals through direct contact or small vesicles (exosomes).

2. Tissue organization & repair

They are often found near stem cell niches, suggesting a role in:
• Regulating regeneration
• Supporting repair processes
• Maintaining structural organization

This is particularly interesting in fascia, where remodeling and adaptability are essential.

3. Mechanical sensing

Because they reside within connective tissue and form long networks, telocytes are hypothesized to participate in mechanotransduction — sensing and responding to mechanical load.

In other words, they may help translate mechanical forces (like stretch, compression, or shear) into cellular responses.

Why telocytes matter in a fascial context

For someone working in equine bodywork and myofascial release, telocytes are intriguing because:
• Fascia is not inert wrapping.
• It is a living, communicating network.
• Telocytes may help coordinate how fascia adapts to load and injury.

If fascia is a communication highway, telocytes may be part of the “signal routing system.”

They reinforce the idea that manual therapy doesn’t just affect muscle length — it influences a dynamic cellular environment involved in regulation, adaptation, and repair.

https://koperequine.com/adipose-tissue-fascia-quality-and-fitting-the-whole-horse/

03/07/2026

😍🐴😍

03/07/2026

🐴 Friends, forage, freedom: the “3Fs” for healthier horses 🌿

A recent UK and Ireland study analysing over 1,500 horse owner responses has highlighted how management choices can influence horse health and behaviour.
Researchers identified three different management styles, with horses managed under a horse-centred approach.

The findings of the study support a concept many horse owners already recognise: horses tend to thrive when their daily lives include companionship, near-constant forage access, and freedom to move.

While every yard has practical limitations, increasing turnout time, allowing social contact, and avoiding long periods without forage may help support better welfare outcomes.

📖 Read more about the study and what it means for everyday horse management.
🔗https://askanimalweb.com/friends-forage-freedom-uk-and-ireland-study-links-3fs-management-to-fewer-health-and-behaviour-issues/

03/07/2026
01/03/2026

𝗧𝗵𝗲 𝗼𝘃𝗲𝗿𝘄𝗵𝗲𝗹𝗺𝗶𝗻𝗴 𝗿𝗲𝘀𝗽𝗼𝗻𝘀𝗲 𝘁𝗼 𝗺𝘆 𝗿𝗲𝗰𝗲𝗻𝘁 𝗽𝗼𝘀𝘁 𝗼𝗻 𝘄𝗵𝘆 𝗜 𝘄𝗼𝘂𝗹𝗱 𝗻𝗲𝘃𝗲𝗿 𝗿𝗲𝗰𝗼𝗺𝗺𝗲𝗻𝗱 𝘁𝗵𝗲 𝗣𝗲𝘀𝘀𝗼𝗮 𝘀𝘆𝘀𝘁𝗲𝗺 𝗳𝗼𝗿 𝗿𝗲𝗵𝗮𝗯𝗶𝗹𝗶𝘁𝗮𝘁𝗶𝗼𝗻 𝘁𝗲𝗹𝗹𝘀 𝗺𝗲 𝗼𝗻𝗲 𝘁𝗵𝗶𝗻𝗴:
𝘔𝘢𝘯𝘺 𝘩𝘰𝘳𝘴𝘦𝘴 𝘢𝘳𝘦 𝘴𝘵𝘪𝘭𝘭 𝘱𝘢𝘺𝘪𝘯𝘨 𝘵𝘩𝘦 𝘱𝘳𝘪𝘤𝘦 𝘧𝘰𝘳 𝘮𝘪𝘴𝘶𝘯𝘥𝘦𝘳𝘴𝘵𝘰𝘰𝘥 𝘢𝘯𝘢𝘵𝘰𝘮𝘺 & 𝘳𝘦𝘩𝘢𝘣𝘪𝘭𝘪𝘵𝘢𝘵𝘪𝘰𝘯 𝘮𝘦𝘵𝘩𝘰𝘥𝘴.

So I decided to also re share this [ PART 1] as a strong anatomical explanation, for why no really does mean no when it comes to the Pessoa.

🧩 𝗧𝗵𝗲 𝗠𝘆𝗼𝗱𝘂𝗿𝗮𝗹 𝗕𝗿𝗶𝗱𝗴𝗲 & 𝗶𝘁𝘀 𝗖𝗹𝗶𝗻𝗶𝗰𝗮𝗹 𝗜𝗺𝗽𝗼𝗿𝘁𝗮𝗻𝗰𝗲 𝗶𝗻 𝗛𝗼𝗿𝘀𝗲𝘀 🐎
This post reached far more people than I expected when I originally shared it, and given the number of horses, particularly performance horses I continue to see affected by poll and cranio-occipital trauma, it is well worth revisiting and now as a further link to that vulnerable area re: the pessoa!

An anatomical structure that is far more clinically relevant than many realise.‼️
🔍 𝗧𝗲𝗿𝗺𝗶𝗻𝗼𝗹𝗼𝗴𝘆:
Myo = muscle
Dural = dura mater, the protective membrane surrounding the spinal cord.

The myodural bridge represents a direct anatomical connection between the re**us capitis minor muscle and the dura mater of the spinal cord. This occurs in the spaces between the atlas (C1) and axis (C2), and between the atlas and the occiput.

Importantly, this region is one of the very few places in the body where the spinal cord is not fully protected by bone.

Alongside this muscular-dural connection, the greater occipital nerve (arising from the dorsal ramus of C1) traverses this region, making it particularly vulnerable to mechanical irritation, strain, or compression.

In performance horses where fine neurological regulation, balance, and sensory integration are critical, disruption in this area can have consequences far beyond the poll itself. Clinical signs I observe can be influenced not only by trauma or mechanical strain, but also by inflammation, environmental factors, and other contributors to nervous system sensitivity.

⚡ 𝗖𝗹𝗶𝗻𝗶𝗰𝗮𝗹 𝗜𝗺𝗽𝗹𝗶𝗰𝗮𝘁𝗶𝗼𝗻𝘀:
Because of the proximity to the brainstem, dysfunction at the cranio-occipital (CO) junction and myodural bridge can create widespread neurological consequences.

The brainstem governs essential autonomic and sensory functions, including auditory processing, swallowing, extraocular muscle control (vision), and regulation of muscle tone.

⚠️ Chronic irritation in this region may therefore manifest as heightened hypersensitivity (sound sensitivity, light sensitivity), swallowing difficulties, and abnormal muscle responses.

This helps explain why horses with poll trauma or pull-back injuries can present with long-term behavioural and physical signs that appear disproportionate to the initial event.

⚠️⛔️ 𝗣𝗟𝗘𝗔𝗦𝗘 𝗧𝗔𝗞𝗘 𝗡𝗢𝗧𝗘
If your horse -particularly a young horse pulls back and shakes their head immediately, I strongly advise having a qualified equine osteopath assess them within a week or two if possible.

𝙔𝙤𝙪𝙣𝙜 𝙝𝙤𝙧𝙨𝙚𝙨 🐎
❌❌ DO NOT TEACH TO TIE UP VIA A SOLID OBJECT ❌❌

💥 𝗖𝗹𝗶𝗻𝗶𝗰𝗮𝗹 𝗣𝗿𝗲𝘀𝗲𝗻𝘁𝗮𝘁𝗶𝗼𝗻𝘀 𝗜 𝗛𝗮𝘃𝗲 𝗢𝗯𝘀𝗲𝗿𝘃𝗲𝗱 𝗶𝗻 𝗣𝗿𝗮𝗰𝘁𝗶𝗰𝗲 𝗜𝗻𝗰𝗹𝘂𝗱𝗲:
Hearing and sound reactivity; horses that spook excessively or become intolerant to normal environmental noise following poll injury, likely linked to altered brainstem auditory processing.

Ocular issues; difficulty tracking, changes in blink reflexes, or a horse becoming head-shy around the eyes.

Swallowing and bit acceptance; resistance to the bit, increased choking episodes, tongue thrusting behaviours, often associated with disruption of brainstem-mediated swallowing reflexes.

Chronic tension and guarding; persistent bracing of cervical and poll musculature, even at rest, driven by ongoing neurological irritation.

Unexplained behavioural changes; anxiety, head tossing, or hypersensitivity to light touch around the poll.

⚠️ 𝗣𝗿𝗮𝗰𝘁𝗶𝗰𝗮𝗹 𝗖𝗼𝗻𝘀𝗶𝗱𝗲𝗿𝗮𝘁𝗶𝗼𝗻𝘀:
This is precisely the region over which a halter or bridle headpiece lies. A single pull-back incident can cause significant trauma, not only to the soft tissues, but to neurological structures responsible for integration and regulation.

These injuries may require long-term, careful management, and this also explains why palpation of the poll can elicit exaggerated responses — the tissue here is not merely muscular, but deeply neurological.

In practice, I have also observed certain training approaches in dressage where riders pursue the so-called “nuchal ligament flip.” This is not a desirable training adaptation, but rather an induced strain on the nuchal ligament and supporting suboccipital musculature. Repeatedly training dysfunction in this region risks perpetuating cycles of instability, pain, and neurological irritation.

🚫 𝗞𝗲𝘆 𝗧𝗮𝗸𝗲𝗮𝘄𝗮𝘆:
Disturbance of the CO junction and myodural bridge is rarely an isolated issue. It can initiate an ongoing cycle of neurological stress, pain amplification, and compromised sensory integration.

𝙁𝙤𝙧 𝙩𝙝𝙞𝙨 𝙧𝙚𝙖𝙨𝙤𝙣, 𝙄 𝙨𝙩𝙧𝙤𝙣𝙜𝙡𝙮 𝙖𝙙𝙫𝙞𝙨𝙚 𝙖𝙜𝙖𝙞𝙣𝙨𝙩 𝙝𝙖𝙧𝙙 𝙩𝙮𝙞𝙣𝙜 𝙖𝙣𝙙 𝙩𝙝𝙚 𝙧𝙤𝙪𝙩𝙞𝙣𝙚 𝙪𝙨𝙚 𝙤𝙛 𝙧𝙚𝙨𝙩𝙧𝙞𝙘𝙩𝙞𝙫𝙚 "𝙩𝙧𝙖𝙞𝙣𝙞𝙣𝙜 𝙖𝙞𝙙𝙨".

Prevention remains the best defence against injury in this region as the consequences are not only behavioural. musculoskeletal, but often lead to neurological and systemic.

Evaluation of the Structure of Myodural Bridges in an Equine Model of Ehlers-Danlos Syndromes - PMC https://share.google/vjTJFdEy7RmaqVnFk

𝗣𝗔𝗥𝗧 𝟮 𝗡𝗘𝗫𝗧
🧩 The Sacral Myodural Bridge:
Another of Many Reasons to Rethink the Pessoa Training Aid 🐴

Original pessoa post : https://www.facebook.com/share/p/1C2mfh3YQz/

01/03/2026

Okay — breaking down one of my most common reasons for physiotherapy treatments.

Often times, owners or riders will say “I feel they’re tight on the left side of their body”. When I ask why, the response is usually “they really struggle on the left rein”.

When a horse struggles to bend either way, it is usually because the side of the horse’s body on the outside of the bend is experiencing dysfunction and tightness.

The outside of the body is then “shortened”, meaning the horse will fall in on turns, &/ find one rein significantly easier than the other. Other symptoms are; difficulty cantering one way, feeling like one of the riders legs is pushed out, poking of the jaw, asymmetrical hoof shape and more.

An important note here is that neither bend will be correct until your horse is symmetrical to bend each way. Just because they’re easier to bend one way, doesn’t mean that the body is actually functional; it will be likely due to the inside of the horse being more contracted and therefore positioned for “bend”.

Skipping over how I treat these cases (I will return at a later time with a post on this!), a few points on how exercises can help horses that experience one sided stiffness (of course after the cause has been investigated, identified and treated!!):

🐴 Instead of forcing the bend, counter flex your horse on their easier rein and yield the ribs inwards. This will help mobilise the ribs on the outside of the body, increasing flexibility and improving straightness.

🐴 Mobilise the pelvis — so many people reach for the neck, but if the pelvis can mobilise symmetrically to each side in quick succession, it can provide a basis for straightness and suppleness. Use transitions & & renvers on a figure of eight, progressing to counterflexing in each transition.

By trying to ask the horse to bend more, you will often be met with more bracing, so instead use gentle mobilisation work to loosen up and improve symmetry and function to both sides of the body.

01/03/2026

Cold Weather Nutrition
Brian S. Burks, DVM
Diplomate, ABVP
Board Certified in Equine Practice

Horses handle cold weather much better than hot weather; they are adapted to being out in the elements. Horses are isothermic at about 40º F, but healthy horses with a good winter coat are quite comfortable in temperatures near 0º, colder (to 40º below 0º F) if shelter is available. Shelter is needed to protect from wind, sleet, and rain. Blanketing is also useful in such conditions. Horses do need to be acclimatized to cold temperatures, meaning a gradual decrease in ambient temperature, not a sudden decrease.

Wild horses are known to gain weight in the summer months and lose weight in the winter. The extra weight helps to keep them warm during cold weather, and it is easier to gain weight during warmer weather than during cold weather. Piloerector muscles cause horses to fluff up their coat, trapping a layer of air between the skin and the outside. If there is a layer of snow upon your horse’s back, they are conserving heat and are warm; if the snow is melting, then heat is leaving the body. Shivering is also an indication that an animal is cold. Wet horses will also be cold, as they lose the ability to fluff up their hair coat.

It is important to assess your horse’s body condition at least twice weekly, meaning that the blanket needs to come off, and your hands need to go on the horse and FEEL underneath that fuzzy hair, which can make horses appear heavier than they are in fact. The ribs may be easy to palpate under the fuzz, which is not what you want- you should have to feel deep for the ribs, though they ideally are palpable. It is important to maintain the horse in a body condition score of 5 to 6 (moderate to moderately fleshy) because a layer of fat under the skin provides insulation against the cold. Horses in good body condition may not require blanketing, but those with less-than-ideal body condition often require additional methods of conserving heat. Horses in moderately fleshy condition require fewer calories for maintenance during cold weather compared to thin horses.

Winter uses more calories, and this can be especially evident in late gestation mares, the elderly, and the infirm. If you haven’t already, this is a good time to check teeth and have a good physical examination done. Horses require about 22,000 Kilo calories per day. This may increase 10-20% in the winter.

Roughage is the main heat source for the horse- not grain. Bacterial fermentation in the colon of fiber produces a lot of heat, which keeps the horse warm. The term ‘hay burner’ is used for a reason. Horses that cannot consume enough hay each day to maintain weight and warmth will require additional calories from a concentrate or vegetable oil. Concentrates are primarily digested in the small intestine and is not fermented unless spilled over into the colon, which can cause acidosis, colic, and diarrhea. Grain simply provides calories, not warmth.

Start with feeding 2-2.5% of body weight of hay each day. It is ideal to weigh this amount to ensure accuracy. Once you know this, you may be able to feed by flakes, assuming that the hay is all from the same source. For every 10-degree drop, add about two pounds of hay. Horses in the wind and rain may require even more hay. Horses kept outside should always have hay available, preferably in a feeder and not in the mud.

Senior horses may be unable to chew hay completely due to poor teeth and suffer from less efficient digestion and absorption of nutrients in the GI tract, thus requiring a feed specifically designed for them. Many senior feeds can be fed as a complete feed, containing enough fiber and fat to maintain health. Soaked alfalfa pellets or cubes can be fed several times per day to help maintain weight. Feeding 4-6 times per day provides more even levels of sugars and starch to the intestinal tract.

Also ensure that there is adequate water at tepid temperatures, between 45 and 65 degrees. Care should be taken when using tank or bucket heaters, to prevent fires due to wiring faults. Snow is not a substitute for water, as the horse cannot consume enough snow to meet its water requirement. Water is required for fermentation, but many horses will not drink freezing water, though if temperatures gradually decrease, they are more likely to drink colder water. Adequate water intake will also prevent dehydration, intestinal impaction, and colic.

Another consideration in cold weather horse care is housing or shelter. In general, even in cold climates, horses are happier and possibly healthier outdoors. Closed and heated barns are often inadequately ventilated. Horses living in poorly ventilated stables tend to develop respiratory diseases more often than horses maintained in pastures, even during cold weather.

Horses living outside should have access to adequate shelter from wind, sleet, and storms. Trees, brush, or a three-sided shed or stable can provide adequate shelter. In severe cold, horses will group together to share body heat. They may all take a brisk run to increase heat production, and then come back together to share the increased warmth. A long thick coat of hair is an excellent insulator and is the horse's first line of defense against cold temperatures. Horses that live outdoors during the winter should be allowed to grow a natural, full winter coat. Horses that live indoors and those with body clips will need adequate blankets in the cold weather to ensure that they do not get too cold. With sufficient thought and care by the horse owner, even horses that live outside in very cold climates will survive quite well during the cold winter months.

Fox Run Equine Center

www.foxrunequine.com

(724) 727-3481

01/03/2026

In low PA, broken-back feet, does PoB move? or does the solar surface move relative to it?

A really great question! The key thing to clarify first is this:

PoB itself is not dynamic.
What is dynamic is the distribution of the ground reaction force (GRF) across the solar surface.

The Point of Balance (PoB) is a mechanically necessary point that represents where the horse’s body weight is effectively transferred downward through the digit when limb load and DDFT tension are considered. It is defined relative to the coffin joint centre of rotation and does not migrate with hoof growth, shoeing, or surface conditions.

In a foot with a low palmar angle and a broken-back hoof–pastern axis, the problem isn’t that PoB has moved. It hasn’t. The problem is that the solar surface has migrated dorsally (forward) relative to the internal bone column. When that happens, the functional transfer of body weight (PoB) now lies behind the PPSH (the centroid of the solar surface).

When PoB sits behind the PPSH, the system is forced to resolve equilibrium by concentrating the upward GRF caudally on the available support surface. This is why low PA / broken-back feet consistently show:
• increased caudal GRF concentration,
• heel overload,
• crushed or underrun heels,
• and increased stress on the digital cushion and caudal structures.

So the caudal loading you see in these feet is not because PoB has shifted backward, but because the surface through which load must be resolved has moved forward relative to it.

That distinction is crucial.

In terms of practical application:
• You don’t “find” PoB on the sole in a suboptimal foot.
• You don’t chase CoP as it moves.
• PoB is used to understand why the GRF is being forced to act where it is.

In compromised feet, PoB tells you that the current geometry forces the horse to load the back of the foot to satisfy moment equilibrium. That immediately directs intervention toward:
1. restoring phalangeal alignment,
2. reducing excessive palmar moments,
3. and managing hoof geometry over time so the PPSH can move back toward PoB.

Regarding surface conditions and shoeing packages: these influence how the solar surface deforms and how much the distal phalanx sinks under load, which changes where the GRF can be expressed (CoP). They do not change PoB. They simply change how the system is forced to resolve load around it.

So in short:
• PoB is the fixed mechanical point of weight transfer.
• PPSH and CoP are dynamic surface expressions.
• In low PA / broken-back feet, PoB lies behind PPSH, explaining caudal GRF concentration.
• The value of PoB is explanatory and diagnostic, it tells you what the foot is being forced to do, and therefore what must change over time.

That’s exactly why PoB doesn’t create bad balance, it explains it.

01/03/2026

For generations, horse culture has been shaped by opinion, tradition, and a dominance-based narrative that prioritizes compliance over comprehension.

“This is how it’s always been done” has too often outweighed the far more important question: how does this feel, function, and make sense to the horse?

If we are serious about evolving horse welfare, we must be equally serious about evolving our thinking.

True cultural change begins when we shift from a human-centric agenda to a horse-centric framework, grounded in the Five Domains of Horse Welfare: nutrition, physical environment, health, behavioral interactions, and—critically—mental state.

Welfare is not simply the absence of harm. It is the presence of positive experiences.

That requires us to understand horses not as machines to be controlled, but as sentient, learning animals with emotional and cognitive lives.

This is where equine learning theory, the study of conflict behaviors, and ethical training protocols become essential.

When we understand how horses learn, why they resist, and what their behavior is communicating, training stops being a battle of wills and becomes a process of collaboration.

The question shifts from “How do I make this horse do what I want?” to “Why is this difficult, and how can I help this horse succeed while remaining mentally and physically well?”

There is no single solution.

Nutrition, management, tack fit, veterinary care, training methodology, rider awareness, and emotional literacy all intersect.

Multiple approaches are not only valuable—they are necessary.

However, we should not underestimate the power of incremental change.

One trainer rethinking pressure.

One rider learning to recognize conflict behaviors.

One owner adjusting management to meet species-specific needs.

One horse finally being heard.

These small shifts create ripples.

Ripples create conversations.

Conversations create new norms.

Over time, culture changes—not through force, but through education, reflection, and lived examples of better outcomes for horses and humans alike.

If we want horse culture to genuinely be about the horses, we must be willing to question our assumptions, update our knowledge, and lead with curiosity, compassion, and evidence-based practice.

If this perspective resonates with you, explore the Equitopia education platform.

For a limited time, enjoy 7 days with 70% off ALL courses, plus an additional 30% discount for members who join our $9.95/month library of whole horse/whole rider webinars, videos, blog posts, and research articles.

Learn more at www.equitopiacenter.com

01/03/2026

During cold weather there is an increased risk of impaction colic due to decreased drinking. This can occur either because water troughs or buckets are frozen or even if not frozen as horses drink less water when water is cold (

01/03/2026

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