Lucy Makepeace Equine Osteopathic & Rehabilitation Practitioner.

Lucy Makepeace Equine Osteopathic & Rehabilitation Practitioner. Academic Qualification to Level 7 in Equine Osteopathy. Improving functionality and longevity for horses in your care. Looking at the 'Whole' of the horse.

Equine Kinesiology Practitioner
Osteopathic Based Assessment, Treatment and Education to suit each and every equine. A full holistic approach of techniques applied to the horse. An in-depth knowledge of equine anatomy, physiology and psychology are the building blocks to my assessments and treatment therapy for mental and physical well-being and rehabilitation. The focus is not just the horses structures and physiology. Environmental and Psychological challenges are also taken into consideration to have a positive impact on overall health. Having worked in the equestrian industry for the last 30 years, I have extensive experience with horses from all walks of life. As a practitioner, I have had the privilege of working with the worst equine welfare cases alongside leading equine vets as part of their extensive long term rehabilitation as well as working with leading international performance horses and everything in between. Member of the Association of Animal Osteopaths
Member of the World Alliance of Equine Osteopaths
Member of the International Associations of Veterinary Rehabilitation and Physical Therapy

Treatment includes soft tissue techniques, joint articulations, appropriate stretching modalities and prescriptive exercise rehabilitation. One size absolutely does not fit all.

What is it I do?Following on from a conversation yesterday with a fellow Equine Professional from a different background...
01/03/2026

What is it I do?

Following on from a conversation yesterday with a fellow Equine Professional from a different background, it has come to light that there is still some confusion as to 'What is Osteopathy? specifically for horses'

Osteopathy is not Veterinary Physiotherapy and it is not Chiropractic and although some treatment modalities may overlap neither of these were where I personally wanted to be as a Practitioner.

Osteopathy does involve working with the horses musculoskeletal system and understanding its functionality with a full assessment, however it is also about acknowledging and understanding the effects on the body from external and environmental factors alongside nutrition, lifestyle and stress levels. These will ALL have an affect on the physiological and psychological health of the Equine patient.

As a clinical science, there are not shortcuts to be made. A clinical understanding of Equine behavior, nutrition and physiology along with in depth anatomical knowledge are just some of the topics covered in Osteopathic training when you are a student.

It is a full approach to Equine health and can be used as preventative health care, performance enhancement and also specific treatments and rehabilitation alongside a vet led team working on pathologies and other underlying physiological health challenges.

The most damaging phrase that is used in the industry that my mentor taught me right from the beginning is 'We have always done it this way' If you always do what you have always done, you will always get what you have always had!!

If we choose to look harder at what is in front of us, then we can hopefully aid in the prevention of specific challenges for the horse.
Gastric ulceration for example is commonly caused by lifestyle, feed, environment and stress and is a problem within the visceral system. This can quite often cause a reflex reaction into the musculoskeletal system and can present as back pain.
If we choose to keep treating the discomfort in the back, then we are simply fire fighting a secondary symptom of a potentially secondary symptom already. We must understand what is causing the gastric ulceration, treat them, aid the prevention of the problem reoccurring and then we can find a solution to the secondary problem, being the back.

Our aim is to keep your horse as a well oiled machine, and the Osteopath is the horses mechanic. This was a phrase that was commonly heard from Osteopathies founder A T Still.

A good Osteopath will always refer to paraprofessionals as appropriate such as the vet, farrier, an ACPAT trained Physiotherapist or a suitability qualified Chiropractor.

If you would like to understand more about how Osteopathy can benefit your horse, then please do not hesitate to get in touch :)

Due to a yard having to rearrange, I have space this WEDNESDAY 4th MARCH🙌🏇 Pre-Season Scientific Gait Analysis – Special...
01/03/2026

Due to a yard having to rearrange, I have space this WEDNESDAY 4th MARCH🙌

🏇 Pre-Season Scientific Gait Analysis – Special Offer £50 🏇

Get ahead of the season with a scientifically validated gait analysis for your horse or yard this March & April now just £50 (mileage charges may apply).

This gait assessment provides valuable insight into your horse’s musculoskeletal health, helping to identify subtle asymmetries before they develop into bigger issues.

Early detection = better performance, soundness, and longevity.

Follow-up appointments can be arranged based on findings, this appointment is for Gait Analysis only.

A full PDF report of findings will be given to all clients.

Offer valid throughout March
Please send me a message if you would like to book or find out more about the system.

Horses are absolute masters at being functionally dysfunctional, and I talk to my clients a lot about this. If there is ...
28/02/2026

Horses are absolute masters at being functionally dysfunctional, and I talk to my clients a lot about this.

If there is an element of dysfunction or discomfort in the body, then the horse will ALWAYS make adaptations to its movement and posture to remain as functional as possible.

Injuries or dysfunction will never be unique to one area. There will always be global ramifications as the body is a unit.

**Passionate about Posture, Functionality and Longevity**I’m reposting this as it’s come to the forefront of my mind due...
27/02/2026

**Passionate about Posture, Functionality and Longevity**

I’m reposting this as it’s come to the forefront of my mind due to a beautiful mare I’m currently working with that has been referred to me from a large Equine Hospital.

I often get called to assess a horses posture as the owner feels the horse may not be 'quite right' They are doing all the correct work, feeding, management etc, however there is often still a niggling doubt at the back of their mind. The horse may not be lame so they may not want to go to the vets initially but have a 'fresh' set of eyes to look at their horse.

Chronic repetitive incorrect forces and imbalances can create negative postural changes in our horses. Now if we do not address the initiating cause of these changes, then we will only merely be treating a symptom over and over again with no success or longevity for the horse concerned.

If we allow these chronic incorrect forces to continue then we may predispose our horses to musculoskeletal injury and lameness, however if we can understand why the changes have happened within the horses body then we can be proactive to find a solution, treat and move on again.

Once a primary cause is found and treated accordingly we can then make positive steps to re educate the body, improve proprioception and aim to work the horse into a parasympathetic state of mind.

I will often be told that the horse cannot bend correctly on one rein or the other and often tilts the head to the outside, so the problem must be coming from the neck right? Not always and this is why a full assessment and work up will be undertaken as appropriate to our discussions to ensure that we find the route cause of the dysfunction so that we are able to help the body utilise its self healing function to the best of its ability.

As the founder of Osteopathy, Andrew Taylor Still would say:
'Find it, Fix it and leave it alone'




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An Osteopathic Approach to Equine WelfareEquine welfare is not just a matter of ensuring horses have enough food, water,...
26/02/2026

An Osteopathic Approach to Equine Welfare

Equine welfare is not just a matter of ensuring horses have enough food, water, and shelter. It's about recognising and addressing the holistic needs of these animals, including their physical and psychological well-being. Osteopathy plays a crucial role in promoting the health and vitality of horses.

Horses, like humans, can suffer from a variety of musculoskeletal issues that can impact their quality of life and performance. From poor posture to joint dysfunctions these issues can arise from various factors including improper training, poor foot balance, poor saddle fit, or simply the wear and tear of everyday life.

Osteopathy offers a gentle and non-invasive approach to support the horse and find long term solutions alongside a team of Paraprofessionals, to focus on restoring balance, function and vitality to the horse. By employing hands-on techniques, an Osteopathic approach can help alleviate dysfunction, improve mobility, and be the catalyst to enhance overall well-being.

But beyond simply addressing physical discomfort, equine osteopathy embodies a deeper commitment to the welfare of horses. It recognises the inherent connection between the horse's body, mind, and spirit, and aims to improve the body's inate self healing and self regulating system.

When we invest in good equine welfare through practices like osteopathy, we not only enhance the lives of individual horses but also contribute to a culture of compassion and respect for these animals. By prioritising their health and wellbeing, we uphold our responsibility to promote longevity and functionality.

So let us strive to champion equine welfare in 2026from all aspects of life, not just those that we assume to have poor welfare being the thin horse on the end of a tether. Good equine welfare is the responsibility of us all in every corner of the Equestrian world.

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🏇 Pre-Season Scientific Gait Analysis – Special Offer £50 🏇Get ahead of the season with a scientifically validated gait ...
25/02/2026

🏇 Pre-Season Scientific Gait Analysis – Special Offer £50 🏇

Get ahead of the season with a scientifically validated gait analysis for your horse or yard this March & April now just £50 (mileage charges may apply).

This gait assessment provides valuable insight into your horse’s musculoskeletal health, helping to identify subtle asymmetries before they develop into bigger issues.

Early detection = better performance, soundness, and longevity.

Follow-up appointments can be arranged based on findings, this appointment is for Gait Analysis only.

A full PDF report of findings will be given to all clients.

Offer valid throughout March & April
Please send me a message if you would like to book or find out more about the system.

23/02/2026

Tuesday 3rd March
I have space for 1 new client or 2 existing clients in the South Lincoln/A15/Methringham/Martin kind of area
This will be approx lunchtime.
If you would like it please msg me 🙌

As many of you know, following a period of bereavement, I had to take time away from full-time practice to be with and s...
23/02/2026

As many of you know, following a period of bereavement, I had to take time away from full-time practice to be with and support my family and to reflect, not only personally, but professionally. In that space, I asked myself important questions about who I am, what I stand for, and what I want my work in Equine world to represent.

I am returning with renewed clarity.

My practice remains firmly welfare-led, clinically informed, and collaborative. I believe equine osteopathy and any rehabilitation that is undertook, should prioritise long-term soundness over short-term fixes, honest assessment over convenient reassurance, and ethical decision-making over pressure to meet human timelines.

My role is to advocate for the horse, even when that advocacy is uncomfortable, even when it challenges expectations.

I do not work in isolation. For many years I have valued being part of a shared team alongside leading equine vets and fellow para-professionals, where interdisciplinary discussion is prioritised over ego, and where collective expertise serves the horse first and foremost for longevity and functionality.

This period has strengthened my commitment to thoughtful, ethical, evidence-informed practice and I return to full-time work with perspective, and a deep appreciation for the trust you place in me.

Thank you sincerely for your patience, kindness, and continued support during what has been an incredibly difficult time in my life,. It has meant more than I can express on here.

I look forward to supporting you and your horses with clarity, integrity, and care and with my usual service with a smile.

I will continue being supported in my role by the fabulous Equigate and Sleip.

19/02/2026

Today we celebrated my Dad. A highly emotional day but surrounded by people I get to call my family 🥰
My Dad was talented, devoted and dedicated to his family and his skill, and if I can be half the person he was then I will be more than happy.
I will reply to all work related messages that have come through on Monday 🙏
Thank you for all your support and messages, it means everything to me. Xx

04/02/2026

Quick Update:

Whilst I try and navigate life as it is now I want to reassure you that no one has been forgotten.
I’m slowly trying to get through and make some sort of sense of the huge back log that I have and I’m beyond grateful for people’s patience, but also the kind messages I have received for myself and my family. 🙏
I’m slowly working towards booking those in that I had to cancel, then I will begin on those that were waiting for dates, then I will endeavour to take new bookings.
This is going to take time but I will do my best.
If you’ve not heard from me individually regarding a booking you already have, then please assume it will take place unless my head falls off.

Dad, I promise to make you proud ❤️

A tough post to write but I want to explain my delay in getting people booked in. Yesterday, my world broke when my fath...
28/01/2026

A tough post to write but I want to explain my delay in getting people booked in.
Yesterday, my world broke when my father passed away.
Those that have already been affected by my cancelling you, I will get you booked back in as soon as I can, and those waiting, please rest assured that I have not forgotten you, but I am broken and need some time just me and my family.
Thank you for your continued support and your patience with me at this time 🙏

15/01/2026

Quick Update:
I’m starting to fit jobs in as I can around everything else and I also need to rearrange those that I’ve had to postpone. I’m doing my best to keep up with messages and respond as I can with bookings.
Those that I’ve had to rearrange you have been amazing thank you 🙏
Thank you to those that have messaged to check in. Means a lot ❤️
Lucy x

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