BK Veterinary Physiotherapy

BK Veterinary Physiotherapy Veterinary Physiotherapist

Bespoke physiotherapy for your four legged friends ๐Ÿพ


Beverley Kay, BSc (Hons) Physiotherpay,
MSc Veterinary Physiotherapy,
Affiliated with HCPC - CSP - ACPAT (Catagory A).

๐‚๐จ๐ฌ๐ฆ๐จ ๐ŸดCosmo is a young horse and has only been with his new owner for 3 weeks. He had no obvious issues and was riding ...
06/05/2026

๐‚๐จ๐ฌ๐ฆ๐จ ๐Ÿด

Cosmo is a young horse and has only been with his new owner for 3 weeks. He had no obvious issues and was riding well, he was just checked because I was there for another horse.

On assessment there were some subtle but significant findings

๐Ÿฉต Reduced control through one hindlimb
๐Ÿฉต Slight hip hitch in trot
๐Ÿฉต Shortened stride in walk
๐Ÿฉต A small, band-like restriction high on the medial thigh on palpation.

Nothing dramatic on its own but together they pointed to a subtle dysfunction through that limb. Left unnoticed could lead to compensatory patterns becoming established and issues in the future.

After treatment, he moved more freely with good control and improved symmetry.

A good reminder that young horses donโ€™t always show clear lamenessโ€ฆ sometimes itโ€™s just small changes that are easy to miss.

Prevention is always better than cure โœจ

๐‰๐ฎ๐ฌ๐ญ ๐ญ๐š๐ค๐ข๐ง๐  ๐š ๐›๐ซ๐ž๐š๐คโ€ฆSometimes I will use bony landmarks where there are lots of fascia and muscle attachments to give th...
05/05/2026

๐‰๐ฎ๐ฌ๐ญ ๐ญ๐š๐ค๐ข๐ง๐  ๐š ๐›๐ซ๐ž๐š๐คโ€ฆ

Sometimes I will use bony landmarks where there are lots of fascia and muscle attachments to give the horse some release. Sometimes the horses will melt into this and stay there for a few minutes. When I let go and give my slightly dead arm a shake, owners will comment they thought I was having a rest ๐Ÿ˜….

So hereโ€™s whatโ€™s happening

The point of hip is where multiple fascial and muscular chains converge. Including the tensor fasciae latae, external and internal obliques, and the thoracolumbar fascia linking into lat dorsi and the spinal stabilisers. It acts as a functional bridge between the back and hindquarters, with indirect influence on the glute med and biceps femoris (part of the hamstring group).

When gentle pressure is applied here, many horses will โ€œmeltโ€ into it relaxing the lateral chain and core stability system.

This can help to:

๐Ÿฉต Release tension through the lateral hind limb
๐Ÿฉต Downregulate abdominal bracing (parasympathetic response)
๐Ÿฉต Ease load through the lower back and SI region
๐Ÿฉต Encourage a postural reset via this high-feedback bony landmark
๐Ÿฉต Improve pelvic organisation and weight distribution behind

Resulting in:

๐Ÿ’™ Reduced lateral chain tension
๐Ÿ’™ Improved pelvic mobility
๐Ÿ’™ Reduce compensatory core bracing
๐Ÿ’™ Improve hindlimb protraction and engagement
๐Ÿ’™ Nervous system downregulation (release of guarding patterns)
๐Ÿ’™ Enhance pelvic proprioception

That โ€œsinkโ€ isnโ€™t just muscular, itโ€™s a neuromuscular release relaxing the nervous system allowing the horse to let go of bracing patterns.

Hard truths about keeping older horses ๐Ÿ’”Having partaken in one of BBecks Nairns dissections and seeing the damage to int...
03/05/2026

Hard truths about keeping older horses ๐Ÿ’”

Having partaken in one of BBecks Nairns dissections and seeing the damage to internal organs in older horses, considering older horses quality of life can be difficult ๐Ÿ˜ฃ.

When considering end of life decisions I want people to be realistic.

I often hear of people being guilt tripped by their own vets and other people when it comes to end of life decisions. Keep in mind thatโ€™s part of a vets job is to keep the horse aliveโ€ฆ..the options for drugs and interventions are becoming more every year. A death is often seen as a failure and I think thatโ€™s something that needs to change. We are all on the planet for a blip of time, when you feel this weightโ€ฆ..zoom out to the bigger picture. We are born from Star dust and we will return to star dust. Horses donโ€™t count their day in quantity but rather qualityโ€ฆ.Hell horses donโ€™t count days at all! What I do know is that they are built to mask pain being a prey animal. I have seen horses whose kidneys are necrotic mush who died with a full stomach and mouthful of foodโ€ฆ..thatโ€™s how strong their survival instincts are. I have seen black, yes black intestines in horses who died in pain because their human wanted to see another year.

Wild/feral horses average life span is 15 to 20 years, some populations are even younger depending on weather conditions and predators. The minute the horse slows down, itโ€™s on the menu.

Domestic life has advantages for the horse but I feel in many ways it actually has less because of what we do the horse to suits our needs, not theirs. We segregate the horses in small stalls and label it luxury yet in humans we call this a prison cell. Movement is medicine yet we have convinced ourselves that stables are caring. Let me tell you, one time after a long haul flight and being restricted to my seat for a 17 hour flight I decided to go to the gym the following day. I got 15 mins into my work out before my hamstrings got the worst cramp Iโ€™ve ever experienced and I was in immense pain for two weeks after. Where are race horses always tight? Hamstrings. I had allot of sympathy for stabled performance horses after that. Movement is medicine, not just for one hour of the day.

There are so many fractures in equestrianism that are seeing daylight now and people are divided. Balance needs to be restored.
Donโ€™t throw the baby out with the bath water.

Two things I have noticed when horses are struggling, they either remove themselves from the herd or they attach themselves to another horse neurotically. Macular(eye) degeneration in older horses is very real and I see it allot, these horses also become spooky. If they lose weight over winter, itโ€™s a sign their bodies not processing nutrients effectively. If they canโ€™t stand to have their feet done comfortably. If they spend long periods of time in the paddock with their head down. If they canโ€™t rest effectively, to fully rest they need a good stay apparatus or to lay down fully. These are all reasons to call time.

The horses I struggle to dissect the most are the ones who suffered silently, not the young horses who were put down humanely put down never to be forced to comply with human expectations. End of life choices are for the owner, the owners sees the slow decline.

******for the people triggered by my comments about vets at the beginning, itโ€™s not ALL vets! This is not an ALL vets problem. I say it because it does happen, I hear about it often on my dissections. I say the same thing to them as I am saying here, find a realistic vet. Being a vet is hard, they are just people too with their own opinions and beliefs. This is not a vet bashing post, being a vet is a hard gig and Iโ€™m so grateful to vets.

๐‹๐ž๐š๐ซ๐ง๐ข๐ง๐  ๐›๐ž๐ฒ๐จ๐ง๐ ๐ฆ๐ฎ๐ฌ๐œ๐ฅ๐ž๐ฌ ๐Ÿ‘€I spent the day shadowing Donna, an osteopath with a special interest in visceral work, and as ...
03/05/2026

๐‹๐ž๐š๐ซ๐ง๐ข๐ง๐  ๐›๐ž๐ฒ๐จ๐ง๐ ๐ฆ๐ฎ๐ฌ๐œ๐ฅ๐ž๐ฌ ๐Ÿ‘€

I spent the day shadowing Donna, an osteopath with a special interest in visceral work, and as always came away having learnt a lot.

Itโ€™s something Iโ€™ve now done a few times, and each time it adds another layer to how I assess and understand cases.

We often think of pain and dysfunction as purely musculoskeletal, but the body doesnโ€™t work in isolation. The way organs, fascia, and the nervous system interact can have a huge influence on movement, posture, and comfort.

Itโ€™s been really interesting to see how some presentations that donโ€™t fully โ€œfitโ€ a typical MSK picture can start to make more sense when you look a little deeper.

Always learning, always trying to improve how I assess and support the animals I work with. ๐Ÿด๐Ÿถโœจ

๐Ÿ“– Donna has agreed to putting on some training in this respect for practitioners. If anyone would be interested in this please let me know so I can gather interest and sort out dates.

๐‚๐๐ƒ ๐„๐ฏ๐ž๐ง๐ข๐ง๐  โ€“ ๐๐š๐ข๐ง ๐Œ๐š๐ง๐š๐ ๐ž๐ฆ๐ž๐ง๐ญ & ๐€๐œ๐ฎ๐ฉ๐ฎ๐ง๐œ๐ญ๐ฎ๐ซ๐ž hosted by tayloredpettherapies ๐Ÿพ๐ŸดReally enjoyed attending a CPD evening at T...
29/04/2026

๐‚๐๐ƒ ๐„๐ฏ๐ž๐ง๐ข๐ง๐  โ€“ ๐๐š๐ข๐ง ๐Œ๐š๐ง๐š๐ ๐ž๐ฆ๐ž๐ง๐ญ & ๐€๐œ๐ฎ๐ฉ๐ฎ๐ง๐œ๐ญ๐ฎ๐ซ๐ž hosted by tayloredpettherapies ๐Ÿพ๐Ÿด

Really enjoyed attending a CPD evening at Taylored Pet Therapies with Dr Esme Howells on pain management and acupuncture.

I asked a lot of questionsโ€ฆ so thank you Dr Esme Howells whiskers.wellness.wirral for answering them all ๐Ÿ˜‚

It gave me more tools to support owners, more confidence to ask the right questions to vets, and more professionals to reach out to when extra expertise is needed.

Most of all, it reinforced something I strongly believe: we cannot effectively rehabilitate animals in pain. Comfort should always come first.

Lovely to hear that a calm, fear-free approach to rehab is shared and supported by specialists too. โœจ

๐Œ๐จ๐ฏ๐ž๐ฆ๐ž๐ง๐ญ ๐ข๐ฌ ๐Œ๐ž๐๐ข๐œ๐ข๐ง๐ž ๐Ÿด ๐Ÿถ Hands-on treatment has its place, but lasting change happens through movement.Massage and manua...
28/04/2026

๐Œ๐จ๐ฏ๐ž๐ฆ๐ž๐ง๐ญ ๐ข๐ฌ ๐Œ๐ž๐๐ข๐œ๐ข๐ง๐ž ๐Ÿด ๐Ÿถ

Hands-on treatment has its place, but lasting change happens through movement.

Massage and manual therapy can help reduce tension, improve comfort, and show me where a horse may be struggling. But strength, mobility, coordination, and resilience are built through the right exercise programme.

That might mean:

โ€ข Pole work
โ€ข Hill work
โ€ข In-hand rehab
โ€ข Dynamic mobilisation exercises
โ€ข Correctly progressed ridden work
โ€ข Simple daily movement habits

The goal isnโ€™t just for a horse to feel better on the day I visit itโ€™s to help them move better long term.

Physio works best when treatment and exercise go hand in hand. ๐ŸŽ

This is why I offer in hand groundwork sessions to support correct movement and give owners the tools to support their horses long term.

๐Ÿ“ž 07880327662
๐Ÿ“ NorthWest England

๐“๐ก๐ž ๐ซ๐ž๐š๐ฅ ๐ฆ๐š๐ ๐ข๐œ ๐จ๐Ÿ ๐ฉ๐ก๐ฒ๐ฌ๐ข๐จ ๐ก๐š๐ฉ๐ฉ๐ž๐ง๐ฌ ๐š๐Ÿ๐ญ๐ž๐ซ ๐ˆ ๐ฅ๐ž๐š๐ฏ๐žI prescribe a lot of โ€˜homeworkโ€™ for people and their animals and I wanted ...
26/04/2026

๐“๐ก๐ž ๐ซ๐ž๐š๐ฅ ๐ฆ๐š๐ ๐ข๐œ ๐จ๐Ÿ ๐ฉ๐ก๐ฒ๐ฌ๐ข๐จ ๐ก๐š๐ฉ๐ฉ๐ž๐ง๐ฌ ๐š๐Ÿ๐ญ๐ž๐ซ ๐ˆ ๐ฅ๐ž๐š๐ฏ๐ž

I prescribe a lot of โ€˜homeworkโ€™ for people and their animals and I wanted to explain the importance and why. Hands-on treatment has its place, but a physio session is not just about massage.

A big part of what I do with my hands is assessment.

By feeling the quality of the tissue, how muscles are responding, and how joints and the body move, I can often identify where a horse or dog is struggling, compensating, or finding movement difficult.

That assessment helps guide the right treatment but more importantly, it helps guide the right plan going forward.

Research in human healthcare consistently shows that exercise is the most effective tool for:

โœจ Prevention of injury
โœจ Rehabilitation post injury
โœจ Improving mobility
โœจ Building strength
โœจ Long-term musculoskeletal health

The same principles apply to our horses and dogs.

Hands-on treatment can help reduce tension, improve comfort, and create a better starting point but long-term progress usually comes from consistent, appropriate movement

Every horse is an individual and comfort is always the tip of my list ๐Ÿด โ™ฅ๏ธ
26/04/2026

Every horse is an individual and comfort is always the tip of my list ๐Ÿด โ™ฅ๏ธ

The barefoot is NOT always the answer!!

Thereโ€™s a conversation that keeps going round in circles.

โ€œBarefoot is natural.โ€
โ€œShoes are bad.โ€
โ€œJust trim it correctly and the hoof will fix itself.โ€

It sounds logical.

It just doesnโ€™t hold up when you actually follow the mechanics through.

Letโ€™s start with what we agree on.

A healthy barefoot hoof, in the right environment, under the right loading, is the best-case scenario. No argument there.

But that sentence has three conditions built into it that most people ignore:

Right environment.
Right loading.
Right horse.

We donโ€™t work with that horse most of the time.

We work with domestic horses.

And the domestic horse is not a wild horse.

In the wild, poor conformation, poor posture, and inefficient movement patterns get filtered out. Thatโ€™s Darwin. If the limb cannot tolerate load efficiently, the horse doesnโ€™t stay sound. If it doesnโ€™t stay sound, it doesnโ€™t stay alive.

That filter is gone.

We now breed horses with conformations that would never survive long-term in a natural environment. Then we place them in managed settings that further alter posture. Stables. Arenas. Repetitive work. Artificial surfaces. Restricted movement. Rider influence. Equipment. Feeding patterns.

And then we say:

โ€œNature.โ€

Thatโ€™s the first disconnect.

The second is even more important.

The hoof does not respond to ideology. It responds to force.

Specifically, it responds to impulse.

Not just how much force is applied, but how that force is applied over time, and critically, in what direction.

If a horse has good conformation and neutral posture, the ground reaction force enters the limb in a relatively balanced way. The hoof deforms within its elastic range. Structures share load appropriately. Morphology trends toward stability.

Thatโ€™s your ideal barefoot.

But what happens when that isnโ€™t the case?

What happens when conformation or posture drives off-axis impulse into the hoof?

Now the force is not entering the system cleanly. It has directional bias. Medial. Lateral. Cranial. Caudal. Rotational.

And here is the key point:

That biased impulse is not a one-off event.

It is repeated thousands of times.

That repetition is what drives pathology.

Because the hoof adapts to loading.

So now the hoof begins to change shape, not because it is โ€œself-correcting,โ€ but because it is accommodating the load.

Distortion appears.

Capsule migration appears.

Mediolateral imbalance appears.

Dorsopalmar imbalance appears.

And hereโ€™s where the barefoot conversation goes wrong.

These changes are often interpreted as โ€œnatural adaptation.โ€

Theyโ€™re not.

They are maladaptations.

They are the structure reorganising itself around a pathological input.

Now we have a loop.

The posture creates off-axis impulse.
The impulse creates morphological change.
The morphological change alters proprioception and loading.
That altered loading reinforces the posture.

And round it goes.

A bi-directional pathological cycle.

This is not theoretical. This is what you see clinically every day.

And this is where the โ€œjust trim itโ€ argument falls apart.

Because trimming is primarily reductive.

It can removes distortion. It can improves geometry. It can sets a better starting point. When there is enough foot to do so.

But it does not, on its own, change the force entering the system if the horse continues to move and stand in the same way.

If the horse is still delivering off-axis impulse, the hoof will simply return to the same pattern.

This is why people get stuck.

The trim looks good.
The horse improves briefly.
Then the same morphology returns.

Because the input hasnโ€™t changed.

Now bring bodywork into this.

The hoof is one of the main entry points of force into the entire system. That force travels through fascia, muscle, joints, and the nervous system.

If that input is biased, the body has to compensate.

So the bodyworker releases the compensation.

But the input is still there.

So the compensation comes back.

That is not a failure of bodywork.

That is a failure to change the mechanical driver.

This is where intervention at the hoof-ground interface becomes critical.

And this is where the conversation needs to mature.

Because the answer is not โ€œalways barefootโ€ or โ€œalways shoes.โ€

The answer is:

What does this horse need to reduce pathological impulse?

Sometimes, a correct trim and appropriate environment is enough.

Sometimes it isnโ€™t.

Sometimes you need an additive solution, not just a reductive one.

Something that doesnโ€™t just remove material, but changes how force is applied. Especially in a working barefoot that has nothing to trim!!

That might be a steel shoe.

That might be composite shoe.

That might be a different interface altogether as technology evolves.

Steel is not perfect. It carries mechanical cost. It alters deformation. It is not biologically identical to hoof horn.

But dismissing it entirely ignores what it can do when used correctly:

It can change load distribution.
It can reduce pathological lever arms.
It can redirect force.
It can bring structures back within a tolerable range.

In other words, it can interrupt the cycle.

And once the cycle is interrupted, the system has a chance to reorganise.

That is the goal.

Not tradition.

Not ideology.

Not barefoot versus shod.

The goal is breaking the pathological loop between hoof, force, and body.

So when someone says:

โ€œNature would fix this.โ€

The honest answer is:

Nature would have removed that horse from the system.

We donโ€™t.

So we either accept the constraints of the domestic horse and work within them, or we keep arguing theory while the horse continues to compensate.

And if weโ€™re serious about welfare, performance, and longevity, thatโ€™s not a position we can afford to stay in.

Iโ€™ve spent years teaching the consequences of shoeing and I advocate for barefoot in most cases, so this is not about being pro-shoe and anti-barefoot, quite the opposite, but I am pro sound horses and equine welfare, and when we change the horseโ€™s world from a natural one, including preserving poor conformation and creating poor posture, we have to accept interventions that mitigate the domestic reality.

Image shows a deformed barefoot from poor conformation that was driving a poor posture.

โ™ฅ๏ธ
26/04/2026

โ™ฅ๏ธ

Building Postural Momentum

What if better posture isnโ€™t something we hold, but something we grow?

Through holistic saddle fitting, we begin to see posture not as a fixed position, but as a dynamic process shaped by movement, sensation, and awareness. At the core of this is proprioception, the bodyโ€™s ability to feel itself in space. When a horse receives clear, consistent feedback through a well-balanced saddle, it can begin to reorganize how it moves, stabilizes, and ultimately carries and find balance.

A balanced saddle does more than avoid pressure, it creates space. Space for the thoracic sling to engage. Space for the spine to lift. Space for the horse to explore upward movement without restriction. When that space exists, the horse doesnโ€™t just comply, it learns.

Learning to lift isnโ€™t forced. It emerges. It's physics!

As the horse steps into a saddle that allows freedom rather than constraint, subtle neuromuscular pathways begin to shift. The back starts to swing. The ribcage becomes more mobile. The horse discovers that lifting through the base of the neck and back is not only possible but sustainable. Over time, this repeated experience builds what we might call postural momentum, a self-reinforcing cycle where improved posture supports better movement, and better movement further strengthens posture.

Muscle development then follows function, not force.

Rather than bracing or compensating, the horse develops topline through coordinated, whole-body engagement. This is where science meets feel: when proprioceptive input is clear and non-restrictive, the nervous system adapts, refining balance and efficiency. The result is a horse that carries itself with ease...strong, supple, and resilient.

Holistic saddle fitting, as explored at LM we emphasizes this relationship between structure and function: that when we give the horse the option to move well, the body reorganizes toward health.

Because true posture isnโ€™t held in place.

Itโ€™s learned, layered, and lived.

๐ŸŒ lmsaddles.com
๐Ÿ“ธ of our wonderful LM family member BK Veterinary Physiotherapy

Steroids are a window of opportunity - not a solution to pain management
25/04/2026

Steroids are a window of opportunity - not a solution to pain management

Address

Shevington

Telephone

+447880327662

Website

Alerts

Be the first to know and let us send you an email when BK Veterinary Physiotherapy posts news and promotions. Your email address will not be used for any other purpose, and you can unsubscribe at any time.

Share