30/05/2024
Gait Patterns - Paddling
Recently I have seen a handful of "paddlers" so I thought a series of posts on various gait patterns could be helpful to shed some light on what is going on under the skin, longterm implications and potential treatments/relief 🐴 please let me know if you have any questions or a particular gait pattern you would like me to post about next =D
Paddling:
Paddling describes the outward curving arc displayed during the swing phase of movement in the distal (lower) portion of one or both forelimb(s), originating at the carpal joint (knee) and continuing to the hoof. Depending on the degree of the paddle and/or misalignment factors at play, compensatory movement of the neck and head may also be observed.
Stance considerations:
Oftentimes, but not always, paddling is observed in horses with a base-narrow and/or toed-in stance.
- Base-narrow misalignment originating in the shoulder region, weight-bearing is unevenly distributed with increased load being applied laterally (outer side) along the limb, whilst the lateral limb is being compressed by the additional load the medial limb (inside) is being stretched; paddling is often observed.
- Toed-in (a.k.a pigeon toed) misalignment originating in the fetlock and often encourages paddling in order to avoid the horse knocking him/herself.
Potential longterm implications:
Longterm, paddling can cause overstrain of the carpal joint (knee) resulting in wear and tear of the cartilage, giving rise to arthrosis (a form of arthritis).
A base-narrow stance can lead to signs of wear accumulating along the lateral side of the forelimb(s), such as synovitis (inflammation of the synovial membrane) of the joint, ossification of the hoof cartilage and/or arthrotic changes in the joints.
While a toed-in stance can lead to signs of wear on the medial proximal sesamoid bone (a key component located at the back of the fetlock joint).
A few therapies to consider:
Firstly, identifying the cause(s) of any gait abnormalities is key in formulating initial and ongoing treatment plans and whilst most gait pattern issues are likely not dire to the immediate 'soundness' of your horse, veterinary input is essential in diagnosing any issue and providing ongoing assessment and care of our equine companions. Whilst therapies can offer great results, set confirmation and permanent changes impose limitations and prescribed pain relief may be required in chronic cases.
That said, let’s talk specific applications for reducing paddling:
In young horses whose growth plates have not set yet, corrective trimming is desired to correct toed-in dispositions as well as alleviate uneven loading in base-narrow stance, while shoulder misalignments are being addressed.
In adult horses, appropriate trimming that respects any set positions and gradually encourages best possible loading of the hoof/distal limb and/or reduce the risk of knocking his/herself in the swing phase may help reduce paddling.
In all cases, soft tissue therapy focused on releasing tension and countering the shortening of fibres of tissues under strain can produce great results over time in reducing paddling and improving stance and misalignments.
Strengthening programmes focused on muscles which will counteract and lessen the burden of overstrained structures can encourage better alignment and reduce strain.
Kinesiology tape has many applications depending on what is presenting. For instance, corrective taping can provide continual stimulus, disrupting the ‘set memory pattern’ of the tissues and nervous system and encouraging improved gait as well as misalignments. In chronic cases presenting with inflammation, kinesiology taping can be used to lift the skin slightly, creating additional space under the skin and drainage pathways for swelling to dissipate and tissues to decompress.
SureFoot pads can also have profound effects on stimulating neurological retraining whilst also providing a platform in which the horse can navigate his/her own stance and make self guided adjustments as well as providing relief for stiff joints.
Photonic therapy can be applied to areas of inflammation, stiffness and tension to help improve circulation and nutrient delivery to areas in need.
There are numerous helpful therapies, this list is not exhaustive by any means and often times a combination of thoughtfully applied techniques and tools will result in the best results =)
Age, cause(s) and duration of affliction alters aspects of treatment including trimming and expectations of results. These are the therapies, when applied together, that I have found to be the most effective and have positive, lasting results =)
Case study (photos):
Whilst I rarely take before and after videos/photos, today I do have an example to share with you. The horse pictured stands base narrow and lands laterally, he also used to paddle and was toed-in. A combination of suitable trimming and bodywork has resulted in drastic improvements, now we have a horse who is neither toed-in nor paddling but still on the base-narrow side and landing laterally (on the outside of his hoof). Time to apply corrective kinesiology taping.
The result was immediate, with the taping in place he is now landing evenly and a wider base stance.
I wish I had documented this horses starting point and progress along the way but I find this can interrupt the flow of treatments, however, I had wanted to record this horses movement in order to show the handler what I was seeing and thus I have, albeit poor quality (sorry!), comparisons to share with you today. A big thank you to those willing to share their stories to help other horses and people!
I hope you found this post helpful, as always if you have any questions please feel free to reach out =)