02/25/2026
Iโve been tagged in quite a few posts lately asking for help, tips, or suggestions about tendon and ligament injuries so I wanted to take a minute and explain how we handle these cases at ๐๐๐ฅ๐ข๐๐ง๐ญ๐ ๐๐ก๐๐ซ๐๐ฉ๐ฒ.
Soft tissue injuries are not โjust give them timeโ injuries.
They are structured, intentional, and biomechanical cases.
Letโs break it down:
โจ ๐๐๐ฐ ๐๐๐๐ซ ๐จ๐ซ ๐๐ง ๐๐๐ฎ๐ญ๐ ๐๐ง๐ฃ๐ฎ๐ซ๐ฒ
โณ 90โ120 days on average in a facility
When we catch an injury while itโs active, this is our golden window.
Sending a horse to a rehab facility during the active stage allows us to:
โข Control inflammation properly
โข Support circulation and lymphatic drainage
โข Prevent excessive scar tissue formation
โข Keep the tissue from becoming โstickyโ
โข Maintain healthy glide between tendon, ligament, and fascia
When tendons and ligaments heal incorrectly, they donโt glide. They adhere. They get stuck. That โstickinessโ changes movement patterns and thatโs where compensation begins.
And once compensation beginsโฆ youโre on a cycle.
Our active tear & injury protocols often include but not limited to:
โ๏ธ Cold Salt Spa + Underwater Tread - decreases pain and inflammation while increasing healthy blood flow and lymphatic circulation. Allowing the horse to be buoyant in the water to have less concussion on the soft tissue to allow for healing with correct movement.
โ๏ธ PEMF - penetrates deep to support all the way down to the cellular level. Immune response, increase circulation to the injury site, improve oxygenated blood flow, and accelerate healing
โ๏ธ Massage, Theraplate, taping, and wrapping - to prevent scar tissue buildup, mobilize restricted fascia and muscle, and maintain balance throughout the body
โจ ๐๐ฅ๐ ๐๐๐๐ซ ๐จ๐ซ ๐ข๐ง๐ฃ๐ฎ๐ซ๐ฒ )๐๐๐๐ฅ๐๐ ๐จ๐ซ ๐๐ฅ๐ฆ๐จ๐ฌ๐ญ ๐๐๐๐ฅ๐๐)
โณ 60โ90 days on average in a facility
If a tear has already healed (or mostly healed) before coming to rehab, now weโre often working backwards.
Instead of simply guiding fresh tissue repair, we now have to:
โข Restore full range of motion
โข Address adhesions
โข Break down restrictive scar tissue
โข Re-educate correct movement patterns
This is when things can feel more โstuck.โ The tissue may technically be healed but that does NOT mean it healed correctly.
This is where corrective exercises become critical.
We implement:
โข Targeted strengthening programs
โข Core engagement work
โข Balance and proprioception training
โข Controlled progression back into workload
โข Cavalettis to rebuild rhythm, joint flexion, coordination, and proper limb loading
Cavalettis are not just โpole work.โ
They teach the limb to load and unload correctly.
They retrain neuromuscular pathways.
They restore proper biomechanics so the tissue isnโt repeatedly stressed the same incorrect way.
And hereโs the hard truth:
A soft tissue injury does not happen without trauma.
If there wasnโt a clear traumatic event.. We have another culprit.
Was it:
โข Hoof imbalance?
โข Incorrect hoof angles?
โข Weakness?
โข Poor biomechanics?
โข Compensation from an older issue?
If you keep repeating the same movement patterns, under the same imbalances, without correcting the root causeโฆ you will keep re-opening the same road.
At Caliente Therapy, we donโt just treat the tear.
We ask:
๐๐ผ Why did this happen?
๐๐ผ What allowed it to happen?
๐๐ผ What needs to change so it doesnโt happen again?
Because healing the tissue is step one.
Correcting the mechanics is what closes the road for good. ๐ฅ
โจ ๐๐จ๐ฐ ๐ฅ๐๐ญโ๐ฌ ๐ญ๐๐ฅ๐ค ๐๐๐จ๐ฎ๐ญ ๐ฌ๐ญ๐๐ฅ๐ฅ ๐ซ๐๐ฌ๐ญ.
Through ultrasound evaluation, measurable muscle loss has been documented in as little as ๐๐ ๐ก๐จ๐ฎ๐ซ๐ฌ of inactivity.
๐๐๐ฌ. ๐๐ ๐ก๐จ๐ฎ๐ซ๐ฌ.
Horses are designed to move. When we abruptly remove movement:
โข Muscle tone decreases
โข Core stability weakens
โข Supporting structures lose strength
โข Circulation slows
โข Compensation patterns start forming
So when a horse is placed on strict stall rest without guided therapy, we are not only asking the tendon or ligament to healโฆ
We are allowing the rest of the body to decondition at the same time.
That loss of strength and stability is often what makes the return to work phase so difficult and why reinjury rates are high when conditioning isnโt rebuilt correctly.
Rehab isnโt about ignoring rest.
Itโs about ๐ฌ๐ญ๐ซ๐๐ญ๐๐ ๐ข๐, ๐๐จ๐ง๐ญ๐ซ๐จ๐ฅ๐ฅ๐๐ ๐ฆ๐จ๐ฏ๐๐ฆ๐๐ง๐ญ during the healing process so we donโt lose the entire support system around the injury.
If youโre navigating a tendon or ligament injury and unsure what stage youโre in, reach out. The earlier we intervene, the cleaner the healing process.
Your horse deserves more than โstall rest and hope.โ
Pictures of ultrasounds from the following:
Dale Hollow Equine - LH Manica
Lameness Exams | Equine Digital Exams | Goldsby, OK https://www.interstateequine.com/lameness-equine-digital
Equine Tendon and Ligament Injuries | Douglas Novick DVM https://www.novickdvm.com/articles-all/equine-tendon-and-ligament-injuries