04/16/2024
It's often got some bumps in the road.
The Rehab Rollercoaster
There was a time when my emotions were directly tied to how sound or lame my horse was that day.
When I was struggling with Vinnie’s navicular diagnosis and soft tissue tears, I used to drive to the barn sick to my stomach of what I would find that day. Would he be dead lame? Would he look okay? What was I going to find walking to his paddock? It became such a huge part of my day to day life and honestly was exhausting. I am glad for the journey it sent me on- the hoofcare certifications, travel around the world, the friends I’ve made- and I don’t regret any of it.
But man, in the moment, it was hard.
I am happy to say that Vinnie is doing well living on a track system here at home with a herd of geldings, comfortable, playful, and content. I no longer hold my breath when I go to feed in the morning.
But I remember the “Rehab Rollercoaster” that can control your emotions all too well.
When going through rehab for soundness issues, it can be easy to hyperfocus on what’s wrong. The wrong step, the head bob, the ouchy turn, the less than fluid movement, the joint that just doesn’t have the range of motion you want it too. And that’s where we start to spiral. That’s where we spend all our time watching and waiting for it to turn.
Now, owning a hoof rehab facility, I have realized that with every case being so unique, I had to shift my focus and perspective on its head.
Instead of focusing on the large glaring issues in the beginning of rehab, or throughout the process even, in order to assess progress I had to find the little changes.
I started seeing the small improvements….
The quality and angle of the wall at the hairline.
The more balanced wear patterns of the hoof.
The depth of the collateral grooves.
The firmness of the frog.
The texture of the sole.
The width of the back half of the foot.
The angle of the hairline at the heel bulbs.
The feeling when palpating the frog and digital cushion.
The tightness of the white line connection.
And slowly, I can start to notice some slightly bigger things.
The more extended stride length.
The willingness to weight the back half of the foot in movement.
The comfort over harder surfaces or gravel.
The willingness to move farther to find the next hay station.
The personality and playfulness returning.
The change in tension lines throughout the body.
The more comfortable posture at rest.
Sometimes, we don’t see a sound horse for months or even years (!) as the body unravels years of compensation and damage while also working to strengthen areas to compensate for internal pathology or heal past injury.
Sometimes, like as a bit of a cruel joke, we see rehab horses fall into two categories:
With some horses, we see soundness return quickly.
With some, consistent comfort is a journey where we see all the smaller changes as the body relearns proper ways to move to prevent reinjury.
If you have a horse you are rehabbing that falls in the first category- give them a hug and thank them for showing you that it can be done.
If you are rehabbing a horse that falls in the second category- this month, try to find one improvement in their hoof or body to know you are headed in the right direction. If you can’t find one, have another set of eyes to see if they can find any changes. If there truly isn’t any positive change, you may need to redirect your approach, whether that be diet, environment, bloodwork, hoofcare approach, etc.
The small changes are what are going to allow the large changes (soundness!) to stick around for the long haul. We need to develop strong structures to develop a sound horse.
Sometimes the Rehab Rollercoaster is unkind.
Sometimes it gets stuck or gets derailed.
Sometimes there are sudden drops or sharp turns.
So many of us have been there.
You can do this. You’re doing great.