24/03/2026
High low heels and the affects ....
"The horse has to twist his head and neck to keep the eyes level, horses therefore often exhibit muscle pain, stiffness and spasm at the base of the neck. Moreover, because of dural torque ( the tube in which the spinal cord is suspended and anchored), vertebral dysfunction and fixation occurs at the base of the neck. This then accounts for the muscle tension and pain around sixth and seventh cervical vertebrae. It also causes dural torque ( twisting) at the level of the poll and at the lumbo-sacral connection. Chiropratic issues are therefore common at all three levels as a result of the High/Low Heel" Ridgway (2016)
Any imbalance or distortion at the hoof has to then be organised for throughout the entire body, , the limbs, the trunk and the nervous system have to adapt to accommodate. Sharpe (2026)
If the limbs are loaded differently then the trunk will stabilise differently , the nervous system will find a solution that allows the horse to continue to function, in time it starts to preserve that solution.
The horse will develop compensation patterns to cope, the horse isn't interested in symmetry they want to remain functional under constraints.
Compensations are the body's way of self organising a response to the problem to the conditions the body is placed under.
Removing compensatory patterns without removing the underlying cause and simply treating what you see so often fails because the root cause hasn't been found and so the pattern will return.
As an osteopath we are taught to look at the horse as a whole, looking at them physiologically, psychologically, their environment, lifestyle and history to help determine the root cause of the problem to try to ensure longevity in their wellbeing.