05/04/2023
I just had this conversation with a client today. The need to go beyond the diagnosis and treatment and ask why the illness, or lameness, or deficiency happened in the first. It might not be easy to find those answers but that doesn’t mean we shouldn’t be looking and then be doing what we can to address that primary issue.
"No one gets sick because of a deficiency in pharmacological supplementation"
And what I mean by this is that no human/horse/animal gets ill in the first instance because they weren't supplementing with medication.
They get ill because of a deficiency - be it nutritional, hormonal or, when looking at the musculoskeletal system, biomechanical.
We can use the medication to get better, but we need to identify why the illness occurred in the first place to work on a top down/bottom up approach to not only fix it, but ensure it doesn't happen again.
When we look at lameness in the horse, the horse's joints don't become inflamed because of the lack of arthramid or corticosteroids.
They become inflamed because of biomechanical disruption which from experience is led by supoptimal biomechanics.
So when the horse's joints are medicated, but the biomechanical stimulus (e.g. the suboptimal biomechanics) doesn't get addressed, the problem comes back...
And so we see a situation where a horse is repetitively medicated but the problem never really goes away.
The gait pattern remains the same but the horse is dealing with it because they've had temporary pain relief (even if temporary is a protracted time frame which buys the owner 6 months)
OR the owner puts the horse through a rehabilitation plan, to then end up riding the horse exactly how they were ridden before... to put them back in the biomechanical deficit which led to the pathology in the first place...
And I'm not saying that medicating is a bad thing - training through pain is utterly miserable (and unethical) - so taking the pain away, to then train the body is a very effective way of helping the horse to become more comfortable more quickly.
But just relying on medicating over and over again, but not changing the biomechanic stimulus can be equally as unethical as training through pain.
So if you are rehabilitating your horse right now, I invite you to look at how your horse moves and the deficit that you're trying to remedy
And identify the things that you can change about how you work or manage them, to safe guard against falling back into that biomechanical hole again.