Twisted B Performance Therapy Rehab & Fitness

Twisted B Performance Therapy Rehab & Fitness EPM~Kissing Spine~Soft Tissue Injury~Fractures~Wound Care~Sale Prep~Fitness~Training~Finding the root cause of lameness Haul-Ins are welcome!

We specialize in Kissing Spine rehab, EPM rehab, fitness, sale prep, fractures, soft tissue injury, wound care, post OP care and occasional boarding. Body work/realignment sessions are available by appointment only. We will travel for these sessions but that is dependent upon rehab cases in the barn.

01/03/2026
Let’s add in the apps and cameras we use to make sure they don’t try to 🔪 themselves. But we keep on keepin on. 🤣🤷🏼‍♀️💀
12/30/2025

Let’s add in the apps and cameras we use to make sure they don’t try to 🔪 themselves. But we keep on keepin on. 🤣🤷🏼‍♀️💀

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12/23/2025

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We have to stop gatekeeping. When we share what’s working for our horses and support one another, that’s when the magic ...
12/19/2025

We have to stop gatekeeping. When we share what’s working for our horses and support one another, that’s when the magic happens. This industry can be hard enough.

12/17/2025

“Just rasp the toe! Once you know what the toe length should be, you just rasp the dorsal wall to get there.”

Often said sarcastically, but it reveals a genuine misunderstanding.

This mornings “Comment to concept”

The misunderstanding

That “toe length” is a single linear target that can be achieved by shortening the dorsal wall, independent of:
• Heel height
• Phalangeal alignment
• Hoof capsule orientation

This is two-dimensional thinking applied to a three-dimensional system.

The biomechanical concept

When considering biomechanical efficiency, we are not aligning a single point.
We are trying to bring multiple functional points into relationship:
• Point of Breakover (PoB)
• PPSH
• CoR
• Centre of Pressure (CoP)

These points do not exist in isolation.
They move relative to one another as a function of:
• Heel-to-toe height ratio
• Phalangeal alignment
• Hoof capsule orientation to the ground

Changing toe length alone only moves one variable along a single plane!!

Why rasping the toe is often the wrong lever

In a hoof with a broken-back phalangeal alignment:
• The centre of rotation of the distal limb is displaced caudally
• The functional PoB is also displaced caudally relative to the hoof capsule
• The CoP remains misaligned, even if “base proportions” look correct in 2D

In this situation:
• Shortening the toe does not realign the system
• Excessive dorsal wall removal simply alters capsule thickness and mass
• The moment arm remains, because the geometry has not been corrected

In many cases, restoring base proportions and reducing distal limb moments is achieved by restoring heel height, not by destroying toe.

This is why toe length cannot be discussed absent of alignment.

Why this is a 3-D problem

Heel height changes:
• Phalangeal orientation
• The spatial position of the distal joints
• The relative location of PoB and CoP in all three planes

Toe rasping mainly changes:
• One linear distance along the ground plane

They are not mechanically equivalent interventions.

A simple trigonometry fact

In a right-angled triangle:

A small change in angle produces a large change in horizontal distance when the hypotenuse is long.

Applied to the hoof:
• The phalanges form an angled structure
• Raising the heels slightly changes the angle
• That angular change shifts the horizontal position of the centre of rotation and PoB far more effectively than removing a similar amount of toe length

This is why changing alignment often realigns moments more efficiently than shortening the toe! (Image below showing elevation shortens level arm).

What the research supports
• Distal limb moments are governed by lever arms and joint orientation, not by absolute toe length (Eliashar et al., 2004).
• Breakover timing and tendon strain are influenced by both toe length and heel height, via changes in limb geometry (Clayton et al., 2011).
• Phalangeal alignment fundamentally alters where forces act relative to the hoof capsule, affecting efficiency and load distribution (Clayton & Back, 2013).
• External reference points and templates can be used to establish functional efficiency when alignment is appropriate, without mandatory radiography (Dyson, 2011).

Take-home message

Toe length is an outcome, not a prescription.
Without addressing alignment and heel-to-toe proportions, rasping the toe is a 2-D solution to a 3-D problem.

Join me tomorrow 11am GMT where I will outline the considerations and physics of toe length.

https://equineeducationhub.thinkific.com/courses/toelength

12/14/2025
12/13/2025

Give us a call for all of your horse’s rehab, fitness and nutrition needs.

Address

1028 Nine Bridges Road
Corrigan, TX
75939

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