12/04/2025
I often speak with students about this. Very well written piece. 👏
We often see images of horses receiving therapy while tied or cross-tied. But for me, this is non-negotiable—and here’s why.
My entire therapeutic philosophy is built around horse-centred care. This means taking into account every aspect of a symptom picture—including behavioral feedback. The essence of osteopathic practice is to see, feel, and investigate the whole being—not just isolated parts.
When a horse is tied, I lose access to one of the most valuable assessment and therapeutic tools available: communication. Palpation is only one instrument in the metaphorical toolkit, and it becomes nearly meaningless if it can’t be correlated with the horse’s responses. When we restrict a horse’s ability to communicate, we move far outside the realm of permission-based therapy—something I strongly oppose.
Cross-ties, in particular, compound the issue. Effective assessment and treatment rely on the horse’s ability to drop into a parasympathetic state. But with the typical height of cross-ties, the head, neck, and mid-thoracic spine are held in extension. This elevation prevents the horse from lowering their head into flexion, which sustains spinal compression. The facet joints—the joints along the back that allow for movement—remain positionally closed, creating excessive force through the vertebrae and potentially compromising the nerves that exit there.
It’s no different than how sustained extension affects humans: while extension is a natural movement, holding it statically is never recommended. Yet in the horse world, it’s frequently normalized—even in training—which makes it no less destructive.
Feedback is critical throughout every stage of treatment. I need to know if what I’m doing is causing discomfort, stress, or a nervous system response. In my human practice, I would lose my license if I treated patients without their ability to move or communicate pain. Can you imagine forcing a person to undergo therapy without the ability to speak or shift? So why is it considered acceptable in the equine world? This is not patient-centred care.
𝗕𝘂𝘁 𝗪𝗵𝗮𝘁 𝗜𝗳 𝗠𝘆 𝗛𝗼𝗿𝘀𝗲 𝗖𝗮𝗻’𝘁 𝗦𝘁𝗮𝗻𝗱 𝗦𝘁𝗶𝗹𝗹 𝗪𝗶𝘁𝗵𝗼𝘂𝘁 𝗕𝗲𝗶𝗻𝗴 𝗧𝗶𝗲𝗱?
That’s the question that always follows—and it’s an important one. My answer? If your horse is unable to stand calmly without restraint, that signals a more primary, unmet need.
There are many possible reasons: trauma, unresolved physical pain, a lack of trust, or training methods that have prioritized obedience over relationship. These root causes require thoughtful exploration. In some cases, veterinary investigation may be needed. In others, horsemanship practices may need to shift to prioritize connection and regulation.
Of course, working with horses in a free-choice setting requires practiced awareness and clear safety parameters. But experienced therapists are skilled in reading body language and subtle cues—we receive them long before they escalate into more overt or aversive expressions.