Back Pain in Horses: Can Ultrasound Find Multifidus Muscle Injury?

Ultrasound can help identify multifidus muscle atrophy, asymmetry, and soft tissue changes, but back pain still needs a whole-horse diagnosis.

By Dr Duncan Houston

Back pain in horses is one of the easiest problems to blame and one of the hardest problems to prove.

A horse may buck, hollow, resist collection, lose topline, struggle with canter transitions, or become difficult under saddle. Owners are often told it is behaviour, saddle fit, kissing spines, sacroiliac pain, ulcers, weakness, rider imbalance, or “just training.”

Sometimes one of those is true. Sometimes several are true at once. Horses do love a diagnostic group project.

The multifidus muscle has become an important part of this conversation because it helps stabilise the spine. When it becomes painful, inhibited, or atrophied, the horse may lose core stability and compensate through the back, pelvis, and limbs. Ultrasound is now one of the most useful field-friendly tools for assessing this deep spinal muscle, but it should not be treated like a magic back-pain scanner.

Quick Answer

Ultrasound can help vets evaluate the equine multifidus muscle by measuring its cross-sectional area, comparing left and right sides, and looking for atrophy, asymmetry, texture changes, or evidence of soft tissue injury. It is useful in back pain and rehabilitation cases, but it does not prove by itself that the multifidus is the only cause of pain. A proper diagnosis still needs history, palpation, gait assessment, lameness evaluation, saddle fit review, and targeted imaging where needed. The multifidus is an important postural muscle, and research shows it can remain atrophic after the original pain stimulus has resolved, which is why targeted rehabilitation matters. (PMC)

What Is the Multifidus Muscle?

The multifidus is a deep stabilising muscle group that runs along both sides of the horse’s spine.

It is not one simple strip of muscle. It is a series of overlapping muscle bundles that attach between vertebrae and help control small movements between spinal segments. Its job is less about big dramatic movement and more about fine spinal control, posture, proprioception, and stability.

In practical terms, the multifidus helps the horse:

• Stabilise the thoracolumbar spine

• Control spinal movement under rider weight

• Maintain posture during locomotion

• Coordinate back and pelvic motion

• Support efficient force transfer from limbs to trunk

• Protect the spine from excessive accessory motion

A 2024 review of equine back pain diagnostics describes the multifidus as one of the most important postural muscles in horses and notes its role in neuromotor control, proprioception, and joint stability. (PMC)

If this muscle is weak, inhibited, painful, or atrophied, the horse may struggle to stabilise the back during work. That does not always create dramatic lameness. It may show up as subtle resistance, poor topline, reduced engagement, stiffness, or recurrent compensation.

Why Multifidus Problems Matter

The multifidus matters because spinal stability matters.

A horse needs a stable trunk to move well. The limbs generate force, but the spine and pelvis need to organise that force. If the back cannot stabilise properly, the horse may compensate through the limbs, sacroiliac region, neck, or rider contact.

Research and clinical reports have linked multifidus changes with back pain, spinal pathology, and chronic lameness. In a 2022 AAEP-reported study, ultrasound was used to measure thoracolumbar multifidus cross-sectional area in sound horses and horses with chronic single-limb lameness. Sound horses had larger multifidus cross-sectional area than forelimb-lame horses, suggesting chronic limb lameness may be associated with axial skeleton adaptation that should be considered during rehabilitation. (The Horse)

That is a big clinical point.

The back can be the primary problem.

The back can also become a secondary problem because the horse has been lame elsewhere.

So if you only treat the back without looking for limb lameness, you may miss the real driver. And if you only treat the lame limb without rebuilding spinal stability, you may leave the horse with ongoing compensation.

Tiny clinical betrayal. Very horse.

Why Diagnosing Back Pain in Horses Is Hard

Back pain rarely behaves like a neat textbook problem.

A horse may show:

• Bucking

• Rearing

• Kicking out

• Reluctance to go forward

• Hollowing through the back

• Difficulty lifting the back

• Poor topline

• Loss of impulsion

• Trouble with canter transitions

• One-sided stiffness

• Resistance to bending

• Tail swishing

• Girthiness

• Poor saddle tolerance

• Reduced performance

• Back muscle asymmetry

• Behaviour change under saddle

But those signs are not specific. Back pain can look like hock pain. Hock pain can look like back pain. Saddle fit can look like behavioural resistance. Hindlimb lameness can cause back tension. Gastric ulcers can make a horse resent girthing or work. Neurological weakness can look like poor engagement.

A 2024 review notes that a good history is crucial because signs of equine back pain are varied and easily confused with other clinical problems. The same review describes a complete assessment as including observation at rest, back palpation, assessment in walk and trot, circles, lunging, and evaluation for lameness. (PMC)

That is why “my horse has back pain” should be treated as the start of the investigation, not the final diagnosis.

What Ultrasound Can Show in the Multifidus

Ultrasound can be very useful because it allows the vet to examine soft tissues of the back in the standing horse.

For multifidus assessment, ultrasound may help evaluate:

• Cross-sectional area

• Left-right muscle symmetry

• Muscle atrophy

• Muscle shape

• Echogenicity, meaning how bright or dark the tissue appears

• Possible fibrosis or scarring

• Localised soft tissue disruption

• Change over time during rehabilitation

• Response after treatment or exercise programs

Equine practitioners have increasingly used ultrasound to assess muscles, tendons, ligaments, bones, and joint surfaces of the back, not just radiographs for bony lesions. AAEP-reported material on equine back pain highlighted that modern ultrasound equipment allows more complete assessment of the back’s soft tissue structures, including the multifidus. (The Horse)

One of the most useful measurements is cross-sectional area, often shortened to CSA. This gives an objective measurement of muscle size at specific spinal levels.

A 2022 pilot study in horses treated medically or surgically for overriding dorsal spinous processes used serial ultrasound measurements of multifidus CSA at T15, T18, and L2. Overall CSA increased after treatment and rehabilitation, and the authors concluded that serial measurement provided a useful objective way to assess response to treatment. (Pferdeheilkunde)

That is where ultrasound becomes especially powerful: not just “does it look sore today?” but “is the muscle changing over time?”

What Ultrasound Cannot Prove

Ultrasound is useful, but it has limits.

It cannot prove by itself that:

• The multifidus is the primary cause of pain

• The horse’s behaviour is caused by back pain

• The horse is safe to return to full work

• Kissing spines are clinically significant

• The saddle is or is not the cause

• Limb lameness is absent

• Sacroiliac pain is absent

• Neurological disease is absent

A small multifidus on ultrasound may mean pain, disuse, chronic compensation, poor conditioning, previous injury, or adaptation after lameness. A normal-looking multifidus also does not rule out back pain from other structures.

The 2024 review of equine back diagnostics makes the wider point clearly: conventional diagnosis of equine back pain includes clinical examination plus imaging such as ultrasound, radiography, and other modalities, because back pain can involve multiple structures and causes. (PMC)

So ultrasound is a tool. It is not the entire answer.

A good vet uses ultrasound to sharpen the diagnosis, not replace the diagnosis.

Signs That May Suggest Multifidus or Back Muscle Dysfunction

Multifidus dysfunction is not diagnosed from signs alone, but these signs may raise suspicion:

• Poor topline despite appropriate nutrition and work

• Asymmetrical muscle development along the back

• Hollowing under saddle

• Difficulty lifting the back

• Reduced core strength

• Fatigue during collected work

• Resistance in transitions

• Poor canter quality

• One-sided stiffness

• Difficulty bending

• Bucking or kicking out during canter

• Back soreness on palpation

• Reduced performance without an obvious limb cause

• Recurrent lameness compensation patterns

• Weakness behind or poor engagement

• Saddle fit problems recurring despite adjustments

In practice, I get more suspicious when the signs are repeatable and linked to work. A horse that is slightly sore after one hard session is different from a horse that consistently hollows, loses impulsion, and becomes reactive every time the rider asks for canter or collection.

How Worried Should You Be?

Low Concern

This is more likely when:

• The horse is slightly stiff after unusual work

• Signs improve within 24 to 72 hours

• The horse is sound

• There is no bucking, rearing, or dangerous behaviour

• There is no neurological weakness

• There is no obvious muscle loss

• Saddle fit is current and appropriate

Action: reduce workload for a few days, monitor, check saddle and exercise changes, and reassess. If the issue disappears and does not recur, it may not need a full workup.

Moderate Concern

This is more likely when:

• Back soreness persists more than a few days

• The horse repeatedly resists bending or transitions

• Topline is reducing despite training

• The horse is one-sided under saddle

• Canter quality is declining

• There is mild lameness or poor impulsion

• The horse reacts to saddling or girthing

• The problem returns when work increases

Action: book a veterinary assessment. This is where a lameness exam, saddle fit review, palpation, and possible ultrasound can be useful.

High Concern

This is more likely when:

• The horse bucks, rears, kicks out, or becomes unsafe

• There is obvious back pain on palpation

• There is clear muscle asymmetry or atrophy

• The horse is lame

• The horse has poor hindlimb engagement or toe dragging

• The horse has known kissing spines or sacroiliac region pain

• The issue is worsening over weeks

• The horse cannot perform normal work comfortably

Action: stop ridden work and arrange a full veterinary workup. This may need lameness localisation, back ultrasound, radiographs, saddle assessment, and a structured rehabilitation plan.

Critical

Treat the situation as urgent if:

• The back pain follows a fall, collision, or major trauma

• The horse is severely lame

• The horse is weak, ataxic, or uncoordinated

• The horse cannot back up or turn normally

• There is sudden severe pain

• The horse collapses or stumbles repeatedly

• There are neurological signs

• The horse is unsafe to handle or move

Action: call your vet urgently. Do not keep riding, lunging, or stretching the horse to “see if it loosens up.”

When Is Back Pain an Emergency?

Back pain is not usually a same-hour emergency, but it becomes urgent when it is sudden, severe, traumatic, or neurological.

Call your vet urgently if your horse has:

• Sudden severe back pain

• Pain after a fall, slip, kick, collision, or trailer accident

• Severe lameness

• Weakness

• Ataxia

• Repeated stumbling

• Toe dragging with poor coordination

• Collapse

• Inability to back up or turn normally

• Fever or depression

• Severe pain when the back or pelvis is touched

• A horse that becomes unsafe to ride or handle

Merck Veterinary Manual notes that lameness exams should include back and neck assessment, and that exercise should not be performed when lameness is acute, severe, and fracture is suspected because catastrophic breakdown can occur. It also recommends a neurological exam when no obvious painful or mechanical cause is found. (Merck Veterinary Manual)

The rule is simple: if it looks severe, neurological, traumatic, or unsafe, do not ride through it.

What Else Can Look Like Multifidus Injury?

A horse with suspected multifidus pain or back dysfunction still needs other problems ruled out.

Hindlimb Lameness

Hock pain, stifle pain, suspensory injury, hoof pain, or sacroiliac region pain can all cause secondary back tension and poor engagement.

Forelimb Lameness

Forelimb lameness can also affect the back. AAEP-reported research found smaller multifidus CSA in forelimb-lame horses compared with sound controls, supporting the need to address spinal adaptation when rehabilitating limb injuries. (The Horse)

Kissing Spines

Overriding dorsal spinous processes can cause pain, muscle guarding, poor performance, and multifidus changes, but X-ray findings do not always prove pain by themselves.

Sacroiliac Region Pain

Sacroiliac pain may show as poor impulsion, weak canter, difficulty with collection, back soreness, or pelvic asymmetry.

Poor Saddle Fit

A poorly fitting saddle can cause muscle soreness, pressure points, hollowing, and behavioural resistance. The 2024 review notes that ill-fitting saddles can cause muscle soreness, abnormal behaviour during grooming or tacking up, muscle atrophy, stiffness, shortened forelimb step length, and unwillingness to bend longitudinally. (PMC)

Rider Imbalance

An unbalanced rider can create uneven loading and back strain. The same 2024 review notes that rider core strength, balance, limb strength, and coordination can influence force distribution on the horse’s back. (PMC)

Gastric Ulcers

Girthiness, poor performance, resistance, and attitude changes may be caused or worsened by gastric ulcers.

Neurological Disease

Weakness, ataxia, stumbling, abnormal tail tone, or difficulty backing may indicate neurological disease rather than primary back muscle injury.

Poor Conditioning

A weak horse may struggle with collection, hills, canter, and transitions because the core and topline are not strong enough for the job.

Iliopsoas or Pelvic Muscle Injury

The iliopsoas is difficult to palpate and can cause poor hindquarter engagement, weak protraction, limited lumbosacral flexion, and resistance to collection. The 2024 review notes that iliopsoas dysfunction is often underdiagnosed because it is hard to assess clinically. (PMC)

This is why a multifidus ultrasound should sit inside a full diagnostic plan. Otherwise, you risk finding one abnormality and missing the reason it developed.

How Do Vets Diagnose Back Pain in Horses?

A proper back pain workup usually includes several steps.

1. History

Your vet will ask:

• When did the problem start?

• Was it sudden or gradual?

• Is it worse under saddle?

• Is it worse one direction?

• Is it worse in trot, canter, collection, or transitions?

• Has the horse had previous lameness?

• Has the saddle changed?

• Has the rider changed?

• Has workload increased?

• Does the horse improve with rest?

• Has medication been given?

A complete performance history is critical because treatment without accurate diagnosis can fail to manage pain properly. (IVIS)

2. Static Examination

This includes:

• Posture

• Topline

• Muscle symmetry

• Back palpation

• Pelvic symmetry

• Range of motion

• Pain response

• Saddle area assessment

• Limb swelling, heat, or joint effusion

• Hoof balance

3. Movement Assessment

The horse may be assessed:

• In walk

• In trot

• On a straight line

• On circles

• On hard and soft surfaces

• On the lunge

• Under saddle if safe

• During the movement that triggers the issue

Merck Veterinary Manual states that exercise evaluation is often required to localise lameness, and that ridden assessment may be necessary when subtle lameness appears only under saddle. (Merck Veterinary Manual)

4. Lameness Localisation

If limb lameness is suspected, your vet may use:

• Hoof testers

• Flexion tests

• Diagnostic nerve blocks

• Joint blocks

• Objective gait analysis

• Radiographs

• Ultrasound

This matters because back pain and lameness are often connected. Treating the back without addressing a painful limb is like repainting a wall while the roof is still leaking.

5. Back Imaging

Depending on the case, imaging may include:

• Ultrasound

• Radiographs

• Nuclear scintigraphy

• Thermography as an adjunct

• CT or MRI in selected referral contexts

The 2024 review describes conventional back pain diagnosis as clinical examination plus diagnostic imaging, including ultrasound and radiography. (PMC)

6. Multifidus Ultrasound

Your vet may scan specific spinal levels, commonly through the thoracic and lumbar spine, measuring multifidus CSA on the left and right sides and comparing symmetry.

Serial measurements can be used to track rehabilitation response. In horses treated for overriding dorsal spinous processes, serial ultrasound measurements of multifidus CSA increased after treatment and rehabilitation, and the authors considered this a useful objective measure of response. (Pferdeheilkunde)

What Happens During a Multifidus Ultrasound?

A multifidus ultrasound is usually performed with the horse standing.

The vet may:

• Clip or wet the hair over the back

• Apply ultrasound gel or alcohol

• Scan specific spinal levels

• Measure the left and right multifidus muscles

• Compare cross-sectional area

• Assess muscle shape and texture

• Record measurements for future comparison

• Scan related soft tissues if needed

The scan is non-invasive and usually well tolerated. Sedation may or may not be needed depending on the horse, safety, and the rest of the exam.

The most useful ultrasound is not just one pretty picture. It is a systematic scan with repeatable measurements, good landmarks, and interpretation in the context of the horse’s signs.

Treatment for Multifidus-Related Back Pain

Treatment depends on the cause.

A horse with isolated muscle dysfunction needs a different plan from a horse with hock arthritis, kissing spines, sacroiliac pain, saddle trauma, or neurological disease.

Address the Primary Cause First

Before prescribing core work, the vet needs to ask:

• Is there limb lameness?

• Is there kissing spines?

• Is there sacroiliac pain?

• Is the saddle causing pressure?

• Is the rider loading unevenly?

• Is there a neurological issue?

• Is the horse strong enough for the work being asked?

If the horse is painful because of a limb injury, the rehab plan must address that limb. If the horse is guarding because of saddle pain, no amount of carrot stretches will make a bad saddle fit disappear. Carrots are powerful, but not that powerful.

Dynamic Mobilisation Exercises

Dynamic mobilisation exercises are controlled movements often performed from the ground using baited stretches.

These may include:

• Chin to chest

• Chin between knees

• Chin to girth

• Chin to fetlock

• Chin to hock

• Lateral bending stretches

• Pelvic tilts

• Belly lifts

Studies have shown that dynamic mobilisation exercises can increase multifidus cross-sectional area after repeated practice over months, and more recent work continues to evaluate how these exercises affect activity and stride parameters. (PubMed)

These exercises should be done correctly. Poorly performed stretches can become neck-yanking, treat-begging chaos with very little therapeutic value.

Progressive Core Strengthening

Core work may include:

• Belly lifts

• Pelvic tilts

• Backing up

• Raised poles

• Cavaletti

• Hill walking

• Controlled transitions

• Long and low work

• Straightness exercises

• Slow, correct work over varied terrain

• Groundwork that encourages posture without force

The aim is gradual spinal stability, not exhausting the horse.

Physiotherapy and Rehabilitation

A veterinary physiotherapist or qualified rehabilitation professional may help design a staged program.

This may include:

• Manual therapy

• Mobility exercises

• Strengthening exercises

• Proprioceptive work

• Controlled ridden progression

• Return-to-work planning

• Repeat ultrasound measurements

Shockwave Therapy

Shockwave may be used in selected cases of thoracolumbar pain or soft tissue discomfort. It should be part of a diagnosis-led plan, not a random “try this because the back hurts” treatment.

Mesotherapy or Local Injections

Mesotherapy or targeted injections may be used in selected horses with thoracolumbar pain, muscle guarding, or specific diagnosed lesions. These should be veterinary-led and combined with rehab.

Saddle Fit Correction

Saddle fit needs to be checked whenever back pain is suspected, especially if the signs are mainly under saddle.

A good saddle assessment should consider:

• Tree width

• Panel contact

• Bridging

• Rocking

• Pressure points

• Girth position

• Pad choice

• Rider balance

• Horse muscling

• Changes over time

Chiropractic, Acupuncture and Manual Therapy

These may help selected horses, especially when muscle guarding, stiffness, or chronic compensation is present.

But they should support the diagnosis, not replace it.

If the same area keeps needing to be “released” every few weeks, the underlying cause probably has not been solved.

How Long Does Recovery Take?

Recovery depends on the cause and severity.

A mild muscular strain may improve over days to weeks with reduced work and correct rehab.

A horse with chronic multifidus atrophy, kissing spines, sacroiliac pain, or long-standing lameness compensation may need months of structured rehabilitation.

Dynamic mobilisation studies have commonly used programs lasting around 8 weeks to 3 months when assessing changes in activity, stride parameters, or multifidus cross-sectional area. (MDPI)

The important point is that muscle rebuilding takes time. The horse may feel better before the spine is stable enough for full work.

Do not confuse pain reduction with functional recovery.

What Should You Do Right Now?

If you suspect back pain or multifidus dysfunction:

1. Stop Pushing Through the Behaviour

If the horse is bucking, rearing, kicking out, hollowing, or refusing work repeatedly, do not label it attitude until pain has been considered.

2. Reduce Demanding Work

Avoid hard collection, jumping, sharp turns, intense canter work, and heavy schooling until the horse is assessed.

3. Record Video

Useful videos include:

• Walk from behind

• Trot from behind

• Trot from the side

• Circles both directions

• Ridden work if safe

• Canter transitions if that is where signs appear

4. Check Saddle Fit

If the problem appears mainly under saddle, saddle fit and rider symmetry need to be checked.

5. Look for Lameness

Watch for toe dragging, hip hike, short stride, uneven pelvis movement, head nod, poor impulsion, or reluctance to turn.

6. Book a Vet Assessment

If signs persist beyond a few days, recur with work, or affect performance, book a veterinary lameness and back exam.

7. Ask Whether Ultrasound Is Appropriate

Ultrasound may be useful if there is suspected multifidus atrophy, muscle injury, spinal soft tissue pain, or need for objective rehab monitoring.

8. Start Exercises Only After the Plan Is Clear

Basic gentle stretches may be safe in many horses, but if the horse is lame, painful, neurological, or recently injured, exercises should wait for veterinary guidance.

Common Mistakes Owners Make

Treating Back Pain as Behaviour

A horse that suddenly bucks, hollows, refuses canter, or resents saddling may be painful. Behaviour can become learned, but pain should be ruled out first.

Scanning the Back but Ignoring the Limbs

A sore back may be secondary to hock, stifle, suspensory, hoof, or forelimb lameness.

Assuming Kissing Spines Explain Everything

Radiographs may show bony changes, but the clinical signs, pain response, and whole-horse workup determine whether they matter.

Doing Random Core Exercises

Correct rehab helps. Random exercises without diagnosis can aggravate pain or waste time.

Ignoring Saddle Fit

A horse cannot rehab the back properly if the saddle keeps causing pressure.

Returning to Work Too Soon

The horse may feel improved before the multifidus has regained strength and symmetry.

Using Manual Therapy Alone

Chiropractic, acupuncture, massage, and bodywork may help, but they should not replace diagnosis, imaging, or structured rehab when signs are persistent.

Can Multifidus Problems Be Prevented?

Not all back pain can be prevented, but risk can be reduced.

Practical prevention includes:

• Keep the horse fit for the work being asked

• Build core strength gradually

• Use regular saddle checks

• Address lameness early

• Avoid sudden workload increases

• Include hill work and pole work where appropriate

• Use correct warm-up and cool-down

• Monitor topline and muscle symmetry

• Avoid repetitive hard work in a hollow frame

• Check rider balance and position

• Use varied training, not endless circles in one frame

• Reassess after falls, slips, or lameness episodes

• Include targeted rehab after significant limb injuries

The most important prevention point is this: do not let compensation become normal. A horse that moves crookedly for months will often develop secondary muscle and spinal adaptations that take longer to unwind.

Myth vs Reality

Myth	Reality
“Ultrasound can diagnose all back pain.”	Ultrasound helps assess soft tissues such as multifidus, but it does not replace the whole-horse exam.
“If the multifidus is small, that is the only problem.”	Atrophy may be secondary to lameness, spinal pain, disuse, poor conditioning, or compensation.
“Back pain always means kissing spines.”	Kissing spines is one cause, but back pain can involve muscle, ligament, saddle, rider, limb lameness, pelvis, or neurological issues.
“Core exercises fix every sore back.”	Core work helps selected horses, but the primary pain source must be identified first.
“If the horse feels better, rehab is finished.”	Muscle strength and spinal stability can lag behind pain relief.
“Bodywork alone is enough.”	Manual therapy can help, but persistent signs need diagnosis and a structured plan.

FAQs About Multifidus Ultrasound and Back Pain in Horses

Can ultrasound diagnose multifidus injury in horses?

Ultrasound can help identify multifidus atrophy, asymmetry, cross-sectional area changes, and abnormal muscle texture. It is useful, but it should be interpreted with the horse’s clinical exam, lameness assessment, saddle fit, and history.

Is multifidus ultrasound painful?

No. It is non-invasive and usually well tolerated. The horse may need clipping, alcohol, gel, and careful positioning, but the scan itself should not be painful.

How long does a horse back ultrasound take?

It depends on the number of areas scanned and the horse’s behaviour, but a focused back and multifidus ultrasound may take around 30 to 60 minutes as part of a larger lameness or back exam.

Can multifidus atrophy improve?

Yes, in many horses it can improve with correct treatment and rehabilitation. Dynamic mobilisation exercises and structured rehab have been associated with increased multifidus cross-sectional area over time. (PubMed)

When should I call a vet for back pain?

Call your vet if back pain is persistent, worsening, associated with lameness, linked to bucking or dangerous behaviour, causing poor performance, or follows trauma. Call urgently if there are neurological signs, severe pain, collapse, or inability to move normally.

The Bottom Line

Multifidus ultrasound is a valuable tool for horses with back pain, poor performance, muscle asymmetry, or suspected spinal instability.

It can help measure muscle size, compare left and right sides, identify atrophy, and monitor rehabilitation objectively. That makes it especially useful in horses with chronic back pain, spinal disease, or compensation after lameness.

But ultrasound is not a shortcut around diagnosis.

The horse still needs a full assessment: limbs, feet, saddle, rider, back, pelvis, neurological status, workload, and history. The multifidus may be the primary issue, part of the compensation, or one piece of a much bigger pattern.

The best outcomes come from combining accurate diagnosis with structured rehab. Not just pain relief. Not just bodywork. Not just a scan. A plan.

If your horse is losing topline, resisting work, bucking, struggling with canter, or showing back soreness, the goal is not simply to find a sore spot. The goal is to understand why the back is failing to stabilise and rebuild it properly.

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If your horse has back pain, poor topline, resistance under saddle, or suspected multifidus muscle dysfunction, ASK A VET™ can help you organise the signs, prepare useful videos, and decide when a hands-on veterinary lameness and back assessment is needed.