Sacroiliac Pain in Horses: Signs, Diagnosis and Management

Sacroiliac pain can make a horse feel weak behind, resistant in canter, uneven under saddle, or simply “not right.”

By Dr Duncan Houston

Sacroiliac pain is one of the more frustrating causes of poor performance in horses because it often hides behind vague signs. The horse may not look obviously lame on a straight line. The back may not react dramatically to palpation. The problem may only show when the horse is ridden, asked to canter, sit, collect, jump, turn, or push from behind.

That is why sacroiliac pain is often missed, overcalled, or dumped into the very unhelpful basket of “back problem.”

The key is understanding that sacroiliac pain is not diagnosed from one sign. A horse carrying the tail to one side, bunny hopping in canter, or tracking narrow behind does not automatically have sacroiliac pain. The diagnosis needs a proper lameness and performance workup, because sacroiliac region pain commonly occurs alongside other problems such as proximal suspensory pain, stifle pain, hock pain, thoracolumbar pain, poor saddle fit, rider asymmetry, or true hindlimb lameness.

Quick Answer

Sacroiliac pain in horses refers to pain from the sacroiliac joint region, where the pelvis connects to the sacrum at the base of the spine. It can cause poor hindlimb impulsion, back or pelvic stiffness, difficulty in canter, bucking or kicking out in canter, reduced performance, and a horse that feels weak behind. Diagnosis is difficult because the region is deep, signs are often worse under saddle, imaging can be misleading, and many horses have other concurrent pain sources. Vets usually diagnose it by combining history, gait assessment, ridden evaluation where safe, exclusion of other hindlimb causes, imaging, and response to carefully performed diagnostic analgesia. (Merck Veterinary Manual)

What Is the Sacroiliac Joint?

The sacroiliac joints sit deep within the pelvis, where the wings of the ilium connect to the sacrum. This region helps transfer propulsive force from the hindlimbs through the pelvis and into the spine and trunk.

That matters because every stride, jump, hill, tight turn, collected movement, and canter transition asks the horse to stabilise and transmit power through this area.

The sacroiliac region includes:

• The sacrum

• The ilium

• The sacroiliac joint surfaces

• The dorsal, ventral, and interosseous sacroiliac ligaments

• The surrounding gluteal and pelvic stabilising muscles

• Nearby lumbosacral structures

• Important nerves close to the pelvis and hindlimbs

In practice, many cases are better described as sacroiliac joint region pain or lumbosacroiliac region pain, not simply “the SI joint.” The region is deep, complex, and closely connected to the lower back, pelvis, and hindlimbs.

Why Sacroiliac Pain Is So Hard To Diagnose

Sacroiliac pain is difficult because the area is buried under heavy muscle, the joint cannot be directly palpated from the outside, and the signs overlap heavily with other causes of poor performance.

The major diagnostic problems are:

• The joint region is deep and hard to examine directly

• Signs may be worse under saddle than in hand

• Canter signs are often more obvious than trot signs

• Imaging findings may not always match pain

• Negative imaging does not always rule it out

• Diagnostic blocks can help, but they are not perfectly specific

• Local anaesthetic around the region carries some risk

• Many affected horses also have hindlimb lameness, proximal suspensory disease, thoracolumbar pain, or saddle-related issues

MSD notes that back problems are a major cause of poor performance and gait abnormalities in sport and racehorses, but definitive diagnosis of the cause can be challenging. It also highlights the complex relationship between subtle hindlimb lameness, back pain, and poor performance. (MSD Veterinary Manual)

That is the clinical trap. A horse may have sacroiliac region pain, but that does not mean the sacroiliac region is the only problem.

Signs of Sacroiliac Pain in Horses

Sacroiliac pain can look subtle, especially early.

Owner-reported signs may include:

• Reduced impulsion from behind

• Difficulty engaging the hindquarters

• Weakness or lack of power in canter

• Trouble striking off into canter

• Disunited canter

• Bunny-hopping feeling in canter

• Bucking or kicking out during canter transitions

• Resistance to collection

• Reluctance to jump

• Poor bascule or reduced power over fences

• Drifting, crookedness, or falling in on circles

• Tail carried to one side

• Reduced topline or gluteal muscle

• Stiffness through the back or trunk

• Hind feet tracking unusually narrow or irregularly

• Worsening signs when ridden compared with lunging

Merck describes chronic sacroiliac strain or osteoarthrosis as often causing back soreness, poor performance, intermittent or shifting hindlimb lameness, restriction in hindlimb action, and dragging of the hindlimb toes. (Merck Veterinary Manual)

A large clinical discussion of lumbosacroiliac region pain also reports that affected horses are often worse when ridden than in hand or on the lunge, with canter commonly worse than trot. Signs may include reduced hindlimb impulsion, canter problems, bucking, kicking out, crooked tail carriage, and difficulty lying down or rolling. (EquiManagement)

Why Canter Often Shows the Problem

Canter is frequently where sacroiliac region pain becomes obvious.

This makes sense biomechanically. Canter is asymmetrical, asks the horse to load and push from one hindlimb differently, and places more demand on the pelvis, lumbosacral region, and sacroiliac stabilising structures.

Horses with lumbosacroiliac pain may look weak, canter croup-high, bunny-hop, kick out, bolt, or show worse signs in canter than trot. These signs may be missed if the veterinary assessment only includes walk and trot in hand.

This is one reason a ridden exam can be so valuable. Some horses look relatively normal on the lunge, then show the real problem when a rider asks for canter, collection, turns, or transitions.

Does a Crooked Tail Mean Sacroiliac Pain?

Not by itself.

Crooked tail carriage can be associated with sacroiliac region pain or thoracolumbar muscle tension, but it is not diagnostic. It can also occur with hindlimb lameness, rider imbalance, saddle fit problems, back tension, old compensation patterns, or neurological disease.

A crooked tail is a clue. It is not a diagnosis.

The better question is: does the crooked tail appear alongside poor hindlimb impulsion, canter problems, back tension, reduced performance, pain on examination, or lameness?

If yes, it deserves investigation.

Does Narrow Tracking Mean Sacroiliac Pain?

Narrow hindlimb tracking can be seen in some horses with pelvic, hindlimb, or back problems, but it is not specific to the sacroiliac region.

A horse may track narrow because of:

• Sacroiliac region pain

• Proximal suspensory pain

• Stifle pain

• Hock pain

• Back pain

• Hind hoof imbalance

• Neurological disease

• Weakness or poor conditioning

• Rider influence

• Conformation

The mistake is turning one gait sign into a final diagnosis. Sacroiliac pain is suspected from patterns, not single clues.

How Worried Should You Be?

Low Concern

This is more likely when:

• The horse is mildly stiff after hard work

• The horse improves within 24 to 72 hours

• The horse is sound in hand and under saddle

• There is no bucking, kicking out, or unsafe behaviour

• Canter quality is normal

• There is no loss of impulsion

• There is no neurological weakness or ataxia

Action: reduce demanding work briefly, monitor closely, check saddle fit and workload changes, and reassess. If the signs disappear and do not recur, it may not need a full workup.

Moderate Concern

This is more likely when:

• The horse repeatedly struggles with canter transitions

• Canter feels worse than trot

• Hindlimb engagement is reduced

• The horse drifts, falls in, or feels crooked on circles

• There is mild back or gluteal soreness

• The horse feels weaker behind under saddle

• The problem keeps returning when work increases

• The horse is not clearly lame in hand, but does not feel right ridden

Action: book a veterinary performance or lameness assessment. A ridden evaluation, saddle review, and hindlimb workup may be needed.

High Concern

This is more likely when:

• The horse bucks or kicks out in canter

• The horse becomes unsafe under saddle

• There is obvious hindlimb lameness

• The horse drags hind toes

• The horse has clear back, pelvic, or gluteal pain

• The horse loses muscle over the topline or hindquarters

• There is poor propulsion that is worsening

• The horse cannot perform normal work comfortably

Action: stop hard ridden work and arrange a full veterinary workup. This may include hindlimb lameness localisation, back and pelvic assessment, imaging, saddle review, and possibly diagnostic analgesia.

Critical

Treat the situation as urgent if:

• Pain starts suddenly after a fall, slip, kick, collision, or paddock accident

• The horse is severely lame

• The horse is weak, ataxic, or uncoordinated

• The horse cannot stand or walk normally

• There is severe pelvic or sacroiliac region pain

• The horse is collapsing, stumbling, or unsafe to move

• There is fever, depression, or rapid deterioration

Action: call your vet urgently. Do not keep riding, lunging, stretching, or forcing the horse to canter.

When Is Sacroiliac Pain an Emergency?

Chronic sacroiliac region pain is usually not an emergency, but acute pelvic or sacroiliac pain can be.

Call your vet urgently if your horse has:

• Sudden severe hindlimb lameness

• Marked pelvic or sacroiliac pain after trauma

• Inability to bear weight normally

• Weakness or ataxia

• Collapse or repeated stumbling

• Severe pain when the pelvis or back is touched

• Rapid swelling or heat

• A fall, slip, kick, collision, or trailer accident before signs began

• A horse that is unsafe to move

• Fever or systemic illness

Merck notes that acute severe strain of the sacroiliac ligaments is associated with injury, severe pelvic or sacroiliac region pain, and often marked hindlimb lameness. (Merck Veterinary Manual)

If the horse is suddenly severely lame or neurologically abnormal, do not treat it as routine back soreness.

What Else Can Look Like Sacroiliac Pain?

This is one of the most important sections.

Sacroiliac pain is often suspected in horses that are weak behind, crooked, or difficult in canter. But many other problems can look similar.

Proximal Suspensory Desmitis

This is one of the most important rule-outs. Hindlimb proximal suspensory pain can cause reduced impulsion, poor canter, subtle lameness, and poor performance. Literature discussing sacroiliac region pain notes that concurrent hindlimb lameness is common and that proximal suspensory desmopathy is a frequent concurrent diagnosis.

Hock Pain

Hock arthritis or inflammation can cause stiffness, poor engagement, shorter hind stride, difficulty with collection, and canter problems.

Stifle Pain

Stifle issues can cause difficulty with canter transitions, weakness behind, reluctance to go forward, and poor hindlimb control.

Hoof Pain

Hind foot pain, negative plantar angles, long toes, abscesses, bruising, or shoeing problems can change pelvic and back loading.

Thoracolumbar Back Pain

Kissing spines, supraspinous ligament pain, muscle strain, or facet joint pain can all mimic or coexist with sacroiliac region pain.

Poor Saddle Fit

A saddle that slips, bridges, pinches, or shifts can create back tension, altered gait, and poor performance. Saddle slip may also be associated with hindlimb lameness, so it needs interpretation rather than assumption.

Rider Imbalance

A rider who loads one seat bone, sits crookedly, collapses through one hip, or blocks one rein can make sacroiliac-like signs worse.

Neurological Disease

Ataxia, weakness, abnormal limb placement, toe dragging, or poor coordination should prompt a neurological assessment, not just a sacroiliac treatment plan.

Pelvic Fracture or Hip Pain

Trauma, falls, or sudden severe hindlimb lameness may indicate pelvic or hip injury rather than chronic sacroiliac strain.

Poor Conditioning

A weak horse may struggle with canter, collection, hills, and lateral work because the trunk and gluteal stabilisers are not strong enough.

The clinical message is simple: do not diagnose sacroiliac pain until the horse has been assessed as a whole.

How Do Vets Diagnose Sacroiliac Pain?

There is no single perfect test.

A proper workup may include:

• Full history

• Static examination

• Palpation of the back, pelvis, tuber sacrale, and gluteal region

• Hoof and limb examination

• Gait assessment in hand

• Lunge assessment both directions

• Ridden assessment when safe

• Canter assessment when relevant

• Flexion tests

• Diagnostic nerve or joint blocks for hindlimb lameness

• Imaging of the back, pelvis, and hindlimbs

• Sacroiliac region diagnostic analgesia in selected cases

• Ultrasound, including transrectal ultrasound in selected cases

• Nuclear scintigraphy where useful

• Assessment of saddle fit and rider influence

MSD explains that sacroiliac pain and lesions are challenging to diagnose definitively. Suggestive exam findings, exclusion of other lameness causes, and scintigraphic uptake in the sacroiliac region are usually needed for confident diagnosis. It also notes that improvement after local anaesthetic infiltration may support the diagnosis, but carries risk. (Merck Veterinary Manual)

Why a Ridden Exam Matters

Many sacroiliac region cases look worse under saddle than in hand.

A veterinary research summary of sacroiliac region pain reported that signs were worse when horses were ridden, including bucking in canter and spontaneously breaking from canter. It also stressed the value of assessing horses under saddle wherever possible. (VetClick)

This matters because a horse that trots sound in hand may still have a performance-limiting problem when asked to canter, sit, collect, jump, or carry a rider.

Ridden assessment is not always safe or appropriate, but when it is safe, it can reveal signs that are otherwise missed.

Can Imaging Diagnose Sacroiliac Pain?

Imaging can help, but it does not always give a simple answer.

Useful imaging may include:

• Ultrasound of the dorsal sacroiliac ligaments and surrounding tissues

• Transrectal ultrasound of the ventral sacroiliac joint region

• Nuclear scintigraphy

• Radiographs in selected cases

• CT in referral settings, especially for complex pelvic cases

• Ultrasound of hindlimb tendons and ligaments when concurrent lameness is suspected

Merck notes that ultrasonography can be informative, but some horses without sacroiliac pain can still have abnormal ultrasound findings in this area. It also describes transrectal ultrasound findings that may include bone remodelling, joint space narrowing, osteophytes, fragmentation, and ventral sacroiliac ligament disease. (Merck Veterinary Manual)

Another clinical summary of a large sacroiliac study reported that nuclear scintigraphy alone was unreliable, with abnormal uptake only present in some horses that responded to sacroiliac region block. (VetClick)

So imaging is helpful, but the horse cannot be diagnosed from a scan alone.

What About Diagnostic Sacroiliac Blocks?

Diagnostic analgesia can be useful, but it needs caution.

A sacroiliac region block involves placing local anaesthetic around the sacroiliac region, then reassessing the horse’s gait or ridden performance. If the horse improves, it suggests that pain from that region may be clinically important.

But there are two major caveats.

First, the block is not perfectly specific. Local anaesthetic can spread to nearby structures, so improvement does not prove the exact joint surface is the only pain source. EquiManagement describes periarticular anaesthesia of the SI region as highly informative but not specific because of potential diffusion. (EquiManagement)

Second, there is risk. Merck warns that local anaesthetic infiltration around the sacroiliac joint can risk sciatic nerve paralysis, and University of Minnesota notes that diagnostic analgesia in this region can cause severe hindlimb weakness or inability to bear weight if the sciatic nerve is affected. (Merck Veterinary Manual)

This does not mean sacroiliac blocks should never be used. It means they should be done by experienced vets, in appropriate cases, with proper safety planning.

Treatment Options for Sacroiliac Pain

Treatment depends on whether the problem is acute, chronic, primary, secondary, associated with lameness, or linked with back, saddle, rider, or training factors.

Most treatment plans include a combination of:

• Pain control

• Reducing inflammation

• Treating concurrent hindlimb lameness

• Correcting saddle and rider factors

• Rehabilitation

• Core and gluteal strengthening

• Gradual return to ridden work

• Careful monitoring for recurrence

Merck describes treatment and management as usually supportive and nonspecific, including periarticular steroid injection, shockwave therapy, pulsed electromagnetic therapy, and rehabilitation exercises that develop the gluteal muscles. (Merck Veterinary Manual)

Injections

Sacroiliac region injections may be used when the diagnosis is strongly suspected or supported by response to diagnostic analgesia.

These may include:

• Corticosteroid injections around the sacroiliac region

• Ultrasound-guided or landmark-guided approaches depending on the case

• Treatment of associated ligament or soft tissue lesions where identified

However, injections should not be used as a shortcut for diagnosis. Medical treatment alone is often not enough, and rehabilitation remains critical. EquiManagement reports that medical treatment alone is not reliable and that ridden training, posture, core stabilisation, and physiotherapy are also important. (EquiManagement)

Shockwave and Other Modalities

Shockwave therapy may be used in selected cases, especially when soft tissue or ligament pain is suspected. Pulsed electromagnetic therapy, physiotherapy, acupuncture, and chiropractic care may also be used as adjuncts.

The word adjunct matters. These therapies can support a plan, but they should not replace diagnosis.

A horse with proximal suspensory pain, stifle pain, hock arthritis, or poor saddle fit will not be fixed long-term by treating the sacroiliac region alone.

Rehabilitation for Sacroiliac Pain

Rehabilitation is often the most important part of management.

The goal is to improve:

• Pelvic stability

• Gluteal strength

• Core strength

• Thoracolumbar mobility

• Hindlimb coordination

• Straightness

• Safe return to canter

• Correct posture under saddle

Rehabilitation may include:

• Controlled walking

• Groundwork

• Baited stretches

• Belly lifts

• Pelvic tilts

• Pole work

• Raised poles

• Hill work when appropriate

• Long and low work

• Straight lines before circles

• Gradual canter reintroduction

• Work in hand if ridden work is uncomfortable

• Careful saddle fit adjustment

• Rider balance and position work

EquiManagement reports that a team-based approach with physiotherapy and core stabilisation gives the best results, and that if the horse is uncomfortable when ridden, groundwork or in-hand work may be better until comfort improves. (EquiManagement)

How Long Does Recovery Take?

Recovery depends on the cause, severity, duration, and whether other pain sources are present.

A rough guide:

Situation	Likely course
Mild recent sacroiliac strain	Often weeks to a few months with correct rest, treatment, and rehab
Chronic sacroiliac region pain	Often months and may recur
Sacroiliac pain with proximal suspensory or stifle disease	Depends heavily on the concurrent diagnosis
Trauma-related severe pelvic or SI injury	More guarded and requires veterinary reassessment
Neurological or fracture-related signs	Urgent and prognosis depends on the diagnosis

EquiManagement notes that chronic lumbosacroiliac problems lasting more than 6 months have a guarded prognosis, and early recognition plus a good management program improves the chance of returning to full athletic function. (EquiManagement)

The honest answer for owners: some horses improve well, but chronic sacroiliac region pain is rarely fixed by one injection and a hopeful return to full work.

Should You Keep Riding?

It depends on the signs.

Light work may be acceptable while awaiting assessment if:

• The horse is sound at walk and trot

• The signs are mild

• The horse is not bucking or unsafe

• The horse is not deteriorating

• There is no neurological weakness

• Your vet has no immediate concern

Stop hard ridden work if:

• The horse bucks or kicks out in canter

• Canter quality is worsening

• The horse feels weak behind

• There is obvious lameness

• The horse is unsafe

• The horse is dragging toes or stumbling

• The horse has severe back or pelvic pain

• Signs began after a fall, slip, or collision

When in doubt, reduce the work. Horses rarely lose their career because of a few cautious days. They absolutely can lose progress when pain is repeatedly trained through.

What Should You Do Right Now?

1. Record What You Are Seeing

Write down whether the problem appears in:

• Walk

• Trot

• Canter

• Transitions

• Circles

• Collection

• Jumping

• Lateral work

• Hills

• One rein more than the other

• Ridden work only

2. Take Useful Videos

Record:

• Walk from behind

• Trot from behind

• Trot from the side

• Canter both directions if safe

• Transitions if this is where the issue appears

• Ridden work if safe

• Lunging both directions

Do not force a horse to canter if the horse is severely lame, unsafe, or neurological.

3. Reduce Provocative Work

Avoid hard canter, jumping, sharp turns, intense collection, deep footing, and hill work until the horse is assessed.

4. Check Saddle and Rider Factors

If signs are much worse ridden than in hand, saddle fit and rider balance must be included in the workup.

5. Call Your Vet

Book a lameness and performance assessment if signs recur, worsen, or affect ridden work.

6. Expect a Whole-Horse Workup

The vet should not only examine the sacroiliac region. The hind feet, hocks, stifles, suspensories, back, saddle, and neurological status may all matter.

7. Do Not Start Random Exercises Too Aggressively

Core work helps, but if the horse is painful, forcing circles, backing, hills, or canter may make things worse.

Common Mistakes Owners Make

Diagnosing From One Sign

A crooked tail, bunny-hop canter, or narrow tracking pattern is not enough to diagnose sacroiliac pain.

Treating the SI Region Without Checking the Hindlimbs

Sacroiliac region pain often occurs with hindlimb lameness. Proximal suspensory pain, stifle pain, hock pain, and hoof pain must be considered.

Skipping Ridden Assessment

Some horses show little in hand but deteriorate under saddle, especially in canter. When safe, ridden assessment can be essential.

Relying Only on Imaging

Ultrasound and scintigraphy can help, but normal imaging does not always rule out sacroiliac region pain, and abnormal imaging does not always prove it is the cause.

Expecting One Injection To Fix It

Injections may reduce pain, but strength, posture, saddle fit, rider balance, and concurrent lameness still need management.

Forcing Canter Too Early

Canter commonly provokes signs. It should be reintroduced carefully and only when the horse is ready.

Calling It Behaviour

Bucking, kicking out, resisting canter, and refusing collection may be behavioural, but pain should be ruled out first.

Prevention and Long-Term Management

Not every sacroiliac problem can be prevented, but risk and recurrence can be reduced.

Practical steps include:

• Build fitness gradually

• Avoid sudden jumps in workload

• Treat hindlimb lameness early

• Maintain good hoof balance

• Check saddle fit regularly

• Monitor rider symmetry

• Warm up properly

• Avoid repetitive hard work on deep or slippery footing

• Use hill work carefully

• Build core and gluteal strength gradually

• Use poles and transitions appropriately

• Avoid repeatedly drilling canter if it provokes pain

• Reassess after falls, slips, or trailer accidents

• Monitor for early recurrence of poor canter or loss of impulsion

The prevention mindset is simple: protect the horse’s ability to stabilise and push from behind.

The sacroiliac region does not like sudden overload, chronic compensation, poor hindlimb mechanics, bad footing, and unbalanced ridden work. Rude of it, but fair.

Myth vs Reality

Myth	Reality
A crooked tail means sacroiliac pain.	It can be a clue, but it can also reflect lameness, back tension, rider imbalance, saddle fit, or habit.
Bunny-hopping canter proves SI disease.	It raises suspicion, but other hindlimb, back, neurological, and training problems can look similar.
A normal scan rules it out.	Imaging can help, but negative ultrasound or scintigraphy does not always exclude sacroiliac region pain.
An SI injection is a diagnosis.	Treatment response can help, but diagnostic analgesia and a full workup are more informative.
Sacroiliac pain is always the main problem.	It often occurs with other sources of hindlimb or back pain.
Rest alone fixes it.	Rest may reduce irritation, but rehab and treatment of concurrent problems are usually needed.

FAQs About Sacroiliac Pain in Horses

Can sacroiliac pain in horses be cured?

Some horses with recent, mild sacroiliac region pain can return well with correct diagnosis, treatment, and rehabilitation. Chronic cases are more guarded, especially when other orthopaedic problems are present. Long-term management is often needed.

How do vets confirm sacroiliac pain?

Vets usually combine history, clinical examination, ridden and lameness assessment, exclusion of other pain sources, diagnostic analgesia, and imaging. Diagnostic analgesia can support the diagnosis, but it is not perfectly specific because the region is close to other lumbosacral and pelvic structures. (EquiManagement)

Can a saddle cause sacroiliac pain?

A poor saddle fit or slipping saddle can contribute to back pain, altered movement, muscle guarding, and uneven loading. It may not be the only cause, but saddle fit should be reviewed in horses with back, pelvic, or performance problems.

Should I keep riding a horse with suspected sacroiliac pain?

Do not push through worsening signs. If the horse is bucking, resisting canter, clearly lame, weak behind, or rapidly losing performance, stop hard work and arrange a veterinary assessment. Gentle work may be appropriate in some mild cases, but only once pain and safety have been considered.

What conditions are most commonly confused with sacroiliac pain?

Common lookalikes include hock pain, stifle pain, proximal suspensory desmitis, foot pain, kissing spines, thoracolumbar pain, saddle fit problems, rider asymmetry, neurological disease, and poor conditioning.

The Bottom Line

Sacroiliac pain in horses is real, but it is not a diagnosis to make from a single gait sign.

The signs that matter most are reduced hindlimb impulsion, trunk stiffness, canter problems, resistance under saddle, poor performance, muscle asymmetry, and signs that worsen when the horse is asked to push, sit, collect, jump, or canter.

But the real clinical message is this:

Sacroiliac region pain is often part of a bigger lameness picture.

The best outcome comes from diagnosing the whole horse, not just treating the sore-looking area. That means assessing the limbs, back, saddle, rider, workload, fitness, and sacroiliac region together.

If your horse is mildly stiff but improving, monitor and adjust workload.

If the horse is repeatedly resisting canter, losing impulsion, bucking, drifting, or feeling weak behind, organise a veterinary workup.

If the horse is suddenly severely lame, ataxic, unable to stand, painful after trauma, or deteriorating quickly, treat it as urgent.

Sacroiliac pain is frustrating because it hides. A proper diagnosis brings it out into the open.

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If you are unsure whether your horse’s poor canter, hindlimb weakness, back pain, bucking, or performance change could be sacroiliac pain or another lameness problem, ASK A VET™ can help you organise the signs, track the timeline, and decide when veterinary care should not wait.