Case Studies


15.2hh grey 12yo Lusitano (British bred) gelding.

Owned by his current owner since 3yo. History of Equine Metabolic Syndrome and severe Laminitis which is overall well controlled. He has very occasional mild bouts where he is kept in a large barn (he normally lives out). Ural owner has given me permission to share this with you.

He is barefoot and is ridden around four to five times a week; mainly hacking / dressage and a weekly dressage lesson.

As you can see from his before photo’s he appears overweight and he may be a little on the fat side but this is accentuated by his posture. He stands with his forehand loaded, his back into extension.



On palpation of his musculature he was tight, sore and locked on through his shoulder / scapular muscles (worse through the left shoulder), sore and tight all through his epaxial muscles (back muscles) which will be holding his posture into extension and also very tight through his gluteals (worse on the right side).

This posture was locking his thoracic sling (his forehand) not allowing the scaplulae to move freely on the ribcage, his back muscles were tight and sore causing this extended posture and thus switching off his abdominal muscles. His hindquarters will not be able to engage properly because his back is in extension and his gluteals and consequently his hamstrings will be tight restricting the cranial or forward swing of his hindlimb.

All of the above are the muscular compensations from a recent bout of laminitis and a right fore foot abcess; he is now sound and back in full work.



The following week long rehab programme was undertaken with Veterinary consent. A full gait analysis was undertaken at the start and end of the week and all aspects of this programme were undertaken by myself.

This is only a week, but in a short space of time I hope you will be able to see the difference in Ural’s posture.

He was very restricted and sore at the start of the week and the in hand pole work really helped him re engage his core. It was very basic and I only did six repetitions on the right rein and four on the left to start with as he struggled….by the end of the week he was equal on both reins and was not touching a pole so that was great progress.

I think this is a good case study to prove if you keep at it you see an improvement but you have to be consistent!

Day 1

  • Treated all tight soft tissue area’s with massage/myofascial release
  • Baited carrot stretches (see video on home page)
  • Started basic in hand pole exercise 10 minutes

Day 3

  • In hand pole exercise 10 minutes
  • 60 minute dressage lesson (as normal routine)
  • Carrot stretches
  • TMM treatment focus on back muscles, and release of hip flexors /lumbo sacral junction

Day 5

  • In hand poles/ground work 20 mins
  • 30 min schooling session, 30 min hack
  • Carrot stretches

Day 2

  • In hand pole exercise/ground work 10-15 minutes
  • Ridden session 40 minutes included shoulder in, turns on the haunches, half pass.
  • Carrot stretches

Day 4

  • Ridden day off
  • Ground work/poles/lateral work 30 mins
  • Carrot stretches

Day 6

  • 60 min Hack
  • Carrot stretches
  • Soft tissue/myofascial treatment as Day 1

Day 7

  • Pole exercises/ground work 20 mins
  • 30 min schooling session
  • Review and plan made for owner

Urals Feet

On initial examination Ural looked to be quite “toe in” but after a joint session with his trimmer and after releasing the muscles around his scapula/pectorals take a look at the before and after shots of his feet.


After (also note how he is standing wider)

If you wish to know in more detail how some of the above I have spoken about can help your horse or to book an assessment/treatment please do not hesitate to contact me 07813 026153.

I’ve had Juliet treating Pippa regularly for a few years now and the difference in her is incredible. She moves so much better and this is showing in our increased dressage scores. Juliet is so lovely and always available if I have any questions or problems in between visits (although I’m yet to have any!). She really cares about how Pippa and I get on and I owe a lot of our successes to Juliet. Thank you so much!

Lucy Everett and her horse Pippa