Monday, October 2, 2017

Exercise and Rehab Plan for a PSSM Horse

Is it possible to bring them back once symptoms have started?


exercise plan for PSSM horse, rehab plan for PSSM horse, bodywork for PSSM horse
Just after a colic episode, during his most severely symptomatic months.
Note the wasted and tense muscles around his flanks, lumbar, and stifles.

Before answering this question, let's look at everything I've done to help bring Jax back to his former glory.  Keep in mind that he went severely symptomatic, and due to misdiagnosis was laid off for 6 months which made things much worse.  If you're seeing subtle signs and have time to work with your horse daily (or at least 4-5 days/week) then you may not have a journey as difficult as we've had.


EXERCISE PLAN:

Note: injury, illness, and time off can set your horse back.  In these cases, lower the mileage and intensity of workouts for a few days to keep from setting off an episode.

The first few months of rehab (before diagnosis and moving Jax to a new barn) I worked on fixing his feet and lunging about 4-5 days/week.  This helped him to build up strength, but wasn't quite enough to get him rideable.  After diagnosis (about 4 months into rehab) I moved him to a place with trails and an indoor arena.  I started riding him for about 10-15 minutes at a walk doing suppling exercises:  walking over poles, bending around cones, backing, etc.  We started venturing out onto the trail for slow, one mile rides just before winter. 
For the really cold months (and while he was on alfalfa) his muscles were very stiff so we rode inside most of the time.  We started adding short trot sessions (maybe 2 minutes total) and worked up to 25-30 minutes total ride time, again using lots of suppling exercises.  Just before spring, I was able to add some canter (1-2 very short bursts per session) and we were up to 2 miles on the trail, walk only.  We kept building through spring and into summer, and by mid-summer we actually had enough canter to do a playday with a few friends (some barrels, pole bending, and a few games).  As the summer progressed, we made it up to 6 miles on the trail with lots of trot and canter.

At the time of writing this, we're at almost 18 months of rehab.  He's not 100% yet, but he's probably about 95%.  He's got his canter back, though it's still rough some days and he's much better cantering straight than he is in circles (the trot started out the same, and I think we'll get a more collected and refined canter in a couple more months so that we can add circles).  On his bad days, we do a maintenance day (see below) with either a lunging session for exercise or a short arena day with suppling exercises.  Sometimes a light day may be about 2.5 miles of walking on the trail.  It's been a long, slow process but he is getting stronger and is almost back to the horse he was at his pique (around the middle of his 7th year, about 3 years ago).


Here are a few ridden exercises that I use to work both his mind and his body.


MAINTENANCE DAYS:

Occasionally, (about twice per month, more if needed) Jax will start to get a little slower, a little more tender in his muscles, and over all just a little "down" compared to his normal self.   There are also times that he's been working hard for a week or so and I feel like he should get an easier day to help keep him going well.  These are times that I'll throw a "maintenance day" into our rehab plan.  Maintenance days usually look something like this:
  • (everyday) Check his back for soreness after assessing how he walks in from the pasture
  • (everyday) Feed 1/2 of his "grain" mix
  • Full trim on all four hooves if needed (usually do touch-ups in between these days)
  • Myofascial grooming work about 1-2 hours over his whole body, focusing on major muscle groups and sore spots (I groom him this way everyday, but usually for only about 10-15 minutes before tacking up)
  • Percussive massage (see below) - about 1-2 hours, focusing on major muscle groups of the neck, back, hindquarters, and sore spots
  • Light lunging with walk/trot/canter, some walking or backing over poles/up hills, and other light groundwork to loosen his muscles
  • (everyday) Feed other 1/2 of his "grain" mix
  • (everyday) Put him back out to pasture
These days are necessary to keep him going.  The next day is usually an easy walk trail ride (maybe 3-4 miles) to loosen him up more without asking for too much work, then we can start back where we left off the next day.

exercise plan for PSSM horse, rehab plan for PSSM horse, bodywork for PSSM horse
A sleek, loose-muscled Jax after a maintenance day,
during a leisurely hand walk.


MASSAGE AND BODYWORK:
  • Starting out light - Masterson method - This method is wonderful for when Jax can't handle other types of muscle work.  Many owners on the PSSM Forum (Facebook) use it as well.  Look up his book on Amazon and his videos on YouTube for more information.
  • Stress Points - "Beating Muscle Injuries for Horses" by Jack Meagher - this book is amazing and can show you where your horse is really hurting and how to fix it.  The Masterson method was a great start when Jax was really bad, and this was a great complimentary method once we got to a point that he could handle it.  You can find it on Amazon.
  • Percussive Massager and Myofascial Release - Jax gets percussive massage (from a $30 hand-held massager I bought on Amazon) as often as needed, but at least once every 2-3 weeks.  The first couple of months of rehab he was getting daily massage due to severe muscle tightness.  He now gets daily grooming with a jelly groomer to loosen his fascia (see Myofascial Release for PSSM Horses), which has reduced his need for daily massage dramatically. 
  • Stretching - many PSSM horses are helped by stretching.  Jax can handle that some days, but not very often.  I usually just rely on a slow, walking warmup and a Back On Track blanket (in cooler weather) rather than stretching him.  On days that he's really bad and we can only do groundwork, I might stretch him as much as he can tolerate since he won't get a lot of exercise on those days.


HOOF HEALTH:

One of the most important things to remember about PSSM horses - their muscles can't compensate for foot pain.  So, if anything - and I mean ANYTHING - is wrong with their feet, you will find problems in their muscles.  Anything from a bad trim, to Low Grade Laminitis (which seems to be a problem for some PSSM horses, including Jax), can be detrimental to your rehab plan.  Before you can fix the muscles, you have to fix the feet (or at least start the hoof rehab process, and rehab the hooves as you rehab the body like I did with Jax).  Jax had issues with "long toe low heel" and it's taking a while for his feet to get back in shape (especially since he is prone to low grade laminitis every spring), but I can feel that as his feet get better his muscles get better.

If you are rehabbing feet, you may have trouble with abscesses.  Jax never had an abscess until he went symptomatic and his feet fell apart.  The longest episode he's had to date was a two week span with mild shoulder spasms caused by abscess pain.  Here's a pic of the culprit:

exercise plan for PSSM horse, rehab plan for PSSM horse, hoof rehab for PSSM horse



As soon as this blew, he started to do really well (even though he'd been off work for two weeks).  Don't underestimate how important healthy hooves are, especially to a PSSM horse.


START A DAILY JOURNAL OF SYMPTOMS, ISSUES, BREAKTHROUGHS, ETC.:

One of the things that really helped me figure out what my horse needs is a daily journal.  Every day I put notes on what tack I used, what feed/supplements I gave, the type of work we did, when his feet were trimmed, pics of feet after trim, who did the trim, notes on sore muscles, days he was massaged, and anything else I could think to put down.  I included pics and videos to monitor changes in specific muscles and posture.


ENVIRONMENT:

Cold, wet weather sets Jax back for days.  If it's going to be cool and wet (70*F and below) or  just cold (40*F and below) he gets blanketed.  Before symptoms, he grew a coat like a bear and stayed warm all year.  Since symptoms, his muscles can't handle the stress of shivering to stay warm - it leads to spasms every time.



SPECIAL EQUIPMENT FOR A HORSE WITH A MUSCLE MYOPATHY:

If you've looked through my tack reviews, you've seen that everything I review is either treeless, bitless, or barefoot.  Believe it or not, I'm not a hippy :) However, my boy has specific needs, and these are the types of tack that he does best with.  When he's back sore but needs exercise, a bareback pad works best.  Even on his good days, the rigidity of a tree is too much but a well-fitting treeless works great.  Since he rope walks when his shoulders are sore, he can't have metal shoes or he'll give himself splints (he got 6 splints in the 6 months he wore shoes!).  His jaw used to get very sore with a bit, even though I have fairly light hands - he does great bitless.

Back on Track blankets and pads are also very helpful.  I use one under his saddle every day that's below 80*F (some people won't use them over 70*F, but Jax has a harder time warming up than cooling down so he has no problem with it in slightly warmer temps).

This doesn't mean that every PSSM horse needs exactly what Jax gets, they're all different so you'll need to find what works for yours.

So, can a horse come back after major symptoms set in?


My answer to this question is a hopeful YES.  It's a lot of stress and hard work from both horse and owner, and not everyone is in a position to do everything that I've listed above (fortunately, not every horse needs this much help).  These horses have a lot of heart, give them a chance and they may surprise you!




About the Artist:

horse artist, equine artist, PSSM horse
Since starting my art business in 2004, I have been on a roller coaster ride that's taken me from art, to house flipping, to legal assistant, to horse trainer, and a full 180* back to my artworks.

I'm thankful to get back to my art, and also for the life experiences I've gained.

Things in life that matter the most!  Jen, husband Jared, and Jax








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