Shockwave therapy (ESWT) is a non-invasive treatment that supports healing in tendons, ligaments, bone interfaces, and certain chronic pain conditions. Learn how it works, when it helps, and why it’s most effective as part of a structured rehab plan.

Performance lameness does not always present as a clear head-nod or limp. In many sport horses, discomfort in the neck, back, or pelvis shows up first as subtle performance decline rather than obvious limb lameness.

Dr. Beth Byles, DVM, founded Kinetic Equine Medicine to address complex performance and lameness cases through a whole-horse, biomechanics-driven approach focused on the neck, back, and pelvis.

Kinetic Equine Medicine now offers on-site digital radiography, including comprehensive neck and back imaging to support accurate evaluation of complex performance and body lameness cases.

When pain persists beyond tissue healing, the nervous system itself may be driving discomfort. Central sensitization and neuropathic pain help explain exaggerated reactions, inconsistent movement, and behavior changes in horses.

ECVM cannot be cured, but careful training, rehabilitation, veterinary support, and lifestyle management can greatly improve comfort and long-term soundness.

The neck influences balance, stride, shock absorption, and nerve function. When cervical structure is compromised, movement and performance across the whole body are affected.

Saddle fit isn’t just about comfort—it directly affects biomechanics, spinal motion, and long-term soundness. Research shows rider weight, balance, and saddle design all influence pressure, posture, and performance.

ECVM is a congenital malformation of the lower neck vertebrae that can quietly affect posture, balance, and performance. Understanding the anatomy behind the condition is the first step toward recognizing its impact.