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Manual Therapy - Rehabilitation - Saddle Fitting
HAMPSHIRE - SURREY - BERKSHIRE AND SURROUNDING AREAS


Does your horse have a sore back? If so you have come to the right place.
Here at Back in Balance we support our clients and their horses to eliminate pain, restore function and maintain health and harmony in the long term via a combination of manual therapy, saddle fitting and on-going rehabilitation and maintenance planning
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When it comes to horses, everything is connected making our multi-modal approach not just effective but also time efficient and cost saving. Our highly trained and qualified staff ensure your horse is in the best hands.*
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* Practitioners are not permitted to make any diagnosis and may decline treatment and make referrals if deemed necessary
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Manual Therapy
Equine manual therapy is more than just a physical treatment—it’s a way of listening to and supporting the horse as a whole being. Using gentle, hands-on techniques such as myofascial release, soft tissue work, and joint mobilisation, our advanced practitioner works to release tension, restore mobility, and improve overall comfort. These imbalances can stem from past injuries, saddle fit issues, poor posture, or daily wear and tear. Through careful assessment and intuitive touch, each session is tailored to meet the individual needs of the horse, aiming to restore ease and balance in both body and mind.
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One of the most rewarding aspects of this work is witnessing the subtle shifts as a horse begins to let go—yawning, softening their eye, or finally breathing deeply. These are signs the nervous system is calming and the body is beginning to heal. The practitioner always works at the horse’s pace, with consent and comfort as the priority. Whether supporting a competition horse, a horse in rehabilitation, or an older companion, equine manual therapy offers lasting benefits—not just in movement and performance, but in the deeper connection between horse and human.
Rehabilitation
Rehabilitation is about more than just recovery—it’s about giving the horse time, support, and a thoughtful plan to rebuild strength, confidence, and functional movement. Whether recovering from injury, surgery, or long-term compensation, each horse’s journey is unique. A personalised rehabilitation plan provides structure and direction while respecting the horse’s individual pace and needs. Through targeted manual therapy, in-hand exercises, movement strategies, and collaborative care, our practitioner can help guide the horse back toward balance and ease of motion.
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Ongoing maintenance is just as important as rehabilitation—by addressing small issues early, it’s possible to prevent them from developing into or returning to deeper patterns of dysfunction. Regular sessions allow the practitioner to monitor subtle changes in posture, movement, and muscle tone, interrupting compensatory cycles before they become ingrained. This proactive approach not only supports physical soundness, but also enhances comfort, performance, and long-term wellbeing. Horses thrive when they’re supported consistently, not just when something goes wrong—and that’s where a strong rehab and maintenance partnership can truly make a difference.
Saddle Fitting
A poorly fitting saddle is one of the most common—and most overlooked—contributors to back pain, behavioural issues, and compromised movement in horses. Ongoing treatment for soreness can only go so far if the root cause isn’t addressed. That’s why saddle fitting is an essential part of whole-horse care. A well-fitted saddle supports freedom of movement, spinal health, and a better connection between horse and rider. It’s not just about pressure points—it’s about posture, balance, symmetry, and comfort.
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This service goes beyond simply assessing the saddle—it integrates the horse’s musculoskeletal health, conformation, and current workload. The practitioner brings both therapeutic insight and technical knowledge to ensure the saddle isn’t just a good fit in the moment, but also supports long-term soundness and performance. Where needed, recommendations can be made for adjustment, flocking, or alternative options. When saddle fit is aligned with manual therapy and a tailored exercise plan, the results are deeper, longer-lasting, and far more sustainable for the horse’s wellbeing.