These two videos were taken on March 7 before the second chiropractic adjustment (and before the first massage appointment). It was specifically taken to show the massage therapist and other professionals which is why I keep her going for a bit even though she’s uncomfortable. She was not on any pain meds; we quit the bute after 3-4 days and I’m holding off on daily banamine unless we regress again. She’s not head bobbing lame but she’s definitely extremely tight and short and NQR. In particular, I notice how she uses herself in transitions and how she is carrying her tail.
The massage therapist was able to come out a lot sooner than I could have hoped – the day after I posted my plan. It turns out she had another appointment nearby and was able to add us to her schedule that evening. She started by asking questions and hearing what had happened in as much detail as possible. She took notes and then asked to see Nibbles moving away from and towards her at the walk and trot. She made some more notes and then had me put her on the lunge for a few minutes. She had almost zero movement in her lumbar and her hips were very tight and restricted. She was especially reserved with using her left hind.
After her visual assessment and talking about what she thought she saw, she began the bodywork at Nibbles’ head/neck. Except for the base of her neck, the left side was in remarkably good shape. The right side had some tension midneck. Both sides were tight at the base and she showed me an easy massage that I can do regularly to help with this area.
Her withers were sore and especially tight on the left side. She felt like she was able to achieve a good release here and continue through her topline which basically had tension throughout. Her assessment was similar to mine – the saddle doesn’t fit and it caused discomfort but the reality is that that is not the reason she is in this mess. It is definitely from the traumatic fall in her pasture. She also said what I knew: getting a new saddle will help us moving forward and she will certainly appear “better” in a properly fitting saddle but that doesn’t mean we shouldn’t address the soreness and tension. In fact, just putting a new saddle on without getting to the root of the problem would only potentially create longterm damage. She said I was having her out at exactly the right time as far as how long ago the accident occurred and when the vet/chiro had seen her.
Diagram from the ESMT illustrating what I’ve (hopefully accurately) described
As she worked across her back, it became clear that her left side was more affected. It’s not a stretch of the imagination to think she fell on her left side. Her left gluteus medius and bicep were very tight, beginning at the origin and extending all the way to the insertion (this basically means the entire thing was strained). She didn’t find any tears. The hamstring was very tight on the left, much less so on the right. She also suspects mild hock involvement on the left side but we won’t be able to really tell until she is less ouchy from everything else going on.
The right side had its fair share of tightness and issues. She is very tight in her back on the right with some wither soreness, although the latter is less sore than the left side. In particular, the right side of the sacrum was extremely tight which continued throughout the hindquarter. Recall this was the side her hip was initially out on before the first chiro adjustment. She didn’t suspect any hock or stifle involvement on this side also there was mild medial glute tension (I can’t remember the exact details on this one so I’m writing what she said in her notes). The hamstring on this side was much better but whatever homework I do on one side I must do on the other.
The more tame rightside
Thank goodness she wrote everything down for me because boy was she thorough. She narrated the entire time and let me get hands on to feel what she was feeling and learn how to help in between her professional bodywork sessions. She said that I am not going to do any harm by doing massages and approved stretches. I may not do as much “good” as she will do but it can’t hurt and will more than likely reduce the number of times she needs the whole enchilada.
I am to be stretching front legs and back legs forwards and backwards as well as with very minor, specific rotations. We are to continue doing our “tummy tuck” and “butt tuck” stretches plus “carrot stretches” left and right. She thought she looked quite improved from the video I had sent her. She commented that she thought she would be much, much worse based on the video. The rest and the stretching we have been doing is helping. She was also clear that this isn’t going to be something that disappears next week or even next month. Depending on her recovery and what “uncovers” itself as she starts to feel better, we could experience the consequences of her fall for many months to come.
She strongly advised that Nibbles have another three weeks off. Why such a specific number? Because she suspects Nibbles has some bone bruising, particularly on that left side. She advises at least six weeks off for bone bruises to heal and we are already three weeks in.
Nibbles saying “oofda, that’s sore” to the ESMT
She left me with a lot of homework which honestly feels great because I feel like I can do something. I’ve felt sort of helpless until now. I understand better what the problem actually is and while there isn’t a do X and she’ll be magically better, I know what to do to contribute to her rehab. She wants to see her in another week or two week. If I am diligent in doing the massage and stretches every day, we should really be able to tell next time.
I went to the barn the next day and Nibbles was moving so much more easily. I’m not sure how else to describe it except that her stride was longer, her eye was softer and she was walking with her head at a nice, normal level instead of cranked in the air like it has been since the fall. As soon as I started the massage, Nibbles really relaxed and stretched and did all the nice things that let me know something was working (ie. passing lots of gas haha!). I repeated the same thing the next day (which was yesterday) and added in a little time on the lunge. She isn’t 100% but there was definite improvement. She was trying to stretch her neck down and the counterbend was dramatically improved. I lunged her W/T with a circle of canter each direction for about 15-20 minutes – just enough to warm her muscles up so I could work on them again.
For comparison, here is video taken yesterday after both the second chiropractic adjustment and the first massage appointment. Again, no pain meds. I think you can see the biggest different tracking right but both are better. Not where she was by a long shot but it is a start.
While all this has been happening, I’ve been having some tough conversations with the barn owner. I waited until I wasn’t angry anymore and could approach this in a logical manner. In light of the fact that this accident was completely avoidable, I wanted to address how we could make sure it was not going to happen again. What’s more, the vet was pretty adamant that he thought something had happened since the dirtbike incident. When I asked the barn owner, she told me that nothing had happened. It turns out that is not true and when I found out, I confronted the barn owner. But that’s another post…