16/02/2026
🔎 Is Your Horse Showing Signs of Sacroiliac Pain?
Lower back pain can quietly affect performance, behaviour and willingness to work — and one of the most common causes is sacroiliac (SI) joint discomfort.
Sacroiliac ligament strain, joint sprain, stress fractures and chronic arthritic pain account for around 50% of all back injuries, and research has shown that 15% of horses with back problems also have chronic sacroiliac injury
🚩 Common Signs to Watch For:
-Lugging or falling in on one rein
-Resisting transitions or throwing the head when asked to canter
-Loss of impulsion or “dipping” through the back
-Shortened hind stride or toe dragging
-Poor topline development
-Tail swishing under saddle
-Discomfort when lifting a hind leg
If your horse shows four or more of these signs, sacroiliac pain could be a contributing factor.
🩺 How Is It Diagnosed?
Diagnosis involves:
-Careful palpation of the sacroiliac region
-Assessment in-hand, on the lunge and under saddle
-Diagnostic analgesia (pain blocking)
-Imaging such as radiographs, ultrasound or scintigraphy where required.
Interestingly, studies showed that 98% of horses improved under saddle after diagnostic pain blocking, confirming SI involvement.
Always consult your veterinarian for accurate diagnosis.
🛠 Rehabilitation & Strengthening
Long-term paddock rest alone is often not the answer. Controlled rehabilitation that strengthens the sacroiliac ligaments and surrounding musculature offers the best chance of recovery
Helpful Strategies:
✔ Pre-exercise massage over the SI region
✔ Straight-line hand walking (avoid circular walkers early on)
✔ Ground pole work in a controlled pattern
✔ Lateral exercises such as shoulder-in “zig zags”
✔ Correct hind hoof balance — long toe/low heel can overload the lower back
Supporting ligament repair nutritionally with adequate vitamin A, zinc, copper, manganese and vitamin E is also important. In addition, providing high-quality essential amino acids to support muscle rebuilding around the sacroiliac region can assist recovery, and a targeted muscle support formula such as Kohnke’s Own Muscle XL™ helps supply concentrated branched chain amino acids (BCAAs) to encourage topline repair, strength and regeneration during rehabilitation.
💡 Handy Hint
A visible “hunter’s bump” isn’t always a problem — its significance depends on conformation, fitness and changes over time. However, increasing prominence combined with poor performance may warrant investigation
Sacroiliac pain can be frustrating and subtle, but with early recognition, veterinary guidance and a structured strengthening program, many horses return to comfortable work.
If you’re noticing changes in your horse’s way of going, it’s always worth investigating — back pain is more common than we think.
📩 DM, email or call us today to book your free ration analysis! 📞 1800 112 227