Emma Barber Healing Hands Veterinary Physiotherapy

Emma Barber Healing Hands Veterinary Physiotherapy Professional Veterinary Physiotherapy services, Remedial Groundwork, In-hand and Ridden Coaching.

Putting your horses physical and emotional wellbeing first, while empowering the horse-human relationship. Emma provides Veterinary Physiotherapy, Biomechanical and Rehabilitation training to Equine patients in the Midlands and surrounding areas. As an experienced horsewoman Emma has worked professionally in the equine industry for more than 20years, initially as a freelance groom and qualified riding instructor, going on to qualify as a McTimoney Animal Manipulation therapist and Veterinary Physiotherapist. Emma combines her academic knowledge and practical experience to provide owners with a highly tailored service. Giving owners the skills and knowledge to help their own horses stay in the best possible health. Emma is passionate about improving the well being of all horses, from happy hackers to top competition horses and all those in between.

It can be a long drawn out process to get to the bottom of the “not quite right” horse. These horses are often thought o...
11/11/2025

It can be a long drawn out process to get to the bottom of the “not quite right” horse.

These horses are often thought of as lazy, or can show explosive reactions when asked to work. They aren’t overly lame, but they lack something in their performance.

I would catagorise my horse Ellin in this bracket. It took a long time to get to the bottom of her issues, and as a result she was retired from ridden work.

If you’re concerned that your horse is “not quite right”, keep looking and digging for the answers. It often is just laziness or behavioural.

🔥THE PROBLEM WHEN BOTH HIND FEET ARE SORE‼
⛔️If you are scrolling - please stop - because you need to hear this horse's story - so focus up and read this⬇️

"Not Quite Right Horses" are horses that typically have difficult behaviour that have vague symptoms of something being physically wrong with them but any investigation cannot pin point an issue.

Harvey, was one of these horses and I wrote an article questioning what is considered "clinically significant" symptoms to determine a possible diagnosis and course of treatment or management.

When I met Harvey he was reluctant to go forward and explosive on the lunge. He had a history of being difficult to get forward under saddle and had threatened to buck. His owner, Eileen had been told he was "lazy" and it was a "behaviour" issue.

When I worked with Harvey he had red flags that his behaviour was not just "behavioural" but there was something physically wrong with him.

The red flags I observed were:

🚩A lovely friendly horse standing still, but resistant and overwhelmed when asked to go forward in groundwork.

🚩His gait was choppy and was also difficult to back up.

🚩Even with application of my training skills he showed only marginal improvement in back up and remained explosive on the lunge.

This last point is an important observation for me because I am highly competent at influencing the behaviour of horses. I trust my skills and precision so when I target a simple behaviour to teach a horse and there is struggle that puts evidence on the table that there might be a physical issue that is interfering in the horses motivation to perform and learn.

I referred Harvey to the vet for his soundness to be investigated.

Eventually after many months and 5 consultations with specialist equine vets and extensive diagnostics, the mystery of what was wrong with Harvey was revealed.

🩻His diagnosis: Damage to the medial and lateral collateral ligaments in both hind feet.

The vets were shocked by the extent of the damage as this is a serious and significant issue for which Harvey underwent extensive management in an effort to help him.

However, I wish to point out why this diagnosis was so hard and why Harvey remained a "not quite right horse" for so long. And why many thought he was just "lazy" or "fresh" or were not overly concerned as he just had a bit of a "choppy gait".

⚠️ It was BILATERAL - meaning it was in BOTH his back feet. When a horse has bilateral lameness they are harder to pick as being lame because normally if one foot is sore they will adjust their weight to the other foot to feel more comfortable. When they do this you can SEE the horse stepping short. But when it is BOTH feet they cannot make themselves feel more comfortable by doing this as both feet are sore.

This creates two problems:
1️⃣Their lameness is very hard to visually observe; and,
2️⃣They are more uncomfortable as they cannot avoid the pain by shifting it and compensating with the other foot. So, they are more prone to having difficult behaviour as a symptom‼

⚠️He was suffering from ligament damage and this was only detected by MRI!! This is a very expensive💵 diagnostic method that not many people have access too. Without MRI this problem would have never been identified and Harvey would still be a "Not Quite Right Horse"!

It is testament to Eileen for trusting Harvey and her determination to persistence to solve the mystery of what was troubling him.

Eileen understands that not everyone has the opportunity to go to the extent she has been able to with Harvey, but she hopes his story can help you believe their horse when they let you know they can't do something.

Or get anxious, reactive, easily overwhelmed, can't cope and don't respond to good training. They might just have something like Harvey, not every problem can be easily observed or be x-rayed.

I will say it again and again - I have not yet met a difficult horse that has not turned out to have something wrong with them...and many of these horses I turned around to be good citizens but there issues revealed in time.

Harvey's story ended in retirement and I hope his story can help people remain open minded about difficult horses. I will be the first to tell you that MOST issues people have with horses are due to training and handling issues. However, good training and handling can provide you a wealth of evidence that you might be dealing with a horse that is struggling to perform due to pain, restriction, balance, force transfer, coordination or energy reserves.

AND that means good training and handling are key to the well-being of horses beyond how it can benefit their health as it can also help clarify their struggles.

On the 22 November 2025 in Canberra, and throughout 2026 around Australia, I will be presenting a one day workshop I have called "The Whole Horse - Raising Awareness of all the Dimension that Shape Your Horse". Where I will present what I have learned about the interplay between behaviour, soundness, management and training. Information I wish someone had told me 20 years ago. It would have saved me a lot of frustration, broken horses and wasted time and money.

Most importantly, it would have helped me better consider the horse.

Consider this if you are new to horse ownership, getting back into horse ownership, frustrated with a paddock full of broken horses; or want to help people with good guidance.❤

See below for further details⬇️

A big step backwards in the quest for horse welfare.
07/11/2025

A big step backwards in the quest for horse welfare.

Today, November 7th, in Hong Kong, the Fédération Equestre Internationale voted 56–20 (with two nations looking politely at their shoes) to approve a rule that will now allow horses to continue competing while bleeding, so long as officials decide it’s the right kind of blood.

A bit of hazard training today! Eve now knows when to Stop and when to Go!
02/11/2025

A bit of hazard training today! Eve now knows when to Stop and when to Go!

It’s a big debate when and how to start our young horses and what impact it has on their bodies. As you can imagine it’s...
22/10/2025

It’s a big debate when and how to start our young horses and what impact it has on their bodies. As you can imagine it’s one I take a big interest in having my own young horse, Eve (2.5yrs).

Personally, I’m in no rush! The slower the better for me, BUT, with non ridden exercise over varied terrain to help develop the body and mind in a slow and gentle way.

Finally updating my work wear to link in with my new logo design! Thanks to Alison Orchard for all her help in getting t...
21/10/2025

Finally updating my work wear to link in with my new logo design!

Thanks to Alison Orchard for all her help in getting these sorted, you’re a superstar 🌟🤩

Wow!
21/10/2025

Wow!

I’ve seen many posts on acorn poisoning recently, so everyone check, check and double check your fields!
18/10/2025

I’ve seen many posts on acorn poisoning recently, so everyone check, check and double check your fields!

ACORN TOXICITY: Last week was a devastating one. Three gorgeous welsh mares that I had scanned in-foal a month or two earlier lost their lives following acorn ingestion. This post is intended to raise awareness of the risks as the condition is not well understood. These horses had been on the same field for 5 weeks, there was no obvious change in weather conditions but overnight, two mares succumbed and were found dead in the field in the morning. One mare was quiet in herself. I attended immediately and found her to be rapidly deteriorating. Eve (excellent final year vet student) administered activated charcoal via a stomach tube while I arranged her immediate referral to Endells for intensive care in hospital. In spite of aggressive and prompt treatment, and an encouraging initial response, this mare tragically had to be euthanised that night. The mares had diarrhoea, with haemorrhage evident on re**al, and acorn husks were present in the droppings. Acorn toxicity is diagnosed by exclusion of other causes of death as there is no way to specifically diagnose it. A post mortem examination did not find any other cause of death. Our thoughts are with the owners and grooms who cared for these horses. And we encourage taking any actions possible to limit ingestion of acorns, even if historically there have been no problems in the horses/on the land as this desperately sad case serves to remind us that it is unpredictable, and not a fully understood condition, but that the risk is real, and death occurs very rapidly after ingestion with treatment typically being unsuccessful.

Definitely winter! Very floofy 🦄Show me your horses winter woolies or snazzy clips!
17/10/2025

Definitely winter! Very floofy 🦄

Show me your horses winter woolies or snazzy clips!

Many assume that the height of the saddle at the pommel indicates sufficient wither clearance, but it’s more important t...
16/10/2025

Many assume that the height of the saddle at the pommel indicates sufficient wither clearance, but it’s more important to assess how the panels sit either side of the wither.

Saddles are often fitted to tight on the wither causing sensitive and painful spots due the clamping effect.

This is NOT “good wither clearance”

Yes you could fit three fingers between the top of the wither and the pommel.  But look how formidably tight the panels are on either side of the wither.  if you were to add a Rider it would be like a vice, crushing both bone and soft tissue.

 This dear little TB horse was exceedingly twitchy and sensitive all around his wither and down the line where the points of the tree would sit.  This is not evidence of being “ticklish” it is about being sore.
With only a light pressure on the shelf of his ribs he was beside himself and grabbing the fence, not because he was naughty or difficult but  because he hurts

I always try to work with an existing saddle if I can but on this occasion , I said it must not even be girthed up. 
it is what I would describe as an instrument of torture

 fortunately his very lovely switched on owner wanted me to check things before she brought him into work . He has a history with many issues causing problems in his body which bring with them a number of behavioural challenges  and a saddle like this  would in my opinion probably lead him straight to the dog Tucker truck
Which, sadly, is where many horses suffering similar insult to their backs have gone over the decades .

Quizzing Quiz on his muscles 🤣. He got most of them right! Neck muscle, bum muscle, belly muscle! It’s great when your c...
16/10/2025

Quizzing Quiz on his muscles 🤣. He got most of them right! Neck muscle, bum muscle, belly muscle!

It’s great when your clients take their own physical health seriously 💙

Address

Derby
DE243

Opening Hours

Monday 8am - 6pm
Tuesday 8am - 6pm
Wednesday 8am - 6pm
Thursday 8am - 6pm
Friday 8am - 6pm
Saturday 8am - 1pm

Telephone

+447815935599

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Who is Emma?

Emma Barber - MSc, PgDip, BSc (Hons), EEBW, BHSAI

Emma is a highly qualified and fully insured Veterinary Physiotherapist working in Derbyshire, Nottinghamshire, Leicestershire, Staffordshire and Warwickshire boarders.

A Veterinary Physiotherapist and McTimoney Animal Practitioner, Emma offers a combination of manual therapies, electrotherapies and remedial exercise to address musculoskeletal issues in your horse, giving the best chance for your horse to achieve and maintain peak health and well being.

Having worked in the equestrian industry for over 20 years, Emma is uniquely qualified to offer a vast experience of horses and equine management to back up her academic training and knowledge. Not only trained to the level of BHSAI, she also trained with Kelly Marks and the Intelligent Horsemanship Association utilising the methods of Monty Roberts to increase her understanding of horse psychology and behaviour, allowing Emma to work skilfully with even the most nervous or sensitive horse.