Emma Barber Veterinary Physiotherapy

Emma Barber 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.

16/02/2026

The Frog Test: A Case Study Every Horse Owner Should See:-

When evaluating a hoof, most eyes go straight to the wall.

Cracks. Chips. Flares. Growth rings.

But what if the real story is hiding in the center?

This case study proves one powerful truth: The frog never lies.

The First Impression:-

At first glance, this hoof didn’t scream emergency. The wall had some distortion. The heels looked slightly contracted. Nothing dramatic enough to cause panic.

But when we looked at the frog — everything changed.

The frog appeared narrow, elongated, and deeply cleft through the central sulcus. Instead of being wide and ground-engaging, it was recessed and tight. The central sulcus was deep enough to trap debris and moisture.

That was our first red flag.

Why the Frog Matters:-

The frog is not just a “soft triangle.” It plays a critical role in:

1) Shock absorption
2) Blood circulation within the hoof
3) Heel expansion
4) Load distribution
5) Proprioception (the horse’s sense of ground)

A healthy frog should be:

1.Wide and full
2.Slightly callused
3.Sharing load with the heels
4.Free of deep central cracks

When the frog becomes narrow and deeply split, it often indicates:

1) Contracted heels
2) Caudal hoof weakness
3) Lack of frog engagement
4) Possible thrush in the central sulcus
5) Chronic imbalance

And that’s exactly what this hoof was showing.

The Hidden Problem

Here’s where it gets interesting.

The wall distortion was actually a symptom — not the root cause.

The deep central sulcus suggested long-term heel contraction. When heels contract, the frog loses proper ground contact. When frog engagement decreases, circulation and digital cushion stimulation decline.

Over time, this can lead to:

1.Poor shock absorption
2.Increased strain on the deep digital flexor tendon
3.Compensatory loading at the toe
4.Eventual lameness risk

The frog was telling us this hoof wasn’t functioning efficiently from the back half.

And most owners would have missed it.

The Solution Strategy:-

Instead of just trimming the wall and making it “look neat,” the approach focused on restoring function:

1)Address heel balance carefully -not aggressively lowering them.
2) Open and clean the central sulcus to eliminate bacterial environment.
3) Encourage frog engagement with proper trim mechanics.
4) Improve environmental management (dry footing, hygiene).
5) Monitor over multiple cycles — because heel rehab takes time.

The goal was not cosmetic correction.

The goal was functional restoration.

Within trim cycles, the frog began widening. The central sulcus became shallower. Heel expansion improved. The hoof started loading more evenly.

That’s the power of reading the frog correctly.

The Takeaway for Horse Owners:-

If you only look at the hoof wall, you’re seeing the surface.

If you look at the frog, you’re seeing the truth.

Next time you pick up your horse’s foot, ask yourself:

1.Is the frog wide and healthy?
2.Is the central sulcus shallow or deep?
3.Are the heels supporting it properly?

Because small frog changes today can prevent major lameness tomorrow.

👉 Want to learn how to read your horse’s frog like a professional?

Follow for more real case studies that break down hoof science in simple, practical terms and help you protect your horse before problems become expensive emergencies.

By my reckoning, we are around 2/3rds of the way through mud season! The end is near, either by drowning in a swap, or b...
15/02/2026

By my reckoning, we are around 2/3rds of the way through mud season!

The end is near, either by drowning in a swap, or by the arrival of spring!

I’m hoping for the spring option 🌷

Look what the horses got me for valentines 💝 💩
14/02/2026

Look what the horses got me for valentines 💝 💩

13/02/2026

🔥

Contrary to posts you may often see on social media of totally blissed out horses during their vet physio/bodywork sessi...
11/02/2026

Contrary to posts you may often see on social media of totally blissed out horses during their vet physio/bodywork sessions, often horses will show signs of high anxiety during their session, especially at the start of an assessment.

There are multiple reasons behind why this might be the case, including separation anxiety from herd members, coming in at an unusual time of day to normal or previous experiences and expectations of what is going to happen to them.

I saw Finley last week for a routine check-up and he showed high levels of anxiety due to some of the factors mentioned above. So at the start of the session, I took time to ground myself by taking some deep breaths and visualising my feet growing roots into the ground. I let go of any expectations of what we were going to achieve and simply focused on being calm and present in that moment.

I also played some calming meditation music specifically tuned to promote relaxation, which appeared to support Finley in settling and reducing his anxiety levels.

My initial focus was to help Finley shift back into his body and into a parasympathetic state (the “rest and digest” nervous system), rather than remaining in anxiety and flight mode, which is driven by high sympathetic nervous system activation and prepares the body for stress or perceived danger.

I’m planning on getting a couple more posts together in the coming weeks to discuss this topic!

Stay tuned!!

Alfie checking on proceedings!
11/02/2026

Alfie checking on proceedings!

08/02/2026

“Not all horses like turnout” is one of those phrases that sounds thoughtful but completely falls apart under scrutiny.

Horses are a grazing, roaming, social species. Movement, forage access, and the ability to choose distance from others are not preferences. They are biological needs.

When a horse appears to “dislike turnout,” what they are actually responding to is the conditions of the turnout provided.

Small turnout spaces.
No horses within sight.
Mud up to their ankles.
Incompatible herd mates.
Inadequate shelter.
Pain that is worsened by movement.

There are MANY factors that can make being outside stressful rather than supportive.

Of course an animal that has never had turnout, or has only experienced it in stressful, unsafe, or barren conditions, isn’t going to immediately cope well with being turned out, even when the setup is objectively better. Horses learn what is safe through experience. A nervous system shaped by confinement does not instantly recalibrate just because the environment improves.

A stress response caused by deprivation does not turn a need into a preference.

And yes, horses can absolutely enjoy coming in to dry off, escape insects, rest away from the herd, or be protected during extreme weather. That doesn’t contradict turnout being essential. That proves the value of choice.

A horse choosing to come inside is very different from a horse having no option but to stay inside.

If a horse “doesn’t like turnout,” the question isn’t why doesn’t this horse want to be outside?
The question is what about this setup makes being outside worse than confinement?

Well done super Scooby and Mandy Morris! So well deserved 💙
08/02/2026

Well done super Scooby and Mandy Morris! So well deserved 💙

Should we walk our horses before mounting??Giving your horse a short walk in hand before mounting serves as a crucial wa...
07/02/2026

Should we walk our horses before mounting??

Giving your horse a short walk in hand before mounting serves as a crucial warm-up to help loosen the back and joints, particularly during the winter months. This is especially important for the older, slightly stiffer equine!

When horses haven’t had as much opportunity to move – such as over winter, when stabling is often necessary due to weather conditions – their joints can lose some of their natural mobility. This is partly due to the thickening of the joint fluid within the joint capsule.

Joint fluid is stimulated by movement and acts as both a lubricant and a source of nutrients for the cartilage. When movement is restricted, this fluid is absorbed into the cartilage, reducing its lubricating qualities and causing the joints to become stiffer.

Many of the joints in the body are synovial joints containing synovial fluid, including the facet joints of the spine – the joints we sit over when riding!

Allowing your horse a few minutes to walk in hand before mounting, especially first thing in the morning after being stabled, helps to gently mobilise the back before taking the rider’s weight, loosen the joints of the limbs, allow the horse time to settle with the saddle and girth, and gives you a valuable few moments to connect with your horse before getting on. 🐎

Think I chose a good morning to sort the paperwork with this weather, though I will be back out this afternoon seeing ho...
05/02/2026

Think I chose a good morning to sort the paperwork with this weather, though I will be back out this afternoon seeing horses.

Being a veterinary physiotherapist includes plenty of paperwork, including contacting vets for referral or routine treatment notification. I also write a full report for my owners so they know exactly what I’ve found at our sessions, and it gives them something to refer back to for recommended exercises and advised rehab.

I also include photos of the horse so I can easily look back at my records to see progress or changes in the body that could indicate an issue.

As always I have my trusty secretary Nancy at hand. Her typing is really poor, and she never gets me a cup of tea, but she is very cute 🥰

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.