Echo Hill Equestrian Physical Therapy

Echo Hill Equestrian Physical Therapy Contact information, map and directions, contact form, opening hours, services, ratings, photos, videos and announcements from Echo Hill Equestrian Physical Therapy, Physical therapist, Billings, MT.

Lindsay has a doctorate in physical therapy, board certification in orthopedics & graduate credential in equine rehabilitation offering PT for equestrians & their equines
She offers customized in person or virtual sessions at your home or barn.

Ready for a change?
02/05/2026

Ready for a change?

Your dreams donโ€™t work without daily discipline. With horses or with life ๐Ÿ–ค๐Ÿด

02/05/2026

If you're experiencing financial hardship and are having trouble buying feed for your horses, BHA can help by providing up to 30 days of quality hay at no cost. For program details and to apply, click here: https://beartoothhumane.org/hay-bank/

02/03/2026

As we head into another breeding and foaling season, biosecurity is top of mind for everyone in the industry!

Review our guidelines for proper washing and drying to keep the germs at bay๐Ÿงด๐Ÿงผ

02/02/2026

๐Ÿด๐Ÿด CAUDAL PELVIC TILTS ๐Ÿด๐Ÿด
I see this exercise completed all over socials where hoof picks are used to get an exaggerated response, and the horse isnโ€™t even held in a stretch for more than a couple of seconds at most! The mobilisation is wonky, stressed and not educating the nervous system.
These should be gradual. If your horse either lacks response or shoots into orbit every time you do this stretch, your horse is not able to complete this exercise correctly and comfortably!
Equally, if you have been recommended to use a hoof pick to get a response and stretch and your horse shoots into a stretch... this is also not what we are looking for.

๐ŸŽฏ AIM
โ€ข Increase range of motion of sacroiliac joint, and thoracolumbar spine.
โ€ข Encourage engagement of core muscles to release hip flexors.
โ€ข Facilitate the relaxation of lumbar back muscles.

โœ… Correct
โ€ข Smooth backward rotation of the pelvis
โ€ข No fidgeting
โ€ข Ability to hold the stretch for 15 seconds
โ€ข Smooth relaxation of the pelvis back to neutral.

โŒ Wrong
โ€ข Jerky or sharp rotation
โ€ข Dampened or non-existent response
โ€ข Inability to hold stretch
โ€ข Fidgeting, moving away or weight shifting
โ€ข Asymmetrical rotation ie. One side of pelvis stretches more than the other

๐Ÿง˜ Stretch your Horse Manual ๐Ÿง˜
To complete this stretch correctly, I have put together a Stretching Manual for Horse Owners (available via the website!) which provides step by step instructions & cautions.

https://www.vetphysiophyle.co.uk/shop/p/s-t-r-e-t-c-h-your-horse

If your horse is unable to complete this stretch correctly, even with correct aids, please consult the advice of your vet and veterinary physiotherapist.
๐Ÿ“ธ

We both fight the good fight. But Bradley Blair Osteopath has the good graphics.
01/29/2026

We both fight the good fight. But Bradley Blair Osteopath has the good graphics.

01/25/2026

Horses do not wake up with a to-do list.

They are not standing at the gate thinking, โ€œRight. Big day today. Hope she finally nails that 20-metre circle and remembers her inside leg.โ€

They are thinking about: Is it safe. Is it predictable. Whereโ€™s my herd. Whereโ€™s my food. Why is that wheelbarrow looking suspicious. Can I nap later.

Thatโ€™s it. Thatโ€™s the full wellbeing strategy.

So when you choose not to ride, you are not depriving your horse of a vital life experience. You are not โ€œletting them down.โ€ You are not ruining their career.

You are, in fact, aligning beautifully with their priorities.

Most days, what your horse actually wants is you turning up without dragging your nervous system behind you like a rattling tin can. They notice everything. The clenched jaw. The stompy footsteps. The breath you forgot to take because your brain is doing its loud dial-up modem thing.

They clock it instantly. And they respond accordingly.

A horse would much rather stand with you quietly than carry you while youโ€™re wound tighter than a baler twine knot.

They would prefer a calm groom over 45 minutes of schooling while the winter wind bangs the arena boards like itโ€™s auditioning for a horror film.

They would rather feel you settle next to them than feel you trying to sort yourself out on their back.

Riding is a human idea. A hobby. A sport. A thing we invented. Horses did not put it on the agenda.

What they look for is harmony. A safe companion. Someone predictable enough that their body can finally unclench.

So when you decide not to ride because youโ€™re tired, the ground is frozen, or your brain is shouting nonsense at full volume, youโ€™re not failing.

Youโ€™re being fluent in horse.

A regulated human is infinitely more valuable than a mounted one.

They donโ€™t keep score. They donโ€™t measure commitment in hours ridden. They donโ€™t care if today was a โ€œwalk to the field and snacksโ€ kind of day. They dont care if you take them for hack inhand and not on their backs.

They care that youโ€™re safe company. That you donโ€™t bring storms into their space. That when you do ask something of them, it comes from clarity, not pressure.

And honestly? Some horses thrive when riding takes a back seat for a while. Their bodies get a breather. Their minds get space. The relationship stops being about tasks and starts being about trust again.

If youโ€™re showing up kindly, youโ€™re doing enough. If your horse is eating well, moving freely, and living a routine that makes sense to them, youโ€™re doing enough.

And in the quieter seasons, the bond often deepens. Because horses remember who chose stillness over striving. And who sat with them when nothing needed to be achieved. ๐Ÿ’›๐ŸŽ

01/25/2026

๐Ÿ’ง ๐ƒ๐จ ๐Œ๐š๐ฌ๐ก๐ž๐ฌ ๐€๐œ๐ญ๐ฎ๐š๐ฅ๐ฅ๐ฒ ๐ˆ๐ง๐œ๐ซ๐ž๐š๐ฌ๐ž ๐–๐š๐ญ๐ž๐ซ ๐ˆ๐ง๐ญ๐š๐ค๐ž ๐ข๐ง ๐‡๐จ๐ซ๐ฌ๐ž๐ฌ?

Soaking feed or utilizing mashes is a common practice intended to increase water intake in horses - but does it actually help?

I decided to take a dive into the research, as many horse owners soak feed in the winter, particularly during cold weather snaps, to encourage water intake. And while digging, I came across two studies you may find interesting!

๐Ÿงช๐’๐ญ๐ฎ๐๐ฒ ๐Ÿ (๐…๐ž๐ซ๐ซ๐ž๐ข๐ซ๐š ๐ž๐ญ ๐š๐ฅ., ๐Ÿ๐ŸŽ๐Ÿ๐Ÿ“)
The first study took place in Florida, where the average ambient temperature during the study was 55ยฐF (13ยฐC). This research evaluated horses consuming soaked pelleted feed, alfalfa cubes, or beet pulp in a 2:1 ratio of water to concentrate.

This study found that horses rapidly self-regulated voluntary water intake based on the amount of water provided in the meal. This means, when water was added to their feed, they voluntarily drank less so total water consumption remained the same.

This was shown as horses on dry feed had a voluntary water intake of 32.2 L while horses on soaked feed reduced voluntary water intake to 25.4 L to accommodate the ~6 L of water provided in the mash, for a total water intake of 31.5 L.

But that brings us to the second study ๐Ÿ‘‡

โ„๏ธ ๐’๐ญ๐ฎ๐๐ฒ ๐Ÿ (๐‘๐ฎ๐œ๐ค๐ž๐ซ ๐š๐ง๐ ๐‡๐ข๐ง๐ž๐ฒ, ๐Ÿ๐ŸŽ๐Ÿ๐Ÿ‘)
This study evaluated seasonal differences in water intake during the fall (55ยฐF; 12.8 ยฐC) and winter (-4 to 33ยฐF; -20 to 0.67ยฐC) in Wisconsin. Horses were fed a pelleted concentrate at 0.5% body weight, with soaked feed provided at 2 L water/kg feed.

This study found that horses drank:
๐Ÿ 29.3 L/day in the fall
โ„๏ธ 24.7 L/day in the winter

This decrease supports previous findings that water intake drops by approximately 6โ€“12% during the cold winter months.

However, this study also evaluated soaked vs dry feed.

While no difference in voluntary water intake was observed during the fall trial, horses in the winter consumed more water when eating a mash (26.9 L) compared to when consuming dry feed (22.4 L), a difference of about 1.2 gallons per day. The study found that horses consuming the mash drank equal to or more water than horses consuming the dry grain, in addition to the water they consumed in their feed.

โœจ๐“๐š๐ค๐ž-๐ก๐จ๐ฆ๐ž ๐ฆ๐ž๐ฌ๐ฌ๐š๐ ๐ž
Cold weather can reduce voluntary water intake in horses, but feeding a mash during winter can help combat that decline. In more mild weather, however, soaking feeds likely does not increase total water intake, as horses will self-regulate.

Will these studies make you more likely to soak you feeds - why or why not?

Stay warm out there!
Dr. DeBoer

Ferreira N, Binder D, Garbati IH, Lance JM, Warren LK. Effect of soaking feed on water intake and hydration in horses. Journal of Equine Veterinary Science. 2025 May 1;148:105449.

Rucker NK, Hiney KM. Voluntary water intake in horses when fed a dry versus mash grain in two different seasons. Journal of Equine Veterinary Science. 2013 May;33(5):355-6.

01/23/2026

๐—ฆ๐—ฒ๐—น๐—ณ-๐—ฟ๐—ฒ๐—ด๐˜‚๐—น๐—ฎ๐˜๐—ถ๐—ผ๐—ป... can we teach horses to have it?

It's one of the most vital skills we can teach our horses because it moves them from a reactionary state to one of thoughtful focus. Many people are used to seeing horses that are either very stressed/anxious or completely shut down, yet both of these states are actually rooted in tension.

A horse that is self-regulated has the internal tools to bring his own energy levels back to a baseline of relaxation without needing physical restraint from a human. In fact, when we add equipment to restrain, we may stop a behavior, but we do not change the emotional state for the better. Instead, we oftentimes only make it worse.

Through the use of positive reinforcement, we can click and reinforce the exact moments when horses decides to take a breath, soften their muscles, or shift their attention back to us. This process teaches our horses that they have a choice in how they feel, which builds a foundation of true confidence rather than forced compliance.

The science behind this approach tells us that horses do not have a highly developed pre-frontal cortex, which means they are not capable of plotting/planning to be difficult or stubborn.

Instead, their behaviors are often survival mechanisms triggered by a lack of clarity or a feeling of being unsafe. When we act as behavioral analysts, we stop looking at horses as a set of fixed personality traits and start seeing their actions as responses to the environment.

By using a bridge signal like a clicker to identify calm behaviors, we help horses to understand exactly what we are looking for. This clarity reduces the anxiety that leads to spooking or bolting, as they begin to realize that they can control the outcome of the session by maintaining their own emotional balance.

Properly utilizing food as a reinforcer plays a massive role in helping horses regulate their own nervous system. When they chooses to chew, they're making a physiological choice to move out of a fight or flight state and into a more relaxed frame of mind.

This is why it is so important to provide a satisfying mouthful rather than being stingy with food reinforcement. If a horse is only getting a few crumbs, he can become frustrated and frantic, which keeps his dopamine levels in a constant state of seeking and sometimes- even agitation. When the prediction of the next dopamine hit is interrupted, it can become frustrating.

Context shifts are another area where self-regulation is put to the test, such as when you travel to a busy show or a new arena. In these new environments, sights and sounds act as overriding factors that can easily cause a horse to lose his focus. Instead of trying to force him to behave, we meet him where he is by using high-value reinforcers that help him bridge the gap between worry and the training.

By rewarding the smallest tries at relaxation in a scary place, we show our horses that they can feel safe even when the world around them is changing. Over time, horses learn to check in with the trainer and regulate their own arousal levels because they know that staying calm and present is the most reinforcing path forward. Itโ€™s also the safest.

Ultimately, the goal is to create a horse who is a curious and confident learner who genuinely enjoys the process of working with people. This requires us to look past surface behaviors and address the underlying causes of tension, whether they stem from past trauma, physical pain, or simply a lack of understanding.

When we prioritize the emotional state of the horse, we develop a partnership built on a consistent commitment to trust rather than fear. A horse that can regulate his own energy is safer to be around and much more capable of performing complex tasks with ease.

By shifting our perspective to honor the horse as an intelligent and sentient individual, we create a training experience that is both compassionate and incredibly effective.

01/15/2026

When a horse suddenly resists familiar cues, reacts sharply to light touch, or becomes unpredictable under saddle, the default explanation is often behavioral: lack of training, anxiety, or attitude. But in some cases, what looks like โ€œbad behaviorโ€ isnโ€™t behavioral at all โ€” itโ€™s pain.

And not the kind thatโ€™s easy to see.

When Pain Doesnโ€™t Look Like Lameness

Neuropathic or neurologic pain can present very differently from traditional musculoskeletal soreness. Horses experiencing sensory nerve dysfunction may not limp or show obvious physical deficits. Instead, they may exhibit:

- Exaggerated reactions to light touch
- Resistance to once-simple aids
- Irritability or sudden defensiveness
- Inconsistent or deteriorating performance

Because these signs donโ€™t resemble classic lameness, they are often misinterpreted as training problems or behavioral issues.

Vitamin E and the Nervous System

Vitamin E is a critical antioxidant for neurologic health. Deficiency can contribute to nerve cell damage, altered sensory processing, and poor proprioception. In some horses, especially those with limited pasture access or absorption challenges, deficiency can develop quietly and progress over time.

Clinical signs may include subtle coordination issues, heightened sensitivity, muscle weakness, or changes in demeanor โ€” all of which can manifest as what owners label โ€œbad behavior.โ€

When Normal Feels Threatening

A horse with compromised sensory processing may experience ordinary stimuli as uncomfortable or even alarming. A routine grooming session, leg pressure, or familiar environment can suddenly feel overwhelming. The horse isnโ€™t being difficult โ€” itโ€™s responding to discomfort it cannot escape or explain.

This disconnect often leads to frustration on both sides, as training adjustments alone fail to resolve a problem rooted in physiology.

Behavior as Communication

Behavior is communication. Sudden changes โ€” especially in an otherwise consistent horse โ€” deserve careful attention. Before escalating training pressure or discipline, itโ€™s worth asking whether the horse is signaling distress rather than defiance.

Veterinary evaluation, including neurologic assessment and bloodwork for vitamin E levels, can help identify underlying contributors that might otherwise be missed.

Looking Beyond the Label

Labeling a horse as โ€œnaughty,โ€ โ€œsour,โ€ or โ€œdifficultโ€ may stop the conversation too soon. When we slow down and look deeper, we often find that behavior changes are meaningful indicators โ€” not character flaws.

Understanding the physical roots of behavior allows us to advocate more effectively for the horse and make decisions that prioritize both welfare and long-term soundness.

๐Ÿ“Ž Save & share this article by Sabina Chambers at https://www.theplaidhorse.com/2026/01/12/when-bad-behavior-isnt-bad-behavior-at-all/
๐Ÿ“ธ ยฉ Heather N. Photography

01/11/2026

Asymmetry vs Ambidexterity (Bilateral Competence) - Movement bias vs movement capacity (preference vs adaptability)

Asymmetry
A difference between the left and right sides of the body in structure, movement, or function.

In horses, asymmetry may appear as:
โ€ข uneven limb loading
โ€ข differences in stride length or timing
โ€ข unequal bend or reach
โ€ข side-dominant postural strategies
โ€ข fascial or muscular tone differences

Asymmetry can be:
โ€ข structural (conformation, injury, pathology)
โ€ข functional (habitual movement patterns, training history)
โ€ข neurological (sensoryโ€“motor bias, including laterality)

Some degree of asymmetry is normal, but excessive or persistent asymmetry can limit efficiency, comfort, and soundness.

Ambidexterity (Bilateral Competence)
The ability to use both sides of the body with comparable coordination, control, and ease.

In horses, this does not mean perfect symmetry or the absence of laterality.
Instead, bilateral competence refers to:
โ€ข balanced leftโ€“right coordination
โ€ข similar quality of movement on both sides
โ€ข smooth transitions between sides
โ€ข the ability to adapt without compensatory tension

Bilateral competence is expressed through appropriate movement variability rather than rigid symmetry.

This is a functional and neurological concept rather than a purely structural one.

Key Distinction
Asymmetry describes difference.
Bilateral competence describes capacity.

A horse can show mild asymmetry and still be bilaterally competentโ€”meaning one side does not limit the other.

One-Line Glossary Version
โ€ข Asymmetry โ€“ a leftโ€“right difference in structure or movement
โ€ข Ambidexterity (bilateral competence) โ€“ the functional ability to coordinate and use both sides effectively

Teaching Note
The goal in training and bodywork is not to eliminate all asymmetry, but to develop sufficient bilateral competence so asymmetry does not drive compensation, tension, or injury.

https://koperequine.com/how-to-ride-a-better-circle/

Applies to horses as well. The lowering stress and anxiety is up for debate ๐Ÿ˜‰๐Ÿ˜‰
01/11/2026

Applies to horses as well.
The lowering stress and anxiety is up for debate ๐Ÿ˜‰๐Ÿ˜‰

Address

Billings, MT
59101

Opening Hours

Friday 9am - 5pm
Saturday 8am - 5pm
Sunday 8am - 5pm

Telephone

+18589221145

Alerts

Be the first to know and let us send you an email when Echo Hill Equestrian Physical Therapy posts news and promotions. Your email address will not be used for any other purpose, and you can unsubscribe at any time.

Contact The Practice

Send a message to Echo Hill Equestrian Physical Therapy:

Share

Share on Facebook Share on Twitter Share on LinkedIn
Share on Pinterest Share on Reddit Share via Email
Share on WhatsApp Share on Instagram Share on Telegram