Begin with veterinary guidance
We review the diagnosis, treatment or surgery, healing timeline, restrictions, and return-to-work recommendations supplied by your veterinarian.
KISSING SPINE REHABILITATION · MONROE, WA
A careful return to comfortable, confident work after veterinary treatment or surgery.
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UNDERSTANDING KISSING SPINE
After treatment, many horses still need time and thoughtful work to feel comfortable carrying themselves and a rider again.
Kissing spine is the common name for closely positioned, impinging, or overriding dorsal spinous processes. A veterinarian considers the horse’s imaging alongside their examination, history, and performance because the images alone do not tell us how a horse feels or moves.
Your veterinarian diagnoses and treats the condition. At Seven Hills, we support what comes next: rebuilding coordination, core and topline strength, and more comfortable movement patterns within the veterinarian’s guidance.
WHEN SOMETHING FEELS DIFFERENT
Back discomfort can show up in many ways, including:
These signs can have many causes and are not specific to kissing spine. New or worsening discomfort should be assessed by a veterinarian before the workload is increased.

SUPPORT BEFORE DEMAND
Progressive gymnastic work helps rebuild the core, topline, and postural support a horse needs to carry a rider with greater comfort and stability.
HOW WE MOVE FORWARD
We review the diagnosis, treatment or surgery, healing timeline, restrictions, and return-to-work recommendations supplied by your veterinarian.
In-hand work, lunging, poles, and carefully chosen postural exercises help the horse rediscover coordinated, comfortable movement before more is asked.
When the horse is ready, ridden sessions grow gradually in length and difficulty. We pay close attention to comfort, movement quality, and the horse’s physical and behavioral response.
WHAT THE PROGRAM MAY INCLUDE
The order and pace depend on your horse’s treatment, veterinary guidance, training history, comfort, and current ability.
Biomechanics-informed groundwork helps the horse explore balanced movement and postural control before adding the rider’s weight.
Exercises and support systems are chosen to encourage coordinated trunk function, topline use, stability, and carrying strength.
Carefully paced pole work and conditioning build mobility, coordination, strength, and endurance without rushing the horse.
Under-saddle work develops rhythm, balance, straightness, and a more sustainable way of carrying the rider.

VETERINARY COORDINATION
Seven Hills welcomes veterinary referrals once a horse is cleared to begin controlled movement after treatment for kissing spine. This may include horses returning after injections, mesotherapy, shockwave therapy, interspinous ligament desmotomy, or ostectomy.
We follow the referring veterinarian’s restrictions and goals, coordinate with the horse’s professional care team, and share observations or updates when requested. If comfort, neurologic function, or movement raises a medical concern, we refer the horse back for veterinary assessment.
Refer a kissing spine rehabilitation case“In all my years of practice, I have never met anyone more skilled at rehabilitating neck and back horses than Kyra Fraser.”
Beth Byles, DVM · Tacoma, WA
READY TO TALK
Tell us about your horse’s treatment, your veterinarian’s recommendations, and where they are in the return-to-work process.
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