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What's the Connection Between Your Horse's Head Position and Back Pain?

Updated: Dec 6, 2025


How Equine Biomechanics Influence Back Health and Performance (Bow-and-String Theory Explained)

Every horse owner knows that a sore back can sideline any horse. But have you thought about how your horse’s posture and movement might cause or worsen those aches? Back pain is common in horses, and one factor may be our training methods. Specifically, how a horse carries its head and neck can affect its spine and comfort. Horses with a high head set or those trained in a hollow frame often develop stiffness and discomfort over time. We can explore equine biomechanics through the "Bow and String Theory." This theory reveals how a horse's body stores and releases energy during movement. Poor posture or weak muscles can mess up this system.


The Essence of the Bow and String Theory

The "Bow and String Theory" is an analogy in equine biomechanics. It explains how a horse’s back and underside work together. Picture the horse’s spine as the bow and the supporting muscles and abdominal tissues as the string. The spine, ligaments, muscles, and pelvis work like a flexible bow. The sternum, abdominal muscles, and linea alba act as the string that keeps the bow tight. These parts connect through the ribs and abdominal muscles, creating an integrated system.

When the horse moves, its locomotor muscles work hard. The abdominal and hindquarter muscles pull back, like an archer drawing a bow. As the horse engages its abdominal muscles, it flexes its back, storing elastic potential energy in the ligaments and muscles of the spine. This core strength tenses the bow. When released, stored energy becomes kinetic energy. This helps the horse move forward, creates impulsion, and lifts through the back and withers. This proper body use gives the horse's gait power and springiness. If this mechanism works well, it boosts energy release. This helps the horse use its hindquarters and keep a light forehand.

However, any hindrance in this bow-and-string system reduces energy transfer. Think of a bow that isn’t fully drawn or a slack string – the movement becomes less powerful and more unbalanced. A horse with biomechanical problems may overload its front end because the hind end and back aren’t effectively contributing to propulsion. Next, we’ll explore why these breakdowns often happen.

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Why Biomechanical Breakdowns Occur

For the bow-and-string mechanism to work well, the horse needs good posture and balanced muscle development. Several common issues can interfere with this system:

  • Weak abdominal muscles: If the “string” is weak, the horse struggles to lift and round its back. The belly may sag, leading to a hollow back. This makes it hard for the horse to carry itself or a rider without strain.

  • Tight hip flexors: Tight hip flexors restrict the hind limbs’ swing and the pelvis’s ability to tuck under. This limits how much the lumbosacral joint (where the spine meets the pelvis) can flex and store energy. Tight hip flexors prevent the bow from fully cocking.

  • Tense back muscles: When the muscles along the spine (epaxial muscles) are tight or in spasm, the back becomes less flexible. A rigid bow cannot store energy. Tight back muscles often mean the horse is resisting or unable to use its core, leading to a stiff or flat back.

  • Weak hindquarter muscles: The glutes and hamstrings help push the horse forward. If the hindquarters are weak, the horse can’t effectively drive from behind or support extra weight on the hind legs. This leaves the front legs doing too much work and the bow-string system underutilized.


These issues often go hand-in-hand. A horse with weak abs might hollow its back. This can tighten the back muscles and hip flexors. Over time, this can cause poor posture. You might look “strung out,” with back legs trailing and the front feeling heavy.

Why does this matter? The horse’s spine and pelvis must work together to move the body forward. The spine’s role (besides carrying the rider) is to transmit forces from the hind legs. The lumbosacral junction connects the last lumbar vertebrae to the sacrum. It acts like a spring, storing and releasing energy as the horse moves. If the horse’s posture is correct, each stride allows the hind end to tuck, the back to flex, and then the spring to release, driving the horse forward. But poor posture – like a hollow back or hind legs that can’t step under – means that spring never compresses. This leads to lost energy, a shortened stride, and more impact on the front legs. Horses with biomechanical issues often have back pain or stiffness. This happens because their bodies don’t move efficiently.


Head and Neck Position: Why It Matters for the Back

One major factor in a horse’s posture is how it carries its head and neck. Research by Dr. Marie Rhodin (2008) examined how different head/neck positions affect a horse’s back and limb movement at the walk and trot. The findings show how important proper head position is for spinal health and performance:


  • Very high head/neck (with nose poked out in front): A very elevated head and neck limits the horse's ability to flex and bend its spine. Rhodin found that when horses were ridden with their heads held high, several movements were affected. Flexion and extension of the spinal joints decreased. Lateral bending in the lower back also dropped. Normal pelvis rotation showed a significant decrease too. Stride length also decreased with the head held high. A high-headed horse can't use its back well. The back gets stiff, and the horse takes shorter, choppier steps.

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  • Moderate head and neck positions (neutral or slightly flexed) are good. Luckily, when the horse’s face is at or just behind vertical, it doesn’t have the same negative effects. Rhodin’s study showed no major change in back movement in these normal head positions. A horse at a walk or trot can keep its spine flexible and stride length normal when its head and neck are in a natural position. A properly placed head, like a horse moving “on the bit” with a relaxed poll, lets the back move freely.


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  • High head carriage (see below) shifts weight to the front. Research shows that when horses have to hold their necks high, they slow down. This also causes them to put more weight on their front legs. In scientific terms, peak forces on the forelimbs increased in the high-head position. When a horse raises its head and hollows its back, its hindquarters move away. This shifts the balance forward, putting weight on the shoulders. This can lead to more wear on the forelimbs and shoulders over time.

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  • Low neck position (“long and low”): Many riders use a long-and-low stretch to help a horse lift its back. Rhodin found that a low, stretched neck allows for more flexion and extension in a horse's thoracic spine. This means the horse’s back rounded more when the neck was lowered. A low headset can encourage the back to lift. The study found a trade-off. In the low-neck posture, the horse used its forelimbs more for support. A long-and-low horse might put more weight on its front. This can increase peak forces on the forelegs, even while its back loosens. Low stretching can be good for a horse's back. However, a horse shouldn’t stay in a very low frame. If it does, it might start “pulling” on the forehand.


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In summary, a hollow, high-headed frame is bad for a horse’s back movement. It can cause a short, stilted way of going. A neutral or slightly round frame is best, allowing the horse’s back to function normally. Stretching long and low boosts flexibility. But, it should go with building hind-end strength. This way, the horse won’t lean too much on the forehand. Rhodin’s research shows that for good back health and better performance, we need to consider how we ask our horses to hold their heads and necks.


Conclusion: Improving Your Horse’s Posture and Performance

What does this mean for the average horse owner? The main point is that poor biomechanics often lead to back pain and behavior issues under saddle. A horse with a high head and hollow back might look grand, but it moves inefficiently and struggles. Over time, maintaining a hollow posture can reduce back flexibility and even cause injury. Elevating the head and raising the nose above vertical locks the spine. This shifts the work to the front legs and increases wear on the forehand.


Many horses might look like they’re in a good “frame,” with their nose on or just behind the vertical. But they can still struggle to achieve true collection or self-carriage. Rhodin’s study showed that no head or neck positions in ridden horses met the criteria for true collection. Even skilled horse-and-rider pairs often don't fully shift their weight to the hindquarters. This shift is key for true collection. This shows the challenge of real collection. It reminds us not to rush horses into false frames. A horse may look round but not engage its core or hind end effectively.


If a horse uses the wrong muscles for a long time, its body adapts in negative ways. The neck and back muscles can tighten and shorten. This may cause the bow to "freeze" in a curved shape. At this stage, you often need professional help to break the cycle. Equine chiropractic or osteopathic adjustments can free stuck joints in the spine and pelvis. This helps restore lost flexibility. By realigning the vertebrae and easing muscle spasms, chiropractic care helps reset the bow so the horse can start moving again.

Bodywork alone won't solve everything. It needs to go hand in hand with corrective exercise. Horses coming from a hollow, stiff posture need specific rehab exercises. These help strengthen their core and stretch tight areas. Simple routine changes can make a big difference. Adding carrot stretches helps gently mobilize the neck and back. Belly lifts activate the abs and lift the spine. Also, working over ground poles or hills can rebuild the horse’s topline and coordination. Stay consistent: these exercises help retrain muscle memory. They teach the horse a healthier posture, even when you're not directly involved.


It’s also important to watch your horse’s gait, especially the walk, for early signs of trouble. The walk is revealing – in a normal, supple horse, it has a nice swing through the back and ample stride length. Research shows that the effects of poor posture (like a tense back or elevated head) are often clearest at the walk. A horse with a stiff, hollow outline will show a short, choppy walk instead of a fluid stride. If you see your horse “mincing” its steps or not overtracking, take it as a warning. This may signal tension or imbalance. Addressing it early can prevent more serious issues later.

In short, knowing biomechanics can boost your horse’s back health and performance. Tuning the bow-and-string helps your horse move naturally. Strengthen the core (the string), promote good posture, and avoid extreme head positions that strain the spine. The outcome will be a happier horse with a healthier back, ready to give you its best performance for years to come. With the right training and chiropractic care, you can fix imbalances in your horse. Also, doing at-home exercises helps keep them sound and comfortable. This way, you unlock their true potential. A horse that moves well feels well – and that’s a win-win for both horse and rider!

References:

  • Rhodin, M. (2008). A Biomechanical Analysis of Relationship Between the Head and Neck Position, Vertebral Column and Limbs in the Horse at Walk and Trot. Doctoral thesis, Swedish University of Agricultural Sciences.





 Understanding equine biomechanics is crucial for assessing workload and the risk of injury. Back pain is a common problem many equine veterinarians treat, and one contributing factor may be the training method used or a horse that has a naturally high head set.


The Essence of the Bow and String Theory

The "Bow and String Theory" provides a biomechanical framework for understanding how potential energy is generated, stored, and released in the horse's spine during locomotion. In this analogy, the "bow" represents the rigid component comprising the bony spinal segments and surrounding ligaments, while the "string" encompasses the horses back muscles, as well as the, hip flexors, abdominals, and cervical flexors like the scalenus.


The rigidity of the ‘bow’ arises from its bony architecture and the dense network of intrinsic ligaments intimately attached to it. When the locomotion muscles contract, they act like strings drawn by an archer, flexing and cocking the bow, thereby storing potential energy in the spine. Upon release of this mechanism, unimpeded by any obstacles, all stored potential energy is converted into kinetic energy, resulting in a net positive gain in energy required for engagement, collection, and movement forward. Any hindrance in the cocking or release process of this mechanism will diminish the net gain of energy and cause the horse overload the front half of the body.


This breakdown occurs most often because:

  1. Abdominals are weak

  2. Hip flexors are tight

  3. Back muscles are held tight

  4. Weak hind end muscles: Hamstrings, glutes, and quadriceps


Your horse’s spine and pelvis work together to move the body forward . The muscles attached to the sacrum and pelvis are akin to the engine, generating energy for movement. The lumbosacral junction converts this energy into forward motion by storing and releasing tension.


Research on Equine Biomechanics

Recent studies have examined how different head and neck positions affect horse kinematics, highlighting the importance of proper positioning for optimal performance. Equine performance longevity relies on optimizing biomechanical principles, particularly the positioning of the head and neck axis, which profoundly influences the horse's athletic ability and comfort for both horse and rider. Recent findings have shed light on how different positions affect horse movements, with higher positions often restricting stride length and flexibility.


  • Very high head and neck position (Neck extremely elevated and bridge of the nose considerably in front of the vertical) significantly reduced flexion-extension movement of the spinal vertebrae, lateral bending of the lumbar back, and axial rotation of the pelvis.

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  • Nose at the vertical, slightly behind, or neutral did not negatively influence flexion-extension movement of the spine, lateral bending of the lumbar back, and axial rotation at walk or trot.

  • To comply with a high head position, the horse performed at reduced speed and increased peak force on the forelimbs.

  • A low neck position (long and low headset) increased flexion-extension movement of the spinal vertebrae, but also increased peak force on the forelimbs


In Conclusion:

A high head carriage with the nose above the vertical like the sillouette image locks up the back and increases wear and tear in the front half of the body. Most horses look like they are in true collection, and can almost get there by keeping their nose at vertical or neutral, however in this study true collection was rare no matter what level the rider/horse pair.


Once this pattern of carrying the head high becomes a habit, the back and neck muscles eventually contract and shorten around the spine. At this point, chiropractic adjustments are needed to correct the fixated segments.


Horses going through dressage training will never have perfect collection all the time. Therefore the horses I see in heavy training have several areas in the lower lumbar region that are stiff and immobile from incorrectly storing potential energy. Their core maybe weak as well, and back muscles are very tense. With home rehabilitation exercises we are able to supple the back muscles and allow the horse to have a stronger posture to improve their performance.


According to the research, the stiffness of poor posture and improper elevated head carriage was most obvious at the walk. The stride is short and choppy. If this sounds like your horse consider it a warning sign of unnecessary stress and strain. Here at The Zen Vet we can help improve your horse's performance but improving spinal function and flexibility.




 
 
 

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