Equine Rehabilitation

in San Luis Obispo County & the North Bay Areas,

Delicate sprig with elongated leaves, pale green on a white background.

Equine rehabilitation at Twin Willows Integrative Veterinary Practice focuses on improving comfort, function, and performance through a structured, individualized approach. Rehabilitation plans are developed based on your horse’s history, physical findings, goals, and tolerance for treatment. Services continue to expand as additional rehabilitation training progresses, allowing care to evolve alongside current best practices.

Woman walking carrying a large case

Dr. Molly McElrath is a Doctor of Veterinary Medicine and holds advanced certifications in equine rehabilitation and performance medicine, veterinary acupuncture, veterinary medical manipulation, and whole-food nutrition. She applies this training to a comprehensive rehabilitation approach that combines movement assessment with acupuncture, spinal manipulation, and supportive therapies. Rehabilitation can benefit both performance horses and horses in regular work, whether addressing specific concerns or supporting long-term soundness.

What Is Evaluated

Each rehabilitation visit includes a detailed assessment of:

  • Gait and stance
  • Musculature, symmetry, and development
  • Areas of tension or compensatory movement
  • Environmental and property factors such as footing and turnout

Findings guide the development of a customized plan that may incorporate multiple modalities, including acupuncture, spinal manipulation, massage, thermography, vibration therapy, laser therapy, and targeted rehabilitation exercises. Rehabilitation is typically used alongside other integrative therapies rather than as a stand-alone service.


You may receive practical exercises and stretching strategies to support progress between visits. Preparation is similar to that for acupuncture appointments; horses should be clean and groomed, and adequate time should be allowed for evaluation.

Vet examining a horse

Saddle Evaluation

Saddle evaluation is often incorporated into equine rehabilitation, particularly in cases involving back soreness or recurring performance concerns. Assessment includes both static and dynamic evaluation of saddle balance, fit, length, and interaction with the horse’s withers, spine, and shoulders.

A saddle evaluation may be helpful when:

A lightning bolt

A horse develops muscle atrophy, white hairs, or rub marks

A stylized horse's head

Behavioral resistance or performance changes appear

A walking horse

Difficulty occurs during transitions or under saddle

A saddle outline

A new saddle is introduced

Recurring Icon

Back soreness continues to recur

Saddle evaluation is thoughtfully incorporated into the rehabilitation process and addressed as part of the overall care plan, rather than as a stand-alone service.

Woman checking a horse's leg and hoof
Woman manipulating a horse's back

Ready to begin

your equine rehabilitation plan?

Call us at (805) 459-1760 to discuss equine rehabilitation options, email us at info@twinwillowsintegrative.com with questions, or request an appointment to schedule an evaluation.

Equine rehabilitation is designed to support the whole horse through careful assessment, targeted therapy, and collaboration with owners and primary veterinarians.