Poll Injuries from Pulling Back

It is inevitable that most horses will be tied up from time to time, whether on the yard, in their stable, or in a lorry or trailer. Some horses will be more comfortable with this than others. I’m sure we can all think of a time where our horse has pulled back to the point where a head collar, or a lead rope has released and they have broken free. It is also likely most of us can think of a time where a horse has pulled back and they haven’t broken free but have panicked and put a considerable amount of force against their poll, their neck and their back.

As a physiotherapist, I am often called to horses that have suddenly become head shy, difficult to tack up and groom and have also become more resistant to the contact in ridden work. The onset of a majority of these cases can be traced back to an incident where the horse has pulled back whilst being tied up.

These horses often present with reduced range of motion in the poll and tension in the muscles around this area. The structures commonly affected are the splenius muscle, occipitohyoid muscle, the nuchal ligament and the atlanto-occipital joint. In more severe cases, muscle strains can be seen along the length of the neck and into the back. The hind quarters may present strains too, especially if the horse didn’t manage to break free and they may have slipped with their hind legs.