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Is That Even Indicated?

Writer's picture: Elisse MikiElisse Miki

Understanding the why behind every technique is essential for safe and effective treatment.


When working with horses, itโ€™s essential to pause and ask yourself: ๐ˆ๐ฌ ๐ญ๐ก๐ข๐ฌ ๐ญ๐ž๐œ๐ก๐ง๐ข๐ช๐ฎ๐ž ๐ž๐ฏ๐ž๐ง ๐ข๐ง๐๐ข๐œ๐š๐ญ๐ž๐? Every therapeutic approachโ€”from basic massage to advanced osteopathic techniquesโ€”should be purposeful, informed, and tailored to the horse in front of you.


But what does โ€œindicatedโ€ mean in this context?


๐ˆ๐ง๐๐ข๐œ๐š๐ญ๐ข๐จ๐ง ๐ฏ๐ฌ. ๐‚๐จ๐ง๐ญ๐ซ๐š๐ข๐ง๐๐ข๐œ๐š๐ญ๐ข๐จ๐ง


โœ… An ๐ข๐ง๐๐ข๐œ๐š๐ญ๐ข๐จ๐งfor treatment is the green lightโ€”a sign that a particular technique is suitable and likely to provide the desired outcome. For example, an indirect myofascial release technique may be indicated for a horse presenting with restricted fascial movement due to an old injury.


๐Ÿšซ A ๐œ๐จ๐ง๐ญ๐ซ๐š๐ข๐ง๐๐ข๐œ๐š๐ญ๐ข๐จ๐ง, on the other hand, is a red flagโ€”a condition or factor that suggests a technique should not be applied because it might cause harm or worsen the situation. For instance, using a mobilization on a horse with ostephytes in that joint would be contraindicated.


๐“๐ก๐ž ๐ˆ๐ฆ๐ฉ๐จ๐ซ๐ญ๐š๐ง๐œ๐ž ๐จ๐Ÿ ๐€๐ฌ๐ฌ๐ž๐ฌ๐ฌ๐ฆ๐ž๐ง๐ญ


Knowing whether a technique is indicated or contraindicated starts with a proper assessment. Without it, youโ€™re essentially guessing.


๐€๐ฌ๐ฌ๐ž๐ฌ๐ฌ๐ฆ๐ž๐ง๐ญ๐ฌ ๐ฉ๐ซ๐จ๐ฏ๐ข๐๐ž ๐ญ๐ก๐ž ๐ญ๐ก๐ž๐ซ๐š๐ฉ๐ข๐ฌ๐ญ ๐ฐ๐ข๐ญ๐ก ๐š ๐œ๐ฅ๐ž๐š๐ซ ๐ฉ๐ข๐œ๐ญ๐ฎ๐ซ๐ž ๐จ๐Ÿ:


โ–ถ The horseโ€™s current condition


โ–ถ The root cause(s) of dysfunction


โ–ถ What techniques may be effective and safe


๐ˆ๐Ÿ ๐ฒ๐จ๐ฎ ๐๐จ๐งโ€™๐ญ ๐š๐ฌ๐ฌ๐ž๐ฌ๐ฌ, ๐ฒ๐จ๐ฎโ€™๐ซ๐ž ๐ง๐จ๐ญ ๐ญ๐ซ๐ž๐š๐ญ๐ข๐ง๐ โ€”๐ฒ๐จ๐ฎโ€™๐ซ๐ž ๐ž๐ฑ๐ฉ๐ž๐ซ๐ข๐ฆ๐ž๐ง๐ญ๐ข๐ง๐ .


๐Ÿ‘‰ ๐Š๐ž๐ฒ ๐๐ฎ๐ž๐ฌ๐ญ๐ข๐จ๐ง๐ฌ ๐„๐ฏ๐ž๐ซ๐ฒ ๐“๐ก๐ž๐ซ๐š๐ฉ๐ข๐ฌ๐ญ ๐’๐ก๐จ๐ฎ๐ฅ๐ ๐€๐ฌ๐ค ๐๐ž๐Ÿ๐จ๐ซ๐ž ๐€๐ฉ๐ฉ๐ฅ๐ฒ๐ข๐ง๐  ๐€๐ง๐ฒ ๐“๐ž๐œ๐ก๐ง๐ข๐ช๐ฎ๐ž:


โ–ถ Why am I doing this? Whatโ€™s my rationale for choosing this technique?


โ–ถ What are the physiological effects? How will this technique affect tissues, structures, and systems?


โ–ถ What am I trying to achieve? Am I aiming to reduce pain, improve mobility, or release restrictions?


โ–ถ What are the risks? Could this technique cause harm, discomfort, or stress?


๐‘๐ž๐š๐ฌ๐ฌ๐ž๐ฌ๐ฌ ๐Ÿ๐จ๐ซ ๐„๐Ÿ๐Ÿ๐ž๐œ๐ญ๐ข๐ฏ๐ž๐ง๐ž๐ฌ๐ฌ


The job doesnโ€™t stop after youโ€™ve applied the technique. Reassessment is critical to determine if your intervention was effective.


๐ƒ๐ข๐ ๐ญ๐ก๐ž ๐ญ๐ž๐œ๐ก๐ง๐ข๐ช๐ฎ๐ž ๐ฉ๐ซ๐จ๐๐ฎ๐œ๐ž ๐ญ๐ก๐ž ๐๐ž๐ฌ๐ข๐ซ๐ž๐ ๐œ๐ก๐š๐ง๐ ๐ž? ๐ˆ๐Ÿ ๐ง๐จ๐ญ, ๐ฐ๐š๐ฌ ๐ข๐ญ:


โ–ถ The wrong technique?


โ–ถ Misapplied?


โ–ถ Simply not indicated in the first place?


Reassessments keep your treatment dynamic and responsive, ensuring it aligns with the horseโ€™s evolving needs.


๐„๐ฏ๐ž๐ซ๐ฒ ๐“๐ž๐œ๐ก๐ง๐ข๐ช๐ฎ๐ž ๐‚๐š๐ซ๐ซ๐ข๐ž๐ฌ ๐‘๐ข๐ฌ๐ค


No matter how โ€œbasicโ€ a technique may seem, all interventions carry risks. This is why knowing if itโ€™s indicated is ๐ฌ๐ญ๐ž๐ฉ ๐จ๐ง๐ž. Without this foundational knowledge, you may inadvertently cause harm.


๐‘๐ž๐ฆ๐ž๐ฆ๐›๐ž๐ซ: Therapeutic success lies not in the quantity of techniques used but in their precision and appropriateness.


By committing to thorough assessments and a deep understanding of your techniques, you ensure that every intervention is purposeful, effective, and safe. The horses โ€”and your practiceโ€”deserve nothing less.


๐™‡๐™š๐™–๐™ง๐™ฃ๐™ž๐™ฃ๐™œ ๐™–๐™ฃ๐™™ ๐™–๐™ฅ๐™ฅ๐™ก๐™ฎ๐™ž๐™ฃ๐™œ ๐™ž๐™ฃ๐™™๐™ž๐™˜๐™–๐™ฉ๐™ž๐™ค๐™ฃ๐™จ ๐™–๐™ฃ๐™™ ๐™˜๐™ค๐™ฃ๐™ฉ๐™ง๐™–๐™ž๐™ฃ๐™™๐™ž๐™˜๐™–๐™ฉ๐™ž๐™ค๐™ฃ๐™จ ๐™ž๐™จ ๐™ข๐™–๐™ฃ๐™™๐™–๐™ฉ๐™ค๐™ง๐™ฎ ๐™ž๐™ฃ ๐™๐™ช๐™ข๐™–๐™ฃ ๐™๐™š๐™–๐™ก๐™ฉ๐™๐™˜๐™–๐™ง๐™š ๐™ก๐™ž๐™˜๐™š๐™ฃ๐™จ๐™ž๐™ฃ๐™œโ€”๐™ž๐™ฉ'๐™จ ๐™ฉ๐™ž๐™ข๐™š ๐™ฌ๐™š ๐™๐™ค๐™ก๐™™ ๐™š๐™ฆ๐™ช๐™ž๐™ฃ๐™š ๐™ฉ๐™๐™š๐™ง๐™–๐™ฅ๐™ฎ ๐™ฉ๐™ค ๐™ฉ๐™๐™š ๐™จ๐™–๐™ข๐™š ๐™จ๐™ฉ๐™–๐™ฃ๐™™๐™–๐™ง๐™™ ๐™ค๐™› ๐™จ๐™–๐™›๐™š๐™ฉ๐™ฎ ๐™–๐™ฃ๐™™ ๐™š๐™›๐™›๐™š๐™˜๐™ฉ๐™ž๐™ซ๐™š๐™ฃ๐™š๐™จ๐™จ.

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