Suspensory Ligament Injuries

Suspensory Ligament Injury Protocol

Protocol:

Begin with the Basics Course to learn proper tape handling, stretch, and technique. Use the Lower Leg Injuries application in the Applications Library, focusing on the suspensory support technique (medial and lateral pieces as demonstrated in the Fundamentals Course and Lower Leg Injuries application). For more advanced or severe cases, combine the Lower Leg Injuries protocol with the Circulation application (Applications Library) for enhanced healing and swelling reduction. After the ligament has fully healed from the tear or rupture, or the horse is sound, we suggest the Fascia Chain application (Applications Library) for the fascia line attached to the suspensory ligament.

Tape Type:

• 2-Way - 3" (for Circulation applications)

• 4-Way - 2” (recommended for support applications)

When to Use:

• For horses diagnosed with suspensory ligament injuries (always after veterinary assessment for confirmed diagnosis)

• As part of a recovery or rehabilitation plan alongside veterinary care, physical therapy, and proper hoof balance

• To support ligament healing, reduce inflammation, decrease pain, and promote an optimal healing environment

• To remove fascia adhesions and rehydrate the fascia after ligament injury

How Long to Tape:

• For acute injuries, use until the ligament has fully healed (often 12–18 weeks or as directed by your veterinarian).

• For chronic or recurring suspensory issues, use during flare-ups and periods of increased activity or stress.

• Reapply the applications when the tape loses its recoil, becomes loose, or collects debris underneath.

• Use the Fascia Chain application after the ligament has healed for approximately two weeks. If you notice any soreness down the road, even years later, redo the 2 weeks of the Fascia Chain application.

For Chronic Cases:

For ongoing or chronic suspensory ligament injuries, use the Lower Leg Injuries application (with suspensory support pieces) and Circulation applications continuously during flare-ups and throughout the rehabilitation period. Reapply as needed, and coordinate with your veterinarian, farrier, and rehabilitation specialist to address any underlying causes.

Suspensory Injury Management Note:

• Follow your veterinarian's/rehabilitation specialist's guidance for controlled exercise and rehab timelines. Studies show horses heal faster when not confined in a stall.

• Avoid deep or uneven footing.

• Maintain optimal hoof balance with regular farrier visits.

• Provide good quality nutrition, including adequate minerals and protein, to support ligament repair.

Clinical Reasoning:

This protocol increases blood flow to the affected ligament, reduces deep inflammation, and helps relieve pain. The Lower Leg Injuries application (with dedicated suspensory support pieces) stabilizes the ligament, decreases mechanical strain, and provides the optimal environment for soft tissue healing. The Circulation application further enhances tissue recovery and comfort, especially in cases with significant swelling or chronic inflammation. The Fascia Chain application supports long-term fascial health and function after the initial injury has resolved.