Back Problems (Sacroiliac, kissing spine, muscle strain)

Back Problems Protocol

(Including Sacroiliac, Kissing Spine, Muscle Strain, Instability)

Protocol:

Begin with the Basics Course to learn proper tape handling, stretch, and technique. Refer to the Applications Library to find the specific module needed relating to the affected area and severity (e.g., Muscle Relaxation-Back Application for muscle relaxation, Back Decompression Application for Kissing Spine and before and after chiropractic care, Lumbar/Hind-end Support Application for athletic stabilization, advanced support, or injuries to the quadratus lumborum or multifidus). For sacroiliac (SI) issues, use the SI Support application. For muscle strain or instability, use the Back Decompression: Kissing spines/before-after chiro/full support technique with the Decompression technique (targeted over problem areas). For kissing spine, use the Back Decompression Application to support decompression and muscle relaxation along the thoracic and lumbar spine. For severe cases, combine with the Circulation application (Applications Library) to enhance healing and reduce inflammation. After resolution or for chronic instability, use the Fascia Chain application (Applications Library) to restore fascia health and prevent recurrence.

Tape Type:

• 4-Way - 2" (recommended for back support, decompression, and SI applications)

• 2-Way - 3" (for Circulation applications, fascia, larger horses, or extended coverage)

When to Use:

• For horses diagnosed with sacroiliac dysfunction, kissing spine, back muscle strain, or spinal instability

• As part of a recovery, management, or performance plan alongside veterinary care, chiropractic/bodywork, and proper saddle fit

• To support spinal alignment, relieve muscle tension, reduce pain, improve comfort, promote healthy movement, and increase athletic ability

• For horses in heavy work, showing signs of back soreness, or in postural retraining programs

How Long to Tape:

• For acute issues, use until all signs of pain, heat, and muscle tension have resolved (re-evaluate every 7–10 days).

• For chronic or recurring back problems, use during flare-ups, periods of increased activity, or as part of ongoing management.

• Leave the tape on until it loses its recoil, becomes loose, or collects debris underneath.

• For SI or kissing spine issues, a 6–8 week period of continuous use is often required to re-pattern muscle memory and support long-term healing.

• For post-chiropractic support, start the application 1–2 weeks before adjustment to remove deep inflammation (this allows for a smoother manual manipulation), and continue use for 6 weeks to re-pattern muscle memory.

For Chronic Cases:

For ongoing back or SI issues, follow the above protocols. Then, use the Fascia Chain application for 2 weeks to address and prevent fascia adhesions and dehydration. Afterward, restart the appropriate protocol. Once the issue is resolved, use the Fascia Chain application again for 2 weeks to ensure the fascia has completely rehabilitated. Coordinate with your veterinarian, chiropractor, and bodyworker for ongoing assessment and adjustment.

Back Problem Management Note:

• Always rule out saddle fit issues, hoof imbalance, and underlying lameness. Note: Hock and stifle problems can cause back pain and instability, and vice versa. An underdeveloped topline and forced or incorrect biomechanical collection can cause back issues. Underdeveloped core muscles can cause back instability and pain. Addressing these issues simultaneously while stabilizing the back gives you the best prognosis for complete rehabilitation.

• Use chiropractic and/or bodywork when needed for spinal health.

• Encourage natural head/neck positions and turnout to promote back relaxation.

• Feed horses on the ground to prevent shortening of the long back muscles. Horses' heads should be on the ground in a grazing position for 16–18 hours a day to maintain proper biomechanics.

• Provide a balanced diet with adequate protein, minerals, and vitamin E.

• Avoid feeding 2–3 meals a day; horses need a constant supply of forage throughout the day.

• Document response to taping and adjust protocols as needed.

Special Note for Equine Athletes: 

Using the Connections module applications while conditioning, on long hacks, or during relaxed rides will naturally promote proper self-carriage, true collection, the development of core muscles, and a more rounded body. When this occurs, the horse's spine—from poll to tail—will become longer, creating adequate space, preventing kissing spines, and promoting a more rounded posture.

Clinical Reasoning:

These protocols increase circulation and lymphatic flow to the back and sacroiliac (SI) regions, relieve muscle tension, and reduce pain. Decompression and muscle relaxation techniques restore normal movement patterns, while SI and back applications stabilize the spine and support tissue healing. The Circulation application enhances recovery in cases of inflammation or chronic soreness. The Fascia Chain application prevents long-term dysfunction by restoring fascia health along the back and SI lines. Consistent use supports muscle memory, spinal stability, and overall comfort, reducing the risk of recurrence. Strict adherence to these protocols provides the best prognosis for full recovery and rehabilitation.