Strolling through the Kentucky Horse Park barns on schooling day before last week’s show, I heard a familiar, monotonous POW-POW-POW-POW-POW. It was the sound of a horse undergoing extracorporeal shock wave therapy (ESWT). For those who haven’t heard a shock wave machine before, I’d liken it to the rapid-fire crack of a dressage whip, but louder.

Shock wave therapy has proven to be highly effective in relieving back and pelvic pain

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