Case Study
Warm-Water AquaPacer Rehab for Navicular Bursitis and DDFT Injury
Clark, a 7-year-old Arabian gelding, faced a complex combination of injuries, including an avulsion fracture, navicular bursitis, and a DDFT tear that made traditional land rehab risky. His customized warm-water AquaPacer program used belly-deep buoyancy and gradual progression to rebuild strength, restore symmetry, and support long-term soundness.
Horse: Clark
Breed: Arabian Gelding
Age: 7 Years Old
Discipline: Western Pleasure
The Challange:
Background
Clark, a 7-year-old Arabian gelding, faced a long road to recovery after sustaining multiple serious injuries: These injuries not only threatened his future in the show ring but also posed challenges for safe rehabilitation due to the risk of overloading compromised structures. The AquaPacer became the cornerstone of his customized rehab protocol.
AquaPacer Rehab Program
Treadmill Type: Hudson AquaPacer
Water Temperature: Hot Water
Water Level: Up to the belly
Jet Use: Not specified
Speed: 2.3 mph
Frequency: 3x per week on average
Ramp-Up Period: 1 month to acclimate
Session Progression: Day 1: 2 minutes – Session 45: 20 minutes
Duration: 45 sessions over 3 months
The Solution:
Result
Clark’s gradual but consistent rehab plan yielded impressive results. After 3 months of AquaPacer therapy: The swelling associated with navicular bursitis was dramatically reduced. Controlled, supportive movement allowed the DDFT tear to heal with improved elasticity and strength. The avulsion fracture remained stable throughout treatment, with buoyancy reducing stress during load-bearing phases. His gait symmetry and topline condition significantly improved, even without under-saddle work. Clark transitioned safely into groundwork and is now back to light Western Pleasure schooling — a strong sign of long-term soundness and confidence.
The Result:
Why It Worked
When multiple structures are involved, traditional land-based rehab is often too aggressive or too limited. The AquaPacer allowed for a balanced, low-impact yet progressive rehabilitation experience:
- Belly-deep water maximized buoyancy, reducing concussion and allowing full-body movement without compromising healing tissues.
- Warm water therapy promoted circulation, reduced stiffness, and supported tendon recovery.
- Controlled speed (2.3 mph) maintained symmetrical movement and proper muscle engagement, preventing compensatory stress on other limbs.
- Slow, confidence-based training gave Clark the time he needed to trust the treadmill — and made the rest of the program far more successful.
Before:
After:
