Equestrians - Back in the Saddle: How to Recover from Riding Injuries and Come Back Stronger?
- Emily Mitchell | Inspire Sports Physio

- Oct 1, 2025
- 4 min read
Why Riding Injuries Happen: Common Causes & Risks

Riding always comes with risk — it’s not if you’ll hit the ground, but when. Horses are unpredictable, and every rider knows the unexpected can happen in a split second. While we can’t control every spook, slip, or spin, we can prepare our bodies to handle the impact. Research shows that riders with stronger core stability, neuromuscular control, and joint mobility are more resilient to falls and less likely to suffer long-term complications. Physiotherapy bridges that gap — helping you build the right balance of strength, flexibility, and proprioception so that when the unexpected happens, your body is better equipped to recover.
Riding is demanding on the body — especially when performing tricks or competing at high levels. Common injuries include back strains, rib fractures, wrist or shoulder injuries, and overuse injuries. Factors like horse temperament, tack fit, and high-intensity training and fatigue can increase your risk. Knowing why injuries happen is the first step toward prevention and faster recovery.
The Importance of Early Physiotherapy Intervention
The sooner you address an injury, the quicker your comeback. Physiotherapy helps by:
Reducing pain and inflammation
Restoring mobility and strength
Preventing compensatory injuries
Giving you a structured plan (and accountability) to return safely to riding or performance
Early intervention isn’t just for recovery — it sets the foundation for long-term performance gains.
Step-by-Step Rider Rehab: From Injury to Performance
When it comes to equestrian physiotherapy, there’s no shortcut: a structured rehab plan is essential. Riding isn’t just sitting on a horse — it’s a high-demand athletic performance that requires balance, strength, and resilience. After an injury, the body doesn’t just “bounce back.” It adapts... and while adaptation is clever, it’s not always helpful.
Assessment
The first step is always understanding the injury and its ripple effect through the body. Research in sports medicine shows that even a seemingly simple injury (like an ankle sprain) can disrupt the kinetic chain, causing compensation patterns that lead to hip dysfunction, spinal stiffness, or even cervicogenic headaches. Physiotherapy identifies these biomechanical adaptations early — stopping you from chasing symptoms and instead treating the root cause.
Mobility & Flexibility
Once the map of the injury is clear, the next step is restoring range of motion. Controlled stretching and mobilisation prevent excessive scar tissue and joint stiffness, both of which can reduce long-term performance. Studies confirm that poor mobility is linked to recurrent injury risk, so this stage is about restoring freedom of movement while protecting healing tissues.
Strength & Stability
This is where we rebuild the engine. For riders, strength isn’t just about power — it’s about stability. A strong core and hip complex provides shock absorption and balance, while scapular and shoulder control help you stay steady in the saddle. Evidence shows that targeted strength training reduces injury recurrence and improves athletic performance — and that applies whether you’re an equestrian, dancer, or rugby player.
Functional Training
Here’s where the work starts to feel “real.” Functional rehab reintroduces movements that mimic daily life and sport-specific demands. For equestrians, that might mean dynamic balance drills, rotational control, or eccentric strength to absorb the unpredictable movements of a horse. The goal is to retrain coordination, proprioception (your body’s awareness in space), and confidence in motion.
High-Demand Performance
Finally, we test the system. This phase is about safely simulating real-life, high-demand situations under guided progression, the nervous system relearns to trust the body. This is where rehab shifts into performance — building not just recovery, but resilience.
Still not convinced? Head to my ‘About Me’ page to see how I came back from spinal and rib fractures to stunt riding — at full gallop.
Simple Strengthening, Flexibility & Core Exercises for Injury Prevention

Core stability: Pilates-style exercises, planks, and anti-rotation drills — because a rider is only as strong as their core. Imagine if a tree had a hollow trunk; it wouldn’t stand tall in the wind.
Hip & glute strength: Bridges, clamshells, squats.
Shoulder mobility: Rotator cuff exercises and scapular control drills — often even more important than raw shoulder strength for stability and performance.
Balance & proprioception: Single-leg work, stability ball exercises.
These generic simple exercises reduce injury risk, improve performance, and make your comeback stronger than ever.... AND they can all be completed at home, the yard, the field - anywhere & anytime. For more specific & targeted rehab with expert guidance - contact us now to book an appointment to get started.
Mental Recovery: Confidence After an Injury
Returning to riding after an injury isn’t just physical — it’s mental. After an injury, even simple movements can feel scary. Our bodies are wired with protective mechanisms that make us instinctively guard the injured area — but these same mechanisms can actually limit recovery and performance. Physiotherapy helps you safely challenge your body, guiding you past these protective limits so you can rebuild strength and confidence.
Real-Life Comeback Stories
I know what it’s like to think your career is over. After breaking my back and ribs, I worked through a structured rehab plan and eventually returned to high-level stunt riding. That experience shapes every session I do — I understand the drive, setbacks, and need for physiotherapy that actually works. Contact me now to book your online consultation and take the next step to building a more resilient you.
Takeaway: Recovery is Possible
Riding injuries don’t have to end your journey. With the right physiotherapy, structured rehab, and focus on prevention, you can come back stronger, fitter, and more confident.

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