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Seven Hills

ECVM Rehabilitation & Postural Retraining

Frequently asked questions

Specialized support for horses with ECVM, C6/C7 variations, and cervical malformations

Horses with Equine Complex Vertebral Malformation (ECVM) or lower cervical variations often struggle with balance, posture, and comfort long before signs appear as obvious lameness. Many owners notice subtle changes in movement, resistance under saddle, or a "rein lameness" that is difficult to diagnose.

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At Seven Hills Training in Monroe, WA, we specialize in the corrective movement development of horses with ECVM, C6/C7 malformations, and associated first or second rib variations. Our work is grounded in equine biomechanics, classical principles, and learning theory to help horses move with better stability, coordination, and confidence.

A collaborative approach to recovery

We work in close partnership with Kinetic Equine Medicine (KEM). This unique integration allows for seamless communication between training and veterinary professionals. While medical diagnosis belongs to the veterinarian, movement rehabilitation is a critical complement to clinical care. For convenience, the Kinetic Equine Medicine Soundness Center is co-located at our private Monroe facility, offering on-site access to advanced treatments and diagnostics, or we can coordinate care with the referring veterinarian.

Anatomical diagram of ECVM showing C6 and C7 malformations, missing CVT, and transposition in a horse's cervical spine.

Understanding ECVM horse symptoms

ECVM affects the lower cervical vertebrae and can significantly impact a horse's proprioception and alignment. While not every horse is symptomatic, common signs include:

  • Bracing through the neck and poll

  • Inconsistent rhythm or "rein lameness"

  • Defensive behaviors linked to physical discomfort

  • Difficulty maintaining straightness or bending evenly

Corrective rehabilitation helps the horse "re-map" its movement, finding a posture that feels safer and more sustainable.

Our methodology: biomechanics & neuromuscular retraining

Rehabilitating a horse with cervical variations requires a thoughtful, science-based framework. Our programs include:

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1. Corrective In-Hand Work

In-hand training allows the horse to organize its body without the weight of a rider. We focus on neck-base stability, core engagement, and reducing the habit of overloading the forehand.

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2. Groundwork & Learning Theory

Using learning theory, we provide a low-stress environment where horses can safely learn new motor patterns. We use targeted postural resets and pole work to strengthen the thoracic sling and improve coordination.

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3. Ridden Rehabilitation (When Appropriate)

Once stability is established on the ground, we introduce ridden work. This phase emphasizes a soft, neutral balance and lifting the base of the neck without tension, adhering to classical dressage principles for long-term soundness.

  • Chronic bracing, tension, or "mystery" lameness

  • Horses requiring post-injection or post-surgical reconditioning

Our methodology: biomechanics & neuromuscular retraining

Who benefits from our Monroe rehab program?

Our facility serves horses from across Snohomish County, Woodinville, and Western Washington with:

  • Confirmed or suspected ECVM

  • C6/C7 malformations or rib variations

  • Chronic bracing, tension, or "mystery" lameness

  • Horses requiring post-injection or post-surgical reconditioning

Horses must be cleared to return to work; we do not provide acute nursing care or stall-rest management.​

The facility: a purpose-built environment for recovery

Located on a private eight-acre facility in Monroe, WA, our center provides a quiet, professional atmosphere for horses to focus on their retraining.

  • Premium footing: Stability is critical for horses with ECVM or spinal issues. Our high-quality footing ensures every step is secure, providing the consistent surface necessary for safe, correct movement.

  • Full indoor dressage arena: Allows for structured, biomechanically focused training year-round, regardless of Pacific Northwest weather.

  • Dedicated rehabilitation barn & onsite access to the Kinetic Equine Soundness Center: Our co-location with Kinetic Equine Medicine provides immediate access to specialized veterinary handling and diagnostic areas, ensuring a seamless bridge between clinical care and physical reconditioning.

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Is your horse struggling with a different spinal condition?

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Additional resources:

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