If your horse's back pain, lameness, or behavior issues keep coming back no matter what you try, this conversation is for you.

Equine and human osteopath Elisse Miki of Equilibria Therapeutics joins Sam to unpack what osteopathy actually is — and why it's so much more than massage or fascial work. Elise breaks down why structure governs function, the science of spinal facilitation and how gut inflammation drives chronic back pain, why "tight" doesn't always mean "short," and why fluid flow is the foundation of healing. We also get into when to call an osteopath and the environmental shifts — track systems, free-flow hay, herd turnout — that can resolve issues no bodywork ever will.

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