Immobilization or stall rest is sometimes necessary for a horse's injury to heal, especially in cases of severe tissue damage (such as tendon or ligament damage and fractures), but other times keeping horses moving is actually a better approach. The key is choosing the right exercise for the type and location of the injury. We cannot just tell horses, for example, to engage their core. We have to design exercises that achieve the desired result.

Electrotherapy, directing small currents of electricity through the skin for medical treatment, has been widely used in human sports medicine and rehabilitation to treat injuries and optimize performance. Various modalities have made their way into sport horse medicine and rehabilitation. Electrotherapies are built around energy sources that range from acoustics to vibrations.

In Canada, professionals who offer equine massage, equine chiropractic, farriery, and equine homeopathy who are not veterinarians may unintentionally be practicing veterinary medicine, which could be against provincial laws. There is a lack of oversight due to few regulations governing the training, certification, and qualifications of these types of service providers. Moreover, provincial veterinary associations typically only intervene when a complaint is filed by a horse owner. As a result, individuals can easily market themselves as qualified to offer these services, even without the necessary expertise, leaving vulnerable horse owners to "learn the hard way" when choosing a provider.

In recent years, a growing number of facilities specializing in rehabilitation and fitness for injured horses have emerged in Western Canada. These centres cater to horses in need of recovery or improved fitness, offering a range of treatments tailored to individual needs. Services vary depending on the business, with options like treadmills, swimming pools, exercise equipment, saltwater baths, and solariums commonly available. Many centres also provide additional offerings such as bodywork, nebulizer treatments, and retail products.