Pain arising from muscle and fascia attachments to the bone of horses upper limbs and back is very common. Such strain is frequently a result of injuries to the horses spine or legs. Untreated it is often associated with recurring pain, muscle tension and a tendency for the horse to be more anxious/nervy, and also for stiffness and unevenness of gait. Short forelimb stride and tripping is common in the front end. Dragging the hind feet and rounding of toes is also common with lower back, hip and pelvic muscle attachment strain.