Effective equine rehabilitation requires a tailored approach, with specific goals for each stage of recovery. Controlled exercise plays a crucial role, focusing on the careful management of loading to support tissue healing. Various exercise techniques, including the use of training aids and hydrotherapy, are employed to enhance muscle strength and joint range of motion. Electrophysical therapies and pharmaceuticals are also utilised to address pain, inflammation, and tissue repair, each with their own benefits and limitations. A successful rehabilitation plan combines these strategies, using evidence-based practices to guide the horse's recovery process.