It is custom for elite performance horses to be seen on a very frequent basis, in order to maintain them and keep them at optimal performance. Ideally all horses, regardless of their duties or discipline should be seen at least six monthly to make sure their tissue stays in good health and they are not uncomfortable.
You should call an ESTA therapist if you suspect that your horses behaviour or training difficulties could be due to any musculoskeletal discomfort. It is also advised that if you have had for example to get your saddle re fitted due to issues, it is likely the tissue