Can front end lameness lead to SI pain?

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Fourtoomany

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Is this possible or is it only hind end issues that cause SI pain?

Bilateral issues in the front coffin joints. These were medicated with some success. Now the horse has suddenly developed a reluctance to move forward when ridden and asked to trot, but is looking largely ok on the lunge in all paces. Knowing the issues that are there I am wondering if there’s been compensating going on which has flared something up somewhere else mainly the SI which is giving this issue. (There’s no indication of hind end lameness.)

Horse is now off and going to have surgery for the front lameness issues to (hopefully) eliminate this particular part of the puzzle, but I’m wondering if there could be something going on elsewhere that needs to be addressed.
 
Yes, absolutely. Front end lameness frequently leads to secondary SI pain. The horse alters its gait to avoid landing hard on the sore front feet, which causes the hind limbs to land more heavily and unevenly to compensate. This asymmetric loading strains the pelvis and SI joint. Your horse's reluctance to move forward under saddle, while moving freely on the lunge, fits this pattern perfectly. Fixing the front feet with surgery is the correct first step to remove the root cause.
 
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