This review presents the physiotherapy approach to assessment and treatment of neck pain in horses, supporting veterinary care as part of a multidisciplinary team. Horses with neck pain form a high percentage of veterinary physiotherapists' caseloads and physiotherapists are trained in specific assessment strategies to identify functional limitations in this region. After investigation and veterinary intervention, physiotherapy care can address factors such as pain, reduced range of motion and muscle weakness. Through the selection of appropriate manual therapy techniques and prescription of therapeutic exercises, a physiotherapist can assist restoring function and performance in the cervical region. Physiotherapy treatment of the neck should occur, along with consideration of the whole horse's musculoskeletal function, to support the veterinary medical or surgical intervention.