This article describes a horse that sustained burn injury wounds over the back extending from the withers to the tail head as a result of a fire in a trailer. The extensive nature of the burn prompted investigation into treatment options which may stimulate healing. Based on current applications in human medicine, shockwave therapy was administered. This horse recovered from a substantial burn injury. Shockwave therapy may be a viable supplemental option for treating burn injuries in the horse, with no noted adverse effects.