Topic:Back Pain
Back pain in horses is a condition that can affect the animal's performance, behavior, and overall well-being. It can result from a variety of causes, including musculoskeletal disorders, poor saddle fit, or underlying medical conditions. The diagnosis of back pain in horses often involves a combination of clinical examination, imaging techniques such as radiography or ultrasound, and sometimes diagnostic analgesia. Treatment approaches can vary depending on the underlying cause and may include physical therapy, medication, or adjustments in management practices. This page compiles peer-reviewed research studies and scholarly articles that explore the causes, diagnostic methods, and treatment options for back pain in horses, providing insights into its impact on equine health and performance.
Applied load on the horse’s back under racing conditions. With the intention of limiting the weight on horses' backs and guaranteeing maximal freedom of movement, commonly used racing saddles are small and have minimal cushioning. Poor saddle cushioning may limit performance or even affect soundness of the back. The aim of this study was to measure the pressure under an average racing saddle ridden by a jockey at racing speed. Saddle pressure using a medium-sized racing saddle (length 37 cm, weight 450 g) was measured in five actively racing Thoroughbred horses. All horses were trained at the same facility and ridden by their usual professional jocke...
Biomechanical responses of the back of riding horses to water treadmill exercise. There is a lack of evidence for the presumed beneficial effects of water treadmills on the movement of the horse's back. The aim of the study was to evaluate the effects of water treadmill exercise on axial rotation (AR), lateral bending (LB) and pelvic flexion (PF) in horses. The back kinematics of a group of riding horses were studied at the walk in a water treadmill at different depths of water (hoof, fetlock, carpus, elbow and shoulder joint levels) over a period of 10 days. Skin markers were placed at anatomical locations on the back. AR, LB and PF were measured on days 1 and 10 using two...
An investigation of the relationship between hindlimb lameness and saddle slip. We have observed saddle slip consistently to one side because of a crooked rider, an ill-fitting saddle, asymmetry in a horse's thoracolumbar shape and lameness. Currently, there are no objective data to permit assessment of the relative importance of each factor. Objective: To document the frequency of occurrence of saddle slip in horses with hindlimb lameness compared with other horses. To describe the effect of lameness characteristics and grade, the abolition of lameness by diagnostic analgesia, breed, size, thoracolumbar shape and symmetry and the rider's weight. Methods: One hundred and ...
The horse-saddle-rider interaction. Common causes of poor performance in horses include factors related to the horse, the rider and/or the saddle, and their interrelationships remain challenging to determine. Horse-related factors (such as thoracolumbar region pain and/or lameness), rider-related factors (such as crookedness, inability to ride in rhythm with the horse, inability to work the horse in a correct frame to improve core strength and muscular support of the thoracolumbar spine of the horse), and saddle-related factors (such as poor fit causing focal areas of increased pressure) may all contribute to poor performance to...
Towards a postural indicator of back pain in horses (Equus caballus). Postures have long been used and proved useful to describe animals' behaviours and emotional states, but remains difficult to assess objectively in field conditions. A recent study performed on horses using geometric morphometrics revealed important postural differences between 2 horse populations differing in management conditions (leisure horses living in social groups used for occasional "relaxed" riding/riding school horses living in individual boxes used in daily riding lessons with more constraining techniques). It was suggested that these postural differences may reflect chronic effects...
Forces and pressures on the horse’s back during bareback riding. The objectives of this study were to measure forces and pressure profiles when riding with a conventional saddle compared to bareback riding. An electronic pressure mat was used to compare contact area, mean total force and pressure variables for one rider riding seven horses at sitting trot with a conventional saddle or bareback. The use of a saddle was associated with a larger contact area and higher mean total force compared with the bareback condition. Mass normalized mean total force for bareback riding was lower than expected based on the rider's body mass, suggesting that shear forces e...
A controlled study evaluating a novel surgical treatment for kissing spines in standing sedated horses. To compare the results of a novel minimally invasive surgical technique with intralesional corticosteroid medication, as treatment for overriding dorsal spinous processes (ORDSP) in horses. Methods: Retrospective controlled clinical case series. Methods: Horses (n = 68) with ORDSP. Methods: ORDSP was diagnosed based on history, clinical, and radiographic examination. All narrowed spaces were treated. Horses undergoing medical treatment had methylprednisolone acetate injected directly in the affected space under radiographic control. Surgical cases had interspinous ligament desmotomy (ISLD) usi...
The farrier’s work environment. The horse industry in Sweden has rapidly expanded in recent years. This increasing number of horses implies a greater need for more farriers. Shoeing a horse is hard physical work, and includes awkward work postures and repetitive movements. It is well known that hard physical work increases the risk of injuries and musculoskeletal problems. The risk is especially high for musculoskeletal disorders when certain movements are constantly repeated. Heavy or repeated unilateral loads lead to considerable stress on the muscles, which can lead to rupture and fatigue that can cause long term problems...
Close, impinging and overriding spinous processes in the thoracolumbar spine: the relationship between radiological and scintigraphic findings and clinical signs. There has been no objective study comparing radiological features of spinous processes (SPs) in the thoracolumbar region and/or scintigraphic findings with clinical signs. Objective: To investigate the relationship between the presence or absence of clinical signs of back pain and: 1) radiological findings of close, impinging or overriding SPs; 2) increased radiopharmaceutical uptake (IRU) in the SPs; and 3) the combination of radiological findings and IRU. Also to determine the prevalence of concurrent osseous pathology. Methods: Five-hundred and eighty-two horses, presented for perceived bac...
Lumbar ligamentum flavum hematoma treated with endoscopy. Hematoma of the ligamentum flavum is a rare cause of neural compression, for which treatment has consisted of excising the hematoma via open surgical approaches, including total laminectomy or bilateral partial laminectomy. This article presents the first report of a microscope-assisted endoscopic decompression to resect a hematoma of the ligamentum flavum.A 52-year-old man presented with back and leg pain, as well as difficulty initiating micturation. Magnetic resonance imaging demonstrated an epidural mass at L5/S1 that was continuous with the facet joint. Visualization was obtained via an e...
Comparison of radiographic and scintigraphic findings of the spinous processes in the equine thoracolumbar region. Back pain is common in horses, but there has been no large-scale in-depth study describing radiographic changes of the spinous processes, the relationship between radiographic and scintigraphic findings, and the effect of size, age, breed, or discipline. The objectives were to investigate the frequency of occurrence in horses with perceived back pain of: (1) radiographic alteration of the spinous process structure; (2) increased radiopharmaceutical uptake (IRU) in the spinous processes; and (3) to compare radiographic and scintigraphic findings; and to determine if there was breed, gender, age...
Osseous spinal pathology and epaxial muscle ultrasonography in Thoroughbred racehorses. The multifidus muscle plays a key role in spinal stabilisation. Multifidus atrophy ipsilateral to the side of osseous pathology has been demonstrated in man and pigs but has not been investigated in horses. Objective: To measure cross-sectional area (CSA) left/ right symmetry of equine multifidus ultrasonographically and relate asymmetry of multifidus with osseous spinal pathology in Thoroughbred racehorses. We hypothesised that ipsilateral multifidus CSA would be reduced when osseous pathological changes are present leading to left/right asymmetry in CSA. Methods: Twenty-two racehorses presen...
Efficacy of spinal manipulation and mobilisation on trunk flexibility and stiffness in horses: a randomised clinical trial. Spinal mobilisation and spinal manipulative therapy (SMT) are being applied to horses; however, there are limited objective measures of their effects on spinal mobility or stiffness in actively ridden horses. Objective: To quantify passive spinal movements induced during dorsoventral mobilisation of the trunk and to identify any potential effects of SMT on measures of spinal mobility within the thoracolumbar region in standing horses. We hypothesise that displacement amplitudes will be significantly increased across vertebral levels after SMT, compared to spinal mobilisation only within the co...
Inertial sensors for assessment of back movement in horses during locomotion over ground. Assessing back movement is an important part of clinical examination in the horse and objective assessment tools allow for evaluating success of treatment. Objective: Accuracy and consistency of inertial sensor measurements for quantification of back movement and movement symmetry during over ground locomotion were assessed; sensor measurements were compared to optical motion capture (mocap) and consistency of measurements focusing on movement symmetry was measured. Methods: Six nonlame horses were trotted in hand with synchronised mocap and inertial sensor data collection (landmarks: T6, T10,...
Saddle pressure patterns of three different training saddles (normal tree, flexible tree, treeless) in Thoroughbred racehorses at trot and gallop. To a large extent the success of a racehorse depends on effective and health preserving training methods. An important issue is the prevention of back pain. The influence of different types of training saddles (normal tree: S(A), treeless: S(B), flexible tree: S(C)) on the saddle pressure patterns in racehorses have not previously been investigated. It is commonly assumed that S(A) limits the motion of the back especially in the lower thoracic region during gallop. Objective: S(A) produces higher pressures in the caudal part of the saddle at trot (rising trot), canter and gallop (both in a joc...
Relationship between saddle pressure measurements and clinical signs of saddle soreness at the withers. Similar to human decubitus ulcers, local high pressure points from ill-fitting saddles induce perfusion disturbances of different degrees resulting in tissue hypoxia and alteration in sweat production. Objective: To relate the different clinical manifestations of saddle sores to the magnitude of saddle pressures at the location of the withers. Methods: Sixteen horses with dry spots after exercise (Group A) and 7 cases presented with acute clinical signs of saddle pressure in the withers area (Group B) were compared with a control group of 16 sound horses with well fitting saddles (Group C). Al...
The use of allied health therapies on competition horses in the North Island of New Zealand. To obtain data on the use of allied health therapy within competitive equestrian sport in the North Island of New Zealand. Methods: Data were collected during January 2010 by survey at show jumping and dressage championships in the North Island, and from racing yards in the Central Districts of New Zealand. The survey consisted of 30 open, closed and multiple-choice questions, and was conducted face-to-face, by the same interviewer. Information on the demographics of riders or trainers and horses in each discipline (show jumping, dressage, and Thoroughbred racing), the use of allied health the...
Working with horses: an OWAS work task analysis. Most work in horse stables is performed manually in much the same way as a century ago. It is the least mechanized sector dealing with large animals. People working with horses are exposed to several types of risk for developing musculoskeletal problems, but the work tasks and workload have not been investigated in detail. The aim of this study was to estimate the postural load of the work tasks performed around horses to find those that were harmful and required measures to be taken to reduce physical strain. Altogether, 20 subjects (stable attendants and riding instructors) were video record...
Dynamic mobilisation exercises increase cross sectional area of musculus multifidus. In human subjects with back pain, the deep spinal stabiliser m. multifidus is inhibited ipsilaterally leading to atrophy, asymmetry and intervertebral instability. Specific physiotherapeutic exercises are required to reactivate m. multifidus. This study assesses the effect of dynamic mobilisation exercises on size and symmetry of m. multifidus in the equine caudal thoracic and lumbar spine. Objective: Regular performance of dynamic mobilisation exercises over a period of 3 months increases cross sectional area (CSA) and left-right symmetry of m. multifidus muscles in the caudal thoracic and lu...
The role of manual therapies in equine pain management. Manual therapy includes a diverse array of techniques, such as touch therapies, massage, physical therapy, osteopathy, and chiropractic, that were originally developed for use in humans and have been gradually applied to horses. All forms of manual therapy have variable reported levels of effectiveness for treating musculoskeletal issues in humans, but mostly only anecdotal evidence exists in horses. This article explores the scientific literature for evidence of efficacy, safety, and common mechanisms of action of the different forms of manual therapies for potential use in managing acute or ...
Ultrasonographic findings in the lumbosacral joint of 43 horses with no clinical signs of back pain or hindlimb lameness. The transrectal ultrasonographic appearance of the lumbosacral joint was assessed in 43 horses with no history or clinical evidence of back pain or hindlimb lameness. In the majority of horses (34/43, 79.1%) the lumbosacral disc had uniform or mildly heterogeneous echogenicity. However, variation in the ultrasonographic appearance of the lumbosacral joint was also identified, including hyperechogenic regions within the lumbosacral disc with or without an acoustic shadow, and mild or moderate irregularity of the opposing surfaces of the last lumbar and the first sacral vertebral bodies. Marked ...
Distances between thoracic spinous processes in Warmblood foals: a radiographic study. The aetiological factors behind impinged or overriding of dorsal spinous processes ('kissing spine syndrome', KSS) are not clearly understood. Back conformation, breed, age, training and gender may play important roles in this condition. Radiographic changes vary and abnormalities are seen in many clinically normal horses, but the conclusion of previous studies in mature horses is that interspinous spaces <4 mm are considered too narrow and potentially indicative of KSS. Objective: To evaluate whether narrowing of the interspinous space was present in a population of normal Warmblood foals....
The effects of different saddle pads on forces and pressure distribution beneath a fitting saddle. Saddle pads are widely used in riding sports but their influence on saddle pressures is poorly understood. Objective: To evaluate the forces acting on the horse's back, and the eventual pressure distribution by using different saddle pads underneath a fitting saddle. Methods: Sixteen sound horses of different breeds and ages were ridden on a treadmill at walk and sitting trot. The horses were wearing a dressage saddle with a fitting saddle tree and 4 different saddle pads (gel, leather, foam and reindeer fur) successively. For comparison, measurements were made without any saddle pad. Right fo...
Accuracy of ultrasound-guided injections of thoracolumbar articular process joints in horses: a cadaveric study. Arthrosis of the articular process joints (APJs) in the caudal thoracolumbar region of horses may cause back pain and subsequent reduced performance or lameness. Ultrasound-guided injections of the APJs of the equine back have been described only briefly in the literature. Objective: To evaluate factors affecting the accuracy of intra-articular injections of the APJs in the caudal thoracolumbar region. Methods: One-hundred-and-fifty-four injections with blue dye were performed on APJs including the T14-L6 region in 12 horses subjected to euthanasia for reasons unrelated to back problems. The b...
Radiographic and scintigraphic evaluation of spondylosis in the equine thoracolumbar spine: a retrospective study. Clinical, radiographic and scintigraphic signs associated with spondylosis of the equine thoracolumbar spine have been poorly documented. Objective: To establish an objective radiographic and scintigraphic grading system for spondylosis lesions; to estimate the prevalence of spondylosis in a population of horses with back pain; and to compare the results of radiography and scintigraphy. Methods: Radiographic images of the thoracolumbar spine from 670 horses with clinical signs of back pain were graded. Scintigraphic images from horses with spondylosis lesions underwent subjective and objective...
Location of radiological lesions of the thoracolumbar column in French trotters with and without signs of back pain. The radiographs of 102 French trotters presented with signs of back pain were reviewed retrospectively, and a control group of 16 French trotters without back pain was analysed. The age, sex, type of race, number of starts, earnings and index of performance were recorded. Radiological evaluation was performed from the 14th thoracic (T14) to the third lumbar (L3) vertebra. Impingement of the spinous processes (ISP), periarticular proliferation of synovial intervertebral articulations (PP-SIA) and sclerosis of SIA (S-SIA) were located and graded. Radiological lesions were identified in 10 (62 pe...
Vertical forces on the horse’s back in sitting and rising trot. In equestrian sports, it is generally assumed that rising and sitting trot load the horse's back differently. The objective of this study was to quantify the load on the horse's back in these riding techniques. Kinematic data of 13 riders were collected in rising and sitting trot. The time-history of the position of the rider's centre of mass (CoM) was calculated, and differentiated twice to obtain the acceleration of the CoM. The reaction force between the rider and the horse's back was calculated from the acceleration. Forces were divided by the body weight of the rider to obtain dimensionle...