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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.
Methods of stimulating acupuncture points for treatment of chronic back pain in horses.
Journal of the American Veterinary Medical Association    November 15, 1989   Volume 195, Issue 10 1375-1379 
Klide AM, Martin BB.Horses with chronic back pain of 2 to 108 months' duration were treated using acupuncture (n = 15), laser acupuncture (n = 15), or injection acupuncture (n = 15). Horses were treated once a week for 8 treatments (mean) with needle acupuncture, 11 treatments with laser acupuncture, or 9 treatments with injection acupuncture. After treatment, 37 horses had alleviation of clinical signs of pain and could train and compete: 13 horses treated with needle acupuncture; 11 horses treated with laser acupuncture; and 13 horses treated with injection acupuncture. Seemingly, the 3 types of acupuncture wer...
Use of acupuncture for the treatment of chronic back pain in horses: stimulation of acupuncture points with saline solution injections.
Journal of the American Veterinary Medical Association    May 1, 1987   Volume 190, Issue 9 1177-1180 
Martin BB, Klide AM.Fifteen horses that could not train or perform their sport at an acceptable level because of chronic back pain of 2 to 24 months' duration, and that did not obtain lasting improvement from other previous treatments, were treated with acupuncture. The treatments consisted of injection of 1 ml of sterile saline (0.9% NaCl) solution, with no preservatives, at 9 acupuncture points. The horses were treated once a week for a mean of 9 treatments. The mean number of treatments before obvious improvement was 4. After treatment, 13 of the 15 horses had apparent alleviation of their signs of pain and co...
Treatment of chronic back pain in horses. Stimulation of acupuncture points with a low powered infrared laser.
Veterinary surgery : VS    January 1, 1987   Volume 16, Issue 1 106-110 doi: 10.1111/j.1532-950x.1987.tb00919.x
Martin BB, Klide AM.Fourteen horses that could not perform at their expected standards due to chronic back pain of 4 to 48 months duration, and had not obtained lasting improvement from other forms of therapy, were treated by stimulating nine acupuncture points using a low powered infrared laser (300 microW, 904 nm). The treatments were performed weekly, and consisted of stimulating each point for 2 minutes with a pulse frequency of 360 pulses per second. After completion of a mean of 11 treatments, clinical signs of back pain were alleviated in 10 of the 14 horses, there was no change in three, and one was lost ...
Relationship between intervertebral joint morphology and mobility in the equine thoracolumbar spine.
Equine veterinary journal    September 1, 1984   Volume 16, Issue 5 461-465 doi: 10.1111/j.2042-3306.1984.tb01981.x
Townsend HG, Leach DH.The anatomical features of 21 equine thoracolumbar spines, obtained from horses with clinically normal backs, were examined and the results compared with recent data on the mobility of the joint complexes of the horse's spine. The thoracolumbar spine can be divided into four regions based upon the morphology of the joint complexes: the first thoracic intervertebral joint (T1-2), the cranial and mid thoracic region (T2-T16), the caudal thoracic and lumbar region (T16-L6) and the lumbosacral joint. The mobility of the intervertebral joints in each of these regions can be related to their morphol...
Acupuncture for treatment of chronic back pain in the horse.
Acupuncture & electro-therapeutics research    January 1, 1984   Volume 9, Issue 1 57-70 doi: 10.3727/036012984816714848
Klide AM.Fifteen horses with chronic back pain for 1/2 to 9 years, who could not function normally, who did not obtain any lasting improvement from other previous treatments, were treated with acupuncture. The treatments were 20 minutes of manual acupuncture. The average number of treatments was 7.9 times administered at weekly intervals. After the acupuncture treatments were completed, 13 of the 15 horses were able to function normally.
Effect of induced back pain on gait and performance of trotting horses.
Equine veterinary journal    April 1, 1982   Volume 14, Issue 2 129-133 doi: 10.1111/j.2042-3306.1982.tb02366.x
Jeffcott LB, Dalin G, Drevemo S, Fredricson I, Björne K, Bergquist A.Back pain was induced in Standardbred horses by multiple intramuscular injections of a concentrated lactic acid solution into the left longissimus dorsi muscle. The investigation was divided into 2 parts. In Stage 1, 2 trotters were exercised on a treadmill and filmed by high speed cinematography before and after the induction of back pain. No signs of hindlimb lameness were evident and no quantitative changes in the components of the gait resulted, but a noticeable reduction was seen in performance capacity. Stage 2 involved a more intensive clinical and cinematic analysis of 3 horses. In the...
Disorders of the thoracolumbar spine of the horse–a survey of 443 cases.
Equine veterinary journal    October 1, 1980   Volume 12, Issue 4 197-210 doi: 10.1111/j.2042-3306.1980.tb03427.x
Jeffcott LB.The survey comprised 443 horses, referred to the clinical department of the Equine Research Station, with a history of a thoracolumbar (TL) complaint. A wide range of lesions were capable of producing back problems and more than one condition or site of injury was found in 75 animals (17 per cent). There were 103 horses (19.7 per cent) with no evidence of damage to the TL spine or its associated structures. In 66 of these cases, clinical signs were attributed to a variety of hindlimb lamenesses and, in 37, no specific diagnosis could be made. Soft tissue injury was diagnosed in 203 cases (38.8...
[Spine injuries due to horse riding. Part 1 (author’s transl)].
Unfallheilkunde    July 1, 1980   Volume 83, Issue 7 366-372 
Steinbrück K.No abstract available
Natural rigaidity of the horse’s backbone.
Equine veterinary journal    July 1, 1980   Volume 12, Issue 3 101-108 doi: 10.1111/j.2042-3306.1980.tb03393.x
Jeffcott LB, Dalin G.The functional anatomy of the thoracolumbar (TL) spine is considered in relation to the horse's ability to perform at speed and to jump. The morphological features quite clearly show the relative inflexibility of the equine back and this was confirmed by some experimental studies. Fresh post mortem specimens from 5 Thoroughbreds were used to estimate the limits of dorsoventral movement of the TL spine from mid-thoracic to the cranial lumbar (T10-L2). The individual spinous processes could be moved a mean 1.1-6.0 mm on maximum ventroflexion and 0.8-3.8 mm on dorsiflexion. The overall flexibilit...
The Fourth Sir Frederick Hobday Memorial Lecture. Back problems in the horse–a look at past, present and future progress.
Equine veterinary journal    July 1, 1979   Volume 11, Issue 3 129-136 doi: 10.1111/j.2042-3306.1979.tb01324.x
Jeffcott LB.The horse is predisposed to back injury by virtue of the type of work and intensity of competition to which it is subjected nowadays. This paper reviews some of the inherent difficulties in establishing meaningful criteria for the diagnosis and treatment of these injuries. It highlights some of the large gaps in knowledge, particularly in relation to the causative factors involved and the biomechanics of the equine spine. One controversial area in diagnosis and treatment concerns the possible subluxation of vertebral dorsal spinous processes and their subsequent reposition by means of man...
The treatment of horses with chronic back pain by resecting the summits of the impinging dorsal spinous processes.
Equine veterinary journal    July 1, 1975   Volume 7, Issue 3 115-119 doi: 10.1111/j.2042-3306.1975.tb03245.x
Jeffcott LB, Hickman J.This paper describes the surgical treatment of 14 horses exhibiting chronic back pain attributed to impaction and overriding of the dorsal spines in the thoracolumbar region. The technique involved the resection of the summits of one or more dorsal spines following midline division of the supraspinous ligament. All the horses returned to full work after a convalescent period of at least four months, and 12 of them showed considerable improvement in their form and performance. A post-surgical complication encountered in one case was the development of new bone on the edge of a resected spine. T...
[The spine and horseback riding].
Schweizerische medizinische Wochenschrift    May 24, 1975   Volume 105, Issue 21 668-675 
Hördegen KM.115 horseback riders have undergone clinical and radiologic examinations of the spine. A minimum of 10 years' riding was required. Depending on intensity of training and number of riding hours, the subjects were divided into three groups: roughriders, sport riders and hobby riders. It was striking that of the bare half of cases (51) suffering from lower back, only 8 (about 15%) had had medical treatment and actually been disabled. Moreover, 47% of the riders with lower back pain were painfree in the saddle, i.e. when riding. No causal connection was found between riding and a higher incidence ...
Symposium on back problems in the horse. Backs-clinical signs.
Equine veterinary journal    April 1, 1975   Volume 7, Issue 2 66-68 doi: 10.1111/j.2042-3306.1975.tb03232.x
Crowhurst RC.Diseases of the back of horse and man are not comparable owing to the great difference in anatomy and posture. Veterinary surgeons, particularly in the United Kingdom, are often requested to account for a poor performance due to suspected "back trouble" but a complete examination of the horse's back is most difficult and care must be taken first to exclude any limb or foot lesions. Diseases of the bones, nerves and muscles are briefly discussed. Diagnosis must be improved by new radiographic and biochemical tests before the significance of back lesions can be assessed or even treated.
Symposium on back problems in the horse. (2) The diagnosis of diseases of the horse’s back.
Equine veterinary journal    April 1, 1975   Volume 7, Issue 2 69-78 doi: 10.1111/j.2042-3306.1975.tb03234.x
Jeffcott LB.A description of some of the clinical features of low back pain in the horse has been given and a number of methods for assisting diagnosis considered. As well as a complete clinical examination both at rest and during exercise, a useful diagnostic aid in some chronic cases was the injection of local anaesthetic into the interspinous spaces. A laboratory examination, including haematological and biochemical profiles, was undertaken in all cases. The serum enzymes GOT and CPK were particularly valuable as an aid to diagnosis in atypical tying-up. A technique for radiography of the vertebral col...
Symposium on back problems in the horse. (3) Diseases of the horse’s spine-“comparative aspects”.
Equine veterinary journal    April 1, 1975   Volume 7, Issue 2 79-80 doi: 10.1111/j.2042-3306.1975.tb03235.x
Jackson RK.The structural differences in the spine of the horse and man are compared. These, together with the different uses to which the spine is put, explain the different patterns of disease. Impingement of the spinous processes is discussed in detail including surgical treatment. Comments are also made on sacroiliac strain and manipulation of the spine.
[Letter: Horseback riding in intervertebral disk lesions?].
Deutsche medizinische Wochenschrift (1946)    March 21, 1975   Volume 100, Issue 12 642-643 
Hördegen KM.No abstract available
Radiographic examination of the equine back case.
Journal of the South African Veterinary Association    March 1, 1975   Volume 46, Issue 1 133-136 
Jeffcott LB.No abstract available
Human direct actions may alter animal welfare, a study on horses (Equus caballus).
   March 17, 2026  
Back pain is the cause of bad welfare in humans and animals. Although vertebral problems are regularly reported on riding horses, these problems are not always identified nor noticed enough to prevent these horses to be used for work. Results: Nineteen horses from two riding centres were submitted to chiropractic examinations performed by an experienced chiropractor and both horses' and riders' postures were observed during a riding lesson. The results show that 74% of horses were severely affected by vertebral problems, while only 26% were mildly or not affected. The degree of vertebral probl...
Polysaccharide storage myopathy in the M. longissimus lumborum of showjumpers and dressage horses with back pain.
   March 17, 2026  
This study was designed to investigate whether horses with clinical signs of back pain due to suspected soft tissue injuries were affected by polysaccharide storage myopathy (PSSM). Diagnosis of PSSM in muscle biopsies obtained from the M. longissimus lumborum of 5 showjumpers and 4 dressage horses with a history of back pain is reported. M. longissimus lumborum biopsies of these horses were characterised histopathologically and in 3/9 cases also by electron microscopy. Observations were compared with M. gluteus biopsies of the same horses, and with M. gluteus biopsies obtained from 6 Standard...
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