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Frontiers in veterinary science2021; 8; 734218; doi: 10.3389/fvets.2021.734218

Dangerous Behavior and Intractable Axial Skeletal Pain in Performance Horses: A Possible Role for Ganglioneuritis (14 Cases; 2014-2019).

Abstract: Dangerous behavior is considered an undesired trait, often attributed to poor training or bad-tempered horses. Unfortunately, horses with progressive signs of dangerous behavior are often euthanized due to concerns for rider safety and limitations in performance. However, this dangerous behavior may actually originate from chronic axial skeleton pain. This case series describes the medical histories and clinical presentations of horses presented for performance limitations and dangerous behavior judged to be related to intractable axial skeleton pain. Fourteen horses that developed severe performance limitations resulting in euthanasia were included. A complete spinal examination and behavioral responses, gait and neurologic evaluations, diagnostic imaging, gross pathologic and histopathologic examinations of the axial skeleton were performed on all horses. A tentative diagnosis of the affected spinal region was formulated using medical records, owner and trainer complaints, and antemortem examination findings. The selected spinal regions were further examined with gross and histopathologic evaluations of the associated osseous, soft tissue and neural tissues. Ten horses showed severe behavioral responses during the myofascial and mobilization examinations. Based on an aggregate evaluation, the cervicothoracic and lumbosacral regions were the most common regions believed to be the primary area of concern. All horses had moderate to severe ganglionitis present at multiple vertebral levels. Subdural and epidural hemorrhage or hematomas were a common finding (71%) in the cervicothoracic and lumbosacral regions. In this case series, neuropathic (i.e., structural) pain was judged to be the underlying cause of dangerous behavior. The dorsal root ganglia (DRG) serve an important role in relaying peripheral sensory information to the central nervous system and ganglionitis has been associated with neuropathic pain syndromes. This series highlights the need for more in-depth understanding of pain behavior and its clinical presentation and progression in chronic or severely affected horses. Limitations of the study are the lack of age-matched control DRG and the incomplete collection of DRG from every vertebral level of interest.
Publication Date: 2021-12-10 PubMed ID: 34957274PubMed Central: PMC8702524DOI: 10.3389/fvets.2021.734218Google Scholar: Lookup
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  • Journal Article

Summary

This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.

The research investigates the link between chronic axial skeleton pain in performance horses and dangerous behavior, suggesting that such pain, possibly resulting from ganglioneuritis, may lead to severe behavior changes, thus affecting performance and safety.

Study Purpose and Methodology

  • The study aimed to explore the possible connection between dangerous behavior in performance horses and chronic axial skeleton pain. This investigation was prompted by the observation that horses with progressive signs of dangerous behavior, often attributed to poor training or bad temperament, were frequently euthanized due to safety and performance worries.
  • The researchers compiled a case series involving the medical histories and clinical presentations of fourteen horses that exhibited dangerous behavior believed to be linked to unmanageable axial skeleton pain and had consequently been euthanized.
  • The researchers examined these horses using a complete spinal exam, behavioral responses, gait and neurologic evaluations, diagnostic imaging, as well as gross pathologic and histopathologic examinations of the axial skeleton. The team then used medical records, owner and trainer complaints and antemortem examination findings to form a tentative diagnosis of the affected spinal region.

Findings

  • Ten of the horses showed severe behavioral responses during the myofascial and mobilization examinations. The cervicothoracic and lumbosacral regions were identified as the most common areas of concern based on an aggregate evaluation.
  • All the horses were found to have moderate to severe ganglionitis at multiple vertebral levels. Furthermore, subdural and epidural hemorrhage or hematomas were commonly found (71%) in the cervicothoracic and lumbosacral regions.
  • The research concluded that neuropathic (structural) pain was the underpinning cause of the dangerous behavior observed in the affected horses. The dorsal root ganglia (DRG), responsible for transmitting peripheral sensory information to the central nervous system, were implicated due to the association of ganglionitis with neuropathic pain syndromes.

Conclusions and Limitations

  • The findings emphasize the need for a more profound understanding of pain behavior, its clinical presentation, and how it progresses in chronically or severely affected horses. This could lead to better management and treatment of health conditions in performance horses.
  • However, the study was not without limitations. There was a dearth of age-matched control DRG and incomplete collection of DRG from every vertebral level of interest, which could lead to potential biases in the findings.

Cite This Article

APA
Story MR, Nout-Lomas YS, Aboellail TA, Selberg KT, Barrett MF, Mcllwraith CW, Haussler KK. (2021). Dangerous Behavior and Intractable Axial Skeletal Pain in Performance Horses: A Possible Role for Ganglioneuritis (14 Cases; 2014-2019). Front Vet Sci, 8, 734218. https://doi.org/10.3389/fvets.2021.734218

Publication

ISSN: 2297-1769
NlmUniqueID: 101666658
Country: Switzerland
Language: English
Volume: 8
Pages: 734218
PII: 734218

Researcher Affiliations

Story, Melinda R
  • Department of Clinical Sciences, Orthopaedic Research Center, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins, CO, United States.
Nout-Lomas, Yvette S
  • Department of Clinical Sciences, Orthopaedic Research Center, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins, CO, United States.
Aboellail, Tawfik A
  • Department of Microbiology, Immunology, and Pathology, College of Veterinary Medicine and Biomedical Science, Colorado State University, Fort Collins, CO, United States.
Selberg, Kurt T
  • Department of Clinical Sciences, Orthopaedic Research Center, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins, CO, United States.
  • Department of Environmental and Radiological Health Sciences, College of Veterinary Medicine and Biomedical Science, Colorado State University, Fort Collins, CO, United States.
Barrett, Myra F
  • Department of Clinical Sciences, Orthopaedic Research Center, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins, CO, United States.
  • Department of Environmental and Radiological Health Sciences, College of Veterinary Medicine and Biomedical Science, Colorado State University, Fort Collins, CO, United States.
Mcllwraith, C Wayne
  • Department of Clinical Sciences, Orthopaedic Research Center, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins, CO, United States.
Haussler, Kevin K
  • Department of Clinical Sciences, Orthopaedic Research Center, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins, CO, United States.

Conflict of Interest Statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

References

This article includes 64 references
  1. Hothersall B, Casey R. Undesired behaviour in horses: a review of their development, prevention, management and association with welfare.. Equine Vet Educ (2012) 24:479–85.
  2. Fureix C, Menguy H, Hausberger M. Partners with bad temper: reject or cure? A study of chronic pain and aggression in horses.. PLoS One 2010 Aug 26;5(8):e12434.
  3. Dyson S, Van Dijk J. Application of a ridden horse ethogram to video recordings of 21 horses before and after diagnostic analgesia: reduction in behaviour scores.. Equine Vet Educ (2020) 32:104–11.
    doi: 10.1111/eve.13029google scholar: lookup
  4. Dyson S. Evaluation of poor performance in competition horses: a musculoskeletal perspective. Part 1: Clinical assessment.. Equine Vet Educ (2016) 28:284–93.
    doi: 10.1111/eve.12426google scholar: lookup
  5. Dyson SJ. Lesions of the equine neck resulting in lameness or poor performance.. Vet Clin North Am Equine Pract 2011 Dec;27(3):417-37.
    doi: 10.1016/j.cveq.2011.08.005pubmed: 22100038google scholar: lookup
  6. McDonnell SM. Is it psychological, physical, or both?. In: Proceedings of the American Association of Equine Practitioners AAEP. Seattle, WA (2005).
  7. Jeffcott LB, Haussler KK. Back and pelvis.. In: Hinchcliff KW, Kaneps AJ, Geor RJ, editors. Equine Sports Medicine and Surgery. Philadelphia, PA: Saunders; (2004). p. 433–74.
  8. Dyson S. Equine lameness: clinical judgment meets advanced diagnostic imaging.. In: Proceedings of the American Association of Equine Practitioners AAEP. Nashville, TN (2013). p. 92–122.
  9. Frank C, Madden DJ, Duncan C. Field Necropsy of the Horse.. Vet Clin North Am Equine Pract 2015 Aug;31(2):233-45.
    doi: 10.1016/j.cveq.2015.04.002pubmed: 26021522google scholar: lookup
  10. Haussler KK. Equine Manual Therapies in Sport Horse Practice.. Vet Clin North Am Equine Pract 2018 Aug;34(2):375-389.
    doi: 10.1016/j.cveq.2018.04.005pubmed: 29857966google scholar: lookup
  11. Hesbach AL. Manual therapy in veterinary rehabilitation.. Top Companion Anim Med 2014 Mar;29(1):20-3.
    doi: 10.1053/j.tcam.2014.02.002pubmed: 25103885google scholar: lookup
  12. Hyytiäinen HK, Mölsä SH, Junnila JT, Laitinen-Vapaavuori OM, Hielm-Björkman AK. Ranking of physiotherapeutic evaluation methods as outcome measures of stifle functionality in dogs.. Acta Vet Scand 2013 Apr 8;55(1):29.
    doi: 10.1186/1751-0147-55-29pmc: PMC3630007pubmed: 23566355google scholar: lookup
  13. Haussler KK. The role of manual therapies in equine pain management.. Vet Clin North Am Equine Pract 2010 Dec;26(3):579-601.
    doi: 10.1016/j.cveq.2010.07.006pubmed: 21056301google scholar: lookup
  14. Haussler KK, Jeffcott LB. Back and pelvis.. In: Hinchcliff KW, Kaneps AJ, Geor RJ, editors. Equine Sports Medicine and Surgery. 2nd ed. Philadelphia, PA: Saunders; (2014). p. 419–56.
  15. American Association of Equine Practitioners. Lameness Exams: Evaluating the Lame Horse.. Lexington, KY. Available online at: https://aaep.org/horsehealth/lameness-exams-evaluating-lame-horse (accessed May 1, 2021).
  16. Furr M, Reed S. Examination of the nervous system.. In: Furr M, Reed S, editors. Equine Neurology. 2nd ed. Ames, IA: Wiley; (2015). p. 67–78.
  17. Down SS, Henson FM. Radiographic retrospective study of the caudal cervical articular process joints in the horse.. Equine Vet J 2009 Jul;41(6):518-24.
    doi: 10.2746/042516409X391015pubmed: 19803045google scholar: lookup
  18. Berg LC, Nielsen JV, Thoefner MB, Thomsen PD. Ultrasonography of the equine cervical region: a descriptive study in eight horses.. Equine Vet J 2003 Nov;35(7):647-55.
    doi: 10.2746/042516403775696311pubmed: 14649355google scholar: lookup
  19. Brown KA, Davidson EJ, Johnson AL, Wulster KB, Ortved K. Inflammatory cytokines in horses with cervical articular process joint osteoarthritis on standing cone beam computed tomography.. Equine Vet J 2021 Sep;53(5):944-954.
    doi: 10.1111/evj.13392pubmed: 33222300google scholar: lookup
  20. Bergmann W, Bergknut N, Veraa S, Gröne A, Vernooij H, Wijnberg ID, Back W, Grinwis GCM. Intervertebral Disc Degeneration in Warmblood Horses: Morphology, Grading, and Distribution of Lesions.. Vet Pathol 2018 May;55(3):442-452.
    doi: 10.1177/0300985817747950pubmed: 29301464google scholar: lookup
  21. Haussler KK, Pool RR, Clayton HM. Characterization of bony changes localized to the cervical articular processes in a mixed population of horses.. PLoS One 2019;14(9):e0222989.
  22. Burdo TH, Orzechowski K, Knight HL, Miller AD, Williams K. Dorsal root ganglia damage in SIV-infected rhesus macaques: an animal model of HIV-induced sensory neuropathy.. Am J Pathol 2012 Apr;180(4):1362-9.
  23. Bangari DS, Pardo ID, Sellers R, Johnson JA, Ryan S, Thurberg BL. Peripheral Nerve Microscopic Changes Related to Study Procedures: Two Nonclinical Case Studies.. Toxicol Pathol 2020 Jan;48(1):220-227.
    doi: 10.1177/0192623319854328pubmed: 31319785google scholar: lookup
  24. Tallaj A, Coudry V, Denoix JM. Transrectal ultrasonographic examination of the sacroiliac joints of the horse: technique and normal images.. Eq Vet Educ (2019) 31:666–71.
    doi: 10.1111/eve.12845google scholar: lookup
  25. Tallaj A, Coudry V, Denoix JM. Transrectal ultrasonographic examination of the sacroiliac joints of the horse: abnormal findings and lesions.. Eq Vet Educ (2020) 32:33–8.
    doi: 10.1111/eve.12858google scholar: lookup
  26. Didierlaurent D, Contremoulins V, Denoix JM, Audigié F. Scintigraphic pattern of uptake of 99mTechnetium by the cervical vertebrae of sound horses.. Vet Rec 2009 Jun 27;164(26):809-13.
    doi: 10.1136/vr.164.26.809pubmed: 19561351google scholar: lookup
  27. Chapman KB, Groenen PS, Vissers KC, van Helmond N, Stanton-Hicks MD. The Pathways and Processes Underlying Spinal Transmission of Low Back Pain: Observations From Dorsal Root Ganglion Stimulation Treatment.. Neuromodulation 2021 Jun;24(4):610-621.
    doi: 10.1111/ner.13150pubmed: 32329155google scholar: lookup
  28. Lin XY, Yang J, Li HM, Hu SJ, Xing JL. Dorsal root ganglion compression as an animal model of sciatica and low back pain.. Neurosci Bull 2012 Oct;28(5):618-30.
    doi: 10.1007/s12264-012-1276-9pmc: PMC5561928pubmed: 23054639google scholar: lookup
  29. Hanani M, Spray DC. Author Correction: Emerging importance of satellite glia in nervous system function and dysfunction.. Nat Rev Neurosci 2020 Dec;21(12):732.
    doi: 10.1038/s41583-020-0333-zpmc: PMC7962572pubmed: 33093636google scholar: lookup
  30. Crawford LK, Caterina MJ. Functional Anatomy of the Sensory Nervous System: Updates From the Neuroscience Bench.. Toxicol Pathol 2020 Jan;48(1):174-189.
    doi: 10.1177/0192623319869011pubmed: 31554486google scholar: lookup
  31. Begum F, Zhu W, Cortes C, MacNeil B, Namaka M. Elevation of tumor necrosis factor α in dorsal root ganglia and spinal cord is associated with neuroimmune modulation of pain in an animal model of multiple sclerosis.. J Neuroimmune Pharmacol 2013 Jun;8(3):677-90.
    doi: 10.1007/s11481-013-9449-5pubmed: 23483352google scholar: lookup
  32. Guha D, Shamji MF. The Dorsal Root Ganglion in the Pathogenesis of Chronic Neuropathic Pain.. Neurosurgery 2016 Aug;63 Suppl 1:118-126.
    doi: 10.1227/NEU.0000000000001255pubmed: 27399376google scholar: lookup
  33. Krames ES. The dorsal root ganglion in chronic pain and as a target for neuromodulation: a review.. Neuromodulation 2015 Jan;18(1):24-32; discussion 32.
    doi: 10.1111/ner.12247pubmed: 25354206google scholar: lookup
  34. Jones E, Viñuela-Fernandez I, Eager RA, Delaney A, Anderson H, Patel A, Robertson DC, Allchorne A, Sirinathsinghji EC, Milne EM, MacIntyre N, Shaw DJ, Waran NK, Mayhew J, Fleetwood-Walker SM. Neuropathic changes in equine laminitis pain.. Pain 2007 Dec 5;132(3):321-331.
    doi: 10.1016/j.pain.2007.08.035pubmed: 17935886google scholar: lookup
  35. Zamboulis DE, Senior JM, Clegg PD, Gallagher JA, Carter SD, Milner PI. Distribution of purinergic P2X receptors in the equine digit, cervical spinal cord and dorsal root ganglia.. Purinergic Signal 2013 Sep;9(3):383-93.
    doi: 10.1007/s11302-013-9356-5pmc: PMC3757141pubmed: 23381684google scholar: lookup
  36. Dyson S, Rasotto R. Idiopathic hopping-like forelimb lameness syndrome in ridden horses: 46 horses (2002-2014).. Equine Vet Educ (2016) 28:30–9.
    doi: 10.1111/eve.12411google scholar: lookup
  37. Dyson S. Unexplained forelimb lameness possibly associated with radiculopathy.. Equine Vet Educ (2020) 32:92–103.
    doi: 10.1111/eve.12980google scholar: lookup
  38. Ricardi G, Dyson SJ. Forelimb lameness associated with radiographic abnormalities of the cervical vertebrae.. Equine Vet J 1993 Sep;25(5):422-6.
  39. Aydin S, Abuzayed B, Bozkus H, Keles E, Boyaciyan A, Sarioglu AC. Posttraumatic brachial plexitis.. J Trauma 2011 Dec;71(6):E136.
    doi: 10.1097/TA.0b013e31821c33bepubmed: 22182914google scholar: lookup
  40. Ciaramitaro P, Padua L, Devigili G, Rota E, Tamburin S, Eleopra R, Cruccu G, Truini A. Prevalence of Neuropathic Pain in Patients with Traumatic Brachial Plexus Injury: A Multicenter Prospective Hospital-Based Study.. Pain Med 2017 Dec 1;18(12):2428-2432.
    doi: 10.1093/pm/pnw360pubmed: 28340085google scholar: lookup
  41. Hsieh CT, Chang CF, Lin EY, Tsai TH, Chiang YH, Ju DT. Spontaneous spinal epidural hematomas of cervical spine: report of 4 cases and literature review.. Am J Emerg Med 2006 Oct;24(6):736-40.
    doi: 10.1016/j.ajem.2006.01.025pubmed: 16984848google scholar: lookup
  42. Kreppel D, Antoniadis G, Seeling W. Spinal hematoma: a literature survey with meta-analysis of 613 patients.. Neurosurg Rev 2003 Jan;26(1):1-49.
    doi: 10.1007/s10143-002-0224-ypubmed: 12520314google scholar: lookup
  43. Figueroa J, DeVine JG. Spontaneous spinal epidural hematoma: literature review.. J Spine Surg 2017 Mar;3(1):58-63.
    doi: 10.21037/jss.2017.02.04pmc: PMC5386890pubmed: 28435919google scholar: lookup
  44. Mateo I, Lorenzo V, Foradada L, Muñoz A. Clinical, pathologic, and magnetic resonance imaging characteristics of canine disc extrusion accompanied by epidural hemorrhage or inflammation.. Vet Radiol Ultrasound 2011 Jan-Feb;52(1):17-24.
  45. Salehpour F, Mirzaei F, Kazemzadeh M, Alavi SAN. Spontaneous Epidural Hematoma of Cervical Spine.. Int J Spine Surg 2018 Jan;12(1):26-29.
    doi: 10.14444/5005pmc: PMC6162037pubmed: 30280079google scholar: lookup
  46. Tidwell AS, Specht A, Blaeser L, Kent M. Magnetic resonance imaging features of extradural hematomas associated with intervertebral disc herniation in a dog.. Vet Radiol Ultrasound 2002 Jul-Aug;43(4):319-24.
  47. Zhong W, Chen H, You C, Li J, Liu Y, Huang S. Spontaneous spinal epidural hematoma.. J Clin Neurosci 2011 Nov;18(11):1490-4.
    doi: 10.1016/j.jocn.2011.02.039pubmed: 21920757google scholar: lookup
  48. Gold JR, Divers TJ, Miller AJ, Scrivani PV, Perkins GA, VanBiervliet J, de LaHunta A. Cervical vertebral spinal hematomas in 4 horses.. J Vet Intern Med 2008 Mar-Apr;22(2):481-5.
  49. Raja SN, Carr DB, Cohen M, Finnerup NB, Flor H, Gibson S, Keefe FJ, Mogil JS, Ringkamp M, Sluka KA, Song XJ, Stevens B, Sullivan MD, Tutelman PR, Ushida T, Vader K. The revised International Association for the Study of Pain definition of pain: concepts, challenges, and compromises.. Pain 2020 Sep 1;161(9):1976-1982.
  50. Woolf CJ. What is this thing called pain?. J Clin Invest 2010 Nov;120(11):3742-4.
    doi: 10.1172/JCI45178pmc: PMC2965006pubmed: 21041955google scholar: lookup
  51. Campbell JN, Meyer RA. Mechanisms of neuropathic pain.. Neuron 2006 Oct 5;52(1):77-92.
  52. . Part III: pain terms a a current list with definitions and notes on usage . Classification of chronic pain.. In: Merskey H, Bogduk N, editors. Seattle, WA: IASP Press; (2011). Available online at: https://www.iasp-pain.org/Education/Content (accessed May 1, 2021).
  53. Jensen TS, Finnerup NB. Allodynia and hyperalgesia in neuropathic pain: clinical manifestations and mechanisms.. Lancet Neurol 2014 Sep;13(9):924-35.
    doi: 10.1016/S1474-4422(14)70102-4pubmed: 25142459google scholar: lookup
  54. Goucke CR. The management of persistent pain.. Med J Aust 2003 May 5;178(9):444-7.
  55. Dyson S, Busoni V, Salciccia A. Intervertebral disc disease of the cervical and cranial thoracic vertebrae in equidae: eight cases.. Equine Vet Educ (2020) 32:437–43.
    doi: 10.1111/eve.13125google scholar: lookup
  56. Driessen B, Bauquier SH, Zarucco L. Neuropathic pain management in chronic laminitis.. Vet Clin North Am Equine Pract 2010 Aug;26(2):315-37.
    doi: 10.1016/j.cveq.2010.04.002pubmed: 20699178google scholar: lookup
  57. La Cesa S, Tamburin S, Tugnoli V, Sandrini G, Paolucci S, Lacerenza M, Marchettini P, Cruccu G, Truini A. How to diagnose neuropathic pain? The contribution from clinical examination, pain questionnaires and diagnostic tests.. Neurol Sci 2015 Dec;36(12):2169-75.
    doi: 10.1007/s10072-015-2382-zpubmed: 26410087google scholar: lookup
  58. Dalla Costa E, Minero M, Lebelt D, Stucke D, Canali E, Leach MC. Development of the Horse Grimace Scale (HGS) as a pain assessment tool in horses undergoing routine castration.. PLoS One 2014;9(3):e92281.
  59. Dyson S, Berger J, Ellis AD, Mullard J. Development of an ethogram for a pain scoring system in ridden horses and its application to determine the presence of musculoskeletal pain.. J Vet Behavior (2018) 23:47–57.
  60. Song KS, Cho JH, Hong JY, Lee JH, Kang H, Ham DW, Ryu HJ. Neuropathic Pain Related with Spinal Disorders: A Systematic Review.. Asian Spine J 2017 Aug;11(4):661-674.
    doi: 10.4184/asj.2017.11.4.661pmc: PMC5573862pubmed: 28874986google scholar: lookup
  61. Burns G, Dart A, Jeffcott L. Clinical progress in the diagnosis of thoracolumbar problems in horses.. Equine Vet Educ (2018) 30:477–85.
    doi: 10.1111/eve.12623google scholar: lookup
  62. Jeffcott LB. Disorders of the thoracolumbar spine of the horse--a survey of 443 cases.. Equine Vet J 1980 Oct;12(4):197-210.
  63. Nagy A, Dyson S, Barr A. Ultrasonographic findings in the lumbosacral joint of 43 horses with no clinical signs of back pain or hindlimb lameness.. Vet Radiol Ultrasound 2010 Sep-Oct;51(5):533-9.
  64. Boado A, Nagy A, Dyson S. Ultrasonographic features associated with the lumbosacral or lumbar 5–6 symphyses in 64 horses with lumbosacral-sacroiliac joint region pain (2012–2018).. Equine Vet Educ (2020) 32:136–43.
    doi: 10.1111/eve.13236google scholar: lookup

Citations

This article has been cited 1 times.
  1. Maldonado MD, Parkinson SD, Story MR, Haussler KK. The Effect of Chiropractic Treatment on Limb Lameness and Concurrent Axial Skeleton Pain and Dysfunction in Horses.. Animals (Basel) 2022 Oct 19;12(20).
    doi: 10.3390/ani12202845pubmed: 36290230google scholar: lookup