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The Veterinary clinics of North America. Equine practice2026; S0749-0739(26)00013-1; doi: 10.1016/j.cveq.2026.02.001

Evaluation and Management of the Horse with Head and Neck Disorders.

Abstract: Recognizing possible causes of equine head and neck problems requires a careful and systematic evaluation. While for some disorders reaching a diagnosis and treatment plan is relatively straightforward, for others this can be a complicated road requiring extensive diagnostic techniques, treatment trials, and management strategies. The ability to determine whether the patient is in a painful state, experiencing functional deficits, or in a combination of pain and dysfunction is critical to developing an effective treatment plan. Frequently, behavioral concerns often associated with pain must be considered to ensure human safety as well as the welfare of the horse.
Publication Date: 2026-04-09 PubMed ID: 41963202DOI: 10.1016/j.cveq.2026.02.001Google Scholar: Lookup
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Summary

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Overview

  • This article discusses the evaluation and management of horses presenting with head and neck disorders, emphasizing the complexity of diagnosing and treating these conditions.
  • It highlights the importance of identifying pain and functional impairments to develop effective treatment strategies, while also considering behavioral issues for safety and welfare.

Detailed Explanation

Recognition and Diagnosis of Head and Neck Disorders in Horses

  • A careful and systematic approach is essential when evaluating horses with head and neck problems to accurately identify possible causes.
  • Some disorders have straightforward diagnostic paths, allowing for quick identification and treatment planning.
  • Other conditions may require extensive diagnostic techniques, including advanced imaging or laboratory tests, to arrive at a definitive diagnosis.
  • Repeated treatment trials may be necessary when diagnosis is unclear, to evaluate responses and refine management strategies accordingly.

Assessment of Pain and Functional Deficits

  • Determining if the horse is experiencing pain, functional deficits (e.g., difficulty swallowing, breathing, or moving the head and neck), or both is critical.
  • Pain may manifest through behavioral changes, which can sometimes be subtle but are important indicators for effective treatment.
  • Functional deficits impact the horse’s quality of life and may require specific therapeutic interventions or supportive care.

Management and Treatment Strategies

  • Effective treatment planning depends on the comprehensive evaluation of pain and dysfunction.
  • Management may involve medical treatment, surgical intervention, physical therapy, or combinations tailored to the disorder.
  • Behavioral concerns related to pain or neurological impairment must be addressed to ensure proper welfare and reduce risks to handlers.
  • Safety considerations for humans are critical, as horses in pain or with neurological deficits may exhibit unpredictable or dangerous behaviors.

Importance of the Horse’s Welfare

  • Ensuring the horse’s welfare includes managing pain adequately and addressing behaviors linked to discomfort or dysfunction.
  • A comprehensive evaluation balances the goals of treatment efficacy, animal comfort, and human safety.
  • Ongoing assessment during treatment helps monitor progress and adapt strategies as needed to optimize outcomes.

Cite This Article

APA
Story MR, Nout-Lomas YS. (2026). Evaluation and Management of the Horse with Head and Neck Disorders. Vet Clin North Am Equine Pract, S0749-0739(26)00013-1. https://doi.org/10.1016/j.cveq.2026.02.001

Publication

ISSN: 1558-4224
NlmUniqueID: 8511904
Country: United States
Language: English
PII: S0749-0739(26)00013-1

Researcher Affiliations

Story, Melinda R
  • Equine Sports Medicine, Colorado State University, Fort Collins, CO, USA. Electronic address: Melinda.Story@colostate.edu.
Nout-Lomas, Yvette S
  • Equine Medicine, Colorado State University, Fort Collins, CO, USA.

Conflict of Interest Statement

Disclosure The authors have no commercial or financial conflicts of interest or funding sources related to this report.

Citations

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