Pain: mechanisms and management in horses.
Abstract: Pain is a multidimensional sensory phenomenon that has evolved as a protective method for maintaining homeostasis and facilitating tissue repair. Both excitatory and inhibitory physiologic and pathologic mechanisms are involved in its generation and maintenance. Untreated pain and nervous system changes (plasticity) that occur during chronic pain make pain much more difficult or impossible to effectively treat. Therapies directed toward the treatment of pain should be mechanism based and preventative whenever possible. Prospective, randomized clinical trials conducted in horses that suffer from naturally occurring pain will help to determine the current best approaches to effective pain therapy.
Copyright © 2010 Elsevier Inc. All rights reserved.
Publication Date: 2010-11-09 PubMed ID: 21056294DOI: 10.1016/j.cveq.2010.07.008Google Scholar: Lookup
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Summary
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The research article summarizes the study on pain mechanisms and management strategies in horses, emphasizing that untreated pain and consequent changes in the nervous system can lead to chronic pain that can be extremely hard to treat.
Understanding Pain in Horses
- The study aims to delve into the complex nature of pain in horses. Pain is described as a multidimensional sensory phenomenon that serves as a protective mechanism to preserve internal equilibrium (homeostasis) and aid tissue repair.
- Pain mechanisms incorporate both excitatory and inhibitory physiological responses, including certain pathological conditions. These mechanisms contribute to the generation and sustained experience of pain.
Consequences of Untreated Pain
- The authors underscore the severe implications of untreated pain. Changes in the nervous system, a process referred to as ‘plasticity,’ occur during chronic pain stages, making the pain increasingly challenging or potentially impossible to treat effectively.
Approach to Pain Management
- The study emphasizes that therapeutic strategies aimed at managing pain should be directed by the understanding of the pain mechanisms and should be preventive whenever feasible.
Need for Further Research
- The authors argue for the need of prospective, randomized clinical trials involving horses suffering from naturally occurring pain. Such research would help determine the most effective strategies for pain management in horses currently.
- Such well-structured studies would contribute significantly to enhancing our understanding of pain mechanisms in horses and shaping more effective pain therapy regimes.
Cite This Article
APA
Muir WW.
(2010).
Pain: mechanisms and management in horses.
Vet Clin North Am Equine Pract, 26(3), 467-480.
https://doi.org/10.1016/j.cveq.2010.07.008 Publication
Researcher Affiliations
- Equine Anesthesia and Analgesia Consulting Services, 338 West 7th Avenue, Columbus, OH 43201, USA. bill.muir@amcny.org
MeSH Terms
- Adrenergic alpha-2 Receptor Agonists / therapeutic use
- Analgesics / therapeutic use
- Analgesics, Opioid / therapeutic use
- Animals
- Anti-Inflammatory Agents / therapeutic use
- Complementary Therapies / veterinary
- Horse Diseases / physiopathology
- Horse Diseases / therapy
- Horses
- Pain / physiopathology
- Pain / veterinary
- Pain Management
- Pain Measurement / veterinary
- Veterinary Drugs / therapeutic use
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