Analyze Diet
Australian veterinary journal2026; doi: 10.1111/avj.70059

Survey describing the perspectives and practices of Australian veterinarians to pain management in horses.

Abstract: To describe Australian practices and attitudes regarding equine analgesia. Methods: Cross-sectional anonymous, voluntary survey of Australian veterinarians treating equine patients. Methods: Australian veterinarians in equine or mixed practices completed a six-section, 60-question survey between November 2019 to August 2020. Information was gathered on demographics, analgesia prescription, pain assessment and attitudes surrounding specific analgesics. Respondents assigned a pain score ranging from 0 to 10 for various conditions; these were averaged to give each respondent an "average pain score". Results: Data from 153 respondents were included for analysis. The majority of respondents were female (68%). There was no obvious effect of gender on practice type, with approximately half of respondents working in equine exclusive (50.3%) or mixed (49.7%) practice irrespective of gender. Butorphanol was the most frequently used opioid, with 25.5% and 39.2% of respondents using it "every day" and "a few times a week", respectively. The use of nonsteroidal anti-inflammatory drugs (NSAIDs) was diverse, with phenylbutazone, flunixin and meloxicam being the most administered. Formal pain scales were infrequently used, with more than 35% of respondents reporting no pain scale being utilised commonly. In response to various clinical scenarios, veterinarians graduating less than 10 years ago were more likely to assign high average pain scores compared to respondents graduating more than 10 years ago (78.0% vs. 66.0%, respectively). Female veterinarians were more likely to assign high average pain severity scores than males (73.0% vs. 60.0%, respectively). However, in the multivariable analysis, none of the predictors were found to be statistically significant. Conclusions: This survey demonstrates that demographic factors influence the attitudes of Australian equine veterinarians regarding pain and there may be opportunities to educate and optimise pain assessment and protocol choices.
Publication Date: 2026-02-05 PubMed ID: 41644283DOI: 10.1111/avj.70059Google Scholar: Lookup
The Equine Research Bank provides access to a large database of publicly available scientific literature. Inclusion in the Research Bank does not imply endorsement of study methods or findings by Mad Barn.
  • Journal Article

Cite This Article

APA
Whitelock A, Goodwin W, Dryburgh L, Mshelbwala PP, Rae L, Marwedel L, Lok T, Kemp K, Stewart AJ. (2026). Survey describing the perspectives and practices of Australian veterinarians to pain management in horses. Aust Vet J. https://doi.org/10.1111/avj.70059

Publication

ISSN: 1751-0813
NlmUniqueID: 0370616
Country: England
Language: English

Researcher Affiliations

Whitelock, A
  • School of Veterinary Sciences, The University of Queensland, Gatton, Queensland, 4343, Australia.
Goodwin, W
  • School of Veterinary Sciences, The University of Queensland, Gatton, Queensland, 4343, Australia.
Dryburgh, L
  • Boehringer Ingelheim Animal Health Australia, 78 Waterloo Rd, North Ryde, New South Wales, 2113, Australia.
Mshelbwala, P P
  • School of Veterinary Sciences, The University of Queensland, Gatton, Queensland, 4343, Australia.
  • Department of Primary Industries and Regional Development, 105 Prince St, Orange, New South Wales, 2800, Australia.
Rae, L
  • Boehringer Ingelheim Animal Health Australia, 78 Waterloo Rd, North Ryde, New South Wales, 2113, Australia.
Marwedel, L
  • Boehringer Ingelheim Animal Health Australia, 78 Waterloo Rd, North Ryde, New South Wales, 2113, Australia.
Lok, T
  • Randwick Equine Specialists, Horsley Park, New South Wales, 2175, Australia.
Kemp, K
  • School of Veterinary Sciences, The University of Queensland, Gatton, Queensland, 4343, Australia.
Stewart, A J
  • School of Veterinary Sciences, The University of Queensland, Gatton, Queensland, 4343, Australia.

References

This article includes 44 references
  1. Matthews NS, Carroll GL. Review of equine analgesics and pain management. In: Proceedings of the 53rd Annual Convention of the American Association of Equine Practitioners, Orlando, Florida, USA, 1–5 December, 2007; 240–244.
  2. Sellon DC, Roberts MC, Blikslager AT et al. Effects of continuous rate intravenous infusion of Butorphanol on physiologic and outcome variables in horses after Celiotomy. J Vet Intern Med 2004;18:555–563. https://doi.org/10.1111/j.1939-1676.2004.tb02585.x.
  3. Sellon DC, Roberts MC, Blikslager AT et al. Continuous butorphanol infusion for analgesia in the postoperative colic horse. Vet Surg 2002;48:244–246.
  4. Daglish J, Mama KR. Pain: its diagnosis and Management in the Rehabilitation of horses. Vet Clin North Am Equine Pract 2016;32:13–29. https://doi.org/10.1016/j.cveq.2015.12.005.
  5. Raja SN, Carr DB, Cohen M et al. The revised International Association for the Study of Pain definition of pain: concepts, challenges, and compromises. Pain 2020;161:1976–1982. https://doi.org/10.1097/j.pain.0000000000001939.
  6. Molony V, Kent JE. Assessment of acute pain in farm animals using behavioral and physiological measurements. J Anim Sci 1997;75:266–272. https://doi.org/10.2527/1997.751266x.
  7. McFadzean WJM, Love EJ. Perioperative pain management in horses. Equine Vet Educ 2019;31:374–383. https://doi.org/10.1111/eve.12880.
  8. Clutton RE. Opioid Analgesia in Horses. Vet Clin North Am Equine Pract 2010;26:493–514. https://doi.org/10.1016/j.cveq.2010.07.002.
  9. Muir WW. Pain: mechanisms and Management in Horses. Vet Clin North Am Equine Pract 2010;26:467–480. https://doi.org/10.1016/j.cveq.2010.07.008.
  10. Dalla Costa E, Minero M, Lebelt D et al. Development of the horse grimace scale (HGS) as a pain assessment tool in horses undergoing routine castration. PLoS One 2014;9:e92281. https://doi.org/10.1371/journal.pone.0092281.
  11. Gleerup KB, Forkman B, Lindegaard C et al. An equine pain face. Vet Anaesth Analg 2015;42:103–114. https://doi.org/10.1111/vaa.12212.
  12. van Loon JPAM, Van Dierendonck MC. Monitoring acute equine visceral pain with the equine Utrecht University scale for composite pain assessment (EQUUS‐COMPASS) and the equine Utrecht University scale for facial assessment of pain (EQUUS‐FAP): a scale‐construction study. Vet J 2015;206:356–364. https://doi.org/10.1016/j.tvjl.2015.08.023.
  13. de Grauw JC, van Loon JPAM. Systematic pain assessment in horses. Vet J 2016;209:14–22. https://doi.org/10.1016/j.tvjl.2015.07.030.
  14. Fernández DL, Yáñez López JM, Tadich Gallo TA. Level of agreement in the recognition of pain among equine practitioners in Chile. Vet Mex OA 2016;3. https://doi.org/10.21753/vmoa.3.1.356.
  15. Taylor PM, Senior M. Update in advances in pain management for the equine practitioner. Equine Vet Educ 2019;31:340–342. https://doi.org/10.1111/eve.13009.
  16. Taylor PM, Pascoe PJ, Mama KR. Diagnosing and treating pain in the horse: where are we today? Vet Clin North Am Equine Pract 2002;18:1–19. https://doi.org/10.1016/S0749-0739(02)00009-3.
  17. Bowen IM, Redpath A, Dugdale A et al. BEVA primary care clinical guidelines: analgesia. Equine Vet J 2020;52:13–27. https://doi.org/10.1111/evj.13198.
  18. Driessen B, Bauquier SH, Zarucco L. Neuropathic pain Management in Chronic Laminitis. Vet Clin North Am Equine Pract 2010;26:315–337. https://doi.org/10.1016/j.cveq.2010.04.002.
  19. Robertson SA, Sanchez LC, Merritt AM et al. Effect of systemic lidocaine on visceral and somatic nociception in conscious horses. Equine Vet J 2005;37:122–127. https://doi.org/10.2746/0425164054223723.
  20. Lindegaard C, Thomsen MH, Larsen S et al. Analgesic efficacy of intra‐articular morphine in experimentally induced radiocarpal synovitis in horses. Vet Anaesth Analg 2010;37:171–185. https://doi.org/10.1111/j.1467-2995.2009.00521.x.
  21. Bell C, Rogers S, Taylor J et al. Improving the recognition of equine affective states. Animals (Basel) 2019;9:1124. https://doi.org/10.3390/ani9121124.
  22. Torcivia C, McDonnell S. Equine discomfort Ethogram. Animals 2021;11:580. https://doi.org/10.3390/ani11020580.
  23. Brand CA, Tropea J, Ibrahim JE et al. Measurement for improvement: a survey of current practice in Australian public hospitals. Med J Aust 2008;189:35–40. https://doi.org/10.5694/j.1326-5377.2008.tb01893.x.
  24. Scott IA, Denaro CP, Flores JL et al. Quality of care of patients hospitalized with congestive heart failure. Intern Med J 2003;33:140–151. https://doi.org/10.1046/j.1445-5994.2003.00362.x.
  25. Scott IA, Hickey AC, Sanders DCJ et al. Achieving better in‐hospital and after‐hospital care of patients with acute cardiac disease. Med J Aust 2004;180:S83–S88. https://doi.org/10.5694/j.1326-5377.2004.tb06076.x.
  26. Scott IA, Jones MA, Duke AB et al. Variations in indicated care of patients with acute coronary syndromes in Queensland hospitals. Med J Aust 2005;182:325–330. https://doi.org/10.5694/j.1326-5377.2005.tb06729.x.
  27. Price J, Marques JM, Welsh EM et al. Pilot epidemiological study of attitudes towards pain in horses. Vet Rec 2002;151:570–575. https://doi.org/10.1136/vr.151.19.570.
  28. Waran N, Williams VM, Clarke N et al. Recognition of pain and use of analgesia in horses by veterinarians in New Zealand. N Z Vet J 2010;58:274–280. https://doi.org/10.1080/00480169.2010.69402.
  29. Lorena SE, Luna SP, Lascelles BDX et al. Attitude of Brazilian veterinarians in the recognition and treatment of pain in horses and cattle. Vet Anaesth Analg 2013;40:410–418. https://doi.org/10.1111/vaa.12025.
  30. Rae L, MacNab N, Bidner S et al. Attitudes and practices of veterinarians in Australia to acute pain management in cats. J Feline Med Surg 2022;24:715–725. https://doi.org/10.1177/1098612x211043086.
  31. Mama KR, Hector RC. Therapeutic developments in equine pain management. Vet J 2019;247:50–56. https://doi.org/10.1016/j.tvjl.2019.02.010.
  32. Jochle W, Moore JN, Brown J et al. Comparison of detomidine, butorphanol, flunixin meglumine and xylazine in clinical cases of equine colic. Equine Vet J Suppl 1989;21:111–116. https://doi.org/10.1111/j.2042-3306.1989.tb05668.x.
  33. Driessen B. Pain: systemic and local/regional drug therapy. Clin Tech Equine Pract 2007;6:135–144. https://doi.org/10.1053/j.ctep.2007.05.006.
  34. Carregaro AB, Freitas GC, Ribeiro MH et al. Physiological and analgesic effects of continuous‐rate infusion of morphine, butorphanol, tramadol or methadone in horses with lipopolysaccharide (LPS)‐induced carpal synovitis. BMC Vet Res 2014;10:966. https://doi.org/10.1186/s12917-014-0299-z.
  35. Love EJ, Taylor PM, Clark C et al. Analgesic effect of butorphanol in ponies following castration. Equine Vet J 2009;41:552–556. https://doi.org/10.2746/042516409x391024.
  36. Maxwell LK, Thomasy SM, Slovis N et al. Pharmacokinetics of fentanyl following intravenous and transdermal administration in horses. Equine Vet J 2003;35:484–490. https://doi.org/10.2746/042516403775600415.
  37. Love EJ, Taylor PM, Whay HR et al. Postcastration analgesia in ponies using buprenorphine hydrochloride. Vet Rec 2013;172:635. https://doi.org/10.1136/vr.101440.
  38. Lopes C, Luna SP, Rosa AC et al. Antinociceptive effects of methadone combined with detomidine or acepromazine in horses. Equine Vet J 2016;48(5):613–618. https://doi.org/10.1111/evj.12483.
  39. Gozalo‐Marcilla M, Luna SP, Crosignani N et al. Sedative and antinociceptive effects of different combinations of detomidine and methadone in standing horses. Vet Anaesth Analg 2017;44:1116–1127. https://doi.org/10.1016/j.vaa.2017.03.009.
  40. Hasuo H, Kusunoki H, Kanbara K et al. Tolerable pain reduces gastric fundal accommodation and gastric motility in healthy subjects: a crossover ultrasonographic study. Biopsychosoc Med 2017;11(1):4. https://doi.org/10.1186/s13030-017-0089-5.
  41. Miron‐Shatz T, Ormianer M, Rabinowitz J et al. Physician experience is associated with greater underestimation of patient pain. Patient Educ Couns 2020;103(2):405–409. https://doi.org/10.1016/j.pec.2019.08.040.
  42. Surchat C, Carrard V, Gaume J et al. Impact of physician empathy on patient outcomes: a gender analysis. Br J Gen Pract 2022;72:e99–e107. https://doi.org/10.3399/bjgp.2021.0193.
  43. Hewson CJ, Dohoo IR, Lemke KA. Factors affecting the use of postincisional analgesics in dogs and cats by Canadian veterinarians in 2001. Can Vet J 2006;47:453–459.
  44. Nelson BP, Cohen D, Lander O et al. Mandated pain scales improve frequency of ED analgesic administration. Am J Emerg Med 2004;22:582–585. https://doi.org/10.1016/j.ajem.2004.09.003.

Citations

This article has been cited 0 times.