Survey of equine veterinarians regarding primary equine back pain in the United States.
Abstract: Back pain is a common complaint, clinical finding and performance limiting factor in sport horses. This study sought to gather current veterinary trends in the diagnosis, treatment and management of primary equine back pain in the United States. A 22 question survey was distributed electronically to equine practitioners through AAEP and ACVSMR listservs and through closed social media groups. The survey was open from April 20, 2022 to July 5, 2022. Responses were analyzed using Microsoft excel pivot tables. Ninety-seven survey responses were obtained and analyzed. Respondents reported the clinical signs most frequently relayed to them by the owner/rider/trainer of horses diagnosed with primary back pain were behavioral issues and poor performance. Most common diagnostic tests reported were radiography of the spinous processes, thoraco-lumbar vertebral bodies, and transcutaneous ultrasound of the thoraco-lumbar region. Most common pathologies reported were impinging dorsal spinous processes, degenerative sacro-iliac joint disease, and osteoarthritis in lumbar or thoracic articular process joints. In regards to impinging spinous process ("kissing spine") treatments, 72.2% of respondents recommended surgery only after non-surgical treatments failed, and 14.6% of respondents never recommended surgery. The majority (82%) of respondents reported some level of improvement in clinical signs of primary back pain with rehabilitation alone. To date, there has been no consensus or discussion about common abnormalities, diagnostic tests, treatments or management options for primary equine back pain in the United States. Results of this survey are a starting point showing current trends in diagnosis, treatment and management of primary equine back pain among equine practitioners in the United States showing 82% of practitioners using rehabilitation as a component of treatment.
Copyright © 2023 Marshall-Gibson, Durham, Seabaugh, Moorman and Ferris.
Publication Date: 2023-07-26 PubMed ID: 37565081PubMed Central: PMC10411723DOI: 10.3389/fvets.2023.1224605Google 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
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.
This research study aimed to collect current practices by veterinarians in diagnosing, treating, and managing primary back pain in horses in the United States. The study revealed that the most common symptoms of back pain in horses were behavioral problems and poor performance, and the majority of vets reported improvement in symptoms with rehabilitation treatment alone.
Methodology of the Study
- The study distributed a 22-question online survey to horse doctors, using various professional platforms and closed social media groups.
- The survey remained open for responses from April to July 2022.
- The collected responses were analyzed using Microsoft Excel pivot tables. In total, 97 survey responses were obtained and analyzed for the study.
Key Findings of the Study
- The most frequently reported symptoms of primary back pain in horses were behavioral issues and diminished performance. These were signs usually noticed by the owner, rider or trainer of the horse.
- Vets often used diagnostic tests such as X-rays of the spine, thoraco-lumbar vertebral bodies, and external ultrasound of the thoraco-lumbar region to diagnose back pain in horses.
- The most commonly reported causes of back pain in horses were impinging dorsal spinous processes (an issue commonly known as “kissing spine”), degenerative disease of the sacro-iliac joint, and osteoarthritis in the lumbar or thoracic joints.
- Among the respondents treating horses with impinging dorsal spinous processes, 72.2% recommended surgery only after non-surgical treatments had failed. A further 14.6% of respondents never recommended surgery for this condition.
- The majority (82%) of vets reported improvements in signs of primary back pain in horses when using rehabilitation treatments alone.
Conclusion of the Study
- Critical findings from this research contribute to the present understanding of primary equine back pain in the United States.
- While there previously was no consensus on commonly observed abnormalities, diagnostic tests, treatments or management strategies used for primary back pain in horses, this study provides a starting point in the discussion.
- The report found a prevalent trend among equine practitioners towards using rehabilitation treatment for primary back pain in horses, with 82% of participants incorporating it into their management strategies.
Cite This Article
APA
Marshall-Gibson ME, Durham MG, Seabaugh KA, Moorman VJ, Ferris DJ.
(2023).
Survey of equine veterinarians regarding primary equine back pain in the United States.
Front Vet Sci, 10, 1224605.
https://doi.org/10.3389/fvets.2023.1224605 Publication
Researcher Affiliations
- Front Range Equine Performance LLC, Berthoud, CO, United States.
- Independent Researcher, Marina, CA, United States.
- Department of Clinical Sciences, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins, CO, United States.
- Orthopaedic Research Center, Colorado State University, Fort Collins, CO, United States.
- Department of Large Animal Medicine Surgery and Lameness Service, Veterinary Teaching Hospital University of Georgia, Athens, GA, United States.
- Summit Equine Inc., Gervais, OR, United States.
Conflict of Interest Statement
DF is employed by Summit Equine Inc. The remaining 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 15 references
- Haussler KK. Chiropractic evaluation and management of musculoskeletal disorders. In: Ross MW. and SJ Dyson, eds. Diagnosis and Management of Lameness in the Horse. 2nd ed. St. Louis, MO: Elsevier Inc; (2011). 892–901.
- Riccio B, Fraschetto C, Villanueva J, Cantatore F, Bertuglia A. Two multicenter surveys on equine Back-pain 10 years a part. Front Vet Sci (2018) 5:195.
- Clayton HM. Equine back pain reviewed from a motor control perspective. Comparative Exercise Phys (2012) 8:145–52.
- Martin BB. Physical examination of horses with back pain. Vet Clin N Am (1999) 15:61–70.
- Lesimple C, Fureix C, Biquand V, Hausberg M. Comparison of clinical examinations of back disorders and humans’ evaluation of back pain in riding school horses. BMC Vet Res (2013) 9:209.
- Wilson JM, McKenzie E, Duesterdieck-Zellmer K. International survey regarding the use of rehabilitation modalities in horses. Front Vet Sci (2018) 5:120.
- George S, Fritz J, Silfies S, Schneider M, Beneciuk J, Lentz T. Interventions for the management of acute and chronic low back pain: revision 2021. J Orthop Sports Phys Ther (2021) 51:CPG1–CPG60.
- Prisk AJ, García-López JM. Long-term prognosis for return to athletic function after Interspinous ligament desmotomy for treatment of impinging and overriding dorsal Spinous processes in horses: 71 cases (2012-2017). Vet Surg (2019) 48:1278–86.
- Jeffcott LB, Hickman J. The treatment of horses with chronic back pain by resecting the summits of the impinging dorsal spinous processes. Equine Vet J (1975) 7:115–9.
- Walmsley JP, Petterson H, Winberg F, Mc EF. Impingement of the dorsal spinous processes in two hundred and fifteen horses: case selection, surgical technique and results. Equine Vet J (2002) 34:23–8.
- Perkins JD, Schumacher J, Kelly G, Pollock P, Harty M. Subtotal ostectomy of dorsal spinous processes performed in nine standing horses. Vet Surg (2005) 34:625–9.
- Coomer RP, Mc Kane SA, Smith N, Vandeweerd JM. A controlled study evaluating a novel surgical treatment for kissing spines in standing sedated horses. Vet Surg (2012) 41:890–7.
- Jacklin BD, Minshall GJ, Wright IM. A new technique for subtotal (cranial wedge) ostectomy in the treatment of impinging/overriding spinous processes: description of technique and outcome of 25 cases. Equine Vet J (2014) 46:339–44.
- Debrosse FG, Perrin R, Launois T, Vandeweerd JME, Clegg PD. Endoscopic resection of dorsal spinous processes and interspinous ligament in ten horses. Vet Surg (2007) 36:149–55.
- American Association of Equine Practitioners. American Association of Equine Practitioners Economic Report. (2018).
Use Nutrition Calculator
Check if your horse's diet meets their nutrition requirements with our easy-to-use tool Check your horse's diet with our easy-to-use tool
Talk to a Nutritionist
Discuss your horse's feeding plan with our experts over a free phone consultation Discuss your horse's diet over a phone consultation
Submit Diet Evaluation
Get a customized feeding plan for your horse formulated by our equine nutritionists Get a custom feeding plan formulated by our nutritionists