Equine back disorders 2. Treatment options

Findley, Judith; Singer, E. R.

doi:10.1136/inp.i75

Cited by 3 publications

(12 citation statements)

References 14 publications

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“…The numerous studies evaluating the accuracy of US-guided injections in the axial and sacroiliac region compared to “blind techniques” could have helped the diffusion in clinical settings [ 34 , 36 – 38 ]. Although there is limited evidence of its effectiveness [ 32 , 33 ], mesotherapy was perceived as a therapy with good efficacy between respondents to our last survey. The topical administration was the prevailing route for drugs administration in the 2016' survey because perceived as more effective.…”

Section: Discussionmentioning

confidence: 90%

“…The two surveys confirmed that corticosteroids are the main drug family used by the interviewed veterinarians to treat back disorders. Interestingly, the use of a distillate of powdered of pitchered plant (Sarracenia purpurin) as an analgesic agent is still widespread, although its efficacy with regard to horses is not documented in literature [ 33 ]. This data is surprising also considering the limited availability of the corresponding commercial preparations (Sarapin®, P-Block®) in most European countries and the counterproductive effect that could have in mesotherapy [ 32 ].…”

Section: Discussionmentioning

confidence: 99%

“…Interestingly, the use of systemic bisphosphonates has tripled comparing data between our two questionnaires, even if the majority of veterinarians considered them of limited clinical value. Controlled clinical trials have been published on bisphosphonates' effect in back-pain over the last 10 years [ 33 , 39 ] and this could have influenced the use by practitioners during such period. The results of our study can indicate a limited tendency to use biological therapies, homeopathies (Traumeel®, Zeel®), central muscle relaxant, and other preparations locally injected (Sodium Clorure, iodine, or ozone) by European horse clinicians.…”

Section: Discussionmentioning

confidence: 99%

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Two Multicenter Surveys on Equine Back-Pain 10 Years a Part

Riccio¹,

Fraschetto

Villanueva

et al. 2018

Front. Vet. Sci.

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Despite back-pain being a common cause of poor performance in sport horses, a tailored diagnostic workflow and a consolidated therapeutic approach are currently lacking in equine medicine. The aim of the study was to assess the evolution in the veterinarian approach to diagnose and treat back-pain over a 10 years period. To investigate this topic, two surveys were addressed to equine veterinarians working in practice throughout Europe 10 years apart (2006 and 2016). The answers were organized in an Excel dataset and analyzed. There were 47 respondents in 2006 and 168 in 2016, from 8 European Countries. The main reasons for examining horses with back-pain were poor performance (76%), behavioral issues (68%), and lameness (50%). When assessing back pain, 97% of respondents applied careful digital pressure over paravertebral muscles, 90% of them used digital back mobilization, and 69% was detecting areas of localized heat. The use of diagnostic analgesia to confirm the source of pain was rarely employed. Radiography and ultrasonography were the most frequent diagnostic imaging modalities used to investigate the causes of back-pain in both surveys. Obtaining a definitive diagnosis in horses with back-pain is considered challenging due to the reduced accessibility of the area and the variability in the pain manifestations. Corticosteroids injections were used for local treatments by 80% of respondents in 2006 and 92% in 2016. Recently, ultrasonography has been extensively used during the injections of the vertebral articular facets and sacroiliac joints region. The use of complementary therapies was restricted to a low percentage of respondents in the first survey (20%) but it increased over the decade. In 2016, a wider percentage of respondents considered osteopathy (40%), kinesiotherapy (29%), and acupuncture (22%) when treating back disorders compared to 2006. The structural differences of the two surveys did not enable a direct data comparison. Based on the results of this surveys, however, veterinarians should be sensitized to the back-pain problems and seek to integrate findings from clinical research studies in their daily practice.

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Section: Discussionmentioning

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Two Multicenter Surveys on Equine Back-Pain 10 Years a Part

Riccio¹,

Fraschetto

Villanueva

et al. 2018

Front. Vet. Sci.

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“…Different techniques for subtotal ostectomy have been described. An open method can be achieved both under general anaesthesia or in a standing position with the help of sedation and local anaesthesia techniques 15,23–27 . As described by Perkins et al., this procedure is associated with less haemorrhage as well as fewer anaesthetic and sedation‐related complications 27 .…”

Section: Discussionmentioning

confidence: 99%

Erector spinae plane block as part of a multimodal analgesic approach in an anaesthetised horse undergoing dorsal spinous process ostectomy and desmotomy

Rodriguez

Medina‐Serra

Lynch

et al. 2022

Vet Record Case Reports

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A 14‐year‐old Irish sport horse presented to our institution with a history of right forelimb lameness and left‐sided back pain. Radiography and nuclear scintigraphy were performed under sedation and the horse was diagnosed with overriding dorsal spinous processes, also known as kissing spine syndrome. Surgical treatment consisted of dorsal spinous process ostectomy and desmotomy under general anaesthesia. This case report summarises the perianaesthetic management, which included an erector spinae plane block as part of a multimodal analgesic approach.

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“…While recognising the placebo effect, in general terms an improvement in performance usually does indicate a pain‐related problem. A failure to observe improvement does not preclude pain: some causes of pain, for example sacroiliac joint region pain, may be unaffected (Findley and Singer 2016). However, in our case series three out of four horses which were administered phenylbutazone were reported by owners to have no change in headtossing behaviour, which is potentially confusing.…”

Section: Discussionmentioning

confidence: 99%

Head tossing behaviour in six horses: Trigeminal‐mediated head‐shaking or musculoskeletal pain?

Thomson

chan

Dyson

2019

Equine Veterinary Education

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The objective of this study was to report the clinical findings of six horses referred for investigation of head-shaking and to compare and contrast the findings to those of trigeminalmediated head-shaking. The case records of six horses showing head tossing behaviour (vertical up and down movement of the head during ridden exercise) that were referred to the Animal Health Trust were reviewed and a summary of the clinical findings reported. The history was appraised, including video footage when available. A comprehensive clinical examination at rest and exercise, including ridden assessment, was performed on several occasions over at least 2 days; diagnostic analgesia and imaging were carried out. A thorough review of the literature on trigeminal-mediated (idiopathic) head-shaking was performed. All horses showed headtossing behaviour when ridden and two horses also tossed their heads on the lunge. All horses had various sources of musculoskeletal pain. Five horses had abolition of headtossing behaviour after diagnostic analgesia resolved musculoskeletal pain. The remaining horse had significant improvement in this behaviour. This horse also displayed clinical signs at rest and it is likely that there was a component of trigeminal-mediated head-shaking. Many horses with trigeminal-mediated headshaking show clinical signs both at rest and when ridden, often with worsening of clinical signs when ridden. However, all horses in this series showed additional signs of musculoskeletal pain when ridden compared with in hand and on the lunge. None of these horses displayed excessive sneezing or snorting, acting like an insect was flying up the nostril and rubbing and/or striking at the nose with the forelimbs which can often be seen in horses with trigeminalmediated head-shaking. No horse had a history of seasonality of clinical signs. It was concluded that it is important for veterinarians to recognise behavioural signs of pain, such as headtossing during ridden exercise and to be able to differentiate this behaviour from trigeminal-mediated head-shaking.

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Equine back disorders 2. Treatment options

Cited by 3 publications

References 14 publications

Two Multicenter Surveys on Equine Back-Pain 10 Years a Part

Two Multicenter Surveys on Equine Back-Pain 10 Years a Part

Erector spinae plane block as part of a multimodal analgesic approach in an anaesthetised horse undergoing dorsal spinous process ostectomy and desmotomy

Head tossing behaviour in six horses: Trigeminal‐mediated head‐shaking or musculoskeletal pain?

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