by Kentucky Equine Research Staff
Back pain occurs frequently in horses and, depending on the degree of discomfort, can limit performance. To better understand back pain in athletic horses, veterinarians examined 75 horses with histories suggestive of back problems using equipment and techniques available to most practitioners.*
Horses were first examined at rest, noting conformation idiosyncrasies and muscle atrophy, as well as skin lesions from saddle marks. Responses to digital manipulation along the spine were also recorded. Rectal examinations performed on all horses revealed any abnormalities or pain in the pelvis (e.g., myositis, sacroiliitis, pelvic fracture, spondylosis, other sources of pain). Horses were then evaluated while hand-walking, longeing, and under saddle when ridden and jumping. Stretching exercises were also performed, enticing horses to take part by using treats placed by the horses’ elbows or between the forelimbs.
“At the walk, many horses had restricted hind limb movement and mobility, often raising the head and arching the back,” described Kathleen Crandell, Ph.D., a nutritionist for Kentucky Equine Research.
Further, tail-swishing when transitioning from trot to canter, stiffness, and poor hind limb impulsion were frequently noted. When horses were jumping, mistakes and refusals, including sliding stops, were noted.
Lateral radiographs of the thoracic dorsal spinous process and ultrasound examinations of the supraspinous and sacroiliac ligaments were performed. When indicated, mepivacaine blocks were performed in the interspinal space between painful spinous processes or the sacroiliac joint.
In that population of 75 horses, 18 horses were diagnosed with muscular strains, 30 cases of sacroiliac pain, and 16 cases of vertebral lesions such as crowding or spondylosis.
“Sacroiliac desmopathy was highly prevalent among the presented cases while interspinous desmopathy came next,” according to the examining veterinary team.
The team noted that back disorders may be attributable to ill-fitting tack, inadequate training, improper shoeing, and unequal distribution of rider weight.
Specific diagnoses may include lesions of the supraspinous, interspinous, and sacroiliac ligaments; strains of the longissimus muscle; impinging dorsal spinous processes or kissing spines; osteoarthritis; intervertebral disc disease; and vertebral fractures.
“In addition, the veterinarians cited poor management, including inadequate nutrition, as a potential contributing factor for back pain. Low-quality feeds and forages may not supply adequate nutrients important for strength and durability of the musculoskeletal system. Making sure your horse has a balanced diet with quality ingredients and proper amounts of vitamins and minerals is key to supporting healthy bone and muscle tissue,” advised Crandell.
Supporting optimal joint health can be achieved, at least in part, by supplementing horses with glucosamine, chondroitin sulfate, hyaluronic acid, and MSM found in quality supplements such as KER-Flex.
Horses included in this study were treated conservatively with rest for one to three months based on severity and nonsteroidal anti-inflammatory drugs (oral phenylbutazone or “bute”). In addition, horses that responded to the mepivacaine blocks were subsequently injected with the corticosteroid triamcinolone acetonide.
“Adequate rest and early treatment were prerequisites for recovery,” concluded the veterinarians.
*Shokry, M., L.B. Ali, and M. El-Sharkawy. 2025. Relationship between back pain and poor performance in show jumping athletic horses. Open Veterinary Journal 15(3):1480-1487.
Reprinted courtesy of Kentucky Equine Research. Kentucky Equine Research is an international equine nutrition, research, and consultation company serving horse owners and the feed industry. Our goals are to advance the industry's knowledge of equine nutrition and exercise physiology, apply that knowledge to produce healthier, more athletic horses, and support the nutritional care of all horses throughout their lives. Learn more at Kentucky Equine Research.
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