Equine Cervical Pain and Dysfunction: Pathology, Diagnosis and Treatment
Open Access
- 5 February 2021
- Vol. 11 (2), 422
- https://doi.org/10.3390/ani11020422
Abstract
Interest in the cervical spine as a cause of pain or dysfunction is increasingly becoming the focus of many equine practitioners. Many affected horses are presented for poor performance, while others will present with dramatic, sometimes dangerous behavior. Understanding and distinguishing the different types of neck pain is a starting point to comprehending how the clinical presentations can vary so greatly. There are many steps needed to systematically evaluate the various tissues of the cervical spine to determine which components are contributing to cervical pain and dysfunction. Osseous structures, soft tissues and the central and the peripheral nervous system may all play a role in these various clinical presentations. After completing the clinical evaluation, several imaging modalities may be implemented to help determine the underlying pathologic processes. There are multiple treatment options available and each must be carefully chosen for an individual horse. Provided is a synopsis of the current knowledge as to different disease processes that can result in cervical pain and dysfunction, diagnostic approaches and treatment strategies. Improving the knowledge in these areas will ideally help to return horses to a state of well-being that can be maintained over time and through the rigors of their job or athletic endeavors.Keywords
Funding Information
- Dr. Story is supported by the Leslie Malone Presidential Chair in Equine Sports Medicine (No grant number)
This publication has 136 references indexed in Scilit:
- Distribution of purinergic P2X receptors in the equine digit, cervical spinal cord and dorsal root gangliaPurinergic Signalling, 2013
- The Effect of Extracorporeal Shock Wave Therapy on Myofascial Pain SyndromeAnnals of Rehabilitation Medicine, 2012
- On Cervical Zygapophysial Joint Pain After WhiplashSpine, 2011
- What is this thing called pain?JCI Insight, 2010
- Nociceptors: the sensors of the pain pathwayJCI Insight, 2010
- Qualitative assessment of corticosteroid cervical articular facet injection in symptomatic horsesEquine Veterinary Education, 2010
- The fascia of the limbs and back – a reviewJournal of Anatomy, 2008
- Stabilization and mobility of the head, neck and trunk in horses during overground locomotion: comparisons with humans and other primatesJournal Of Experimental Biology, 2008
- Tensile stretching of cervical facet joint capsule and related axonal changesEuropean Spine Journal, 2007
- The pharmacokinetics of methocarbamol in the thoroughbred race horseJournal of Veterinary Pharmacology and Therapeutics, 1992