
10/01/2025
Have you ever been involved with a horse who has developed “behavioural” issues which seemingly cannot be resolved? Or bought a new horse whose behaviour seems vastly different than it was when you tried it ?
Below are some excerpts from a study on neurological pain in horses and the link to the full (lengthy) study. I’ve posted this because I often get asked to help with horses whose behaviour has changed/deteriorated. Or even some which have had “bad behaviour” since they have been with their owner. And there are also the ones I get told about but don’t get invited to help before the owner has them PTS😢.
It’s pretty common for me to consider that horses have some level of neuropathic pain when I am treating them. Fortunately in most cases the work I do combined with some changes to address the root cause will be sufficient to resolve or at least manage the problem. But it is likely to take multiple treatments and may not be a quick fix. I’m interested to find that my bioresonance/biofeedback system which is my latest addition to my skill set has reinforced that neurological pain is frequently identified. I’m encouraged that some of what it comes up with is very consistent with what I can feel when I’m treating the horses.
Here is some info from the study
“It is all too common that a rider purchases a new horse with excitement and high aspirations, but because of health or training issues, those expectations are never realized. These training limitations sometimes progress to dangerous behavior such as kicking out, refusing to go forward, bucking and rearing. The horse is then characterized as a problem horse, and training methods may become more punitive. Undesired behavior in horses most often stems from their attempt to avoid fear or pain (1, 2). Horses may develop undesirable traits that progress to dangerous behavior for a multitude of reasons that include lack of clear communications or use of aids, improper training, lameness (3), poor saddle fit (4), axial skeletal pain (5), and gastrointestinal or reproductive abnormalities (6). Some trainers acknowledge that the bad behavior may stem from undiscovered physical problems and they enlist the help of medical professionals. Routine therapies are often applied, and the horse is asked to go back to work; however, the behavioral concerns continue or are only alleviated for short periods of time. A therapeutic trial of non-steroidal anti-inflammatory (NSAIDs) medication over several days followed by ridden exercise can be used to determine whether bad behavior may have an underlying inflammatory or pain component (7). Although a negative response (i.e., no improvement to NSAIDS) does not preclude the presence of pain (8), this response may reinforce the perception that the affected horse has behavioral issues and needs more aggressive training. Unfortunately, this approach may exacerbate the underlying pain behavior. The horse may become more dangerous until the owner or trainer eventually give up and sell the horse; only for the process to be repeated with a new trainer and veterinarian. After much expense, and long durations of frustrating diagnostics and trials of ineffective treatments, owners may finally opt to euthanize the horse; for the safety of the rider and the well-being of the horse. If these horses are euthanized, a routine necropsy (9) often fails to provide any additional insights as to the cause of the dangerous behavior. The owners are eventually left wondering whether euthanasia of their horse was justified due to the lack of clinically significant pathologic findings.
The cervicothoracic region (C7-T4) was the most common region identified as the site of pain and dysfunction, followed by the lumbosacral junction (L6-S1) and then cervical region (C2-C7). The neuroanatomical localization of neuropathic pain to the cervicothoracic region (C7-T4) and brachial plexus was based on the presence of forelimb lameness and ipsilateral reactivity to dorsal scapular mobilization combined with ipsilateral bending of the neck. Interestingly, brachial plexus injuries are highly associated with the presence of neuropathic pain in humans and include inflammatory brachial plexopathies and plexitis due to idiopathic, traumatic (39), viral, bacterial and immune-mediated mechanisms (40). Similar inflammatory and immunologic mechanisms need to be explored in horses.
Pain is defined as “an unpleasant sensory and emotional experience” (49) and is categorized as nociceptive, inflammatory or pathological (50). Nociceptive pain is protective and serves to limit contact with noxious stimuli through the withdrawal reflex. Inflammatory pain, often as a result of injury or surgical intervention, is also protective and commonly managed with the administration of NSAIDs. Pathological pain is not protective and can be divided into neuropathic pain (i.e., structural neural lesion) or dysfunctional pain (i.e., neuropathologic functional disorder) (50, 51). Pathologic pain, without an inflammatory component, is unlikely to respond to NSAIDs. Hyperalgesia, defined by the International Association for the Study of Pain (IASP), is “increased pain from a stimulus that normally provokes pain,” and allodynia is pain caused by stimulation that does not typically cause pain (52), both are frequently associated with neuropathic pain (53). Neuropathic pain in humans can be spontaneous, and does not need to be associated with ongoing tissue damage (54). This has been described in horses (37, 55) and may also be true in this series.
The purpose of this case series is to raise awareness and acknowledge that severe behavioral problems in horses may be due to lesions of the nervous system resulting in neuropathic pain.
This case series highlights the need for a more in-depth understanding of pain behavior and its clinical presentation and progression in severely affected horses that do not respond to traditional therapies used to treat musculoskeletal pain or lameness.
The overall objective is to develop an early diagnosis and effective treatment of neuropathic pain syndromes in horses so that they may live full, productive, and pain-free lives.”
Introduction: Dangerous behavior is considered an undesired trait, often attributed to poor training or bad-tempered horses. Unfortunately, horses with progressive signs of dangerous behavior are often euthanized due to concerns for rider safety and ...