01/26/2024
Prevention and rehabilitation is always the way to go
Is kissing spine surgery a good idea? Or a last resort!?
Did you know that boney changes to the spinous processes are usually worse after surgery, but, as the nerves innervating the dorsal spinous processes are cut, the horses can’t feel their backs anymore!
This is why surgery is reported to becoming less and less recommended, as practitioners start to recognise the factors we can change to reduce the onset of clinical signs!
Marshal-Gibson et al. Stated..
“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.”
This doesn’t change the fact that for some horses surgery may be the best option. However, If we learn to recognise the common abnormalities and management issues that predispose to clinical kissing spine then we can both help to prevent and treat the disease non-invasively in many cases.
Dr Neidhart and I discussed in depth the many factors that are within our control that can help to prevent, treat, and rehabilitate kissing spine.. click the link below…
https://equineeducationhub.thinkific.com/courses/kissing-spines
Image credit CORE Equine Biomechanics