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Conservative Management of Back Pain
A. Fiske-Jackson
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Conservative management of horses with back pain most commonly consists of medication with corticosteroids, various manipulative therapies and controlled exercise programmes. The two most commonly medicated sites are the interspinous spaces in cases of impinging spinous processes and the articular process joints in cases of osteoarthritis of these joints. The most commonly used drugs are methylprednisolone acetate [1] or triamcinolone acetate. Sarapin™ (Pitcher plant) has been used over the years in a belief that it provides pain relief without motor weakness via neural blockade [2]; however, the product has failed to stand up to scrutiny and as a consequence its use is waning [3]. Tiludronate therapy has been recommended for horses with bone remodelling noted on radiography and scintigraphy [4]. It is believed that maximum beneficial effect is seen after around 2 months ...
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Affiliation of the authors at the time of publication
Equine Referral Hospital, Royal Veterinary College, Hawkshead Lane, North Mymms, Hatfield, Hertfordshire, AL9 7TA, UK
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