Page 571 - The Veterinary Care of the Horse

Clinical signs

These are variable but often include:
VetBooks.ir • Painful spasm of the back muscles

• Poor performance

• Stiffness

• Lameness or a shortened hind limb stride

• Difficulty with downward transitions
• Discomfort walking downhill

• Reluctance to jump.

Diagnosis

The diagnosis is confirmed by a combination of:

• Radiography
• Ultrasound

• Scintigraphy.

Treatment

This may include:

• Ultrasound-guided injection of corticosteroids into or close to the affected joints

• Non-steroidal anti-inflammatory medication, e.g. phenylbutazone
• Acupuncture

• Chiropractic or osteopathy

• Physiotherapy

• Pasture rest with a quiet companion

• A rehabilitation programme to increase the mobility of the spine and to strengthen the
supporting muscles.

Prognosis

The prognosis is variable, depending on the severity of the arthritis and the use of the horse.

SPONDYLOSIS