Back pain is prevalent and underdiagnosed in working horses, with poorly fitted saddles and training methods contributing to chronic suffering that affects behaviour and performance.
Back pain in horses is a silent welfare problem: stoic by evolutionary nature, horses continue to work in pain, showing only subtle behavioural changes that riders often interpret as laziness or disobedience. Chronic back pain from ill-fitting saddles causes muscle atrophy, altered movement patterns, and defensive behaviour that deteriorates the horse-rider relationship. Addressing the welfare dimension requires both better saddle fitting practices and rider education to recognise pain-related behaviour rather than attribute it to temperament.