Preventive management strategies reduce the risk of kissing spines development and minimize welfare impact in horses with existing pathology.
Prevention of kissing spines welfare problems requires attention to multiple interacting factors: saddle fit, rider position, training quality, and horse body development. Many horses with radiographic kissing spines never develop clinical symptoms because appropriate muscle development protects the bony structures. The welfare implication is that poor training, poor saddle fit, and poor rider position cause preventable back pain. Regular physiotherapy assessment, good training foundations emphasizing longitudinal relaxation and engagement, and annual saddle fitting represent a comprehensive preventive approach.