Overriding dorsal spinous processes, known as kissing spine, is a common cause of back pain in horses and can significantly impair both welfare and performance.
Kissing spine represents a significant source of back pain in horses, often overlooked because affected horses may continue to work despite discomfort. The relationship between radiographic findings and clinical signs is complex. Welfare-conscious management includes ruling out pain before attributing behavioural issues to training problems, ensuring saddle fit is checked by a qualified fitter, and providing appropriate rehabilitation. Treating pain rather than suppressing resistance improves both welfare and performance outcomes.