Companion Animals

Horse Kissing Spine Prevention: Exercise and Management

Overriding dorsal spinous processes (kissing spine) cause back pain in many horses. Prevention through appropriate training and weight management is better than treatment.

Key Facts

Kissing spine is found in 39-87% of horses radiographed for back pain
Impingement of dorsal spinous processes causes local pain and referred muscle tension
Conformation, discipline and saddle fit all contribute to kissing spine development
Physiotherapy, medication and surgery all have roles in management
Core strengthening exercises may prevent progression in mild cases
Back pain in horses is commonly expressed as reluctance, resistance and behavioural change

Welfare Considerations

Kissing spine is a significant and often underdiagnosed cause of back pain in horses, particularly those in work. The pain can be chronic and may manifest as behavioural problems that lead to punishment rather than treatment. Prevention through maintaining appropriate body condition, correct saddle fit, progressive training that builds core strength, and regular veterinary assessment offers the best welfare outcomes.

What You Can Do

Have horses with behavioural changes assessed for back pain before punishment
Ensure saddle fit is checked regularly by a qualified saddle fitter
Support research into exercise protocols that reduce kissing spine progression
Advocate for back pain assessment to be part of routine equine health checks