Headshaking syndrome in horses causes chronic or paroxysmal pain that is often undertreated and misunderstood.
Headshaking syndrome causes genuine facial pain that can be severe and debilitating. Horses with this condition are often perceived as behavioural problems rather than pain patients, leading to mismanagement and unnecessary suffering. Correct diagnosis and welfare-centred management - including consideration of retirement from ridden work in severe cases - should be driven by the horse's pain experience rather than owner convenience.