Abstract
Back pain is recognized as a common and often recurrent problem in people and horses. Although there are many inciting causes of back pain, these often lead to a common pathway involving changes in neuromotor control and neurogenic atrophy of m. multifidi. The multi-layered and multi-directional fibres of this muscle stabilize the intervertebral joints in the face of bending and torsional moments. Inactivation and atrophy result in spinal instability and micromotion of the joints that predispose to further injury and degenerative changes, thus setting the scene for recurrent episodes of back pain. This review explores similarities between human and equine back pain, especially with regard to pathophysiology and prevention.
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