Back Sore Thoroughbred

Hello! Just looking for opinions on my 20yr old thoroughbred with a sore back, lives outside 24/7.

Background: Hasn’t been ridden for a year as last September (2023) I noticed he was very back sore- mostly in his lower back. Had x-rays done, no kissing spine, mild arthritis in hocks, started on previcox. Previcox seemed to mostly help. Had chiropractic work done, as well as massage, and even touched on craniosacral work. Also had a round of adequan in February/March.

He had a stifle injury end of November 2023 and recovered from that into 2024. I noticed a few months ago his back is still sore, though he seems more sore through his withers now.

Just looking for opinions on why he would be sore if it’s obviously not saddle fit. He’s been a pasture ornament for the past year and lives in a large field with LOTS of hills. Still on previcox as well. Hooves haven’t been a concern or mentioned by vet/2 farriers.

Today I noticed in the field he was standing with his legs very stretched out.

Not sure if I should have the vet out for more workups or just accept he’s meant to fully retire now. I’m not sure how much the soreness affects him out in the pasture, but I definitely wouldn’t be riding with the soreness he has now.

Do you have access to a vet that has experience with ultrasounding the back? My OTTB always had a notoriously “sensitive” back no matter what regardless of the fact my saddle was fitted to her and all the care and maintenance she got. Negative kissing spine(shocking!) rads and nothing outstanding anywhere lower on the spine… until a second vet put the ultrasound on her back.

Her multifidus muscle had an injury I never knew about at her T8-T15 as well as her transverse processes(not spinal processes like true kissing spine) were overlapping and causing discomfort as well as small bone chips.

For what it’s worth the process of rehabbing her back for 5 months got her back 90% better aside from her other issues that were rehabbed. the rehab included putting her on a muscle relaxant to help her multifidus muscle to stop working overtime, NSAIDs, and a strict walking schedule with an equiband.

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Have his feet been neglected maybe during his extended time off? Bad feet will cause a sore back.

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I would have to ask about an ultrasound! I was surprised at my guys no-kissing-spine diagnosis as well. Vet suggested last year he could have something going on in his hips/pelvis but I don’t want to go through with a bone scan. He’s definitely always had a sensitive back in the winter and such. I wasn’t sure if the time off has decreased his muscles but until this last year he could have time off and not be back sore. This past year all of a sudden that has changed.

He’s been on a strict 6 week schedule for the farrier for years now, and between different farriers they haven’t had concerns with his feet. He’s barefoot as well.

Lyme?

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Could be a possibility, I guess I’ve just never completely thought it cause he doesn’t necessarily fit some of the symptoms even though symptoms can vary?

I know you said the feet haven’t been noted as a concern, but this screams feet to me.

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Yep…the old NPA that is being discussed in a couple other threads.

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My horse was very back sore when he had Lyme. He has also been sore - less than with the Lyme - when he’s had trouble with his feet. I would look into both.

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I’d x ray the hind feet. Farriers don’t have x ray vision and negative palmer angle behind is a top cause of back pain. My mare had “beautiful feet” behind and I had to push hard for x rays. Both the vet and farrier were surprised that she was negative. We’d injected her stifles and hocks (needed regardless), done a full saddle reflect, and I’d invested a ton into chiro and massage to still have an unhappy horse. The first cycle with her angles improved behind and her back is 75% better.

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Hitting from a different direction, has horse had a Selenium test? This is a separate test from a blood panel. We have purchased two horses from Eastern States with extremely low Selenium levels.

We owned one who came up NQR as we were preparing her for a competition. Nothing we did made a difference. Not lame but off. Vet thought to test for Selenium as a distant cause, not really expecting to find anything because we WERE giving her Selenium! Test showed her terribly low, enough that Vet made a special trip out to give her Selenium shots before she keeled over!

Then he educated us about Selenium and how it worked in the body. How lack of enough Selenium caused all sorts of problems! Our horse was not getting enough Selenium and Vit E to absorb the Selenium. She was in a pretty intensive conditioning program for distance fitness, sweating off her Selenium. Her muscles and reproductive system were not functioning as needed from lack of Selenium. Two fingers run along side her spine would almost put her on her knees, it hurt so much! No endurance despite careful, building conditioning.

We humbly apologized to the horse, got her Selenium levels up to the proper numbers and she was like a new horse!!

We then went to new feeding protocols, with Selenium and Vit E supplemented individually to each horse DAILY. This let us KNOW each horse was getting enough supplement for their body. We no longer had the Selenium and Vit E mixed in with their grain. We don’t feed enough grain to ensure they got correct dosages of Selenium daily.

The two purchased horses were Selenium tested as part of our incoming routine. One was supposed to be very fit from being ridden and driven. We drove him to a carriage while waiting for test results, noticing he tired easily, seemed sore during brushing, compared to our other horses. His results came back to the Vet as extremely low, which we learned when Vet brought out more Selenium shots! He also responded well to increased Selenium supplementing, was a better horse when his Selenium levels reached acceptable numbers.

Third new horse tested low but not dangerously low like the others. So we have increased his Selenium supplement to get his levels up. He sweats if doing new things, sometimes a LOT which removes Selenium in his body. He will be retested again shortly to see if we are gaining in raising his numbers. He is learning new skills, our different ways of doing things. A bit of a worrier, “Am i doing what you want?,” so he shows foamy sweat instead of acting poorly.

So testing for Selenium deficiency could help. If low the sore back muscles might be a result. If horse is a mare, her reproductive tract could be malfunctioning with erratic heat periods, follicle movement, also giving her a sore back. Soreness leads to compensation to avoid pain, overloading other body parts. This makes chasing the root cause of NQR more complicated!!

Selenium testing is not real expensive, compared to many other types of testing. So it makes a good place to start, may save you some money if horse is actually Selenium deprived. Certainly you can’t tell about being low Selenium by looking at them! They can be as shiny as heck, prance about, run and play while being deficient.

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Lots of good advice here already, but I’d add that doing some light work would be good for him, once you get the soreness figured out. I don’t believe in fully retiring horses unless they are so lame they can’t even walk (and then I wonder why they are still here with us :face_with_raised_eyebrow:). You might only be able to hand walk right now, but hand walking, longeing w/t, and eventually trail riding are all great ways to keep older horses going. 24/7 turnout is great, but forced exercise as an addition is so important.

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Goodhors, that is very interesting! I live in a selenium deficient place and will have vet draw blood next time he’s out. Thanks for the information.

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I’m going to be that person… When my TB had ulcers his back got super sore… Just a thought…

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I definitely will!

I would never fully retire him- just from being ridden. I currently do ground work and stretches with him regularly

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Never tested for selenium, my area is known to be deficient so he does receive some but I’ll look into testing for it as well!

Thank you! I’ll definitely look into it.

Definitely a possibility, but I don’t think it’s the case right now. He’s has ulcers before but this doesn’t seem like it

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