Essential Steps for Managing a Horse with Suspected Kissing Spine
- Loz
- 4 days ago
- 4 min read
Updated: 3 days ago

Guidance for Horse Owners: From Diagnosis to Rehabilitation
Kissing spine, medically referred to as Overriding Dorsal Spinous Processes (ORDSP), is a condition in horses where the bony projections along the spine—known as dorsal spinous processes—become too close together or touch (“kiss”). This contact can cause pain, inflammation, and discomfort during movement, often leading to changes in behaviour, performance issues, and reluctance to work. Kissing spine most commonly affects the mid-thoracic or lumbar regions of the horse’s back (usually where the saddle would sit). The severity can vary, and not all horses with radiographic signs of kissing spine will show symptoms, making professional diagnosis essential.
If you suspect your horse may be suffering from kissing spine, it’s natural to feel concerned and perhaps even overwhelmed. However, with a methodical approach focused on your horse’s welfare, it is possible to improve their condition and quality of life. Here are the crucial steps to take when facing a potential kissing spine diagnosis.
1. Get Your Vet Involved Immediately
The first and most important step is to contact your veterinarian as soon as you suspect an issue. Kissing spine can present with a variety of symptoms, from changes in behaviour and reluctance to work, to back pain and poor performance. Only a vet can accurately assess your horse and determine the next best steps.
2. Obtain Diagnostic X-Rays
To confirm a diagnosis of kissing spine, your vet will likely recommend diagnostic imaging, most commonly x-rays. These images allow for a clear view of the horse’s spine and can reveal whether the condition is present, and if so, in which region—be it the mid-thoracic or lumbar area. Accurate identification is essential for creating an effective rehabilitation plan.
3. Identify the Root Cause
Kissing spine can be caused or exacerbated by several factors, such as conformation, saddle fit, riding technique, or previous injuries. Work closely with your vet to explore possible underlying causes. Addressing these root issues is vital for both treatment and prevention of future problems.
4. Engage a Bodyworker and Specialised Coach
Once a diagnosis is made, collaborate with professionals who have experience in kissing spine rehabilitation. A qualified equine bodyworker can help relieve muscle tension, improve mobility, and support the healing process. Additionally, working with a coach who specialises in rehabilitation is invaluable. They can guide you through tailored exercises and routines that support your horse’s recovery, focusing on correct movement patterns and building back strength safely.
For owners seeking expert guidance, booking a lesson with Laura Ushay is highly recommended. Laura has extensive experience assisting students with kissing spine rehabilitation, and her approach is both empathetic and results-driven. She can provide hands-on strategies tailored to your horse’s needs, helping you navigate the rehabilitation process with confidence. It should be noted all the initial rehabilitation work will be in-hand (groundwork). This is fundamental to supporting your horse in a more comfortable approach and improving its biomechanical movements around the affected spinal structures. Whilst you can improve your horse's kissing spine condition, it is not always a full recovery (as this depends on the severity of it and the quality, and consistency of rehabilitation).
To enquire or book a session, reach out to Laura Ushay directly—your horse will thank you for taking this positive step forward.
5. Prioritise Your Horse’s Welfare
Throughout the process, always place your horse’s welfare at the forefront of every decision. Remember, improvement is possible when you commit to a patient, horse-centred approach. Rehabilitation takes time, and your horse will benefit most from consistent, compassionate care and a well-structured plan.
6. Provide Anti-inflammatory Support
Managing inflammation is crucial for horses with kissing spine, as it can help reduce pain and support recovery. Always consult your veterinarian before starting any treatment. Vets may prescribe anti-inflammatory medications such as phenylbutazone ("bute") or firocoxib, which are commonly used for equine back pain. In some cases, corticosteroid injections may be recommended for targeted relief.
Alongside medication, Australian horse owners can consider approved feed additives to help support joint and tissue health. Supplements such as omega-3 fatty acids (from flaxseed, linseed oil, or marine sources), turmeric (curcumin), and rosehip are popular anti-inflammatory choices and widely available in Australia. Products including TuffRock Equine Joint Formula, CEN Gold, Kohnke's Own Mag-E, and Rose-Hip Vital are reputable options that many Australian owners use to support their horses' comfort.
When choosing supplements, look for those with proven efficacy and approved by relevant Australian authorities, and always discuss options with your vet or equine nutritionist to ensure they suit your horse’s needs and overall treatment plan.
7. Track Progress and Check-In
Rehabilitation is a longer commitment for your horse's welfare. It is crucial that you take photos at least weekly from the front (showing the pecs, legs and general chest area) and both sides (showing the withers to the lumbar region). Keep these stored in a central place and send them to your vet and coach for review
Also consider regularly getting your vet back to take more x-rays to check. This can be done as frequently as monthly (if you are methodically doing your rehab exercises with your horse) or longer. Definitely talk to your vet in regard to the optimum timing here for you and your horse. If there is a significant decrease in your horse's comfort or progress, please contact your vet promptly.
In Summary
Contact your vet at the first sign of kissing spine symptoms.
Get x-rays to confirm diagnosis and pinpoint the affected area.
Work with your vet to discover the root cause.
Engage a bodyworker and a coach who specialise in rehabilitation.
Always put your horse’s welfare first.
Provide anti-inflammatory support as prescribed or recommended by your vet, using approved medications and supplements available in Australia.
Track progress and communicate with your equine specialists working with you and your horse.
By following these steps, you can give your horse the best chance at a positive outcome. Remember, with the right team and a compassionate approach, many horses with kissing spine go on to enjoy comfortable, active lives.

Comments