## Overview Desmitis is inflammation of a ligament. In the context of the back, it commonly refers to inflammation of the supraspinous ligament overlying the spinous processes. Overuse or trauma produces localized pain and stiffness that can be confused with kissing spines. It occurs frequently in jumping and dressage horses. ## Causes Repetitive strain from athletic work, poor saddle fit, or direct trauma. ## Diagnosis Pain on palpation along the topline, ultrasound showing ligament thickening or fiber disruption, and exclusion of primary osseous impingement. ## Treatment Rest, anti-inflammatories, physiotherapy, shock-wave therapy, and correction of contributing factors such as saddle fit. Return to work is gradual. ## Recovery and Prognosis Good for most cases with appropriate rest and rehabilitation. ## Prevention Proper saddle fit, balanced training, and adequate warm-up.
localized pain on palpation of the topline; back stiffness; resistance to rounding the back; ultrasound changes in the supraspinous ligament
## Overview Desmitis is inflammation of a ligament. In the context of the back, it commonly refers to inflammation of the supraspinous ligament overlying the spinous processes. Overuse or trauma produces localized pain and stiffness that can be confused with kissing spines. It occurs frequently in jumping and dressage horses. ## Causes Repetitive strain from athletic work, poor saddle fit, or direct trauma. ## Diagnosis Pain on palpation along the topline, ultrasound showing ligament thickening or fiber disruption, and exclusion of primary osseous impingement. ## Treatment Rest, anti-inflammatories, physiotherapy, shock-wave therapy, and correction of contributing factors such as saddle fit. Return to work is gradual. ## Recovery and Prognosis Good for most cases with appropriate rest and rehabilitation. ## Prevention Proper saddle fit, balanced training, and adequate warm-up.
localized pain on palpation of the topline; back stiffness; resistance to rounding the back; ultrasound changes in the supraspinous ligament