## Overview Nuchal ligament desmitis is inflammation or degeneration of the nuchal ligament, often with calcification, particularly in the lamellar portion near C2-C3. It can cause chronic poll or upper-neck pain, reluctance to flex, and sensitivity to bridling. Mineralization is frequently seen on radiographs and may be incidental. ## Causes Chronic strain, trauma, or age-related degeneration. ## Diagnosis Radiographs showing calcified foci, ultrasound, and clinical signs of neck pain. Not all radiographic changes are clinically significant. ## Treatment Rest, anti-inflammatories, and physiotherapy for symptomatic cases. Many radiographic findings require no treatment. ## Recovery and Prognosis Good for mild cases. Chronic pain may persist in some horses. ## Prevention Avoidance of repetitive neck strain.
chronic poll or upper-neck pain; reluctance to flex; sensitivity to bridling; calcified foci on radiographs (may be incidental)
## Overview Nuchal ligament desmitis is inflammation or degeneration of the nuchal ligament, often with calcification, particularly in the lamellar portion near C2-C3. It can cause chronic poll or upper-neck pain, reluctance to flex, and sensitivity to bridling. Mineralization is frequently seen on radiographs and may be incidental. ## Causes Chronic strain, trauma, or age-related degeneration. ## Diagnosis Radiographs showing calcified foci, ultrasound, and clinical signs of neck pain. Not all radiographic changes are clinically significant. ## Treatment Rest, anti-inflammatories, and physiotherapy for symptomatic cases. Many radiographic findings require no treatment. ## Recovery and Prognosis Good for mild cases. Chronic pain may persist in some horses. ## Prevention Avoidance of repetitive neck strain.
chronic poll or upper-neck pain; reluctance to flex; sensitivity to bridling; calcified foci on radiographs (may be incidental)