## Overview Nuchal ligament desmopathy encompasses degeneration, mineralization, or tearing of the nuchal ligament, especially near its insertion at the withers or attachment to the axis. It can produce pain over the poll or withers and resistance to flexion. Palpable thickening may be present. Radiographic mineralization is common and not always significant. ## Causes Chronic strain or acute trauma. ## Diagnosis Clinical examination, radiographs, and ultrasound. ## Treatment Conservative management for most cases. Surgery is rarely indicated. ## Recovery and Prognosis Generally good. ## Prevention Balanced neck use and trauma avoidance.
pain over the poll or withers; resistance to flexion; palpable thickening; radiographic mineralization (may be incidental)
## Overview Nuchal ligament desmopathy encompasses degeneration, mineralization, or tearing of the nuchal ligament, especially near its insertion at the withers or attachment to the axis. It can produce pain over the poll or withers and resistance to flexion. Palpable thickening may be present. Radiographic mineralization is common and not always significant. ## Causes Chronic strain or acute trauma. ## Diagnosis Clinical examination, radiographs, and ultrasound. ## Treatment Conservative management for most cases. Surgery is rarely indicated. ## Recovery and Prognosis Generally good. ## Prevention Balanced neck use and trauma avoidance.
pain over the poll or withers; resistance to flexion; palpable thickening; radiographic mineralization (may be incidental)