EQUUS

RELIEF FROM HEADSHAKIN­G

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New research from the University of California– Davis suggests that nose nets and fly masks may help reduce headshakin­g in horses.

Tooth pain, ear infection or other injury or disease can cause a horse to repeatedly toss his head or flip his nose back and forth. Usually, however, this behavior results from increased sensitivit­y of the trigeminal nerve, which runs along the face. In trigeminal-mediated headshakin­g (previously called idiopathic headshakin­g) the horse flips his nose, snorts and rubs his muzzle in response to raindrops, bright light, wind and other stimuli that other horses would find innocuous. Pain in the trigeminal nerve is suspected to play a role, but the exact pathway has yet to be identified.

Treatments, therefore, focus on simply relieving or decreasing the signs, and finding the right one for a horse can involve much trial and error. “While there are a plethora of anecdotal observatio­ns, there is little published evidence about what does or doesn’t work in the treatment of headshakin­g horses,” says Kirstie Pickles, BVMS, PhD, DipECEIM.

To learn which treatments yield the best results, Pickles and her team conducted an online survey of 130 owners of horses with headshakin­g. In addition to gathering demographi­c informatio­n and descriptio­ns of specific headshakin­g behaviors, the survey asked owners if they had tried any of 11 different treatments. If they had, they were then asked if a positive response had been observed, ranging from some improvemen­t to complete resolution. Owners were also asked to report any negative effects.

The results of the surveys showed that fly masks and nose nets, which are attached at the noseband and cover the upper lip and jaw or the entire muzzle, were considered the most effective nonmedical treatments by the horse owners. Eighty-six percent of the respondent­s said they had tried nose nets, with 53 percent of them reporting a positive outcome. Of those, six horses completely stopped headshakin­g with the nose net. Negative side effects, primarily irritation from the net rubbing the muzzle, were reported by 29 percent of the owners.

Among the 64 percent of respondent­s who used fly masks to control headshakin­g, 53 percent reported a positive outcome, with a complete cessation in three horses. Twenty-two percent of owners reported increased spooking, worsening of the headshakin­g or other negative side effects related to the fly mask.

Respondent­s also reported that fly-control measures, such as the applicatio­n of fly spray, reduced headshakin­g---21 percent of owners reported a positive result.

Nine percent of owners reported using a combinatio­n of the hormone melatonin and magnesium, with a positive outcome in 55 percent of those cases, but no horses had complete resolution. Adverse effects, seen in 36 percent of the horses, included weight gain, lethargy and non-shedding of the hair coat.

Pickles says that owners can best utilize this informatio­n in a discussion with their veterinari­an about the best approach for their particular horse. “Usually physical methods, such as nose nets, are tried first as they are pretty effective, cheap, and have relatively few deleteriou­s side effects.”

Eighty-six percent of the respondent­s said they had tried nose nets, with 53 percent of them reporting a positive outcome.

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