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Neuropathic pain management in chronic laminitis
Bernd Driessen1, Sébastien H Bauquier, Laura Zarucco
1Section of Emergency/Critical Care and Anesthesia, Department of Clinical Studies, New Bolton Center, School of Veterinary Medicine, University of Pennsylvania, 382 West Street Road, Kennett Square, Philadelphia, PA 19348, USA. Driessen@vet.upenn.edu
Managing chronic laminitis pain in horses is challenging. This review explores pain mechanisms and proposes improved therapies, introducing a new pain scoring technique for better monitoring of equine laminitis.
Area of Science:
- Equine Medicine
- Veterinary Pain Management
- Animal Science
Background:
- Chronic laminitis poses significant pain management challenges in equine practice.
- Animal suffering due to laminitis often necessitates euthanasia.
- Effective pain control is crucial for improving the quality of life for affected horses.
Purpose of the Study:
- To review the complex mechanisms of pain generation and amplification in equine laminitis.
- To propose an updated therapeutic approach for managing laminitis-associated pain.
- To introduce a novel pain scoring system for objective pain assessment in horses.
Main Methods:
- Literature review of current research on laminitis pain mechanisms.
- Synthesis of information to develop a modified pain management strategy.
- Description of a newly developed pain scoring technique for clinical application.
Main Results:
- Detailed overview of the pathophysiology of pain in laminitis.
- A framework for a revised, multi-modal pain therapy approach.
- Presentation of a validated pain scoring tool for equine laminitis.
Conclusions:
- Understanding laminitis pain mechanisms is key to effective treatment.
- The proposed therapeutic approach offers potential for improved pain relief.
- The new pain scoring technique facilitates objective monitoring and treatment evaluation.
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