Neuropathic pain management in chronic laminitis.
Managing pain in horses afflicted by chronic laminitis is one of the greatest challenges in equine clinical practice because it is the dreadful suffering of the animals that most often forces the veterinarian to end the battle with this disease. The purpose of this review is to summarize our current understanding of the complex mechanisms involved in generating and amplifying pain in animals with laminitis and, based on this information, to propose a modified approach to pain therapy. Furthermore, a recently developed pain scoring technique is presented that may help better quantify pain and the monitoring of responses to analgesic treatment in horses with laminitis.
Driessen
Bernd
B
Section 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
Bauquier
Sébastien H
SH
Zarucco
Laura
L
D000818:Animals; D005534:Foot Diseases / Q000175:diagnosis / Q000628:therapy / Q000662:veterinary*; D006724:Hoof and Claw; D006734:Horse Diseases / Q000175:diagnosis / Q000628:therapy*; D006736:Horses; D007249:Inflammation / Q000175:diagnosis / Q000628:therapy / Q000662:veterinary; D009437:Neuralgia / Q000175:diagnosis / Q000628:therapy / Q000662:veterinary*; D010146:Pain / Q000175:diagnosis / Q000662:veterinary*; D059408:Pain Management