Overriding dorsal spinous processes—often referred to as "kissing spines"—can be an intimidating diagnosis for any horse owner. But what does it actually mean, and how does it influence performance?

In this episode of The Soundness Check, Dr. Michelle Correia and Dr. Rachel Buchholz discuss what overriding dorsal spinous processes are, why imaging findings don't always tell the whole story, and how clinical signs, physical examination, and rehabilitation all play an important role in determining the best treatment plan.

Because a diagnosis is only one piece of the puzzle—and understanding the whole horse is what leads to the best decisions.

**Quick disclaimer before you jump in: you'll hear Dr. Michelle accidentally say 'overarching spinous processes' a few times throughout this episode. We promise she means overriding dorsal spinous processes—sometimes even sports medicine brains get ahead of themselves!**