A recent survey among equestrians found that 98% struggle with problematic behaviours in horses they handled or rode. Given the physical size and strength of the horse, injuries occur around horses regularly, with 81% of riders having been injured in the past and 21% injured seriously enough to require hospitalisation or surgery.

The reasons for problematic behaviours to develop and occur are many. Pain is a frequent contributor to changes in behaviour and should be the first priority for an owner or handler to address. Sudden changes in behaviour, in particular, are most likely to be linked to pain. Getting the appropriate veterinary care, dental care, physiotherapy, checking of saddle and bridle fit or other care and treatment to address pain is crucial in minimizing the further development or occurrence of problem behaviours.