We use mesotherapy to help treat multiple conditions, including equine neck and back pain. The minimally invasive procedure inhibits nerves carrying pain from deep structures in the spinal segment by stimulating nerves from a more superficial structure, the skin. A mixture of injectable solutions, often including traumeel, sarapin, and a corticosteroid, is administered at the level of the lesion and the surrounding area. The technique involves multiple injections using tiny needles that penetrate only the intradermal (most superficial) layer of skin. Each injection deposits a small amount of solution into the dermis. The number of treatments needed depends on the condition being treated, but typically a course is one to three sessions. Substantial improvement is seen after one to two weeks and can last three months to one year.