How many professionals............

IME, if there has been a behaviour change with no other changes, it's almost always due to pain. Though there are plenty of strong, determined trainers who can often persuade a horse to work through pain, which can make it look like it was a training issue.

I know a pony that had mounting issues. It was sent away for schooling to a reputable yard, so no harsh treatment but it was given no option other than to get on with it. Turned out it had a fractured pelvis the whole time!
 
There is also the grey area between "training issue" and "soundness issue" - I've heard fairly high profile biomechanics types saying that x*% of lameness is caused by poor training and rider issues. Fixing the training can - in some cases, if done appropriately - fix an issue which another rider might have gone down the veterinary route for. Obviously we're not talking about huge, traumatic injuries, but some injuries which are caused by poor way of going / unsympathetic training etc.


*I won't quote figures as I can't remember, but there is certainly a crossover.
 
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