Foot lameness is a prevalent issue in horses, often leading to performance limitations and decreased quality of life. The causes of foot lameness can range from hoof imbalances and abscesses to more serious conditions like laminitis or navicular disease.

A horse’s hooves bear significant weight, particularly during high-impact activities. Performance horses in disciplines such as jumping, racing, or eventing are at higher risk for foot-related lameness due to the physical strain placed on their hooves.

Early diagnosis and treatment are essential to prevent further complications and ensure a horse’s full recovery. Understanding the anatomy of a horse’s foot, recognizing the signs of lameness, and being aware of common causes can help owners make timely decisions in seeking veterinary guidance.

Read on to learn more about horse hoof anatomy, the most common causes of foot lameness in horses, and what signs to watch for so you can keep your equines sound and happy.

Foot Lameness in Horses

Foot lameness in horses is a broad term that describes any pain or discomfort originating from the hoof or lower leg structures, leading to altered or impaired movement.

Since the hoof is a complex structure composed of bones, tendons, ligaments, blood vessels, and sensitive tissue, a variety of issues within these components can contribute to lameness.

Each case of lameness can vary in presentation and severity, depending on the underlying cause and the horse’s response to pain.

Foot lameness can profoundly affect a horse’s mobility, performance, and overall quality of life. Pain and discomfort restrict the horse’s range of motion, negative impact athletic ability, and can cause compensatory strain on other limbs, often leading to additional injuries.

Furthermore, lameness may contribute to stress, physical deconditioning, and, if left untreated, can cause the underlying condition to progress, worsening the horse’s health and comfort.

Equine Foot Anatomy

The horse’s foot is a highly specialized structure, designed to bear weight and absorb shock.

Key anatomy that may be implicated in foot lameness include: [1]

  • Hoof Wall: The hoof wall is the outer part of the foot, composed of hard keratin. It provides protection and support while also playing a role in shock absorption. The hoof wall consists of three main sections: the toe, quarters, and heel.
  • Sole: The sole is the underside of the hoof, providing additional protection to the sensitive structures under it.
  • Frog: The frog is a triangular structure located in the center of the hoof’s underside. It plays a critical role in shock absorption and helps pump blood back up the leg with each step.
  • Digital Cushion: The digital cushion is situated above the frog; it is a fibrous elastic tissue that plays a role in shock absorption and supports the sensitive structures within the hoof.
  • Laminae: These are interlocking digits of soft tissue that attach the hoof wall to the underlying structure.
  • Navicular Bone: A small boat-shaped bone located at the back of the coffin joint; it contributes to the horse’s overall foot structure and function.
  • Coffin Bone: Also known as the third phalanx or pedal bone, the coffin bone is the largest bone within the hoof. It supports the majority of the animal’s weight, providing strength and stability.
healthy hoof internal structuresIllustration:

 

Symptoms

Recognizing the signs of foot lameness in horses is essential for early intervention. Common indicators include: [2][3]

  • Altered gait: Horses experiencing foot lameness may exhibit an abnormal gait, characterized by reluctance to put weight on the affected foot, shortened stride, or an uneven movement pattern.
  • Sensitivity to touch: If a horse flinches or reacts when pressure is applied to a specific area of the foot, it may indicate pain or discomfort. Foot sensitivity is often detected by farriers during hoof picking or trimming.
  • Swelling or heat: Increased heat or swelling in the hoof or surrounding tissues can indicate inflammation or infection.
  • Behavioral changes: Horses in pain may exhibit changes in behavior, such as reluctance to move, changes in attitude, pinned ears or increased irritability.
  • Foot abnormalities: Physical abnormalities, such as cracks, thrush (a bacterial infection), or abnormal hoof growth, can be visible signs of underlying issues that contribute to lameness.
  • Uneven wear patterns: Uneven wear may indicate imbalances or compensatory movements due to pain.

Identifying these signs of lameness early can help prevent further complications by facilitating prompt and effective treatment.

Common Causes

Foot lameness can result from a variety of underlying conditions, each with its own set of clinical signs, diagnostic methods, and treatment options. Common causes include:

  • Laminitis
  • Hoof abscesses
  • Navicular syndrome
  • Thrush
  • Keratomas
  • Hoof or sole bruises
  • Deep digital flexor tendon injuries
  • Arthritis

Laminitis

Equine laminitis is a painful condition characterized by inflammation of the laminae. Severe cases can lead to separation of the hoof wall from the underlying structures.

This condition can stem from various factors, including metabolic disorders and overexertion.

Common signs of laminitis in horses include: [4]

  • Heat in the hooves
  • Coronary softening
  • Muscular tension
  • Severe pain and reluctance to move
  • Characteristic saw-horse stance with front feet placed forward and hindquarters shifted back
  • Increased pulse in the digital arteries
Sawhorse stance equine pain assessmentSawhorse Stance Illustration:

 

Treatment of laminitis typically involves anti-inflammatory medications, corrective trimming, and addressing the underlying cause of the condition. In severe cases, hospitalization may be required to manage pain and monitor the horse’s condition. [4]

Hoof Abscesses

Hoof abscesses are painful, localized infections within the hoof, often caused by bacteria entering through cracks or punctures. These abscesses create pockets of pus that build pressure, leading to significant pain and lameness.

Common signs of hoof abscesses include: [5]

  • Increased digital pulse
  • Sudden onset of severe lameness
  • Heat and swelling in the affected hoof

Treatment for hoof abscesses typically involves draining the abscess, either through careful hoof trimming or by creating a small opening to release pressure. Anti-inflammatory medications are often prescribed to manage the horse’s pain. [6]

Navicular Disease

Navicular syndrome, also referred to as caudal heel pain, is a degenerative condition affecting the navicular bone and the surrounding structures. It can lead to chronic lameness in the affected foot.

Signs of navicular disease in horses include: [7]

  • Chronic, intermittent lameness, often worsening after exercise
  • A characteristic “toe-first” landing during movement
  • Sensitive to hoof testers over the heel area
  • Shortened gait
  • Difficulty turning
  • Problems walking downhill

The management of navicular disease may include administration of non-steroidal anti-inflammatory drugs, joint injections, corrective shoeing, and in some cases, surgical options to alleviate pain. [7]

Thrush

Thrush is a common bacterial infection that affects the frog of the hoof, leading to inflammation and discomfort. It is often associated with poor hoof hygiene or moist conditions. [8]

A number of different bacteria and fungi can cause the infection, but the most common pathogen associated with equine thrush is the bacteria species Fusobacterium necrophorum. The condition can vary in severity. [8]

Common signs of thrush in horses include: [8]

  • Foul odor emanating from the hoof
  • Black discharge
  • Discoloration or black necrotic tissue in the frog area
  • Sensitivity to pressure on the affected area
  • Swelling of the lower libs
  • Soft frog

Treatment includes cleaning the hoof thoroughly, applying antiseptics, removing the necrotic tissue, and hoof protection. Farriers and veterinarians may recommend topical products during recovery or as prevention. Proper hoof care and environmental hygiene are fundamental in preventing recurrence. [8]

Keratomas

Keratomas are benign tumors that develop in a horse’s hoof capsule, generally close to the coronary band. These masses can significantly compromise normal function of the horse’s hoof.

The specific causes of the development of keratomas are unknown, but several risk factors include traumatic injury, the presence of hoof abscesses, and hoof imbalances. [2]

Common symptoms of keratomas include: [9]

  • Swelling of the hoof wall and coronary band
  • Deviation of the white line

Horses with abnormal growths are at a higher risk of developing hoof infections. Treatment of keratomas involves surgical removal of the growth. [2][9]

Hoof or Sole Bruises

Hoof or sole bruises are a common issue in horses, caused by traumatic injury to the hoof. Horses living or working on rough terrain, those that do not receive proper shoeing and trimming, and over-exercised horses are at a higher risk of developing hoof bruises. [10]

Common clinical signs include: [10]

  • Hoof heat
  • Red or yellow discoloration of the sole
  • Increased digital pulse
  • Reluctance to bear weight

The treatment for hoof bruises in horses varies depending on the severity of the bruise. The main goal is to relieve pressure on the sole to aid the healing process. Treatment options may include administration of pain relief medications, corrective farrier care, and nutritional support. [10]

Deep Digital Flexor Tendon Injuries

Injuries to the deep digital flexor tendon (DDFT) typically occur in the pastern region rather than around the cannon bone. They are common among show jumping and dressage horses due to repetitive stress. [11]

Common symptoms of DDFT injuries include: [11]

  • Persistent, low-grade lameness
  • Swelling in the pastern region

Treatment for DDFT injuries usually involves stall rest for 4 – 12 months, along with physical rehabilitation. [11]

Arthritis

Arthritis is a degenerative condition marked by inflammation in one or more joints, leading to pain, stiffness, and reduced mobility in affected horses.

Ringbone, also known as interphalangeal joint osteoarthritis, is a specific type of arthritis that causes the development of bony growths, and primarily affects the pastern and coffin joints. [12]

If left untreated, ringbone in horses can lead to: [12]

Treatment options for ringbone include: [13]

Intro to Equine Nutrition
Gain a deeper understanding of your horse's nutrition needs. This free introductory course provides a foundation for horse owners to learn how to balance your horse's diet.
Enroll Now
Introduction to Equine Nutrition Course - Mad Barn Academy

Diagnosis

Accurate diagnosis of foot lameness in horses is critical for determining the proper course of treatment. Diagnosing lameness requires a comprehensive approach and includes: [14]

  • Physical Examination
  • Medical history
  • Dietary history
  • Diagnostic imaging
  • Laboratory testing

Based on initial findings and any additional symptoms, the veterinarian may recommend further diagnostic tests. Always consult your veterinarian to obtain an accurate diagnosis and ensure your horse has the best care possible.

Treatment

Following diagnosis, your veterinarian will develop a tailored treatment plan. Treatment options depend on the specific cause of foot lameness but often include: [15]

  • Rest and rehabilitation: Allowing the horse to rest and recover is crucial. Controlled rehabilitation programs may involve gradual reintroduction to exercise, ensuring the horse builds strength and mobility safely without risking of further damage.
  • Medications: Anti-inflammatory medications, such as non-steroidal anti-inflammatory drugs (NSAIDs), may be prescribed to manage pain and control inflammation.
  • Trimming and shoeing modifications: Regular hoof care is important for all horses. Corrective trimming and shoeing can help alleviate pressure on painful areas, support proper alignment, and enhance the horse’s comfort. Different shoeing techniques, such as therapeutic shoes or pads, can be recommended based on the specific condition affecting the horse. Some forms of foot lameness benefit from more frequent trimming until the horse has recovered.
  • Physical therapy: Physical therapy techniques, such as shockwave therapy, may support healing in the affected foot.
  • Surgery: In severe cases, surgery may be required to address underlying causes, such as navicular disease or fractures. Surgical options vary depending on the condition but can involve removing damaged tissue or stabilizing fractures.
  • Dietary changes: Certain conditions linked to foot lameness may require long-term dietary adjustments for effective management.
  • Monitoring: Regular follow-up appointments with your veterinarian are essential for monitoring the horse’s progress and adjusting the treatment plan as needed.

If your horse is showing signs of foot lameness, consult with your veterinarian to determine an optimal treatment plan. Ensure your farrier is aware of your horse’s diagnosis to provide appropriate hoof care.

Prevention

Preventing foot lameness requires a proactive approach to hoof care, management, and overall horse health. Key strategies include:

  • Regular Hoof Care: Professional hoof care, including regular trimming, is essential for maintaining hoof health and preventing common foot issues. Horses should have their hooves checked at least every 6 to 8 weeks, or as recommended by your farrier.
  • Meeting Nutrient Requirements: Providing a balanced diet that meets your horse’s vitamin and minerals needs is important to support hoof health. Ensure your horse’s diet provides adequate amounts of key nutrients including biotin, zinc, copper and methionine to promote the growth of strong, healthy hooves.
  • Exercise and Training: Gradually increasing the intensity and duration of exercise helps prevent overuse injuries and lameness. Proper warm-up before activity and cool-down afterward can help to reduce strain.
  • Environmental Management: Providing a clean, dry, and well-maintained environment can help prevent conditions such as thrush. Regularly cleaning stalls and avoiding prolonged exposure to wet or muddy conditions is key in reducing the risk of foot problems
  • Monitoring for Changes: Regular assessment of the horse’s behavior, movement, and hoof quality can help identify issues in their early stages. Changes in gait, discomfort, or physical abnormalities should be addressed promptly.
  • Regular Veterinary Check-ups: Routine veterinary check-ups, including dental care and vaccinations, are essential for maintaining overall health and preventing conditions that could lead to foot lameness.

Nutrition & Hoof Health

Proper nutrition can help to prevent foot lameness in your horse by promoting strong, healthy hooves. Start with a hay analysis to understand the nutrient content of your horse’s forage and identify any imbalances that may affect hoof health.

Hoof tissue is primarily made of the protein keratin. To synthesize keratin, the body requires several essential nutrients, primarily amino acids, trace minerals, and vitamins:

  • Amino Acids:
    • Cysteine and methionine: Sulfur-containing amino acids essential for keratin production, providing structural integrity and strength to keratin fibers.
    • Lysine and threonine: Crucial for protein synthesis and contribute to the formation of keratin.
  • Trace Minerals:
    • Zinc: Important for protein synthesis and cellular repair, zinc supports keratin production and helps maintain strong, resilient hooves.
    • Copper: Necessary for cross-linking collagen and keratin fibers, copper strengthens and stabilizes keratin structures.
  • Vitamins:
    • Biotin (Vitamin B7): Known for its role in hoof health, biotin supports keratin production, improving hoof hardness and quality.
    • Vitamin A: Essential for cellular growth and differentiation, aiding in the production of keratinized tissue.

Providing a balanced vitamin and mineral supplement helps prevent nutrient deficiencies in your horse’s diet, ensuring they receive all essential nutrients for optimal hoof health.

Mad Barn’s AminoTrace+® is a comprehensive vitamin and mineral supplement designed to support hoof health with enhanced levels of key nutrients. Each serving of AminoTrace+ provides 20 mg of biotin, along with essential amino acids, minerals, and vitamins to promote robust, healthy hoof growth.

AminoTrace+

5 stars
78%
4 stars
9%
3 stars
4%
2 stars
3%
1 star
6%

Learn More

  • Complete mineral balance
  • Supports metabolic health
  • Formulated for IR/Cushing's
  • Hoof growth
Frequently Asked Questions

Here are some frequently asked questions about foot lameness in horses:

What is foot lameness in horses?

Foot lameness refers to any pain or discomfort originating in the hoof or lower leg structures that interferes with the horse’s movement and soundness. [2][3]

What are common symptoms of foot lameness in horses?

Signs of foot lameness include an altered gait, sensitivity to touch, swelling or heat in the hoof, behavioral changes, foot abnormalities, and uneven wear patterns. [2][3]

What causes foot lameness in horses?

Common causes include laminitis, hoof abscesses, navicular disease, thrush, keratomas, hoof bruises, and deep digital flexor tendon injuries. [4][5][7][8][9][10][11]

How is foot lameness in horses diagnosed?

Diagnosis involves a physical examination, diagnostic imaging such as X-rays or ultrasound, and sometimes laboratory tests to rule out systemic issues. [14]

Summary

Foot lameness in horses refers to any pain, discomfort, or structural issue within the hoof or lower limb that impairs movement and alters the horse’s normal gait.

  • Foot lameness can arise from a variety of underlying causes, such as injury, infection, inflammation, or degenerative disorders within the bones, joints, tendons, or other structures in the hoof.
  • Common signs of foot lameness include reluctance to bear weight on a limb, heat or swelling in the hoof, and abnormal movement.
  • Early diagnosis and treatment are essential to manage foot lameness effectively and prevent further complications.
  • Regular hoof care, a balanced diet, appropriate exercise, and environment management help reduce the risk of foot lameness, supporting the horse’s well-being and performance.

Is Your Horse's Diet Missing Anything?

Identify gaps in your horse's nutrition program to optimize their well-being.

References

  1. Hunt. J., Hoof Anatomy – A Beginner’s Guide. The Equine Podiatry Association.
  2. Baxter. G. M., Manual of Equine Lameness. 1st ed. Wiley. 2022.
  3. Adams, S. B., Overview of Lameness in Horses. Merck Veterinary Manual. 2023.
  4. Beasley. B., Laminitis in Horses. Merck Veterinary Manual 2024.
  5. O’Grady. S. E., Hoof Abscesses: A Practical Approach. The American Farriers Journal. 2018.
  6. Constables. S., Foot Abscess. Equine Vets. 2021.
  7. Moore. J. N., Navicular Syndrome in Horses. Merck Veterinary Manual. 2024.
  8. Beasley. B., Thrush in Horses. Merck Veterinary Manual. 2024.
  9. Beasley. B., Keratomas in Horses. Merck Veterinary Manual. 2024.
  10. Beasley. B., Bruising of the Hoof Capsule in Horses. Merck Veterinary Manual. 2024.
  11. Lutter. J. D. et al., Medical Treatment of Horses with Deep Digital Flexor Tendon Injuries Diagnosed with High-Field-Strength Magnetic Resonance Imaging: 118 Cases (2000–2010). AVMA. 2015.View Summary
  12. PIP Joint: Osteoarthritis in Horses (Equis) . Vetlexicon.
  13. Brokken. M. T., Disorders of the Fetlock and Pastern in Horses. Merck Veterinary Manual. 2019.
  14. Adams. S. B., Lameness in Horses. Merck Veterinary Manual. 2019.
  15. MacKay. A., Putting Shock Wave Therapy to the Test . WCVM Today – Western College of Veterinary Medicine. 2020.