Equine Hoof Abscess 14/02/2019

What causes an equine hoof abscess and what is the best method of dealing with one to help your horse recover faster?

1. What is a Hoof Abscess

A hoof abscess is a localized bacterial infection in the sensitive structures of the hoof. Purulent fluid (pus) is produced as a reaction by the horse’s body to the infection. The pus accumulates between the keratinized and germinal layers of the hoof wall. Since the hoof cannot expand, the increased pressure of pus collecting within the hoof capsule causes significant pain.

The pus will take the path of least resistance to relieve the pressure and if left untreated, will usually work its way up the hoof wall, breaking out at the coronary band or the bulb of the heel.

Most abscesses are found in the sole of the hoof, but an abscess can be found elsewhere.

2. Signs of a Hoof Abscess

Typical signs of a hoof abscess include sudden and severe lameness and pain. The horse bears little to no weight on the leg with the abscess or may walk on its toe.

Other signs include heat in the limb or hoof, an increased digital pulse, and can include a swollen leg and/or a low-grade fever. The tendons in the affected leg can become painful and swollen due to congestion of blood vessels.

As the abscess progresses, the infection and pressure of purulent fluid (pus) accumulation in the hoof often cause severe pain until the infection works its way up the hoof wall and pops out at the coronary band, or the bulb of the heel or drains out the sole.

3. Causes of a Hoof Abscess

A hoof abscess can be caused by a sharp object penetrating the sole of the hoof (such as a nail), damage to the corium from decreased blood flow, or by bacteria migrating in to the defects, fissures and cracks in the white line.

Sole penetration by a sharp object is not a very common scenario for a hoof abscess. More often, an abscess is a result of corium or lateral cartilage area compression or most frequently due to the introduction of bacteria and moisture in to the hoof.

If corium damage is the cause, the abscess scenario begins with internal hoof tissue dying because of compression and poor blood flow. Once blood flow returns to the area, the dead tissue is carried by pus to the outside of the hoof.

If the abscess is caused by bacteria migrating in to the hoof from the outside, a particle of sand or soil enters the softer white line area and becomes engrained in the sensitive lamina underneath the hoof wall, resulting in an infection inside the hoof. The infection can travel up the hoof and drain at the coronary band or stay close to the sole of the hoof. An abscess can also occur under the bars of the hoof.

The infection can enter as a result of a nail driven too close to the white line, a hoof wall defect or hoof separation. Horses that have been shod and then go barefoot tend to have an increased chance of developing a hoof abscess until the hoof becomes stronger.

Other less common factors can cause a hoof abscess, and many times the exact cause or point of origin will not be known.

4. Diagnosis of a Hoof Abscess

A hoof abscess can be diagnosed by examining the hoof for heat and pain, swelling in the pastern and fetlock and by the presence of a pronounced digital arterial pulse.

If the horse is shod, the shoe is removed and the hoof cleaned. Hoof testers are often used to test the horses’ sensitivity to pressure in specific areas of the hoof to locate the point of origin.

5. Treatment of a Hoof Abscess

While a hoof abscess can heal on its own, this is not recommended. An abscess can be extremely painful for the horse and the healing process will take significantly longer without intervention. It is recommended that you work with your veterinarian and/or farrier to diagnose and treat an abscess.

If the horse is shod, the shoe is normally pulled. The hoof is then thoroughly cleaned and hoof testers can be used to help locate the point of entry and better determine the location of the abscess.

Often a black line is identified and the line is followed to locate the infected area. Using a hoof knife or loop knife, a very small hole is made in the sole of the hoof to allow for drainage and provide relief of the pressurized fluid. When the pressure built up by the trapped pus is released from the hoof capsule, often a black or brown exudate will drain from the site and the horse will experience some relief immediately.

If the point of origin and the abscess cannot be identified or the infection is too deep in the hoof, (the abscess could be deep in the heel/frog/bars region), no cutting or holes will be made. Cutting too much or going too deep can be more harmful than beneficial to treatment. If a drain hole is not able to be made or cannot sufficiently drain the abscess, then most likely the abscess will progress up to the coronary band and the pus will drain there…. a slower and more painful process for the horse.

Whether a hole is made or not, it is important to keep the hoof as clean and protected as possible and to apply a poultice. If no hole is made, the poultice can help soften the sole. If a drain hole is made in the hoof, then it is imperative that the hole be protected and kept clean while the abscess drains and the hoof heals. A poultice applied to the bottom of the hoof can help pull any remaining infection out of the hoof and help to prevent the abscess from progressing up to the coronary band.

A standard recommended protocol for treatment begins with the application of an Epsom Salt poultice to the sole of the hoof. Epsom salt is an osmotic and “draws” the abscess, pulling the bacterial infection from the hoof.

The hoof is then wrapped and placed in a special treatment boot to help cushion and protect the hoof to ensure that dirt and manure cannot come in contact with the hole and sensitive tissues.

If the poultice is applied immediately after drainage has been established, the horse should recover in two to four days.

What you can do

To help lessen the chances of your horse having a hoof abscess, maintain a regular schedule with your farrier or trim your horse on a regular basis. Often hooves with too much toe or excessive bars are more prone to hoof abscesses.

Act promptly to treat a hoof abscess, as the healing process can usually be expedited and resolved relatively quickly with fast action.

Be prepared. Make sure you understand the signs of a hoof abscess and have the supplies on hand to administer prompt and effective treatment. Products such as the HOOFix Abscess Kit are specially designed for effective treatment of hoof abscesses.

The author is neither a veterinarian or farrier and as such the reader should rely on and consult with a horse care professional concerning the proper care of a hoof ailment, selection of a boot or general questions pertinent to information provided in this article.


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