The Truth About Hoof Abscesses

Hoof Abscesses. If your horse has ever experienced one, then you probably know how awful they can be. One day your horse is fine, and the next, you’re freaking out, wondering what in the world could have happened. Often times, they will resolve fairly easily and you and your horse can continue on your merry way, but sometimes, they aren’t so simple. The abscess won’t drain and your horse continues to be painfully lame for weeks. Then there are some horses who seem to get them time and time again.

Abscesses are often misunderstood and treated in an over-aggressive manner, in my opinion. So, in hopes of helping owners better treat and even prevent abscesses, I’d like to shed a little more light on this all too common hoof issue.


Symptoms of a Hoof Abscess

For the experienced horse owner, abscesses are usually easy to spot, but sometimes, they can still catch you off guard. I remember finding one of my older horses (who was living at my parents’ house at the time) horribly lame in the pasture and thinking she’d broken her leg. That’s how bad abscesses can appear. (The abscess drained on its own a day or two later and she was fine, by the way).

But here are the usual symptoms of an acute (sudden onset) abscess:

  • extreme lameness in one leg
  • possible swelling in the leg
  • strong digital pulse
  • hoof may be warm
  • reactive to hoof testers



Causes of Hoof Abscesses

First of all, it’s important to understand exactly what a hoof abscess is. Holistic veterinarian, Ralitsa Grancharova, DVM, MRCVS defines it as “the localized accumulation of liquid inflammation product (pus) between two podal layers (dermis and epidermis) or inwards from the hoof wall.” Grancharova also says, “a hoof abscess is usually the result of tissue damage localized in the hoof or elsewhere in the body.”

We can group causes of hoof abscesses into four categories really:

1.) Those caused by bacteria entering the hoof from the outside environment via cracks, nail holes, or white line separation;

2.) Those caused by factors within the body such as a disruption of hindgut bacteria (often from sudden dietary changes), ongoing laminitis, or even subclinical laminitis;

3.) Those caused by the toxic effect of certain medications, such as steroids, bute, NSAID’s, dewormers, or vaccines; and

4.) Those caused by direct trauma to the hoof. This could be stepping on a sharp stone or simply the presence of a horse shoe.


Treating Hoof Abscesses

First off, it should be noted that if a foreign object is the cause of the abscess, a trip to the vet is warranted since infection of the inner structures of the hoof or blood poisoning (sepsis) are a possibility.

But for treatment at home, there are several things you can do to help abscesses resolve more quickly. Taking the shoe(s) off is recommended since shoes prevent pressure on the sole which is actually needed for abscess expulsion and healing. You should also avoid cutting or drilling into the sole in most cases as this will only further weaken the hoof and potentially put your horse at risk for infection.

Sometimes, horse owners want to protect their horse when he has an abscess and stall him. Though this might be necessary in some instances (such as if another horse is going to cause problems for the injured horse), most of the time it’s actually counter-effective. Movement actually helps to expel abscesses more quickly and can also aid in the healing process. If possible, allow your horse access to a paddock with soft footing so he can move freely. If this isn’t an option, a homemade hoof wrap (made with foam padding and duct tape) or therapeutic boots such as the Easy Boot Clouds are great for making movement a little less painful.

Soaking is a popular treatment option and using a mixture of warm water with either epsom salt or apple cider vinegar is usually helpful for drawing an abscess out. You can either soak in a bucket or for an easier option, try soaking boots such as the Davis boots (I have these and really like them). It’s recommended not to soak once the abscess erupts since this will keep the hoof soft and may delay healing.

There are other options for treating abscesses, including homeopathy, essential oils, and laser therapy. This article discusses several of those.

For horses who tend to get abscesses frequently, there is a good possibility that laminitis is a factor–even if it’s subclinical laminitis (doesn’t show up on x-rays). In this case, dietary changes are needed. This would means cutting out high NSC feeds (10% or less is best), and even restricting pastures grazing in many instances. Some options for restricting grazing include the use of a grazing muzzle, keeping the horse off grass during the peak hours when sugars are at their highest (late morning to evening), utilizing a track system, or even dry lotting the horse and providing low-NSC hay instead. Mineral imbalance is also likely an issue in these cases and should be addressed.


Preventing Hoof Abscesses

Believe it or not, diet is actually one of the most important factors in preventing abscesses. Eliminating excess sugars, providing a diet as natural as possible, as well as ensuring both major and trace mineral needs are met are your best bet at preventing abscesses (aside from those caused by foreign bodies entering the hoof).

Though wet weather often gets blamed for abscesses, a healthy hoof (supported by good nutrition) is usually able to withstand soggy weather.

An example of a healthy, abscess-preventing diet might be the following:

  • free-choice low NSC hay
  • alfalfa or grass hay pellets/ cubes
  • free choice trace mineral
  • 1/2 cup ground flax or chia seeds
  • limited grazing on fresh pasture (interestingly enough, pasture isn’t usually a problem for horses kept as a herd on a large pasture)

Please remember, this is only an example. There are other options!

Hoof care can also play a role in preventing abscesses. Of course, I’m going to recommend your horse not be shod, but if thin soles are an issue, then using hoof boots is a great option. Also, make sure your trimmer/ farrier isn’t cutting into live sole and further weakening the hoof. This is common practice in shoeing, and it definitely has no place in barefoot trimming (I don’t think it’s a good idea at any time, really). If your horse has white line separation, then this needs to be treated with dietary changes and possibly medicated soaking/ topicals as well.





Sources and Further Reading:

Hoof Abscess: When Being “Kind” is Cruel

Hoof Abscess in the Horse

Hoof Abscesses are Painful!

White Line Abscesses of the Equine Hoof


Hi! My name is Casie Bazay. I'm a mom, a freelance writer, and a certified equine acupressure practitioner.

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7 Responses

  1. Vicki L Ciepiela says:

    Hello, I just wanted to share my experience with hoof abscesses. When I first got my mare, it seems she would get an abscess every 3 months!! No kidding!! Anyway I started reading up on it and started her on a biotin supplement along with flax and a multiple vitamin supplement. I know that sounds like overkill, but she hasn’t had an abscess since! So I think it’s worth it to me. 🙂 Thank you for all your posts I really like them.

    • Casie says:

      Hi Vicki–thanks for your comment! Sounds like there was a nutritional deficiency of some kind and you changed that. Good for you! Glad to hear it’s working for your horse.

  2. Jo Pickett says:

    I’m a barefoot trimmer of around 10 years professional experience & I completely agree with this article. Very well explained.

  3. Kathy Hetherington says:

    So what do you recommend for the horse that almost always ends up with an abscess within a week of having been trimmed? Throughout the span of my boarding career I have come across 2 horses that got frequent abscesses. Always after a trim. Both were geldings, neither had ever foundered, they were on either a pasture or grass hay diet supplemented with hoffmans mineral and salt. neither were hard keepers so no supplementing with oats or any processed feeds. Trims were always done on a regular schedule. (6-8 weeks)

  4. Robynne Catheron says:

    Great post, Casie! Very well explained! Did you know that if a horse has a strong immune system he’ll be more able to fend off hoof abcess? You’re absolutely right, it starts with the diet!

    My OTTB suffered from monthly abcesses year-round for a couple of years. One year he had nine abcesses in eight months; the last one was three separate abcesses in one foot! I was an expert at soaking and wrapping, and so was he. I could sit on a low stool while he patiently stood with his front leg folded across my lap so I could wrap it up with a diaper, vet wrap and duct tape.
    His last abcess was over eight years ago!
    We switched from commercial feed to one cup of whole oats and The Natural Vet’s “Feed for Success” plan. I swear it’s a miracle worker, and the proof is in the pudding. My QH suffered from rain rot, photosensitivity, and mud fever/scratches all year, and since we made the switch he hasn’t had one episode. No more over-the-counter meds or vet calls, and no more commercial feeds with questionable ingredients. Just a balanced diet with every vitamin and mineral they need, one cup of whole oats, 24/7 free-choice good hay in slow-feed, small-mesh hay nets, outside 24/7/365, no stalls, no sugar, no blankets (even here in upstate New York), no shoes and no bits.

    All of those things help build and maintain a strong immune system that will fight off almost anything nature throws at them.

    Thank you for allowing me to share my story.

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