A hoof abscess is a purulent inflammation of the corium, where the
pressure produced by the accumulation of pus between the corium and
the hoof causes the horse great pain and leads to pronounced lameness.
Hoof abscesses occur both in shod as well as unshod horses. In the
following, we are only considering the unshod hoof.
According to conventional educated opinion, a hoof abscess occurs when
the horse has pierced the sole with a foreign object-that is, the abscess
occurs through infection from the outside.
Hoof abscesses, however, only very rarely arise due to external infecting
agents. More commonly, the following occurs: Corium or lateral cartilage
areas, which have been compressed for a long time, die off. After circulation
is returned to these areas, the dead pieces of tissue are removed from
the living tissue and carried to the outside by pus, since the dead
pieces of tissue cannot be transported away through the microscopically
small blood vessels of the corium.
THIS PROCESS IS VERY COMMON IN THE TRANSITION FROM SHOD HOOF TO BAREFOOT.
When contracted hooves open, sole and heel abscesses must be expected.
They are predominantly found in the area of the heels and bars, and
sometimes also by the frog, especially near the tip. They also form
in places where shoes' clips are, and near the rearmost nails. Often
excessively long bars which have grown over the sole cause pressure
points which later become noticeable as abscesses.
It provides the horse with some relief from pain if the abscess is
found and opened by an expert. A small round hole cut in the right place
allows the pressurized fluid to drain. The abscess is then cleaned with
a mild disinfectant, and the hole closed with clean loam, clay, or healing
earth. Bandaging is not necessary--quite the opposite, it can be damaging
because it restricts circulation. The horse should be let out onto a
soft and level pasture or paddock. Movement on soft ground is helpful
as it increases blood flow into the hoof, allowing for quicker healing.
After 24 hours the hoof should be bathed, the cleaning repeated (with
chamomile tea, for example), and the hole again closed with clay. Then
the hoof should be left alone for two days. After three days, the corium
will be covered with a whitish-yellow skin, the newly-formed sole horn.
After one week the sheet of horn will already be thick enough for the
horse to walk smoothly on even ground. For sharp stones, however, the
sole requires two further weeks of growth.
Sometimes a hoof abscess cannot be found, for example if it is deep
in the heel/frog/bars region. In this case, rather than cutting away
a large part of the sole or frog (it would be a long time before the
horse could bear weight on this foot again!), applying bandaging and
leaving the horse in a box-as is often done-one should wait until the
abscess finds it own way to the outside. Poultices with warm linseed
mush, which soften the horn, are helpful. The pain will lessen as soon
as the pus comes out by the coronary band; however, this can take a
few days.
For several days afterward, one should bathe the hoof daily in water
with a bit of fruit vinegar. Natural hooves with normal circulation
(and therefore good blood supply) are very regenerative.
Copyright Dr. vet. med. H. Strasser
Blaihofstr. 42/1, 72074 Tuebingen, Germany
Tel/Fax: (011) 49-7071-87572
Ed. & Canadian contact: Sabine Naujoks
Box 44, Qualicum Beach, BC, V9K 1S7