How Do I Treat My Horse's Hoof Abscess?

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A hoof abscess is a painful infection on the foot of your horse. It is usually located either on the bottom of the foot, the "frog" of the foot, the heel, or the coronet band (or coronary band, which connects the hairline and hoof). A hoof abscess is the most common of abscesses that a horse encounters. Other common abscesses are on the neck or hind end, resulting from an injection.

Hoof abscesses are very painful and your horse will show signs of visible lameness. This expression of tenderness and inability of free movement can show up anywhere on the foot, leg or shoulder. If you are suspicious that your horse has a hoof abscess, you should check for heat and sensitivity. Pick up the hoof and feel for any signs of excessive or localized heat. Next, check for sensitivity by using a hoof pick and taping the bottom of the foot and frog to see if there is an isolated area of tenderness.

Most hoof abscesses are the result of a foreign object such as a nail that has penetrated the bottom of the foot or an imbedded rock that has bruised the soft tissue. Because the feet and lower limbs generally have slow circulation, digestive problems have been known to show up in the lower extremities in the form of hoof abscesses.

Treatment should begin by soaking the hoof in a bucket of warm water and Epsom salts for 10 minutes. This will draw out the infection. Normally your horse will feel relief from the soaking and stand contentedly.

After soaking, dry the foot and while your horse is standing on a clean towel, prepare a poultice of Epsom salts and gentle iodine. If you prefer, you can add an anti-bacterial/anti-fungal cream such as nitrofurazone (furazone) to the poultice. Please note that nitrofurazone is toxic and you should wear gloves while using this product. If your skin comes in contact with it, wash the area immediately.

Next, pack the frog with the poultice and then cover with a sterile gauze. To secure the area, wrap with vetwrap and cover with duct tape. Medicine boots may also be used to protect the site if they are available. Your horse will appreciate the cushion and it will relieve some of his discomfort. Repeat this procedure two times daily.

Hoof abscesses require stall rest or restricted activity. It is important to walk your horse several times a day but be vigilant that the abscess is not aggravated. Massaging the leg to stimulate circulation will also speed up the healing process.

Within a few days the hoof abscess will rupture and begin to drain. This is a sign of success for your efforts and relief for your horse. It is important to continue to soak the site and allow healing to continue from the inside out. This is the point where your horse will become more active and want to resume his normal routine. It is acceptable to begin turn out but he should not be put back into work until all signs of lameness are gone. If you follow these simple guidelines, you should have no lasting implications from a hoof abscess.

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5
I am looking for the same answer as susanandsam asked. When do you know it is healed enough to stop treatment?
- anon51719
4
I am the one listed as anon44667 (post #3). I thought my mare was better and she was, for a few days, then the abscess came back. In other words, it must have not all gotten out. It's been since about two months. I am still soaking some and wrapping and putting on icthamol, poltice, etc. This is very aggravating. My vet says next week we're going to have to dig to go after the abscess if she isn't better.
- anon49099
3
Hi. I've been dealing with an abscess on my mare for two weeks now. I rode her one day and the next day she could hardly walk. I actually had the vet come out and do x-rays, I was so worried. She found the abscess, which showed to be one inch from the bottom of the hoof. I soaked two, sometimes three times a day and wrapped the hoof with poultice, brown paper, diaper, duct tape 12 hours on, 12 hours off. I was very tired from all of this. Finally this past Sunday after a week and a half, the abscess came through the *top* of the hoof and she was much better. She is still somewhat sore, though, as it is still healing. I'm still soaking and putting icthamol on it but I'm not wrapping now. I turn her out all night. It's been a painful process, for her and me. I hope not to see another abscess in a long time.
- anon44667
2
Our horse started limping, the vet "thinks" it could be an abscess or bruise, we have been soaking and packing her with poultice for the past 10 days looking for an abscess release, we haven't seen anything that resembles "pus", it seems she is improving but still has a slight limp, the skin on the back of her foot and one side of her frog is starting to turn purple in color (the poultice is pink)...what are we looking for and how long should be continue to treat her in this fashion? Can putting the poultice on for too long cause damage?
- BlazeMopar
1
My horse's abscess was in his frog. The farrier found it and cleaned it. We're halfway through a course of antibiotics and have been soaking for 5 days, vetwrapping and booting. I still see a pinhole at the abscess site. How long after the abscess has ruptured do you need to continue soaks--in other words, what am I looking for to know when we can stop? And at what stage can I discontinue the vetwrap/duct tape? Thanks!
- susanandsam

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Written by KD Morgan
Last Modified: 08 November 2009

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