Equine
No Foot, No Horse
By Dr. Garrett Metcalf, DVM
There is a wise old saying no foot no horse and that is absolutely true. Horses of all breed, discipline and size must have good healthy feet or they will suffer poor performance, chronic pain or worse succumb to diseases of the foot. There are several medical conditions that require surgical treatment within the hoof wall of the horse and this article will highlight the most common conditions that require surgical treatment and specialty farrier care.
Foot Abscesses –
Foot abscesses are a very common issue that nearly every horse may experience at some point in their lifetime. Abscesses are often minor issues that can be easily corrected by a farrier or veterinarian getting access to the abscess to allow drainage but they can be rather debilitating and sometimes rather serious. Abscesses in general are localized pockets of infection that found its way into the sole or white line of the foot. These abscesses often form because there is some structural abnormality of the foot, trauma that led to bleeding under the sole or improper hoof care that has led to abnormal forces being applied to the foot and of course the old hot nail. For example trimming of the foot without relieving enough sole pressure can lead to overloading the sole and in turn sole bruising setting up for an abscess. Other common abnormalities of the foot that leads to abscessation are laminitis and club feet. These two conditions can cause tearing and stretching of the white line and allow bacteria plus moisture to enter deeper into the foot which in some cases can further destabilize an already unhealthy foot, leading to a life threatening situation. Deep abscess that go untreated for days or weeks can continue to invade and dissect through tissue planes leading to larger abscesses. These large abscess sometimes require surgical intervention to keep them from spreading and to eliminate the abscess all together.
Pedal Bone Osteitis
Pedal bone or the coffin bone is a very unique bone compared to others in the horse. The coffin bone is a rather porous bone that has intimate attachment to the foot capsule and sole. The bone and the hoof tissue has a very high amount of blood supply rightly so because of the vast amount of metabolic rate energy it uses to keep the foot supplied with nutrients. Whenever the hoof is diseased or compromised from laminitis or infection the blood supply can be compromised as well spelling disaster. The disaster that can ensue from these conditions is an infected portion of the coffin bone or sequestration of bone. Bone sequestrums are when bone lacks blood supply and is also infected by bacteria that thrive off of dead tissue. Bone sequestrums are generally rather treatable conditions because once removed the bone can heal but the coffin bone is not the same as other bones in the horse. The coffin bone lacks an outer soft tissue coating called periosteum. Periosteum is a very robust membrane outside of almost all bones that provide blood supply and support healing with progenitor cells and stem cells. The uniqueness of the coffin bone without this important layer leads to poor healing, a more delicate blood supply and makes is more prone to infectious insults.
Treatment of an infected piece of the coffin bone requires aggressive steps in order to prevent spread and destruction of the rest of the coffin bone. Further spread into the coffin bone can lead to further damage to the blood supply to the bone and hoof as well as weakening the bone to the point of fracture under the weight of the horse. Aggressive surgical debridement or removal of infected tissue and bone is the first required step to reduce the amount of infection present in the foot. Secondly is aggressive antibiotic therapy using local delivery methods and systemic routes of administration. Local antibiotic delivery is by means of antibiotic beads, pastes or ointments and by means of regional limb perfusions. Regional limb perfusions are 20-30 minute treatments where antibiotics are delivered to the affected limb via blood vessels in that limb. The antibiotic is held in the limb by a tourniquet above the application site to allow higher concentration of the drug to enter the target tissue or region of the limb. Lastly is proper support of the remaining hoof while still maintaining access to the infected areas to allow local treatment. This step cannot be overlooked and requires the work of a talented farrier to make it possible.
Quittor
Quittor is a chronic deep infection within one of the collateral cartilages of the coffin bone. The collateral cartilages are attached on both wings of the coffin bone and are often referred to on x-ray films as side bone. Lacerations, puncture wounds, trauma and abscesses of the foot can lead to infection of the collateral cartilage. To most people quittor doesn’t sound like a big deal and seems like it would be easily addressed with a few days of antibiotics but that is not the case. This infection deep in the foot can be like a smoldering fire that cannot be put out until the infected cartilage is removed. The diagnosis is usually straight forward because there is often a draining tract with swelling, heat and proud flesh centered over one of the collateral cartilages. The difficulty lies in finding and removing all of the infected tissue not to mention that you have to go through the hoof wall to get there. A hoof wall resection or a window cut in the side of the foot is often needed to access the infected tissue, allow drainage and local treatment at the same time. Quittor can be rather difficult and sometimes require multiple surgeries in order to get the infection cleared up. After the hoof wall resection is made often a specialized shoe will be needed to help protect and keep the foot stable until the hoof grows out the defect in the hoof wall.
Keratoma
Keratoma is a benign tumor like growth that arises from the hoof wall or laminar tissue of the foot called keratin. Keratin is what makes up our hair and nails. This growth continues to expand between the foot wall and the coffin bone leading to pressure necrosis and damage to the coffin bone. This abnormal keratin tissue is usually located at the toe region of the foot and is thought to be triggered by trauma to the hoof tissue. The most common signs of a keratoma are reoccurring foot abscesses in the same location and same foot, plus lameness that are localized to the foot. X-ray, CT and MRI can be used to diagnose keratoma formation within the foot. Often the keratoma is well formed enough to be seen with x-ray but sometimes advance imaging is necessary to make the diagnosis.
The only treatment and cure for a keratoma is surgical removal through the hoof wall. This requires a hoof wall resection with either an oscillating saw or drill bit to removal the hoof wall without damaging the coffin bone. A keratoma has an often distinct appearance by this off white crumbly type tissue that is often easily removed from the surrounding healthy hoof wall. After surgical removal a specialized shoe is needed to protect the foot and allow access to treatment of the surgical site to prevent infection.
Coffin Bone Fractures –
There are many different patterns or ways that a coffin bone can be fracture and some are more serious than others. To keep it simpler we break them down into articular or non-articular meaning do they enter the coffin joint or do they not. Non-articular coffin joint fractures generally are much less serious and can be healed without major surgery. Often times non-articular fractures are stabilized with a special shoe and casting tape placed around the foot to make the hoof itself the “splint” for the coffin bone nestled inside the hoof wall.
Articular fractures of the coffin bone are a much more serious problem because of the damage that is done to the coffin joint. A fracture into any joint is a serious threat to the health of the joint and requires surgical reconstruction as soon as possible to keep the joint from developing crippling arthritis. The trouble again with any surgery on the foot is that the bone is inside the foot making it difficult to access. There are techniques to place screws into the coffin bone through small hoof wall resections to allow stabilization of coffin bone fractures. It does require the right fracture pattern and location to make this surgical treatment a plausible option.
Street Nail
A street nail surgery is used to treatment of deep penetrating injuries that occur at the frog or sole that leads to infection of the bottom of the coffin bone, navicular bone and closely related surrounding soft tissue structures. Street nail procedures are often needed when a metal object such as a nail or screw penetrates and infects the one of the vital structures of the bottom of the foot. This window allows flushing of the synovial structures and removal of damaged/infected tissue. This procedure success is greatly improved with the use of an arthroscopic camera placed in the navicular bursa or coffin joint depending on what area the puncture wound involves. The arthroscope allows better visualization and more thorough flushing of debris and infection out of these tight spaces. Again this surgery cannot be successful with the application of a special shoed called a hospital treatment plate shoe that allows access to the bottom of the foot while keeping the foot clean and protected.
As you can see there is a pretty clear pattern to these hoof conditions: infection and the need for specialized farrier care. In order to be successful in treating these conditions the veterinary surgeon and farrier must work hand in hand to provide the best care for the horse. Although performing surgery on the foot of a horse is challenging and sometimes limited, it is often possible to have successful outcomes with a variety of different conditions.
Equine
Meeting the Nutritional Needs of Older Horses
As horses age, their nutritional needs change significantly, necessitating careful adjustments in diet and management to maintain their health and quality of life. Older horses, often categorized as seniors around the age of 20, may face a variety of age-related challenges, including decreased digestive efficiency, dental issues, and metabolic disorders, all of which require tailored nutritional strategies.
Challenges and Considerations for Senior Horses
One of the primary challenges in feeding older horses is their reduced ability to digest and absorb nutrients. As horses age, their digestive systems become less efficient at processing essential nutrients like proteins, vitamins, and minerals. This decline can lead to conditions such as muscle loss, weight loss, and decreased immunity, making it crucial to adjust their diets to meet these changing needs.
Dental health is another significant concern. Many senior horses experience dental issues, such as worn or missing teeth, which can impede their ability to chew and digest forage effectively. For these horses, switching to a senior complete feed—formulated to be highly digestible and to meet all of the horse’s nutritional needs—can be beneficial. These feeds are designed to replace forage entirely when necessary, ensuring that even horses with severe dental problems can still receive a balanced diet.
Management Strategies
In addition to dietary changes, proper management practices are essential for the well-being of senior horses. Regular veterinary check-ups are critical to monitor their health and detect any early signs of age-related diseases. Common conditions like Cushing’s disease and metabolic syndrome can have a significant impact on a horse’s nutritional requirements. For example, horses with metabolic disorders may need a diet low in sugars and starches to prevent spikes in blood glucose and insulin levels.
Moreover, older horses often require adjustments in their living conditions to reduce stress. As they age, horses may become more sensitive to changes in their environment, such as temperature fluctuations or alterations in their social groups. Ensuring a stable, comfortable environment with gradual changes can help mitigate stress and maintain their overall health.
Feeding Recommendations
When designing a diet for an older horse, it’s important to consider factors such as body weight, activity level, and specific health conditions. Senior horses typically require a diet rich in easily digestible fiber, with added fats and proteins to compensate for their decreased digestive efficiency. Probiotics and prebiotics can also play a role in supporting gut health and improving nutrient absorption.
It’s essential to avoid feeding dusty or moldy hay, as older horses are more susceptible to respiratory issues and gastrointestinal problems. Soaking hay before feeding can help reduce dust and make it easier to chew for horses with dental issues. Additionally, complete feeds that incorporate all necessary nutrients can be an excellent option for horses that can no longer consume enough forage.
Caring for an older horse requires a holistic approach that combines tailored nutrition, careful management, and regular veterinary care. By understanding and addressing the unique needs of senior horses, owners can help their equine companions age gracefully and maintain a good quality of life. Every horse is an individual, so working closely with a veterinarian or equine nutritionist to develop a personalized care plan is essential for ensuring their long-term health.
For more detailed information on managing the nutritional needs of older horses, you can refer to resources such as OSU Extension, The Horse, Florida IFAS, and The Open Sanctuary Project.
This article originally appeared in the September 2024 issue of Oklahoma Farm & Ranch.
Equine
Trailer Safety Checklist
By Janis Blackwell
As the season arrives to gear up for participation in your equine event of choice, one thing remains a constant for all horse owners. That constant is our responsibility to insure the safety of our horses by being diligent to maintain the integrity of the trailers in which we haul them. There are a number of things that can be dangerous both inside and outside of your trailer. Whether you traveled all winter long or whether your trailer sat unused or was used very little through the cold weather months, at least once a year your trailer is due a thorough going over. So here we go with a checklist that will help you insure a happy and safe trip for you and your equine partner.
- A sound floor is absolutely imperative. Whether your floor is aluminum, steel or wood, it should be cleaned regularly after use to preserve it. Urine and manure will erode and weaken all types of floors. Even rubber mats will not prevent erosion of your floor. (Maintenance tip: remove mats and wash aluminum floors often to prevent erosion.)
- Especially check wooden floors for rotten boards. Immediately replace questionable flooring before hauling. (Maintenance tip: For wood, remove mats and wash out manure and debris. Coat wooden floor in a cheap motor oil. Allow to sit in hot summer weather until the oil soaks in. Be careful—floor will be slippery until oil cures into the wood. This treatment yearly will preserve a wooden floor for much longer than normal as it repels urine and protects the wood).
- Keep the interior and exterior washed to enable you to check for rusted out places, leaks, etc.
- Have a professional check your brakes at least once yearly to be sure they are operating properly.
- Be sure tires are inflated to the proper air pressure, and check the inside of each tire for hidden unusual wear that could cause a blowout. Replace worn tires before leaving home.
- Wheel bearings must be checked and packed at least once a year. This should be done even if the trailer has been rarely used since the last time the wheel bearings were packed. In fact, trailer maintenance professionals say that sitting stationary and unused is even worse for the bearings. Improper care and maintenance of wheel bearings can cause a wheel to seize up and actually twist off while in use. Use a horse trailer professional for this maintenance task.
- Axles should be checked for bowing. A bent or bowed axle can cause excessive tire wear and damage wheel bearings.
- There should be no more than two inches in height difference from the front of the trailer to the back. More difference than that causes the bulk of weight of the trailer and its contents to ride mostly on the rear axle causing it to bow and wear on both tires and wheel bearings.
- Another critical part of the trailer to keep an eye on are the butt chain or bar and the back door. The butt chain or bar should be firmly attached to the wall and its keeper and should always be latched. The door should have a strong secure latch with a pin to insure it stays latched while in motion.
- Finally, but certainly not of least importance is a thorough check of the trailer hitch including ball and coupling. Keep the ball well greased. Periodically, check to see that the ball is still securely tightened and the latch on the coupling is working properly.
These few critical safety check points can save you money, stress and the wellbeing of your horse. Until next time, happy trails and safe traveling.
This article was originally published in the April 2016 issue of Oklahoma Farm & Ranch.
Equine
History of the Horseshoe Part 2
By Laci Jones
With the saying, “Don’t reinvent the wheel,” Lee Liles, owner of the National Museum of Horse Shoeing Tools and Hall of Honor said the same could be said about the horseshoe.
“Nothing is really new in a horseshoe,” he explained. “It just seems to be a revolving circle.”
While the horseshoe has not changed, Liles said the title of the horseshoe specialist has. At some point over time, the horseshoer took on the name “farrier,” he added.
Certification
Horseshoers in the late 19th century needed to have a certificate issued by the Master Horseshoers National Protective Association. Liles said the association was like a union. If someone was caught without being a licensed member, they could be fined $400.
The color of the certificates was different each year, making the certificates easy to identify when entering the blacksmith’s shop.
Other countries like Canada and Germany also required certification. Horseshoers in London in 1909 needed to carry a certificate with them at all times. The certificate was signed by the queen, Liles explained.
Mid-Century Trends
In the 1940s, 1950s and 1960s, all horses had heel caulks on their horseshoes.
“I can remember back in the 1960s we had a shoe we called ‘The Cowboy Shoe,’” he added. The Cowboy Shoe was beveled out on the inside to help shed dirt. Liles said a good cow pony on rough terrain requires a tougher shoe.
“If it weren’t for a horseshoer moving up [in rough country] there would never have been good cattle country,” he said. “He kept the horses sound from being on the rocks.”
He remembered when owners could get away with just trimming their ranch horses in the 1960s. “Getting into the 1970s, you had to put shoes on ranch horses,” Liles added. “Their feet weren’t as strong because the breeding changed their feet a lot.”
The Horse
“The life of a horseshoer is very short,” Liles explained, “especially this day and time more so than the old days.”
To give a time-life-history of the horse, 24 million horses were in the United States in 1915. By 1950, they were down to two million. Farmers began working with tractors and the workhorse phased out, he added. In the late 1950s and early 1960s, horses became luxury items, Liles explained. Owners used horses more on ranches and started horse shows and events.
“In 1965, there was a shortage of horseshoers because most were cavalry horseshoers or taught by somebody who was in the cavalry,” he added. Those horseshoers retired by the 1960s, and there was a need for horseshoeing schools.
Z-Bar Shoe
“Our shoe industry has changed dramatically since 1979,” Liles explained. “We’ve got so may good horseshoes on the market today that you hardly need a forge to heat them up to shape them.”
Liles said the industry now has front and rears in the patterns, which has changed horseshoeing. The Z-Bar shoe may have been patented in 1900 in New Orleans, but the shoe has become more popular in recent years. “It’s popular in our horseshoeing contests,” Liles explained.
The Z-Bar shoe is used on horses that have a bad quarter crack, he added. The shoe relieves the pressure and lets the swelling go down, and the bar distributes the weight in the foot. This is the only patent I ever seen south of the Mason-Dixon Line,” he added.
Current Trends
“Just in the last few years, we’re seeing horseshoes with multiple nail holes,” Liles added. “That is more than we’ve ever had.”
For 200 years in the United States, horseshoes have always had eight nail holes in the shoe. Now, 10 to 16 nail holes are in a shoe. “That’s a dramatic change,” Liles explained. “It gives [farriers] more of an option to where they can rotate the nails around if the foot gets bad, so it’s not a bad deal.”
Shoeing horses on the front end and not the back end is trending in the show horse industry, he explained. When asked why this is trending, Liles said one person started winning, and everybody started thinking it would help them win.
“It’s not always necessary to shoe the back end of a horse,” he said. “Most of the weight on a horse is carried from the front end with the weight of the horse’s neck and the cowboy.”
Marvin Beeman, DVM and educator for the American Colt Horse Association, told Liles how a horse farrier shoes a ranch horse depends on the biographical areas in which they live in.
“If you change your horse from one environment to another environment, it will actually change the growth pattern of the horse’s foot and start a groove around his foot,” Liles explained. “When you change that horse’s environment, the horseshoer can actually read it in his foot.
“That’s hard for a lot of people to imagine, but when you bring a horse from the east coast to the west coast, that’s a dramatic change for that horse.”
Different Materials
Liles said using different materials is a current trend among horse farriers. In the early days of horseshoeing, farriers used wrought iron. Today, most horseshoes are made using plain steel. However, the show horse industry uses a lot of aluminum and titanium.
“A pair of heavy walking horse shoes can cost $5,000,” Liles explained, “but it’s made out of tungsten.”
Plastic and rubber shoes have also become popular in recent years. Amish horses used on roads have horseshoes made of Borium. Borium is a texture that keeps the shoe from wearing out, but it can also have a negative impact on the road.
“If you drive around in Amish or Mennonite country and see a dip in the road, it’s from a horse going down the road,” Liles explained. “A lot of states like Pennsylvania and Ohio have funded projects trying to come up with a traction device horseshoe that will not hurt their asphalt and highways as bad.”
Glue-on shoes have come along after he was an active horse farrier. The dairy industry uses the glue-on shoes more than anybody, he added. Cattle are on water and concrete, and they can have a tremendous problem with foot rot. Liles said proper nutrition can help combat this disease.
“I’ve never seen many horse’s feet that I couldn’t nail a shoe on,” Liles said, “but, I see where they help a lot of horses today.”
To learn more about the history of the horseshoe, visit www.horseshoeingmuseum.com.
This article was originally posted in the August 2016 issue of Oklahoma Farm & Ranch.
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