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Understanding Graveled Horses (Hoof Abscess): Causes, Symptoms, and Treatment Written by: Joshua J. Speer M. Agr, AF



Abscess blow out at coronary band
Graveled Hoof

As horse owners, we strive to provide the best care for our equine companions, ensuring their health and well-being at all times. However, despite our best efforts, unforeseen challenges such as lameness can arise, leaving us puzzled and concerned. One such condition that often catches horse owners off guard is known as "graveling," which can lead to a hoof abscess. In this comprehensive guide, we delve into the intricacies of graveling – from its causes and symptoms to its treatment and prevention strategies.


Graveled Hoof with Necrotic Tissue
Removed Necrotic Horn and Tissue

What is Graveling? Graveling, scientifically termed suppurative pododermatitis, is an infection that affects the sensitive parts of the hoof, leading to lameness in horses. Contrary to its name, graveling does not necessarily involve an actual piece of gravel lodged in the hoof. Instead, it typically occurs when bacteria infiltrate the white line area of the hoof, often facilitated by nail placement during shoeing or existing hoof wall defects.


Cracked and infected hoof wall
Graveled Hoof After Abscess Rupture

Identifying Graveling: The onset of graveling is often sudden and alarming for horse owners. Lameness may occur shortly after the horse has been shod, typically within two weeks. Affected horses may exhibit extreme lameness, with swollen legs and reluctance to bear weight on the affected limb. In severe cases, the infection may progress to the point of mimicking tendon injuries, causing further concern for horse owners.


Treatment Approach: Prompt diagnosis and treatment are essential in managing graveling effectively. Upon suspicion of graveling, it is crucial to involve a veterinarian to assess the extent of the infection. Treatment typically involves removing the offending nail or shoe to locate the affected area of the hoof. The infected area is then trimmed to allow drainage, relieving pressure and discomfort. Application of a poultice, comprising wheat bran, Epsom salt, and warm water, aids in drawing out the remaining infection and promoting healing.


Recovery and Prevention: With timely intervention, horses affected by graveling can experience significant improvement within days. Regular application of the poultice, coupled with NSAIDs to alleviate soreness, accelerates the healing process. However, prevention remains the cornerstone in managing graveling. Maintaining a consistent schedule with a qualified farrier is crucial, as timely trimming and shoeing help prevent hoof wall defects that predispose horses to graveling. Additionally, daily foot care by horse owners plays a vital role in detecting early signs of hoof issues and addressing them promptly.


Rebuilt Hoof Wall with Super-Fast
Repaired Hoof Wall After Removing Necrotic Material

In a recent case we encountered, a horse presented with a complex hoof condition resulting from graveling and subsequent complications. The horse had developed an abscess that ruptured at the coronary band, leading to a horizontal crack in the dorsal wall of the hoof. As we began the examination and corrective measures, we discovered significant necrotic tissue and thrush trapped under the hoof wall, necessitating thorough cleaning and treatment. Using Hawthorne Products CHURCHILL’S 16.5% IODINE, we meticulously cleansed the affected areas and removed necrotic material where possible. To address the compromised hoof structure and promote healing, we opted for Kerckhaert Royal Horseshoe Factory SX7 00 Quarter Clipped shoes, ensuring proper balance and support. Additionally, we employed a combination of cotton balls and Sugardine, along with duct tape, to pack and protect the affected areas, with the goal of eliminating thrush and facilitating optimal healing. We also addressed cracks on the other hoof, taking similar measures to remove necrotic tissue, cleanse the area, and provide necessary support using Vettec CS Packing. Through meticulous care and tailored treatment, we aim to restore the horse's hoof health and functionality, emphasizing the importance of proactive hoof care and collaboration between veterinarians, farriers, and horse owners in managing complex hoof conditions effectively.


Graveling can pose significant challenges for both horse owners and their equine companions. However, with a thorough understanding of its causes, symptoms, and treatment options, we can effectively manage and mitigate its impact on horse health. By prioritizing regular hoof care, collaborating with veterinarians and farriers, and staying vigilant for signs of lameness, we can empower ourselves to provide the best possible care for our beloved horses, ensuring their continued health and happiness.


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