Navicular Disease in Horses: 2025 Vet Diagnosis, Treatment & Care Guide by Dr Duncan Houston 🐴🩺

Hello! I’m Dr Duncan Houston, veterinarian and founder of AskAVet.com. In this 2025 comprehensive guide, we’ll explore navicular disease—a painful degenerative condition affecting the hoof, heel structures, and navicular bone. We’ll cover causes, symptoms, diagnostics, treatment options, shoeing strategies, rehabilitation, and long-term prevention to help your horse stay comfortable and performance-ready. Let’s dive in! 🧠

📌 What Is Navicular Disease?

Navicular disease refers to chronic degeneration and inflammation of the navicular apparatus (navicular bone, bursa, DDFT, ligaments). It often leads to chronic forelimb lameness and heel soreness. Timely detection and management are crucial.

⚠️ Causes & Risk Factors

• 🎯 Genetic predisposition—some bloodlines show higher incidence.
• ⚖️ Conformation flaws—upright pasterns, short toes, poor heel support.
• 🏇 High-impact activities—jumping, dressage, barrel racing increase repetitive stress.
• 🦶 Poor hoof balance or inadequate farriery.
• 🔄 Biomechanical overload due to lameness elsewhere.

👀 Signs & Clinical Presentation

• Intermittent forelimb lameness that worsens with hard ground or performance.
• Short, choppy stride; landing toes first.
• Heel sensitivity—horse may lift foot quickly on heel pressure.
• Points of lameness often shift from one forelimb to the other.

🩺 Diagnosis 🧪

1. Careful lameness evaluation—watching gait and hoof landing pattern.
2. Palpation for heel pain and hoof tester application.
3. Diagnostic nerve blocks to isolate heel area.
4. Imaging: radiographs to assess navicular bone changes; advanced imaging like MRI or CT in complex cases.

💊 Treatment & Management

1. Farriery & Shoeing

• Correct hoof trimming—short toe, supportive heel angle.
• Therapeutic shoeing—egg-bar, extended heel, and rocker-toe shoes help reduce stress.
• Custom pads or pour-in support for cushioning.
• Regular farrier cycles (every 4–6 weeks).

2. Medical Management

• NSAIDs (e.g., phenylbutazone, firocoxib) to reduce inflammation and pain.
• Bisphosphonates (like tiludronate) in progressive cases to help bone remodeling.
• Adjunct supplements: omega‑3s and joint support formulas.

3. Intra‑Articular/Bursal Therapies

• Navicular bursa injections—corticosteroids combined with hyaluronic acid.
• Biologic therapies (PRP/IRAP) to encourage local healing.
• Shockwave therapy may support tissue regeneration and pain relief.

4. Rehabilitation & Exercise

• Controlled movement—turnout on soft footing or gentle hand-walking.
• Start light riding on soft surfaces; progress slowly with rehab goals.
• Incorporate pole work, hills to improve hoof mechanism and navicular circulation.

5. Advanced/Future Therapies

• Surgical options like palmar digital neurectomy—reserved for horses that fail to respond to conservative care.

📋 Long-Term Management & Prevention

• Regular hoof maintenance and corrective trimming.
• Maintain ideal body condition to minimize limb stress.
• Avoid constant heavy work on hard surfaces.
• Rotate therapeutic shoeing as needed.
• Watch for early signs of heel soreness or stride change.
• Collaborate with farrier and vet—open communication ensures individualized treatment.
• Use AskAVet.com for remote check-ins, follow-up imaging interpretation, and farrier coordination.

📈 Prognosis & Outcome

• Early-stage navicular disease often responds well to conservative care—many horses return to light/moderate work.
• Advanced cases may require ongoing management; surgical options can restore comfort, with appropriate rehab.
• Life-long management possible—many horses remain comfortable and athletic with tailored care.

🎯 2025 Vet Checklist for Navicular Care

🌟 Final Thoughts from Your 2025 Vet

Navicular disease can be a long-term challenge—but with a proactive, holistic, and collaborative approach, many horses thrive with comfort, function, and performance. Early detection, expert farriery, and tailored therapies offer the best odds. 🐎✨

Stay proactive: observe hoof and stride shifts, partner with your vet and farrier, and rely on AskAVet.com for remote support, rehab planning, and hoof care check-ins. Your horse’s hoof health is top priority—together, we’ll keep them moving soundly. 💙