Ringbone in Horses: 2025 Vet Diagnosis, Treatment & Care Tips from Dr Duncan Houston 🐴🩺

Welcome! I’m Dr Duncan Houston, veterinarian and founder of AskAVet.com. This 2025 guide is all about understanding and managing ringbone—a common, painful joint condition in horses. We’ll cover causes, types, symptoms, diagnosis, treatment options, shoeing, lifestyle management, and when to seek help. 🧠💉

🦴 What Is Ringbone?

Ringbone is a form of degenerative joint disease (osteoarthritis) in the lower limb. It results in abnormal bony growth—exostosis—around key joints in the foot and pastern. This condition often affects performance horses but can occur in any horse over time. 🐎

Types of Ringbone:

• High Ringbone: affects the pastern joint (between P1 and P2).
• Low Ringbone: affects the coffin joint (between P2 and P3).

Subcategories:

• Articular: affects the joint surface—more painful, worsens mobility.
• Non-Articular: affects bone outside the joint—may progress slower.

⚠️ Causes & Risk Factors

Ringbone develops due to excessive strain, conformation flaws, or prior injuries. The most common contributing factors include:

• 🔁 Wear and Tear: Repeated joint use in performance horses.
• 🐾 Poor Conformation: Upright pasterns, toed-in stance, or long toe/low heel alignment.
• 💥 Trauma: Past fractures or ligament injuries in pastern area.
• 🏇 High-Impact Disciplines: Jumping, barrel racing, reining, polo.
• 🧬 Genetic predisposition or poor limb alignment in young horses.

🔍 Clinical Signs of Ringbone

Early signs can be subtle. Recognizing them quickly helps manage the disease effectively. Look for:

• 🚶‍♂️ Mild lameness, especially on hard ground.
• 🔥 Warmth or swelling near the pastern or coronet band.
• 🧱 Firm, bony swellings felt externally.
• 🔁 Shortened stride or choppy movement.
• ⏳ Progressive stiffness or declining performance.

🧪 How Ringbone Is Diagnosed

A veterinarian will use a multi-step process to confirm ringbone:

1. Visual gait analysis and palpation of limbs.
2. Flexion tests and nerve blocks to localize pain.
3. Radiographs (X-rays)—the gold standard for identifying bone growth and joint changes.
4. In some cases, MRI or CT scans help in early or complex cases.

🩺 Treatment Options for Ringbone

Although ringbone is not curable, many horses can live pain-free and even perform with proper care. Treatment involves reducing inflammation, maintaining comfort, and slowing progression. 🧘‍♀️

1. 🏋️ Weight & Exercise Management

• Keep your horse at ideal weight to reduce joint stress.
• Adjust work intensity—avoid deep footing or hard surfaces.
• Turnout in soft pasture maintains mobility without overload.

2. 🧲 Corrective Shoeing & Hoof Balance

• Balance hooves—shortened toes and raised heels reduce strain.
• Consider egg-bar or roller-motion shoes to aid breakover.
• Collaborate with an experienced farrier and your vet.

3. 💊 Medical Therapies

• NSAIDs: e.g. Bute (phenylbutazone), Equioxx to reduce pain & inflammation.
• Topical Diclofenac: localized pain control with minimal systemic effects.
• Bisphosphonates: Osphos or Tildren help in cases involving bone remodeling.

4. 💉 Injections & Biologic Therapies

• Joint Injections: Steroids + hyaluronic acid can bring quick relief.
• IRAP/PRP: Use the horse’s own healing proteins to support cartilage.
• Shockwave Therapy: Stimulates healing and reduces pain in bony areas.

5. 🔩 Surgical Options (Arthrodesis)

• For advanced high ringbone, fusion of the pastern joint can eliminate pain.
• Horses can return to light work or even competition after fusion.
• Fusion in low ringbone is more complicated—often results in pasture soundness only.

🛠️ Long-Term Management

Success with ringbone means managing inflammation, comfort, and joint stress over time. Here’s how:

• 🦷 Regular farrier visits every 4–6 weeks.
• 🐴 Adjust work levels based on the horse’s response.
• 🛏️ Provide comfortable footing—deep mud and hard surfaces both aggravate pain.
• 🍎 Feed anti-inflammatory diets—Omega-3 supplements, joint support like glucosamine, MSM, chondroitin.
• 📲 Use AskAVet.com for check-ins, exercise adjustments, and recheck scheduling!

📈 Prognosis

Outcome depends on the type, severity, and how early treatment begins:

• ✅ Non-articular ringbone often remains manageable with shoes and rest.
• ⚠️ Articular ringbone is more serious but can respond to injections or fusion.
• 🏆 With dedication, some horses return to light or even competitive work.

📋 Vet Checklist: 2025 Ringbone Care Plan

🔚 Final Thoughts from Dr Duncan Houston

Ringbone can feel overwhelming—but with early diagnosis, smart management, and the right vet-farrier partnership, many horses lead fulfilling, active lives. 🐎✨

💙 Always watch for early signs, keep hooves balanced, and respond to any changes quickly.

🩺 For ongoing support, download the AskAVet.com app—where expert help is only a click away. Together, we’ll keep your horse comfortable and moving well. 💪🐴