Thrush in Horses: 2025 Vet Diagnosis, Treatment & Prevention by Dr Duncan Houston 🐴🦶

Hello! I’m Dr Duncan Houston, veterinarian and founder of AskAVet.com. This 2025 guide provides expert insight into hoof thrush — a bacterial (and sometimes fungal) infection of the frog. We’ll explore causes, early signs, diagnostic steps, effective cleaning & treatment strategies, supportive care, and prevention plans to keep your horse's hooves healthy and strong.

🔍 What Is Thrush?

Thrush is a degenerative infection affecting the frog and proximal sulci, characterized by foul-smelling, black necrotic discharge. Causative agents include anaerobic bacteria—commonly Fusobacterium necrophorum—and opportunistic fungi :contentReference[oaicite:3]{index=3}.

⚠️ Predisposing Factors

• Wet, soiled bedding or muddy paddocks create low-oxygen environments ideal for bacteria :contentReference[oaicite:4]{index=4}.
• Poor hoof conformation — deep sulci, narrow/contracted heels, sheared heels :contentReference[oaicite:5]{index=5}.
• Lack of exercise reduces natural hoof cleaning through expansion/contraction :contentReference[oaicite:6]{index=6}.
• Infrequent hoof care (trimming, cleaning), poorly fitting shoes, or hoof pads :contentReference[oaicite:7]{index=7}.

👁 Clinical Signs & Diagnosis

• Black, pasty discharge with foul odor from frog sulci/fissures :contentReference[oaicite:8]{index=8}.
• Softened, irregular frog tissue; removal by hoof pick may cause bleeding if deeper layers are affected :contentReference[oaicite:9]{index=9}.
• Lameness occurs only when infection reaches sensitive tissues :contentReference[oaicite:10]{index=10}.
• Diagnosis via visual/olfactory criteria is typical; advanced cases may warrant veterinary exam :contentReference[oaicite:11]{index=11}.

🛠 Treatment Steps

1. Debridement

• Clean hooves daily; use hoof pick & brush to remove necrotic material :contentReference[oaicite:12]{index=12}.
• Farrier or vet should trim away infected frog tissue down to healthy horn :contentReference[oaicite:13]{index=13}.

2. Topical Treatment

• Apply disinfecting/keratolytic agents: iodine, diluted bleach, chlorine dioxide, or commercial thrush remedies :contentReference[oaicite:14]{index=14}.
• Follow with astringents or hoof hardeners to restore frog integrity :contentReference[oaicite:15]{index=15}.

3. Supportive Care

• Keep hooves dry—improve stall drainage, avoid mud exposure :contentReference[oaicite:16]{index=16}.
• Encourage turnout and light exercise to promote natural hoof-cleaning mechanism :contentReference[oaicite:17]{index=17}.
• Address lameness and, if severe, consider systemic antibiotics under veterinary guidance :contentReference[oaicite:18]{index=18}.

📌 Recovery & Prognosis

• When caught early and treated appropriately, prognosis is excellent :contentReference[oaicite:19]{index=19}.
• Severe or recurrent cases may cause permanent tissue damage or chronic lameness :contentReference[oaicite:20]{index=20}.
• Regular farriery to correct conformation and deepen sulci is essential to prevent recurrence :contentReference[oaicite:21]{index=21}.

🛡 Preventive Strategy

• Keep living areas clean and dry; remove wet bedding promptly :contentReference[oaicite:22]{index=22}.
• Inspect and clean hooves daily, especially frog sulci :contentReference[oaicite:23]{index=23}.
• Maintain regular trimming/shoeing to ensure hoof health :contentReference[oaicite:24]{index=24}.
• Provide turnout and exercise for healthy hoof mechanics :contentReference[oaicite:25]{index=25}.
• Use hoof hardeners or frog support in predisposed horses :contentReference[oaicite:26]{index=26}.

📋 Quick Care Table

🌟 Final Thoughts from Your 2025 Vet

Thrush is common but easily managed when detected early. With diligent cleaning, targeted treatment, environmental control, and good hoof care, most horses recover fully. 🐎✨

📲 Use the AskAVet.com app to share hoof images, track treatments, set reminders, and check progress—ensuring your horse stays sound and comfortable. 💙