Hole in hoof not better. - The Horse Forum
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post #1 of 26 Old 01-04-2020, 12:18 AM Thread Starter
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Exclamation Hole in hoof not better.

I posted back in November about Ice's sole on left front. Had a hole at toe where an abscess had been pared out. Was told had infection in it

Been treating that now for over a month with antifungal ointment and triple antibiotic ointment,one tube of each mixed together. Squirt it in hole of hoof then put cotton in hole to keep meds in. Doesn't look any better not worse either, looks the same.

Horse is standing in snow and it below freezing 24/7. Highs in teens so don't think soaking would work.

What else do I use to treat now? Or just leave it be? Or keep using same treatment? He's sound not being worked just standing around eating hay 24/7.

Out riding my horse.
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post #2 of 26 Old 01-04-2020, 12:59 AM
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Sometimes they build a new sole under the old one, and then months later that whole sole lifts out. I wonder if that could be going on? Like it's healed underneath and just hasn't lifted out yet? I know I've had that happen a time or two with hoof abscesses. The horse had to grow a whole new sole and eventually the old one started lifting/peeling away.
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post #3 of 26 Old 01-04-2020, 02:26 AM
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It would be great if you could post a picture of this horse's hooves.

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post #4 of 26 Old 01-04-2020, 03:42 AM
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Keep your vet (and farrier too?) involved if you have any reservations about how it might be healing, or if you think any infection is stuck in there. Other than that, give it time. Has it even been 8 weeks yet? As I understood it, your horse bruised his sole corium and it abscessed, then got infected. Is that correct? Well, I'm sure you've seen a half-section of a hoof? Take a look at what your horse is still needs to heal and regrow, and understand that underlying corium and tissue could have been damaged. The sole that grows will be thin. It has to keep growing, compact under the horses weight, and grow more. You can help that along with rehab, but don't be in a hurry for that growth.

Keep walking him as much as possible. Make sure your padding/covering (inside of the hoof boot) provides some gentle pressure and release (stimulation) to the sole as well.

The 8 week mark seems an appropriate time to mention this: You might eventually want to stop stuffing the hole with treatment packing, or just don't do it every day. No matter how deep it goes, your packing might be interrupting/blocking/warping any new growth and healing measures in the hoof. Something internal might want to adjust or tissues might want to reconnect, but the packing is blocking that. You can keep treating against infection and covering the site, while leaving the hole open. Do keep that area well padded if you suspect the sole is thin. If you can find foam between 1" and 1.5" thick that squishes down to about 1/4", you can cut it to fit inside of your hoof boot. Similar to Easyboot Cloud insoles, I'd think.

Can you show us a new photo, too? It'd be nice to see how things have progressed, even if it doesn't look like much.

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post #5 of 26 Old 01-04-2020, 05:51 AM
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My friend her horse had the farrier cut a hole because of some fungal infection. She treated it with an anti fungal spray and teatree oil and honey (several times a day) and it healed! Maybe this is a really stupid comment or maybe you already know this, buit I thought I'd share this info. :)
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post #6 of 26 Old 01-04-2020, 11:43 AM Thread Starter
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@Jolien thanks I didn't know about the honey,heard of tea tree oil though.

No hasn't quite been 8 weeks yet. Horse had a stone bruise way back when. Then he abscessed. Farrier then dug out sole to find it. The hole is still there,vet didn't seem to worried about it

I'm only doing treatments every 3 days now for last 2 weeks. Usually cotton is gone by next treatment. He's booted for the day then left barefoot for the night. Only using a 1/4 inch pad in boots now,seems to like less padding now. Sole has grown in because it's no longer pink looking.

I'll have vet look at it when he's here next week. Also have farrier coming to trim within the next week or so.

I let him out on pasture in the morning after feeding. Deep snow out there and gives him good exercise.

Will try to get a picture today of his foot when I go out here.

Don't need a critique not asking for one so not posting hoof pictures.

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post #7 of 26 Old 01-04-2020, 01:41 PM
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Quote:
Originally Posted by rambo99 View Post
Don't need a critique not asking for one so not posting hoof pictures.

It helps other people to know if it looks "normal" or not at this stage in the game. I personally don't care if you post pictures, but that was the first thought I had too, that a picture would be good.

It's like saying "My horse has wound. He's had a wound since November. It still hasn't healed. Is that normal? No, you can't see it because I don't want you to critique it."

It's probably "normal" for the hoof hole to still be there, they take a LONG time to heal, but nobody can tell you that over the internet. Especially without a photo. Even with a photo, we are just taking a guess. All we could say is gee, looks like it's healing or no, that hoof is still infected looking. I suspect he has to grow a whole new sole underneath the sole you are looking at.
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Last edited by trailhorserider; 01-04-2020 at 01:47 PM.
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post #8 of 26 Old 01-04-2020, 01:54 PM
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If you think it's not healing, look up hoof sequestriums. That is worst case scenario. But I wouldn't panic yet, especially if he looks sound. I had a horse a couple of summers back that was lame for two months with a reoccurring abscess, worried me sick because he was supposed to be my young, healthy riding horse. I had the vet out and he was just sort of like "these things take a long time to heal." And he DID heal up sound and healthy. It drained out twice before it finally healed (I was soaking with epsom salts but didn't dig for it).


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post #9 of 26 Old 01-04-2020, 01:57 PM
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I think they meant a picture of the sole/hole not ness a full hoof critique in the traditional sense (including the others etc). I'd like to see it mostly so I know what it looks like from a selfish standpoint. More wounds/issues can lay eyes on the better knowledge for me. TBF even with pictures it can be difficult with lighting that doesn't also give away texture, firmness, smell even... it's just the next best thing online. Had a patient with a hole an inch deep after surgery that took two years but was otherwise fine while managing it. It wouldn't surprise me that some take long esp considering where it is...
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post #10 of 26 Old 01-04-2020, 02:12 PM Thread Starter
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I'll get a picture of the hole in his sole. I planned on doing that. The hoof it's self looks perfectly normal. Just the hole on sole side I'm wondering about.

I thought by now it would be mostly filled in. Being I've been treating it for just over a month. Maybe it just needs more time.

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