Help! Hoof abscess bandage

Hi everyone! This is my first post and I am crying out for help from more experienced people because I am at my wits end!

I have a rescued horse (gelding) that has put on healthy weight, has his hooves almost back into good shape through careful and frequent trimmings, but still has a crummy attitude.

He was moved from California up into the soggy Pacific Northwest and this is his first fall here. He has a dry run-in shelter with good footing, but his paddock is very muddy. He spends most of his time in his shelter staying dry, BUT he now has a hoof abscess in his left front.

I have cleaned it, cleaned out/trimmed away where I can see the entrance to it, and soaked it in Epsom salts. I had him stand out of his pen in the dry until his hoof was dry, but he absolutely WILL NOT let me put draw out salve on it and bandage it! It has not erupted and released pressure, or else I wouldn’t bother with the salve and bandage, but I’m trying to draw it out.

He’s let me pick it, and clean it, and soak it, but completely freaks out every time I try to bandage it. :frowning:

Does anyone have any suggestions on how I can get him to allow me to bandage it? Should I just leave him and clean it twice a day?

I came here to ask pretty much the same question plus it seems painful, but I can’t give him Oxycontin or stuff like ibuprofen… if you do find anything please report back!

Keep slathering Icthammol on it, and leave it unbandaged. I know the mud is worrisome but when it drains the pressure will be outward. Bandaging might possibly be painful, and it’s just something else to get grotty.

I would probably have the vet out to sedate him and open it up. Then, I would get the farrier to put on a hospital plate shoe, as long as you think the horse will let you clean under the plate each day. I assume horse is not letting you wrap his foot because it hurts? If it doesn’t hurt, is he good about letting you work with the foot? If horse is never good about letting you work with his feet, I would try to keep the feet clean and dry and let the abscess open on its own. Can you add some stone dust to his paddock so it will stay dry?

Apply drawing salve then let him put foot down in fresh shavings. That will help keep the salve in there longer.

[QUOTE=AKB;8909880]
I would probably have the vet out to sedate him and open it up. Then, I would get the farrier to put on a hospital plate shoe, as long as you think the horse will let you clean under the plate each day. I assume horse is not letting you wrap his foot because it hurts? If it doesn’t hurt, is he good about letting you work with the foot? If horse is never good about letting you work with his feet, I would try to keep the feet clean and dry and let the abscess open on its own. Can you add some stone dust to his paddock so it will stay dry?[/QUOTE]

He’s not letting us wrap it because he still isn’t that great about people working on his feet (gives farrier a tough time too but we’re working on it everyday). He’s currently barefoot because we’re trying to correct his feet.

His shelter is dry, and is bedded with pellets and cleaned daily (twice usually) like a stall would be. I could gate him into the shelter to keep him out of the mud, but would his lack of movement in the shelter/stall hinder the process of the abscess releasing? ((Edited for grammar))

I have a horse that easily abscesses anytime he get’s a bruise or bashes a rock. These are traditional “gravels” the erupt drain from the coronet --for him it’s always on the heel right where hoof meets hair. Sub solar abscesses can take more time to let go—and may be helped by a farrier opening up if possible to do.

I also deal with mud.

I also deal with a drama queen who is very dramatic about having the banadage put on.

1.) can you devise a way to put clean shavings in the run in and get him contained there? I have in a pinch run the electric fence rope/or tape across a run in—though I don’t turn it on. Especically if they are ouchy—not real ambitious to go anywhere. Panels from a round pe, or spare metal gats–these can be used too. But, quick up electric fence tape of rope works well, eaasy.

2.) What did you try for bandage? I have found my drama queen will not tolerate a boot or those quick canvas foot wraps w velcro —he just has a fit over them—I know not why. After several times getting one one only to have hysterics…I went back to my old stand by:
large baby diaper, biggest size at store
vet wrap
take duct tape and rip off strips about 10in long and lap them together—use a clean door or fence board or something. Lap them together straight up and down, then do a layer crosswise. You end up with a large square sheet of ductape. When you make this sheet— I said 10 in—but if you have teeney pony hoof can be smaller—draft hoof make it bigger! when in doubt go bigger—certainly a 12 in square will do ya.

get yourself sorted with horse in a spot you can keep stuff clean (ish) and handy. Maybe give the horse some yummy feed, carrots, dinner in a bucket for a distraction. I have to do this crap alone, but a helper to hold helps.

get your diaper open and spread out, find the tapes on it–they can be useful in securing the diaper on the hoof, but don’t go crazy trying to get it ther. A bucket makes a good thing to have your pick/brush, diaper and duct tape square stuck to close at hand.

  • I usually have a old dish soap bottle mixed with a diluted betadine warm water to pick up hook and give it a swish out–but it’s not required.

  • I’m not a fan of icthamol or any gooey stuff—it doesn’t work that well and makes it hard to keep clean as everything sticks to it so you can’t see whats going on and it’s hard to wash off once things open and you want to soak/clean/swish out etc–***but, if you absolutely can not get this duct tape diaper bandage on then–pack the hoof and I’ll get to that later.

Ok, so you got the pick w a brush, a diaper, a square of duct tape and some vet wrap. Get the hoof up, brush and clean as needed. Put it down on something clean if you need to. Get your hoof up, grab the diaper and get one end on the heel/pastern, you can try bringing it up over the front gently, try using the tabs to secure it . you can put it the hoof down for a break if that goes well. Then take the square of duct tape and stick it on the sole of hoof, smooth squish up the sides of the square any old way you can. Now— if things were dicey getting the diaper laid on–you can just go kamikaze and try and slap the whole busines son ther eany old way you can—the duct tape square will stick good, you just need to manage getting the sides squished up enough all way round you can put the hoof down. THEN you can tidy it up with hoof down. Rip off small strips duct tape and use them to stick and stretch/pull what’s probably a messy blobs of the duct tape sqaure neat and flatter all way round the outside. Just rip off small strips—it’s a PITA to wrap rond and round with a roll of duct tape. Be careful though not to pull anything tight on the pastern --you can come acoss heel area—put use commone sense not duct tape pulled toight over hair/pastern. You don’t have to do vet wrap—but since this is new to you—lets say do it—so the damn thing sdoesn’t slop off 10 min later. So–take vet wrap go from your duct tape up higher onto hair pastern— but do be mindful not to pull tight! Think like you’d wrap bandages down that far for shipping or poultice–the pastern needs to move so need to be able to get 2 fingers in. THEN get a few more strips of duct tape and tape over the vet wrap that down on the duct taped hoof—extra duct tape will secure the vet wrap sock you’ve made to the ductape so it doesn’t roll up off it.

*** If placing the diaper causes hate and discontent—just try slapping the duct tape square on–you only need to get it stuck to sole and squish up sides enough so you can put hoof down and tidy things up if he’s stamping or trying to hop away.

This will stay on good for 24hrs in full turnout and mud w my orangutan who still plays up 3 legged dead lame.

OK— so if this is just totally not working, not an option, mass hysterics. Plan B. Get your icthamol, or pine tar, or Magic Cushion — clean shavings in a bucket. clean shavings underfoot if you can. Clean hoof. Pack it full of goo, then grab clean shavings pat them into surface of goo. Put hoof down. Smear some goo on outside of hoof and pat the shavings on too. This kind of packs it all over with coat of goo and shavings --that will draw—which is AKA counter irritant, stimulates circulation, and is antispectic when the thing opens up.

Once open and draining— worst case scenario it’s muddy you had no success bandaging and you can’t confine on clean bedding. Get a old dish soap bottle --or whatever you got u can make work. Mix some betadine and warm water to look like strong tea— go out clean swish /squirt out the draining abscess couple times a day.

They usually don’t get infected—what happens is dirt and grit getting in the draining open ara is just irritating to it, needs to be cleaned out several times a day.

Sorry this was long and detailed—I figured-I’d give you every detail of how I do it.

[QUOTE=Am_and_jj;8909944]
He’s not letting us wrap it because he still isn’t that great about people working on his feet (gives farrier a tough time too but we’re working on it everyday). He’s currently barefoot because we’re trying to correct his feet.

His shelter is dry, and is bedded with pellets and cleaned daily (twice usually) like a stall would be. I could gate him into the shelter to keep him out of the mud, but would his lack of movement in the shelter/stall hinder the process of the abscess releasing? ((Edited for grammar))[/QUOTE]

no problem with confining. it won’t inhibit abscess maturing/opening. The soaking in warm water/epsom salts will help soften hoof, and draw the puss to an exit.

this is a perfectly acceptable way to do it.

Can you use a boot instead of a bandage?

I speak as the former owner of The King of Abcesses :frowning:

If you can squeeze a betadine-soaked cotton ball into the abcess opening that should help keep it clean. You can also use your drawing salve on the cotton.

I second the boot option my diva of a gelding was abscessing every two weeks during the wet season and my farrier devised these pads and puts a boot on him and we can throw him back out in the pasture without him getting mucky and gooey. There are some sock type wraps that I think you can buy now that slip over the horses foot and then place it in a boot.

https://hoofsolutions.myshopify.com/products/hoofsolutions-orthopedic-poultice-pack

Good Luck!

i would not recommend going the surgical/hospital plate route for this horse, with what seems to be a simple abscess at this point. It takes a long time for the hoof to regrow after it is surgically opened, much longer than for an abscess to burst and clear up.

If the horse isn’t yet at the stage where you can bandage him, then you can’t bandage him. You’d need to work up to this by little stages, and not go in with a ‘treat at all costs’ attitude, which will set back both his training in being handled, plus probably be upsetting and non-productive.

So you are going to have to just go with soaking in a saturated solution of Epsom salts several times a day. Packing something in and fixing it with clean shavings like the poster above said is also a good idea.

Also handwalk him on soft ground if he can tolerate this, as getting the hoof moving helps a lot.

Also remember that abscesses clear up on their own. Horses out at pasture can have them for a few days, then they burst, without treatment. Not ideal, but it will resolve even if you aren’t able to provide all the best practices in care for this particular horse.

Thank you so much for everyone taking the time to give advice! I think the sudden change in moisture levels and terrain have just really messed his hooves up, on top of them already being in poor shape (albeit much better shape than when he was first rescued).

I have managed to get a draw out salve/diaper/vet wrap/duct tape bandage on the foot and he has been in the shelter and the foot dry with the salve. I guess the trick is, he doesn’t have enough patience to stand in an Epsom salt soak, and then stand to dry out, and then stand again for a bandage. We have to pick a soak or a bandage. Since it’s soggy and wet out, I think drying and bandaging will be it for now. Soaking might just be making his hoof softer.

We had a couple days without much rain, so he didn’t need to be locked in the turnout shelter, but I have moveable livestock panels/gates, so I can keep him in there if it gets too muddy again.

We’re hand walking a couple times a day, just a little bit, to make sure he keeps moving. He’s still eating and drinking, and acting fairly normal.

Thank you, thank you, thank you again everyone. I just hate seeing him in pain and am a worrier!

[QUOTE=Am_and_jj;8914441]
Thank you so much for everyone taking the time to give advice! I think the sudden change in moisture levels and terrain have just really messed his hooves up, on top of them already being in poor shape (albeit much better shape than when he was first rescued).

I have managed to get a draw out salve/diaper/vet wrap/duct tape bandage on the foot and he has been in the shelter and the foot dry with the salve. I guess the trick is, he doesn’t have enough patience to stand in an Epsom salt soak, and then stand to dry out, and then stand again for a bandage. We have to pick a soak or a bandage. Since it’s soggy and wet out, I think drying and bandaging will be it for now. Soaking might just be making his hoof softer.

We had a couple days without much rain, so he didn’t need to be locked in the turnout shelter, but I have moveable livestock panels/gates, so I can keep him in there if it gets too muddy again.

We’re hand walking a couple times a day, just a little bit, to make sure he keeps moving. He’s still eating and drinking, and acting fairly normal.

Thank you, thank you, thank you again everyone. I just hate seeing him in pain and am a worrier![/QUOTE]

Both the salve bandage and soaking will make the foot softer. That’s actually the point: the sole and frog is softened so that the abscess can more easily find an exit point. That’s why you want to concentrate the treatment on the sole, rather than the whole hoof.

Typically the abscess will burst out the heel bulbs or the sides of the frog. Left untreated, there is more chance the abscess will travel up the wall of the hoof and burst out the coronet band, causing more pain and damage as it travels. The abscess is seeking the easier route out, and so you are making the sole and especially the area around the frog and heels easier.

If the abscess bursts out the heel bulbs, you will be able to see a kind of slit or cut in the heel bulbs where it’s exited. That slit will grow down and out over time, and eventually be a loose bit of frog that gets trimmed or worn off naturally. If the abscess bursts out the coronet, you will see a slit at the top of the hoof. If it bursts out through the frog crevices, you won’t see much, but your used poultice pad will be stained black. Keep an eye on your bandages to see where the staining is showing up. Concentrate the treatment there, ie if the abscess has burst through the heel bulbs, make sure to get the poultice up and over them for a few days to keep drawing the gunk out.

The heel bulb slits or other natural drainage tracts do not pose a soundness issue once the abscess has cleared up, unilke if you surgically intervene and trim holes in the sole.

[QUOTE=Am_and_jj;8914441]
Thank you so much for everyone taking the time to give advice! I think the sudden change in moisture levels and terrain have just really messed his hooves up, on top of them already being in poor shape (albeit much better shape than when he was first rescued).

I have managed to get a draw out salve/diaper/vet wrap/duct tape bandage on the foot and he has been in the shelter and the foot dry with the salve. I guess the trick is, he doesn’t have enough patience to stand in an Epsom salt soak, and then stand to dry out, and then stand again for a bandage. We have to pick a soak or a bandage. Since it’s soggy and wet out, I think drying and bandaging will be it for now. Soaking might just be making his hoof softer.

We had a couple days without much rain, so he didn’t need to be locked in the turnout shelter, but I have moveable livestock panels/gates, so I can keep him in there if it gets too muddy again.

We’re hand walking a couple times a day, just a little bit, to make sure he keeps moving. He’s still eating and drinking, and acting fairly normal.

Thank you, thank you, thank you again everyone. I just hate seeing him in pain and am a worrier![/QUOTE]

This sounds perfect! If you now have a bandage on, don’t worry so much soaking if he really doesn’t like it. Being wrapped with salve with keep it warm= increase circulation and it will help soften so the yuck will find a exit.

I’ve found as the abscess matures— changes in temperture, hoof in warm or cool water, and just the change in position from down to you holding it up—seems to cause throbs of pain I believe kinda like a toothache. Know what I mean? any change in position or temp changes the pressure/circulation intensifies pain. Sometimes you will pick up the hoof and their knees will buckle from pain. I try to move it up slow.

Very often right before it lets go—the pain will peak.

Also you may see a little spot on the heel bulb or coronet that looks a bit different, distended and soft, a lot like a bad spot on a pear or peach. If you touch it they may show right away YOW! IME most often 4 days till it opens. But this is a TB hoof, a heavier thicker hoof might take a bit longer. But, IME it’ll open drain 4-7 days. Once it opens they will feel by orders of magnitude better/relief.

With my horse, this summer head had several. We had very hard dry ground, stones working up. It was very dry. We’d get a bit of rain, he’d play up come down hard on a stone w freshly softened hoof and bruise frog or heel etc. If he bashes himself hard on a stone…he will abscess. Sometimes I have fended it off with immediate ice water soak, cold hosing and packing the hoof w sore no more clay to cool it down. If the pain goes away I know we nipped it—if he increases with pain I know we’re going to abscess and I switch to warm soak and wrapping up.

They usually sort out just fine—they look very dramatic 3 legged lame. But unusually horse is feeling fine just annoyed they have a flat tire. They don’t tend to infect or spread to blood supply.

The only time I’ve seen truly awful abscess–is sub solar. Horse stepped on something punctured sole OR they had warning signs of abscess and nothing was done, knee deep in muck. OTTB that have come off track with really bruised sore feet and irritation from nails/ busted up hoof.—those can blow some really bad ones. That’s when you see sort of thing needs the farrier to pare out an opening and vet may prescribe oral antibiotics after it’s draining if it’s a really big one and impacting sensitive tissue with blood supply.

Yours is more than likely to be just fine ;0)

You could lay your pre-duct taped diaper out flat on the floor and have him walk forward into it…clip the diaper puckers out so it lays flat. You should have help with this.

This assumes that you were able to soak and clean it.

After I discovered the poultice, diaper, vet wrap, duct tape method I never went back. You can even run a hose down it and the diaper will fill with water and stay wet.

If he is that funny with his feet you will need help to work on him.

There is a ‘trick’ with duck tape: overlap slightly 3 14" lengths of duck tape. Then do the same at right angles so you have a pad of duck tape ready to use.

Get a roll of Animalintex and cut out a hoof shaped piece, wet it and put it in the middle of your pad of tape.

Have helper lift foot up, you slap the pad on the bottom of his foot and pull up as much of the duck tape all the way around his hoof as you quickly can.

Then it is OK for him to put his foot down (it only needs to be held up about 10 seconds).

Now your helper should hold up the other front leg, to give you time to do a little more taping around the foot to ‘hide’ the edges of the pad.

Make sure that you have some pointy small scissors to cut through the top of the tape down below the coronet band (only about 1/2") in 3 - 4 places, so the tape is not tight over it.

No it is not fun, and yes it needs to be done every day (2x a day if you have no life and choose to spend hours fussing with your horse. :slight_smile: ).

The good news is that when you are a pro at it, the whole thing can be done in 5 minutes.

I’m really starting to think I’m going crazy. He’s still lame, bounding pulse in the front, swollen on his front left. I have him locked in his run-in shelter (like a stall) with bedding. His front left is swollen now from the fetlock down to the coronary band. He looks so stiff and uncomfortable, almost like his shoulder is messed up now. I’m thinking (and hoping) that his shoulder is just tense from the pain of the abscess.

I started treating him like it might be laminitis as well, just in case because he’s shuffling around and that’s a much more serious issue. He’s not in the full laminitis stance, but he REALLY doesn’t want to move. He’s barefoot and his trimmer came out, no rotation seen. No grain, no alfalfa, nothing sugary at all, deep bedding, icing his fronts, etc. I iced down his front leg were the swelling was, and he is moving better in his stall for now.

He’s on all orchard grass, soaked beet pulp (no molasses just pure beet pulp), MSM, California Trace Minerals, and flax seed. He got some aspri-eaze today so he could be a little more comfortable as I moved him to soak, etc.

Do you have standing wraps on both fronts?