poultice and soaking for abscess…how long?

Briefly, horse has been off and on lame for past month. Last Thursday significantly more lame so vet came on Friday AM, and horse was very reactive to hoof tester on outside quarter near heel bulb. Vet searched - mildly - for abscess but nothing presented itself so prescribed poultice and soaking when I returned on Monday. Put boot over poultice and it stayed on over weekend. So soaking and reapplying poultice since Monday. I thought I saw pus on the poultice pad the other day but not sure…and while horse is better he’s still off. How long to keep soaking/wrapping? Vet said to check in on Wednesday so I will see what he says but thought I’d throw it out there for the COTH community to comment on…

Also, he’s been barefoot for about two weeks. Lameness began before removing front shoes and only removed them because he kept losing or torqueing them enough to cause them to need resetting. So I’m not sure if current offness is still abscess related or he’s just ouchy from being barefoot. I was using both Durasole on sole and Keratex on hoof wall before abscess diagnosis. UGH :frowning:

It depends on the horse. Some horses once an abscess is blow are completely sound with the pressure gone, others it takes a couple days to feel better. I usually soak with warm water (as hot as my guy tolerates) and Epsom salts for 20 minutes. Then depending on the abscess will either use Magic cushion and wrap or create an iodine/Epsom salt (sometimes furizone) mix and slather on the area and wrap. I do this every day.

If I have to take the shoe off to treat the abscess then my horse is usually off until a shoe is put back on but I can tell a noticeable difference between the shoeless ouchie versus abscess ouchie.

IMOE you may need to keep poulticing and wrapping for more than a few days. If he has an abscess it can be high up and persistent.
Good luck.

Pretty much what vet said…so more soaking/wrapping is in my future. I guess I should feel lucky that this is my first go round with bruise/abcsess in 30+ years of horse ownership. So why don’t I FEEL lucky?

Try the animalintex pads. They come in a hoof shape :slight_smile:

Usually 3-5 days. Then stop poulticing for a few days, constant poultice and wrap over it can get the skin around the coronet irritated and the entire hoof gets a little softer then you want, resume for another 3-5 days if you need to.

I always changed my poultice and wrap daily, rinsed it off, epsom salt soak then rewrap. Don’t like most things sitting for more then a day. I used disposable diapers, vet wrap and a duck tape over wrap (not touching the skin). Stayed on very well in a stall, pretty good in a small pen.

I also always hand walked after soaking and before wrapping, even if limping, the movement helps the hoof flex and clean itself plus, if it did bust out and start draining, I wouldn’t have to poultice and wrap;)

I just finished up 5 days of soaking/wrapping for an abscess on Sunday- luckily for me the vet was able to find the abscess and open it up to drain quicker. We soaked 3 days, I would have liked to soak longer but this horse is an absolute nightmare to soak and also the ball of his heel started to get a bit too soft for my liking.

I wrapped until nothing showed up on the pad (used the animal intex pads to wrap) and so far so good.

OK. Been soaking/wrapping with Animalintex pads for five days. Better but not close to 100% and I’ve not seen any noticeable drainage. But this is my first abscess rodeo so who knows? I am now out of the Animalintex pads and would like to mix up something else to pack hoof with until I can speak to the vet on Monday. Ideas? And where does one find something like ichthamol anyway? Our local farm store does’t have it.

[QUOTE=Robyn;8782537]
OK. Been soaking/wrapping with Animalintex pads for five days. Better but not close to 100% and I’ve not seen any noticeable drainage. But this is my first abscess rodeo so who knows? I am now out of the Animalintex pads and would like to mix up something else to pack hoof with until I can speak to the vet on Monday. Ideas? And where does one find something like ichthamol anyway? Our local farm store does’t have it.[/QUOTE]

Due to the size of our resident population I deal with lots of different types of hoof issues from time to time.

IMO and experience it is reasonably easy to figure out if the issue is an abscess, bruised sole or heal. Pulse and degree of is a pretty good indicator along with heat as to what maybe going on. Checking for both on a daily, several times a day will give a baseline to go by. It will peak and then ebb.

Hoof testers rarely lie. Put if there is little to no reaction and the horse is shod might be a good idea to pull the shoe and check underneath.

If the horse has light colored soles lightly rasping off the top can reveal a dark area that can be indicative of a bruise. Which may or may not be reactive to the hoof testers but usually will be at some point.

A bruised heal doesn’t take long to become sensitive. The horse can be very reactive to just hand/finger pressure. A bruised heal does not always come to, end with a “blow out”. It maybe just bruised, very sore and will resolve in a couple of days to a week with nothing “draining”. The same can happen with a sole bruise.

Most horses IME with a heal bruise with tend to stand “over at the knee” a bit on the effected leg to take weight off the heal. This can be very subtle to the eye and takes a bit of experience to see.

I do a daily check with the hoof testers. I search more than “mildly” the quicker we can find,isolate, pinpoint the effected area that faster I can address give relief. Especially if it is an abscess. Experience has taught me to know when it is close enough to the surface be able to open it up without excavating a crater to give quick, instant relief. Along with a quick turnaround and back to being sound.

I rarely if ever involve my vet. As my vets have said a competent farrier has far more hands on experience than the average vet. To each their own on this.

Animalintex is a wonderful product a bit pricey. I don’t buy the hoof shaped ones much better bang for the buck to buy the whole sheets and cut to size.

Can be applied and held on with lots of duck tape but there is a technique so that the expensive pad stays on and not lost to the muck of the stall.

I have had very good luck using the plastic boots with the buckle. I have had very few horses that have objected to them and found a way to get them off. Even when turned out.

An old school poultice that has stood the test of time is to make a bran and Epsom salt paste and pack the hoof with it. Keep it in place with a disposable diaper as Findeight explained.

I am not a fan of a lot of soaking. Not for long or for more than a couple of days at most. Different horses have different hoof walls the last thing I want is to soften it.

Most abscesses come out through the bottom of the foot. But there are the unlucky few where it travels up and out the cornet. These take longer and are more painful.

This is how I/we have always gone about it by and large. There are some other “ways” to treat and or address. I am just giving general advise. I don’t think anyone should say do this do that without looking at, working with the horse directly.

Good luck and welcome to the “club”. Once you get a few under your belt the expense of a vet is usually not necessary.

Funny story I just had to share:

When I was a teenager, there was a trainer who boarded at our farm. She was a good rider with fancy horses, but as we got to know her, it turned out she had only been riding a few years. She had come into horses as an adult and thanks to natural athleticism and a healthy bank account, she was able to start at the top of the sport. As a result, her horse knowledge had some gaping holes.

One of her horses came in lame one day. Vet came, told her it was an abscess, and to keep him poulticed until it drained. I guess the vet assumed she knew what to do, and either the woman thought she understood or didn’t want to ask questions.

But long story short, I walked into the barn to find her horse with naked feet and 4 legs bandaged with brown paper and clay poultice. :lol:

I’ll never forget her face as she had to learn how to wrap a hoof from a 16 year old.

OP: ichthammol is often called “drawing salve.” Most farm stores have it, but if yours doesn’t, it’s easy to order online. Sometimes you can even find it in small tubes at drug stores. It’s not uncommon for an abscess to take more than 5 days. Turnout and withholding NSAIDs helps them progress more quickly IMO (not sure how you are handling either of those things).

I wish I could say I only had one abscess in 30+ years. You’d need to swap those numbers for my experience. :winkgrin: