Lameness in Horses – Causes, Identification, and Initial First Aid
Lameness in horses affects a horse’s gait or movement, causing discomfort and reduced mobility. Learn about the causes of lameness, how to recognise the signs, and also how to provide immediate first aid.
Causes Of Lameness In Horses
Lameness in horses can stem from various underlying causes, each requiring specific attention and treatment.
Hoof Issues
Hoof-related problems, such as abscesses, laminitis (inflammation of the hoof laminae), or navicular syndrome (involving the navicular bone and associated structures), can result in lameness in horses. These conditions require prompt veterinary intervention and specialised treatment.
Musculoskeletal Conditions
Injuries, strains, sprains, or arthritis affecting the bones, muscles, ligaments, or tendons can also cause lameness. Traumatic injuries, overexertion, or repetitive stress can damage these structures, resulting in pain, and altered movement.
Joint Problems
Conditions like osteoarthritis (degenerative joint disease) or joint infections also cause lameness in horses. These conditions often require a combination of veterinary care, medication, and also management strategies to alleviate discomfort and maintain joint health.
Hoof Imbalance
Poor trimming or shoeing practices can create an imbalance in the horse’s feet. This affects weight distribution, which in turn places excessive strain on certain structures, causing pain and altered movement patterns. Regular farrier visits and proper hoof care are essential for preventing these issues.

Identifying Lameness In Horses
To identify lameness in your horse, pay attention to the following signs –
Abnormal Gait
Observe any changes in your horse’s movement, such as limping, favouring a particular leg, or stiffness. Notice if their stride length becomes shorter or if they have difficulty moving in a straight line.
Uneven Weight Bearing
Notice if your horse is reluctant to put weight on a specific leg or consistently shifts weight off one limb. This can manifest as the horse consistently leaning to one side or having difficulty standing squarely.
Behavioural Changes
Watch for signs of discomfort, such as resistance to movement, irritability, or a decrease in performance. Your horse may exhibit signs of pain, reluctance to be touched in certain areas, or a change in their attitude.
Initial First Aid Measures for Lameness In Horses
If your horse comes up lame, you can provide initial first aid to alleviate discomfort and aid in their recovery. Here are some essential steps –
Rest and Isolation
Confine your horse to a comfortable stall or small paddock to minimise further injury and allow for rest. Restricting movement helps prevent exacerbation of the lameness and promotes healing.
Cold Therapy
Apply cold packs or cold water therapy to the affected area to reduce inflammation and swelling. Use caution and avoid direct contact with the skin by wrapping the cold pack in a towel or using specialised cold therapy boots.
Gentle Exercise
Under veterinary guidance, perform controlled and limited exercise to promote blood flow and maintain muscle tone. Light hand walking or controlled turnout can aid in the healing process and also prevent muscle atrophy.

Frequently Asked Questions About Lameness In Horses
In this section, we answer common questions about lameness in horses.
How can I tell if my horse is experiencing lameness?
Look for changes in gait, uneven weight bearing, and behavioural signs like resistance or irritability during movement.
Should I exercise a lame horse or rest it completely?
Rest is often beneficial initially, but moderate exercise as recommended by a veterinarian can aid in the recovery process.
Can I use over-the-counter pain medication for a horse with lameness?
It’s crucial to consult a veterinarian before administering any pain medication to ensure proper dosage and safety for your horse.
What are the common signs of lameness in horses?
Lameness signs include limping, favouring a leg, stiffness, shortened strides, or an uneven gait.
Can lameness in horses be prevented?
While some causes are preventable, such as maintaining proper hoof care and balanced nutrition, others may be unavoidable. Regular veterinary check-ups and prompt treatment of any issues can minimise the risk.
How can I tell if my horse’s lameness is improving?
Regularly monitor your horse’s gait, weight-bearing, and overall comfort level. Gradual improvement in mobility and reduced lameness are positive signs.
Are there any alternative treatments for lameness in horses?
Depending on the underlying cause, treatments such as acupuncture, chiropractic care, or physical therapy may complement traditional veterinary interventions. Consult your veterinarian for appropriate options.
When should I involve a veterinarian for lameness in my horse?
It’s advisable to consult a veterinarian promptly when you notice signs of lameness. They can perform a thorough examination, diagnose the underlying cause, and recommend the most appropriate treatment plan.
Can I use over-the-counter pain medication for a horse with lameness?
While providing initial first aid for lameness in horses, it’s important to approach the use of pain medication with caution. Over-the-counter pain medications meant for humans, such as non-steroidal anti-inflammatory drugs (NSAIDs), should not be administered to horses without proper veterinary guidance. Horses have unique physiological differences and can react differently to medications compared to humans.
Key Takeaways About Lameness in Horses
Understanding the causes, identifying signs of lameness, and providing initial first aid measures can help prevent lameness in horses. Prompt attention and veterinary guidance though are important for accurate diagnosis and tailored treatment plans.