Definition:
An abscess is an extremely localized infection, which is generally
"walled off" within the hoof capsule. There are numerous causes for
such infections; however, the primary causes are fungal infections,
puncture wounds, and seedy toe. Left unattended, an abscess will
migrate up the hoof capsule, following the path of least resistance,
until it eventually "blows out" through the hoof wall or, often, at the
coronary band.
Symptoms:
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Prevention:
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Treatment:
Abscesses must be opened and drained from the ground surface;
otherwise, they will migrate up the hoof capsule, extending the period
and the severity of the lameness. Since opening an abscess is an
invasive procedure and often involves contact with sensitive tissue, a
veterinarian should be contracted to debride the infected area and
administer appropriate medications and tetanus vaccines. Treatment
varies according to the practitioner, some recommending a complete
paring out of the infected and surrounding area, followed by
application of a shoe and pad. Others, myself included, prefer a less
invasive approach and recommend providing a small drain hole which
should be left open for extended drainage and application of
medication(s), poultices, and/or soaks. A compromise approach, which is
more expensive but returns a horse to service more quickly, is to
provide a small opening for drainage and medication, followed by
shoeing with a conventional shoe capped with a removable hospital
plate. My general recommendation is to treat the area with Zenadine (a
tamed Iodine) before packing the opening with cotton, soaked in
Zenadine. The hoof should then be duct taped to ensure that no foreign
material enters the infected area. This procedure should be repeated
until the opening is dry and healing (usually about a one week period).
If I suspect the abscess is still active, I'll apply a poultice (I
prefer using Animal Lintex) for at least one day prior to the above
treatment.