In Frog Talk, Part I last month, we discussed frog trimming and looked at various frog pictures of all kinds of shape and form. In this second part of Frog Talk, we are going to discuss the following:
– Crooked frogs
– Frog pathologies/diseases
– Treatment options
This frog of a left front hoof had moved to the lateral side, the right side from the bottom seen here. The question is, why did it do that? In many cases where a side movement of the frog can be observed, it moves to the higher side of the hoof, in this case the higher side is lateral, where the green arrow points. Comparing heel height by means of the red horizontal line, we can see that the lateral heel has moved forward and needs to get trimmed shorter. Notice that little crack in the heel (blue arrow). That is one of the markers the hoof tries to tell us that the heel is too high in this area. In my blog from July 2014 I talked about Daniel Anz and the F Balance. These markers help us decide how far we can or should trim the heels down. A very interesting concept.
Here as well, the frog tip moved to the higher side of the heels. This hoof being front left, the higher side is the medial side. The red arrow at the heel shows how far that heel has moved forward compared the the lateral heel (blue arrow). Even the heel bulb was pulled forward with it, meaning that this imbalance had existed for a while.
In both cases the higher heels need to get shortened and the hooves balanced. I would not trim anything off the frog and artificially realign it with the hoof's center line, just for optical reasons so it would look 'pretty'. By doing so, I would rob the frog of its protective callused skin and make it vulnerable for pathogens to invade. If the hoof is balanced, these frogs will realign themselves again without any trimming.
This one throws us a curve ball, telling us that it will not play by these rules. Indeed, the frog tip moved to the lower side of the heel. The green horizontal line indicates level heel height, clearly the blue arrow shows the higher heel, while the red arrow the movement of the frog tip.
What gives? Looking at the high and long bar on the higher (left) hoof side within the red arch could give us the clue: the bar could have pushed the frog to the side.
The outer shape of the frog matches the inner shape of the frog's corium. Looking at these cadaver hoof capsules with huge bars, one can easily imagine how these overgrown bars (below the red semicircle) can create havoc inside the hoof capsule.
Here the bar had grown so large and long, that it created a dorsal hoof wall crack (red arrow tip). Again, easy to imagine how much damage this bar did to the frog corium and subsequently the actual visible frog.
This neglected hoof and frog does not want to play ball either. Here the frog tips point in two different directions, the older frog, ready to shed, in one direction, the newer frog in the other. With these way overgrown heels it is even hard to decide which one is higher or if both are similar height.
Where does that leave us? Well, the famous answer: it depends. Heel imbalance can be a reason, long bars can be a reason, the way a horse moves, lands, breaks over, all can be reasons. I like to look at the frog deviations as indicators that something is amiss and that I need to get exploring and finding out what it is and what to do about it. But I leave the frog itself mostly untouched. Then I also can get confirmation at the next trim, if I balanced the hoof correctly so the frog was able to self correct.
Frog pathologies and diseases:
We can differentiate between frog yeast, the white powdery or smeary substance, fungus, a black layer of frog decay, and thrush, which combines fungus and anaerobic bacteria to really attack the frogs substance. Thrush is the most destructive form and if untreated, can migrate deep into the corium, laming up a horse in a big way.
This frog certainly harbors all all three. There are holes everywhere, the frog is literally falling apart. Double sole, long bars, long heels and hoof wall. The frog is trying desperately to get some kind of ground contact, and although it is very sick, it does not want to shed anything. Now it is time to cut the decayed matter, find out how bad the damage is, treat it accordingly and give that hoof some relief.
After a preliminary trim of the neglected hoof, the frog damage becomes visible: red arrow points to yeast, blue arrow to fungus.
On this frog tell tale signs:
Typical 'butt crack' indicating thrush infestation.
Recessed, thrush infected frog. Very often frogs that do not receive enough ground stimulation recede and suffer from thrush and other infections. Notice also the contracted heels and negative hoof wall angles. A totally dysfunctional frog, crying out for help.
Another prime example of a recessed frog, contracted heel, thrush infestations. This frog is dysfunctional and sick, cannot handle any load bearing. Bell shaped hoof capsule (Glockenform). The steel shoes he was wearing did not allow the heels to spread and be load bearing.
There are many thrush treatments available, from Thrushbuster to White Lightning, Kopertox, Iodine, bleach, vinegar, sugar betadine solutions, copper sulfate solutions and paste etc. Some of these mentioned above are toxic and kill healthy tissue as well. Others are complicated to apply, you have to soak the hooves for a time period in solutions. For all these options, the EasySoaker works excellently. Not a better boot can be found on the market. It will take time and effort, though, to treat thrush with liquids.
A quicker and more effective way to treat thrush are pastes. Specifically I like these two formulas:
– Hypozin, an effective paste developed in the Netherlands
– Antibiotic and antifungal cream mixed 50/50.
(This can be Neosporin, triple antibiotic, mixed with with Athletes Foot Cream)
Either one of these two pastes will do an excellent job of killing thrush within a few days. Monoject curved syringes work best for the application.
Arguments have been made that thrush is caused by bacteria that thrive in an anaerobic environment. True enough. Conclusions have been drawn that it is therefore better to cut the frog clean, so air or oxygen can reach the frog and thus kill the bacteria. The reality is that oxygen seldom, if ever, reaches the frog in the best of cases. Most of the time the horse stands in soft ground, the sole and frog filled with soil, mud and manure. No oxygen is able to penetrate there. So, unless a horse is moving fast over gravel, sand or other abrasive terrain, there just is no oxygen reaching infected soles and killing any thrush bacteria. I would much rather keep the callused frog with all its little pockets and niches. These will allow me to fill these with anti thrush cream. There the cream will stay and keep working 24/7 without getting worn off or worked out.
Back to our contracted heels. Daisy Bicking wrote a very informative blog over a year ago about heel slippering. I found it to be a great way to aid with rehabilitating contracted heels and recessed frogs. A very worthy read.
After slippering heels and treating thrush with paste mentioned above, what is left to accomplish is frog stimulation. If the frog is pressure sensitive, we need to proceed slowly and with baby steps. Sand and pea gravel are preferred ground cover for healthy frogs to move over. Lacking any of these grounds, we then can look into the usage of Vettec products like Equipak or Equipak CS.
This frog pictured above was sensitive to pressure and only marginally functional. It actually appears stronger than it was. After cleaning and drying thoroughly, I supported it with Equipak CS. This soft cushion (Strahl Polster, frog support, pour in, caudal support) allows the frog to accept more load bearing while at the same time guarding against thrush with the CS (copper-sulfate) addition. The small recessed frog in the photo above would also greatly benefit from an Equipak cushion.
Of course, none of this will work in the long run, unless we use a holistic approach in our horsemanship and hoof care. Only then can we guarantee long lasting success. The elements of this holistic system are:
- Nutrition (up to par)
- Strong immune system
- Proper footing/stratum
- Movement and plenty turnout
- Barefoot as much as possible.
But that last part we all know anyway. Am I not correct with this assumption?
From the desk of the Bootmeister