The current seasonal conditions are ideal for greasy heel to develop – long grass, mud, wet weather – and we are seeing horses affected by this inflammatory dermatitis.
What is it?
A skin condition involving the lower limbs of horses particularly those with white hair on their pasterns and/or hairy fetlocks. Hind limbs are most frequently affected but it can involve all four legs.
Greasy heel can be quite persistent and tricky to get rid of - early intervention is best.
What causes it?
Constant repeated exposure to moisture eg continual standing in damp pasture, insect bites on lower limbs and abrasions – basically anything that reduces the effectiveness of the skin as a barrier to fungi, bacteria and mites.
What does it look like?
The condition first appears as a mild dermatitis with swelling and redness. As the disease progresses scabs and crusts form causing matting of the hair. If left untreated the scabs become painful and itchy leading to further trauma and lameness.
How do we treat Greasy Heel?
The first thing to do is to remove the predisposing conditions - clipping excess hair, washing legs to remove mud and keeping lower limbs dry.
Soaking and scrubbing the affected areas with a medicated wash (eg chlorhexidine solution or iodine scrub) to soften and remove scabs is essential to kill the bacteria. Scab removal may need to be done in stages, softening the scabs before trying to gently remove them. Then dry the legs and apply a topical antibiotic and steroid cream as prescribed by your vet (such as prednoderm). More severely affected horses require sedation & pain relief to allow for treatment by your veterinarian which may also include administration of systemic antibiotics (injectable or oral).
The take home message
If found in its early stages and appropriate treatment initiated Greasy Heel can be managed by horse owners, however if lesions get worse or any severe signs such as lameness, cracking or bleeding appear you should seek veterinary advice.
It is a persistent disease and treatment may need to be continued for weeks, possibly months. Don’t give up.
Prevention is the best cure for Greasy Heel – ensure horses are kept in clean and dry environments and check legs regularly in wet, cold weather.
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