Digital dermatitis (Mortellaro disease) is the most painful and prevalent lameness condition in dairy cattle worldwide, caused by spirochaete bacteria in moist, contaminated environments. Systematic footbathing, lesion treatment, and housing hygiene are the most effective control tools.
Cattle with active M2 digital dermatitis lesions show severe lameness, reduced lying time, weight loss, and depressed milk yield. The pain of active lesions is equivalent to that of deep foot wounds. Uncontrolled herd-wide digital dermatitis represents a massive, largely invisible welfare burden in dairy systems, where affected cows may have undetected active lesions for weeks between routine foot inspections. Welfare-centred control programmes establish regular footbathing schedules, individual cow lesion scoring and treatment at routine trimming, and housing hygiene improvements that reduce the wet, contaminated conditions that drive transmission.