The term navicular syndrome has been replaced by palmar foot pain as understanding of this complex condition has evolved. Modern imaging and management approaches offer better welfare outcomes.
Palmar foot pain causes chronic low-grade to moderate lameness that significantly affects horses' ability to work comfortably. Horses with this condition experience pain with every stride on hard surfaces, leading to shortened movement, reluctance to turn, and overall reduced willingness under saddle often misinterpreted as resistance. The chronic nature of the condition means horses may suffer for extended periods before appropriate diagnosis and management. MRI has transformed the ability to identify the specific structural lesions causing pain, allowing targeted treatment. The welfare priority is adequate pain management, appropriate workload adjustment, and honest assessment of when the condition has progressed beyond the point where a good quality of life can be maintained.