Navicular syndrome (podotrochlear syndrome) is a leading cause of chronic forelimb lameness in horses. Modern understanding and management approaches can significantly reduce pain and extend working life.
Navicular syndrome causes chronic, often bilateral forelimb pain that profoundly affects a horse's quality of life. Horses with untreated or poorly managed navicular disease show shortened stride, reluctance to work, stumbling, and signs of pain. The welfare response requires accurate diagnosis — MRI has revolutionised understanding of the specific pathology involved in each case, enabling targeted treatment rather than generic management. Corrective shoeing (rolled toes, appropriate heel support, wedging) relieves pressure on affected structures. Pain management with NSAIDs and bisphosphonates is effective but requires monitoring for side effects. Some horses achieve comfortable retirement even when working soundness cannot be maintained.