Navicular syndrome is a progressive cause of chronic forelimb pain in horses, and welfare management requires balancing pain control with realistic assessment of quality of life.
Navicular syndrome welfare management is complex because affected horses can often continue in light work with appropriate pain management, but the chronic and progressive nature of the condition requires honest ongoing quality of life assessment. Corrective shoeing that reduces biomechanical stress on the navicular apparatus, combined with anti-inflammatory medication, can achieve good pain control in many horses. As the condition progresses, regular reassessment of pain levels and response to management is essential. Neurectomy eliminates pain but prevents horses from sensing injuries that may occur without protective nociception, creating a different welfare concern. Retirement to pasture may be the most welfare-positive outcome for significantly affected horses.