Evidence-based approaches to managing navicular syndrome in horses to maintain comfort and quality of life.
Navicular disease illustrates how chronic pain management in horses requires both accurate diagnosis and multimodal treatment. Horses experiencing navicular pain are frequently worked through discomfort because subtle lameness is normalized in performance settings. Welfare-focused management begins with accurate diagnosis using advanced imaging, followed by appropriate shoeing, pharmaceutical pain management, exercise modification, and long-term monitoring. Many horses with navicular syndrome can live comfortably in retirement or light work with appropriate management, making euthanasia premature in all but the most severe cases.