04/12/2025
If you live with a cob or any other big hairy-legged horse, youâll know the feather can hide all sorts of drama. Mud fever, mites, chronic progressive lymphoedema (CPL)⌠and sometimes nastier things that most of us hope we'll never have to deal with.
Two of the big, scary ones that seem to crop up in feathered horses, and disproportionately in those with CPL, are hoof canker and coronary band dystrophy (CBD). They sound terrifying because, frankly, they can be. But it helps a lot to understand whatâs actually going on and why these problems seem to occur together.
Canker first. This is the one people sometimes call thrush on steroids, although itâs really unrelated. It usually starts in the frog and can spread into the bars, sole and even the hoof wall. Instead of firm, rubbery frog, you get soft, crumbly, spongy horn that can look almost cauliflower-like, often greyish-white, with a truly eye-watering smell. It bleeds easily if you trim or pick at it and can make the horse very sore and reluctant to stand still for long, let alone work.
Coronary band dystrophy is a bit more under the radar. The coronary band is the strip of tissue at the top of the hoof where new horn is made. IN CBD, the coronary band becomes thickened, scaly and crusty, sometimes with cracks that ooze. The hooves themselves can chip and split more than youâd expect. Often you see similar crusty, overgrown changes on chestnuts and ergots as well. Rather than being just an infection, CBD is more like a long-term fault in the little horn factory that runs along the top of the hoof.
Now bring CPL into the picture. Many of the horses that get canker or CBD also have those classic CPL legs: chronically puffy lower limbs, thickened skin, folds and nodules, crusts and scabs under the feather, and endless battles with mites and mud. CPL is a lymphatic disease where the legâs drainage system doesnât clear fluid properly, and itâs surprisingly common in heavy or feathered breeds. Put those things together and you can see why the legs and feet of these horses become high-risk.
đ§ Nerd note: A big review of Belgian Draught horses described CPL, canker and coronary band/chestnut/ergot changes appearing together in the same animals. The authors suggest theyâre probably different faces of a shared underlying âskin and horn biologyâ problem in these breeds, rather than completely separate, random conditions.
So why feathered horses in particular? Part of it is simply how theyâre built. They tend to have more keratin production (more hair, more scurf, more crusts), and hoof horn that in some genetic lines is softer or poorer quality. Modern studies suggest CPL is strongly genetic in certain draught breeds, and CBD is mostly reported in mature draft-type horses too. Canker seems to be over-represented in the same population.
đ§ Nerd note: In some draught populations, how badly a horse is affected by CPL is more than 50% explained by genetics in statistical models. Studies report CBD in heavy horses, but that doesnât mean every horse will get these problems. What it really means is the basic wiring of skin, horn and lymphatics is a bit different in these breeds.
On top of that genetic backdrop, CPL changes the ground rules again. When lymph drainage is poor, the legs are constantly a little (or a lot) swollen. Fluid and inflammatory gunk hang around in the tissues instead of being cleared quickly. The skin is stretched, damp and more fragile. It doesnât take much â a bit of mud fever, a tiny crack at the heel, a nick to the skin â for bacteria to wander in and set up home. In coronary band dystrophy, the actual process of turning skin cells into strong hoof horn is faulty, so you get those scaly, crusty bands and weaker horn. Add CPL to the mix, where you have a horse with more swelling, more scarring, and compromised immunity, itâs not hard to see why the top of the hoof becomes a long-term trouble spot.
Then there is the feather. Theyâre beautiful but they trap moisture, mud and dirt. They hide early warning signs until things are quite advanced. They also make a perfect little apartment block for feather mites, which cause itching and stamping. Itching leads to scratching and trauma, trauma and moisture lead to irritation, cracks and infection. All of this is sitting on top of legs that already have compromised drainage because of CPL. Canker and CBD donât magically appear out of nowhere; they slide into an environment thatâs been rolling out the red carpet for them for quite some time.
So what is canker, underneath the smell and the horror? The current view is that itâs an infectious disease of the hoof horn and underlying tissues, driven by a mix of bacteria. A group called Treponema, which is a spiral-shaped bacteria also involved in digital dermatitis in cattle, is high on the suspect list. They like soft, damaged tissue with low oxygen, and theyâre very good at hunkering down in little pockets and biofilms where disinfectants and antibiotics struggle to reach. Healthy hooves bathed in normal muck donât usually develop canker. Itâs when you combine those bugs with softened, macerated horn and long-standing irritation that things go really wrong.
đ§ Nerd note: Studies that took tissue samples from canker lesions found several Treponema species (closely related to those found in cattle digital dermatitis) in the diseased horn, but not in normal hoof tissue. Thatâs why many researchers now talk about canker as a digital dermatitisâlike disease in horses, with treponemes as probable key players.
Coronary band dystrophy is a bit different. When vets look at it under the microscope, they see overgrown, disorganised epidermis and thick, abnormal keratin. The skin there isnât making horn in the neat, layered way it should; it overproduces and makes a mess of it. In many horses with CBD, youâll see similar overgrown, scaly changes on chestnuts and ergots, which are basically little islands of the same type of tissue. Infection absolutely joins the party since those cracks and fissures let bacteria and fungi in, but the original problem is in the horn factory itself.
Given all of that, it makes sense that canker and CBD are so hard to treat and keep on top of. With canker, youâre fighting bacteria that hide deep in spongy, diseased horn and form biofilms, in an area that doesnât have great blood supply to carry drugs in. You can pour things on from the outside, but unless the diseased horn is carefully and repeatedly cut away, very little reaches the bugs.
With CBD, even if you calm infections down, the coronary band is inclined to keep making dodgy horn because thatâs how itâs wired.
On top of that, none of these problems ever arrive on a blank canvas. The same horse may have CPL, feather mites, secondary bacterial and fungal infections, a long toe or under-run heels, a bit of EMS or laminitis history⌠If you only tackle one piece of the puzzle, for example, you trim the frog but ignore the mites, or treat the skin but donât change anything about the environment, the whole thing tends to creep back.
Spotting things early helps enormously. A frog that stays foul-smelling and mushy whatever you do, or a coronary band that remains crusty and cracked despite basic care, is worth a proper vet look and probably a conversation about CPL in the background, not just a bit of thrush or mud fever you can't seem to get on top of.
If a horse also has CPL or heavy feather, then feather management, mite control, movement and weight all become part of the same treatment plan rather than side issues.
And finally, itâs good to be kind to yourself. These are chronic, complicated conditions sitting on top of genetics and conformation you canât change. Even with excellent care, they may relapse.
Over the years we've helped many horses manage both canker and CBD with a specially formulated product, Frog & Sole Extra, a topical mix of plant oils that reduces bacterial load - see before and after photos.