04/26/2023
"We know that poor hoof balance predisposes to injury (Kane et al.) and is linked to lameness (Dyson 2011). And lameness is linked to back issues (Landman et al.).
In the hind end we know that NPLA is linked to Hock arthritis (Pezzanite et al. 2018) and stifle pathology (Clements et al. 2019). And long toe low heels are linked to navicular in the front feet (Waguespack et al., Ruff et al., Uhl et al.) and gluteal pain in the hind end (Mannsman et al.). And pathologies all the way along the dorsal myofascial lines.
So the question I would ask in answer to the original question is. “Can you afford to do it slowly?”
We know it takes around 12-18 months for the hoof to grow out completely, although positive morphology can happen Anecdotally over 3-4 cycles when coupled with appropriate trimming. This could still be too long a time for horses when presenting with lameness or injury NOW. "