Treatment and pathogenesis of navicular disease ('syndrome') in horses.

The future directions of navicular disease research are unclear. Often researchers investigate only one of the multitude of factors likely to be important in understanding the disease. Two exceptions to this is work done by Wright in this issue of EVJ and by MacGregor (1988) who compared a number of the treatment regimens (e.g. rest, warfarin, isoxsuprine, shoeing with egg bars) and found that approximately 75% of the horses improved in their performance. Perhaps this percentage of 'recovered' horses from this disease is what can be realistically expected, as often horses with navicular disease remain undiagnosed until the disease has advanced to the stage where problems exist in the foot or to where the conformation-balance of the hoof is irrecoverable. Perhaps the key to controlling the disease is prevention by maintaining good overall hoof husbandry in a conservative and consistent manner. I would advocate that efforts be made to evaluate hoof 'balance' and the validity of the hoof wall-pastern axis being parallel, as these are clearly of importance in this debilitating disease.