Real-World Insight from the Barn

Shoe boils, medically known as olecranon bursitis, are more common in horses than many owners realize. While they may seem like a minor issue at first, these fluid-filled swellings on the horse’s elbow can lead to persistent discomfort and long-term complications if not addressed properly.

Let’s explore what causes shoe boils, how to treat them effectively, and the best preventative measures—so you can keep your horse comfortable, healthy, and ready for the arena or trail.

 

What Exactly Is a Shoe Boil?

A shoe boil occurs when repeated pressure or trauma to a horse’s elbow joint—often from lying down or contact with their hoof or shoe—causes inflammation of the bursa, a fluid-filled sac near the joint. This results in swelling, heat, and sometimes pain.

These can develop overnight, especially in horses with long-heeled shoes or those kept on hard surfaces with minimal bedding.

 

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What Causes Shoe Boils in Horses?

  • Long-heeled horseshoes creating friction during rest

  • Hard stall flooring with insufficient bedding

  • Frequent lying down or injury during rolling

  • Poorly fitted tack or conformation issues

 

Treatment Options for Shoe Boils 

 

1. Preventing Further Trauma

The first and most important step in shoe boil treatment is preventing additional irritation to the elbow area.

  • Increase Bedding: Adding deep, soft bedding helps cushion your horse’s joints while lying down.

  • Use a Shoe Boil Boot: Shoe boil boots (also known as donut boots) wrap around the pastern to keep the hoof from contacting the elbow. They’re one of the most effective tools in your toolkit.

  • Shoe Modifications: Consult your farrier to adjust or shorten long heels, which can aggravate the elbow when the horse rests.

  

2. Reducing Inflammation and Pain

Inflammation is the body’s natural response—but it can prolong healing if left unmanaged.

  • Rest: Give your horse time off from training or pasture work.

  • Cold Therapy: Cold compresses or hydrotherapy sessions can reduce swelling.

  • Anti-Inflammatory Medications: Drugs like Bute or Banamine are often prescribed to ease pain and swelling.

  • Corticosteroid Injections: In severe cases, a vet might aspirate the fluid and inject a steroid to shrink inflammation.

 

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3. Addressing Underlying Causes

If your horse keeps developing shoe boils, it’s time to look at long-term prevention.

  • Stall Management: Keep bedding dry, clean, and consistently deep.

  • Proper Shoeing: Work closely with a knowledgeable farrier who understands how shoe length and shape affect elbow contact.

  • Veterinary Intervention: In recurring or serious cases, vets may recommend draining the bursa or using cautery to prevent future inflammation.

  

Important Considerations for Horse Owners

  • Early treatment = faster recovery

  • Monitor for signs of infection like heat, redness, or drainage

  • Never ignore chronic elbow swelling—it may lead to permanent joint issues

Shoe boils often heal naturally once pressure is removed—but recurrence is common. Prevention and long-term elbow care should be part of your regular horse health routine.

  

Real-World Insight from the Barn

At Monster Horse Products, we’ve treated hundreds of cases with our shoe boil boots, wraps, and bracelets. Based on years of hands-on experience, we've found that combining boot use with proper bedding is the most effective long-term strategy.

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Final Thoughts

Horse owners everywhere—from top show competitors to casual trail riders—face the challenge of elbow-related injuries like shoe boils and capped elbows. But with a little knowledge, the right tools, and trusted products, these conditions are highly manageable.

Don't wait for pain to sideline your horse. Take action now and give them the comfort and freedom they deserve!

 

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