30/08/2026
***Prior warning. Graphic images included which must be seen by anyone following HM's hoof abscess advice.***
One of the many major issues with HM is unqualified diagnosis. This is against the law. Unqualified diagnosis is in breach of the Veterinary Surgeons Act 1966. Sec. 19.
We have posted evidence of this flippant attitude towards equine health previously. Namely the unsolicited voice calls which provide un requested X-ray interpretations and diagnosis. (Highly inaccurate) The constant use of radiographs with various lines added and bold phrases designed for maximum impact. With endless rants about cause and diagnosis. Blaming vets and farriers. Often based on a cadaver hoof, with no evidence to support the claims whatsoever.
Then of course we had the 'lameness flowchart' which leads you to believe every lameness event is an abscess. And HM's answer to this? Leave it alone and wait for it to burst. This is one of the most dangerous, unprofessional and downright stupid things I have ever seen. Let's not forget, this is targeted towards horse owners who have fallen for the marketing and believe HM could provide valuable information. This is advice given to owners with less experience to fall back on, but it is also HM's standard protocol.
Let me tell you why this is so dangerous, and then I'll give you a couple of examples of what may happen if you follow HMs advice.
(This is specifically aimed at any owners who may have considered or have taken part in 'learning' from HM in any capacity.)
Firstly - DO NOT presume you are dealing with a hoof abscess! If you are at all unsure, please call your vet. This can go terribly wrong if you do not establish the real cause of your horses pain.
Other problems which can present the SAME as a hoof abscess include (but are not restricted to)
Laminitis
Fracture
Tendon injury
Puncture wound
If you miss any of these and follow HM's advice on presumed abcessing, this could potentially lead to the end of your horses life.
If you have any doubt, get your vet out.
When a horse develops a hoof abscess, they generally become very lame, very quickly. If you're eagle eyed, you may see some discomfort one or two days prior, but you'll certainly notice your horses pain when the infection is trapped in a pressurised pocket. They will be 'on three legs.'
If you are to follow HM's advice and do nothing, you will be in breach of the Animal Welfare Act.
They are encouraging owners not only to trust their unqualified diagnosis, but also to break the law in doing so.
Section 9 of the Animal Welfare Act 2006 states -
Duty of person responsible for animal to ensure welfare
(1)A person commits an offence if he does not take such steps as are reasonable in all the circumstances to ensure that the needs of an animal for which he is responsible are met to the extent required by good practice.
(2)For the purposes of this Act, an animal's needs shall be taken to include—
(a)its need for a suitable environment,
(b)its need for a suitable diet,
(c)its need to be able to exhibit normal behaviour patterns,
(𝗲)𝗶𝘁𝘀 𝗻𝗲𝗲𝗱 𝘁𝗼 𝗯𝗲 𝗽𝗿𝗼𝘁𝗲𝗰𝘁𝗲𝗱 𝗳𝗿𝗼𝗺 𝗽𝗮𝗶𝗻, 𝘀𝘂𝗳𝗳𝗲𝗿𝗶𝗻𝗴, 𝗶𝗻𝗷𝘂𝗿𝘆 𝗮𝗻𝗱 𝗱𝗶𝘀𝗲𝗮𝘀𝗲
Owners HAVE been prosecuted for leaving horses in pain with infections. In fact, a HM follower was prosecuted for this in 2018.
Now, I'm going to speak as an experienced equine professional, a qualified coach and owner of a retirement livery. (Boom! I know, you HM guys think I 'just sell hay nets' 😂)
Here's what I do.
We have up to 18 horses living out all year round. These horses have various health conditions related to age, including PPID which can predispose a horse to suffering hoof abscesses. Some have weaker hooves than others. A couple have old injuries growing out.
We never have horses living in mud, but we always see the odd abscess crop up. Usually in winter when infection can enter more easily on wet ground. We probably treat 2 or 3 per year, which is good going for all those horses. Our horses see the farrier regularly and we do not leave long or broken toes to expose them to infection. So I guess that helps!!
I watch the horses move every day as part of our routine checks. I can sometimes predict an abscess, and expect that horse to be 'on three legs' the next day.
The first thing I do is eliminate, as far as possible, any other cause for this lameness event.
Are there any wounds or scrapes which might suggest impact and trauma?
What is this horses medical history?
Have they suffered abscesses before?
What is the horses BCS?
After cleaning the hoof, is there evidence of a puncture / foreign body?
Any cracks or black spots which may be entry points?
How does the horse react to pressure at the toe, heel, bars?
How does the limb present? Any tenderness or inflammation elsewhere?
Can the horse weight bare?
I'm asking myself all these questions and more, and then I will have a good prod and scrape.
Sometimes we get lucky, and find it. Even a good firm scrape around with a hoof pick *might* reap rewards at times.
Then I will poultice, and change this daily until we stop seeing gunk drawn out. Even then sometimes I will flush the exit with a syringe of warm salt water and apply a dry poultice for a couple more days. Once the exit is dry, I'll pack it with an antibacterial hoof clay and keep my fingers crossed that it doesn't come back.
But what if I can't find it?
I will not watch the horses suffer. HM's advice on dealing with hoof abscesses is, in my opinion, complete bull s**t. Not only have they potentially misdiagnosed a fracture, or laminitis, but to then leave the horse suffering - because that's what it is. It is agonising pain. - to leave the horse suffering brings other risks.
In my experience, the fastest cause for a horse to lose weight and become unwell is pain. On my yard, we do not ignore pain. But that's not to say I will always give pain relief for an abscess. That depends on the individual. If a horse is in pain, relieving that pain is a priority. HM claim 'pain is a necessary part of this process. ' NO. IT IS NOT!
If I can't find the abscess, I'll call my farrier. Ideally I don't want to see a horse in this acute pain, even if I'm certain it's an abscess, for more than a couple of days. (If I'm not certain it's an abscess, I've already spoken to my vet by this stage.)
Farriers or trimmers are the best placed experts to find and release a hoof abscess. Most vets prefer to leave this to the HCP's if it's not a more complex issue which requires further diagnostics. HCPs can usually expose the abscess and release the pressure, providing instant relief for the horse. HCPs can do this without encroaching on live tissue. If they are unable to find the location of an abscess, then a (hot and damp) poultice applied regularly will help draw it out. However if this has produced no results after (personally I'd give it approx two days) then a vet should be called.
Please do not ignore pain in your horse! HM talk about allowing the horse's natural healing process. This is complete and utter crap. We can and should do much better than this, and it doesn't take much effort.
Why would you leave an infection to eat away more tissue and cause more pain? If a human had this level of pain and infection, they would be treated urgently. Would you expect to endure the bodies 'natural healing process' for a tooth abscess, pneumonia or TB? Do we accept the agonising pain and wait for the onset of sepsis?
No! We are treated humanely and we can do the same for our horses too.
HM do not see suffering. LS has managed to train a whole bunch of people to overlook equine pain and suffering, for the pursuit of any success. Any case where she can say 'I told you it works'.... but it doesn't happen. We don't see it.
Meanwhile, hoofcare and related veterinary treatments have progressed at a fast pace in recent years. HM refuse to look, though they wouldn't understand anyway. These days your horse has a much better chance of recovery from laminitis with expert care from your farrier (or trimmer) and your vet.
HM are the ones living in the dark ages. Perhaps harking back to a time when infections were treated with 'fresh air.'
We do better now.
The following images are taken from our evidence and used with the owners consent to warn others against following HMs hoof abscess advice.
This horse spent 6 weeks on a track livery where the HM protocol of ignoring hoof infections was followed. The owner was not fully informed about the hoof abscesses the horse was suffering from. The horse was in enough prolonged pain to lose a dramatic amount of weight. Without any treatment or intervention, the infection progressed into a serious condition. A vet was never called. The horse was removed from the facility, though the infection had reached a level where treatment at home was ineffective and the long term prognosis was guarded. He was euthanised on humane grounds.
The horses owner was devastated. She had not been made aware of the situation with her horse. When she was eventually told it was 'just an abscess', the advice from the track livery was consistent with HMs policy of ignore it and it will sort itself out. The owner trusted the track livery with the care of her horse, and trusted the advice delivered.
She removed her horse after a visit which left her terribly upset at his condition. The owner was at no fault whatsoever and had the vet to her horse as soon as he returned home.
Do not trust HM or their associates with the life and health of your horse.
If you are worried about your horse, or you know of a horse struggling under HM 'care' please drop me a message.
Do you need to get away from a HM trimmer? Get in touch, we can help.
*Warning* These images are unpleasant. I will post the 'HM advice' first, so you can choose whether to scroll to the infection images and they won't just 'pop up' on your feed.
I make no apologies for posting this. HM deliver misinformation and unqualified diagnosis and advice. This is what can happen to your horse if you choose to take that advice.