Horse Side Vet Guide ®

Equine Health Resource

Wound to Back of Lower Limb or Leg

Code Red - Call Your Vet Immediately, Even Outside Business Hours

Code Orange - Call Your Vet at Their First Available Office Hours

Code Red - Call Your Vet Immediately, Even Outside Business Hours

  • If lameness is noticeable at the walk.
  • If wounds appear serious or accompanied by swelling or drainage.
  • If the wound occurred within the last 24 hours.

Code Orange - Call Your Vet at Their First Available Office Hours

  • Even if the horse does not appear to be lame to you.
  • If the wound occurred over 24 hours ago.

The most vital structures in the equine limb are located in the back of the limb. These include the flexor tendons and flexor tendon sheaths, joint pouches and supporting ligaments. There are also large vessels here which may be damaged.

Wounds to the back of the lower limb, on either fore or hind limb, have the potential to be permanently crippling or life-threatening. Even less severe wounds here tend to take a long time to heal because of the high degree of tissue movement in the area. For these reasons, lower limb wounds are the MOST important wounds to handle correctly and aggressively from the beginning.


Perform the Whole Horse Exam (WHE), paying particular attention to the rectal temperature, degree of swelling and drainage, and especially degree of lameness at the walk.

You can safely flush most wounds with wound wash saline or dilute antiseptic solution. Dry the area with a dry paper towel, and apply a light dressing over the wound to protect it until your vet can see it. Assess lameness at the walk. Confine your horse to a clean box stall and call your vet immediately. If there is severe bleeding, apply a pressure bandage to control it until your vet arrives.


In almost every case, wounds in this area should be evaluated by your vet as soon as possible. A meticulous veterinary exam and all recommended diagnostics are strongly encouraged. While these diagnostics may add significant expense to your vet bill, this is preferable to missing a critical injury and delaying proper treatment.

The consequences of mismanaging or underestimating injuries in the lower limb include chronic lameness, loss of use or euthanasia. Common diagnostics are radiography, ultrasound and testing of joints and tendon sheaths to determine involvement in the wound.

Helpful Terms & Topics in HSVGWritten, Reviewed or Shared by Experts in Equine Health

Author: Doug Thal DVM Dipl. ABVP


We're not around right now. But you can send us an email and we'll get back to you, asap.