Changes

* The initial treatment is aimed at removing '''all''' of the diseased tissue back to clean, healthy horn. Care must be taken to avoid damaging the sensitive tissues of the dermal lamellae and corium. The sole needs to remain thicker as weight will inevitably be borne by it. It has to be able to withstand thumb pressure. A thick pad on the contra-lateral foot may aid trimming of the second limb.  

* The initial treatment is aimed at removing '''all''' of the diseased tissue back to clean, healthy horn. Care must be taken to avoid damaging the sensitive tissues of the dermal lamellae and corium. The sole needs to remain thicker as weight will inevitably be borne by it. It has to be able to withstand thumb pressure. A thick pad on the contra-lateral foot may aid trimming of the second limb.  

* Topical non-toxic anti-fungal agents may be applied. '''Sugardine''' is a useful preparation - see [[Pedal sepsis - Donkey#Treatment|treatment of pedal sepsis]]. Synthetic hoof fillers are contra-indicated as they may trap potentially harmful organisms.

* Topical non-toxic anti-fungal agents may be applied. '''Sugardine''' is a useful preparation - see [[Pedal Sepsis - Donkey#Treatment|treatment of pedal sepsis]]. Synthetic hoof fillers are contra-indicated as they may trap potentially harmful organisms.

* A deep, clean, well-managed bed (wood shavings are particularly useful) should be considered until the wall has grown down and the donkey is comfortable on other surfaces.

* A deep, clean, well-managed bed (wood shavings are particularly useful) should be considered until the wall has grown down and the donkey is comfortable on other surfaces.

* A balanced diet and appropriate supplementation should be considered. Fat animals should be dieted but not starved.  

* A balanced diet and appropriate supplementation should be considered. Fat animals should be dieted but not starved.