In theory each individual hoof has a state of ideal balance which is intimately linked to the horses skeletal conformation. The more time a horses hoof approximates this ideal the less prone they are to athletic injury and the more efficiently injuries will heal.

In practice the skeletal conformation of the horse dictates how the hoof should best support the boney column and dissipate concussion. The hoof capsule is susceptible to all types of mutations and distortions that impede its ability to perform these vital functions. Many of theses imbalances are subtle and exert their ill effects to the inner structures of the digit slowly over years. Computerized analysis of high standard digit radiographs can readily identify incongruence between the hoof and boney column. These discrepancies can be communicated to farriers using real measurements to achieve the necessary corrections.

In reality imbalance is corrected and normal hoof physiology maintained by the will of farriers, those charged with the regular care of equine hooves. This physically difficult, sometimes dangerous endeavor requires taking tools to thousands of hooves before an appreciation of just how to achieve and maintain balance becomes second nature. Some never get it. Some give it up before they do. Many that have got it are sadly underpaid and all to often under appreciated. Sometimes, things are not as they appear, even to the well trained eye. The reality of the matter is that a lack of synergism between veterinarian and farrier often yields  less than satisfactory results for owners and horses.