I've had two expriences of intermittent lameness. The first was a TBX with bad feet, almost non-existent heels and very poor hoof quality that couldn't hold shoes. The farrier put him in Equibuild pads which helped him hold his shoes, protected his soles and reduced the effects of concussion. They also take the pressure off the walls and stimulate growth so the farrier can gradually have more foot to work with and address the angles and foot balance.
The other horse with intermittent lameness was misdiagnosed for a long time, but after an MRI scan was found to have several foot imbalances and navicular changes. We took her barefoot under the management of a DAEP qualified Equine Podiatrist, and that decision turned out to be the best thing we could have done with her, as she came sound within quite a short period of time and her feet improved dramatically - she has been sound 3 years now.
I think the approach you adopt will depend on the investigations. If you are insured with Petplan it would be worth considering an MRI scan, they pay for all of it. Other insurers may only pay a percentage.
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