We know that the hoof is the primary cause of lameness in a horse. As the saying goes, “No hoof, no horse”. To set your horse up for success in the long term, the first thing we’re looking for is that balanced hoof. To understand your horse's hoof balance, we'll look at the dorsal/palmar relationship, the medial/lateral relationship, the symmetry of the solar surface, and the medial/lateral heel relationship.