What Is Proud Flesh in Horses: How to Treat This Common Wound Complication Safely

The first time I saw proud flesh on a horse’s leg, it was hard to ignore—a swollen, pink mass bulging from what should have been a healing wound. My stomach clenched, not just from the sight, but from the realization that this common complication could delay recovery for weeks, even months. If you’ve ever dealt with proud flesh in horses, you know the frustration of watching a simple cut turn into a stubborn, fleshy overgrowth. But here’s the good news: with the right approach, you can treat it safely and effectively.

Understanding Proud Flesh in Horses

Proud flesh, or exuberant granulation tissue, occurs when a horse’s wound heals too aggressively, forming excess tissue that protrudes beyond the skin’s surface. Unlike healthy scar tissue, proud flesh is bumpy, moist, and often bleeds easily. It’s most common in leg wounds, where tight skin and constant movement slow natural healing. Left untreated, it can prevent proper wound closure and even lead to infection.

Why Do Horses Develop Proud Flesh?

Several factors contribute to proud flesh: poor wound care, excessive movement, or even the horse’s own genetics. Locations with minimal skin—like the lower legs—are especially prone because the body rushes to fill the gap with granulation tissue. Think of it like an overzealous construction crew pouring too much concrete. The result? A lumpy, uneven surface that won’t flatten on its own.

How to Treat Proud Flesh Safely

The key to managing proud flesh is early intervention. Here’s a step-by-step approach:

1. Clean the Wound Thoroughly

Start by gently flushing the area with saline or a mild antiseptic solution. Remove debris, dirt, or dead tissue—this reduces the risk of infection and allows healthy skin to regenerate. Avoid harsh chemicals like hydrogen peroxide, which can damage delicate new cells.

2. Control Granulation Tissue Growth

Veterinarians often trim excess proud flesh surgically or apply caustic agents like silver nitrate sticks to shrink the tissue. For milder cases, pressure bandages can help flatten the overgrowth by restricting blood flow to the area. Always consult your vet before attempting any aggressive treatment.

3. Promote Healthy Healing

Once the proud flesh is under control, focus on creating an optimal healing environment. Use breathable, non-stick dressings and limit the horse’s movement to prevent reinjury. Topical ointments with aloe or honey can soothe the skin while encouraging proper scar formation.

Preventing Proud Flesh Before It Starts

An ounce of prevention is worth a pound of cure—especially with proud flesh. Keep wounds clean, dry, and protected from flies. Bandages should be snug but not tight enough to cut off circulation. And if your horse is prone to exuberant healing, ask your vet about preventive measures like laser therapy or specialized wound dressings.

When to Call the Vet

While minor proud flesh can sometimes be managed at home, severe cases need professional attention. If the wound smells foul, oozes pus, or the horse shows signs of lameness, don’t wait. Early veterinary care can mean the difference between a quick recovery and a chronic problem.

There’s something deeply rewarding about helping a horse heal. Watching that angry pink mass recede, replaced by smooth scar tissue, is a testament to patience and care. With the right knowledge—and a little vigilance—you can tackle proud flesh head-on, giving your horse the best chance at a full recovery. After all, every horse deserves to move freely, without the burden of a wound that won’t quit.