Toe granuloma: diseases that cause lameness in sheep

Find out how to look for the signs of toe granuloma and treat it effectively.

Back to: Reducing lameness in sheep


  • The fleshy tissue, normally under the sole horn, grows out as a red pea-sized ball 
  • This very sensitive tissue bleeds easily 
  • Toe granulomas are more likely to occur on farms where footrot and CODD are also present  
  • The wall horn is often over-grown and sheep may not be able to bear weight

Toe granuloma, University of Warwick


Foot damage, especially that caused by excessive foot-trimming and foot-bathing, is the most common cause of toe granuloma. The fleshy ‘strawberry’ is a response to cutting into the sensitive tissue beneath the hoof horn. It can also follow severe cases of footrot and CODD that have not been treated promptly.


For the best treatment options, seek veterinary advice. Treatment can include removal of the granuloma by tying off with dental floss, bandaging the foot with copper sulphate, or surgical removal.  Use painkillers and antibiotics if there are signs of infection. Keep animals close to the farm to check regularly. There is a risk of regrowth of the granuloma; consider culling these sheep. 


Avoid trimming feet unless absolutely necessary and do not trim into the sensitive tissues that bleed.  Always treat other conditions, such as footrot and CODD appropriately as soon as possible.

Useful links

Lameness in sheep: the five-point plan

Reducing lameness in sheep