Because there are several causes of Navicular syndrome, and some, which are still unknown, one treatment will not be effective in all cases. IT is critical to speak with you veterinarian and farrier about all the possible options for treatment. Generally, Navicular syndrome cannot be cured or reversed, but it can be successfully managed. Treatment goals are to reduce inflammation, remove pain from the soft tissue, increase pliability, increase blood supply, and align the hoof-pastern axis to improve the gait of the horse. This is accomplished with specific drugs, corrective shoeing, and controlled exercise. Bute is the most commonly used drug for not only Navicular syndrome, but any common symptoms of lameness in the horse. Bute reduces pain and inflammation, and is therefore effective in the short term. However, if a horse with Navicular syndrome is treated with bute only, and no other treatment measures are taken, the horse will be ruined. Injection with corticosteroid is also a common treatment. This is not a cure since steroids only reduce inflammation and pain and do nothing to correct the underlying pathology. As with bute, when used alone, steroids will lead to further harm. Increasing the circulation to the Navicular area is often effective in reducing the symptoms. Isoxsuprine hydrochloride, a drug that dilated the small blood vessels, is the most commonly used. This is a long-term course of the drug therapy, which can get expensive and time consuming. The anticoagulant warfarin is also used to increase local circulation. The horse must be watched carefully for the onset of bleeding problems since the drug reduces clotting in the entire body.