Lameness in dairy cattle remains at unacceptably high levels. The claw horn lesions (sole haemorrhage/ sole ulceration and white line disease) are two of the most important causes of lameness in the UK. Prompt identification and early and effective treatment to reduce the period over which animals are lame is one of the corner stones of reducing prevalence on farm. This paper will review recent work conducted on the treatment of claw horn lesions in dairy cattle and identify challenges which must be overcome to ensure these important diseases are effectively managed on farm.