Swines raised in intensive systems are highly susceptible to claw lesions. Moderate to severe lesions trigger an inflammatory response, causing pain and impairing reproductive and economic performance. Foot lesions in sows can cause considerable losses owing to reduced fertility and herd longevity. Proper diagnosis is an important step in correcting this problem; however, the seriousness of the impact of these lesions on swine herds remains unclear to most farm owners. Health monitoring has become an essential tool for veterinarians because it enables the detection of disease incidence and severity. In this study, we assessed claw lesions in sows reared under an intensive system to ascertain the prevalence and severity of lesions in Brazilian herds. The hind limb claws of 2,660 sows from 30 farms were examined for the following lesions: heel overgrowth and erosion (HOE), heel-sole cracks, white line lesions (WL), horizontal and vertical cracks in the toe wall, overgrown toes, and overgrown or missing dew claws. Claws were classified as normal (score = 0), mild (score = 1), moderate (score = 2), or severe (score = 3). At least one type of lesion was observed in 99.1% of the sows, whereas 29.7% displayed severe lesions. HOE was the most common lesion (89.9% of sows) and severe WL was observed in 16.8% of the sows. Lesions increased in prevalence and severity with parity, except for WL In young females, lesions on the volar surface were more common than those on cracked walls or overgrown toes, which should be considered when selecting gilts for breeding. A high prevalence of claw lesions was observed in Brazilian sows. Monitoring of these lesions is fast and simple. Regular monitoring provides information on claw health in a herd over time, allowing us to take measures to control and treat claw lesions, avoiding worsening of the problem, early culling of animals, and the associated productive and economic losses.