The available bibliographic sources on the study of distal limbs diseases in cows were analyzed. The causes and factors that contribute to limb pathology risk in cows at milk production enterprises are emphasized. Lack of active exercise, inadequate feeding rations, insufficient veterinary hygiene, high contamination of premises and low or insufficient level of preventive medical care have an increase in the incidence of animals up to 40% of the herd. Therefore, the problem of cows’ distal limbs pathology treatment and prevention is currently of great importance. In the complex preventive and medical care against the disease of the distal limbs in cows, functional trimming of the hoof horn has an important veterinary hygienic value. The beginning of therapy at an early stage reduces the risk of developing more severe pathologies of the limbs. The use of “EMS-I type A” for the treatment and prevention of distal limb lesions, depending on the degree and size of tissue damage, provides recovery after 2-3 bandages and disease containment in the study groups.