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Preventing down cows Down cow equipment Managing down cows Rolling a down cow When to roll, when to lift Using hip lifters Using hip clamps Additional resources

Managing down cows is crucial for dairy farmers. When a cow is down, it's important to promptly diagnose the cause, decide on a treatment, and follow a management plan. This page provides guidelines on preventing, diagnosing, and treating down cows, covering everything from mineral supplementation to creating a dedicated nursing area. It gives practical advice on how to roll or lift a cow, when to consider euthanasia, and methods of transportation for a down cow.

Down cows are an emergency and must be treated as a top priority on-farm. A cow that is down is often in pain, uncomfortable, and under significant stress, and prompt action is critical. It is important to make timely, informed decisions so she receives the right care and is as comfortable as possible.

Animal Health Down Cow Page Image 1

Getting a down cow back on her feet and returned to the herd quickly is the best outcome for the cow and a positive result for the farm. Achieving this requires correct diagnosis, early treatment, and a consistently high standard of nursing.

With the increased pressure of calving and early lactation, it’s essential that down cow management is well planned for before spring. Having clear protocols that the entire farm team can act on, as well as the right equipment ready, helps ensure rapid response when it matters most, improving recovery outcomes and supporting good animal welfare during the busiest time of the year.

Preventing down cows

Many of the factors that cause cows to go down are preventable. Minimise your chance of down cows by managing your transition cows correctly with good springer management, careful mineral supplementation, accurate body condition scoring, and feed allocation, to ensure cows are not too fat or too thin at calving. Appropriate bull selection is also an integral part of prevention that should be considered.

Consider seeking veterinary advice if the number of down cows is higher than usual for your farm. The ‘Pattern of two’ is a useful rule-of-thumb on when to seek advice.

2% or more of cows going down (e.g. 2 out of every 100 cows calved)


2 down cows in the same day


Down cows 2 days in a row

If down cows are NOT consistently improving within 2 hours of treatment

Preparation is key for down cow care – don’t get caught out

Set yourself up for a successful calving period. Having a plan in place means the farm team can act quickly and confidently when a down cow occurs, even during the busiest times. Have an operating procedure specific to calving-related issues – including down cow treatment. Forward planning is smart farming for you, your cows and your staff.

Podcast - Thriving after calving: Key cow care and recovery tips

In this Talking Dairy episode, host Jac McGowan and Mitch Cooper, veterinarian and DairyNZ’s Senior Technical and Policy Advisor, discuss how to prevent and manage down cows during calving season. Get practical tips on how to recognise early signs, treatment and care .

Listen on:

Down cow kit and equipment

Below is a list of things to prepare well before the down cow risk period. Make sure staff members know where these are kept and how to use them in case of emergency.

In your kit:

  • Gloves
  • Halter and lead rope
  • Metabolic bags
  • Oral treatments/supplements
  • Syringes and needles
  • NSAIDs/Anti-inflammatories
  • Headlamp
Down Cow Kit 600X450

Equipment:

  • Hip-lifters/Lifting device
  • Chest/breast strap
  • Cow cover
  • Buckets to provide water
Correct Placement Of Hip Lifters And Brisket Strap SQ

Dedicated nursing area:

Think about what you want when you’re sick - somewhere comfortable to lie that’s dry and warm, palatable food, and lots of water. For cows, it’s no different.

Building your nursing area should include:

  • A warm, safe, dedicated area with shelter and barriers, such as a spare bay in a shed or shed on its own. It’s important to keep her in a confined area so she doesn’t crawl with her front legs - this can cause significant damage.
  • Plenty of clean, soft bedding to reduce the pressure on her hind legs as much as possible.
  • A non-slip surface for when the cow tries to stand.
  • A continuous supply of clean water and good feed (tap nearby or trough if available).
  • Adequate access for a tractor or similar machine to use lifting devices to get her to her feet if needed.
Down Cow Dedicated Nursing Area 1200X797

Managing down cows

1. Diagnose the cause

There are many causes of down cows, including:

  • Metabolic disease - milk fever, low potassium, ketosis, low phosphorus and grass staggers.
  • Calving paralysis.
  • Injury - dislocations, breaks, muscle or tendon ruptures.
  • Infection - severe mastitis, acute metritis, acute gut infection.
  • Gut disease - rumen acidosis, bloat, twisted gut.
  • Previous illness - facial eczema.

2. Decide on treatment

Early diagnosis and treatment will maximise the cow’s chances of a quick recovery. In most cases, a cow may recover on the same day. If it’s looking like it will take longer, she should be moved to a suitable, dedicated nursing area. The best place for a down cow is under a roof or a well-sheltered area. But if you can’t provide a dedicated down cow area, some easy ways to care for cows in the paddock include using cow covers or putting out a few hay bales to provide shelter from the weather.

Hip clamps must not be used to move cows. If you need to move a cow, use a transport tray, tandem trailer or front-end loader bucket. Regardless of the method of transport, be sure to restrain the cow to prevent any additional harm, pain or distress.

If a down cow is non-responsive or very ill, a decision should be made on whether treatment is viable. Cows should never be left in pain or distress. If, after several hours or days of nursing and treatment, a down cow can’t continue to be nursed at a high standard or doesn’t seem to be making progress, it is essential to seek further veterinary advice and consider humane euthanasia. If she is gravely ill, her chances of recovery will be low. More information on humane euthanasia can be found here.

3. Follow treatment management plan

Research shows high-quality care significantly increases a down cow’s chances of recovery and prevents further complications. It is important to implement ALL aspects of down cow care listed below to give the best chance of returning to the milking herd:

The requirements of nursing a down cow:

  • Providing a dedicated area with shelter and barriers.
  • Providing clean, dry and soft bedding that will offer a non-slip surface when the cow tries to stand.
  • Providing a continuous supply of clean water and good feed.
  • Administering anti-inflammatories.
  • Rolling the cow from side to side regularly, multiple times a day, and flexing and extending the hind limbs each time the cow is rolled.
  • Regularly hand-stripping milk from the udder.
  • Using lifting devices to get her to her feet only - never leave cows hanging in lifting devices.

Rolling a down cow

When a cow is sitting on the same side all day, one back leg will take all the pressure from her body weight, leading to nerve and muscle damage. If she can’t swap sides by herself, it is extremely important that she is regularly rolled onto her other side throughout the day. Repeat as often as possible, 2-4 times a day at a minimum. It is important to note which leg the cow is sitting on each time you check her.

Rolling A Down Cow
Rolling A Down Cow

The more frequently rolling is done, the less muscle and nerve damage will occur.

When to roll, when to lift

A cow should only be lifted if it is highly likely she will be able to bear her own weight. Lifting cows before they’re ready to stand can do more harm than good.

The wings of the pelvis, where hip lifters are attached, are not designed to bear the cow’s weight. Cows that can’t hold their own weight are at risk of skin, muscle, and bone damage during lifting.

Assist the cow to stand if she:

  • Is bright and alert.
  • Is not trembling or twitching.
  • Doesn’t appear severely weak or diseased.
  • Appears to have normal, functioning limbs.

If in doubt, roll her instead of lifting- it takes less time and is less risky to the cow.

Using hip lifters

Be sure to thoroughly check the cow for dislocations or broken bones before using hip lifters. They should only be used to assist a cow into a standing position, not to suspend a cow that is unable to stand. Hip lifters must not be used to move a cow, as this can cause more damage to her and negatively impact her chances of recovery. All four limbs should stay in contact with the ground during lifting.

A breast strap under the brisket, in conjunction with hip clamps, is good practice as it helps the cow up onto her front legs as her hips are raised. The additional support also minimises discomfort for the cow and provides some additional restraint, making the process safer for you and the cow.

Using a full sling to stand a cow up is not recommended, as the pressure on the cow's abdomen causes the muscles in the hind leg to relax. Using a breast strap along with hip clamps is good practice.

Watch the animation below on correct use of hip lifters.

Correct use of hip lifters video for down cows

Video 3:10 min

Follow this process to ensure you’re doing everything possible to minimise pain and discomfort for the cow and make lifting safe and stress-free for you:

  • Ensure the cow has grip under her feet. Add straw, hay, or baleage for added grip.
  • Apply padded hip clamps securely to her hip bones.
  • Adjust the clamps to ensure a firm fit but do not overtighten the clamps.
  • Add a breast strap behind her front legs.
  • Raise the cow slowly using a frontend loader or hoist.
  • Slacken off the chain and strapping once you see the cow taking weight on all four feet.

Do not leave the cow unattended without removing the strap and clamp. If the cow cannot stand on her own, return her to the ground slowly and try again later. If she still cannot stand on her own 24 hours after going down, seek veterinary advice. You may need to reconsider if it is best for the welfare of the cow to persist with treatment or consider humane euthanasia.

Using hip clamps

Watch the video below to see how to correctly use hip clamps to lift a down cow.

Correct use of hip clamps to lift down cows

Video 3:13 min

Additional resources

Making The Right Decision For Cull Cows

Resources Welfare
Decision tree to help make the right decision for cull cows before transporting

Additional links

Humane Slaughter

/animal/animal-welfare/humane-slaughter/

Body condition scoring

/animal/body-condition-scoring/

Milk Fever

/animal/animal-health/milk-fever/

Cow Health

/environment/winter-grazing/cow-care-in-winter/
Last updated: Mar 2026
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