Pododermatitis in tall cows that occur on the background of secondary osteodystrophy can lead to significant economic losses, consisting of forced culling of animals, reduced milk yield, reproductive function and not enough receiving of calves. Therefore, the question of studying the peculiarities of origin and development, in particular chronic aseptic pododermatitis in these animals is quite actual. It is defined that with the same type of highly concentrated feeding, hypodynamics and insufficient insolation in the organism of highly pregnant cows, the process of assimilation of feed minerals is disrupted (develops, as is known, for dysfunction of the endocrine glands due to prolonged ketosis), which is appeared by resorption of the hoof bone, low rates of mass-volume extraction analysis of bone biopsy and testifies a systemic violation of mineral metabolism in animals and is confirmed by biochemical parameters, in particular, the concentration in the hoof horn of individual macro-and trace elements, as well as biophysical parameters of the epidermis of the hooves. Thus, the concentration of Calcium in the hoof horn is 16.8 % lower than in clinically healthy animals, Sulfur – by 20.3 %, Copper – by 16.2, Zinc – by 15.0, Cobalt – by 13.0 with increasing concentration of sulfhydryl groups by 34.3 % and moisture, respectively – by 5.5 %, which causes a decrease in the density and hardness of the epidermis of the hooves by 5.4 % and 19.0 %, respectively, and contributes to the deterioration of the quality of the hooves of highly pregnant cows. Such changes lead to deformation of the hooves, violation of the uniform load on their soles and the development of aseptic inflammation of the skin base of the hooves of a chronic nature, because the process of metabolic disorders occurs over a long period of time.