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One of the most common problems with cows is the Downer Cow Syndrome. Downer Cow Syndrome is also known as Bovine Secondary Recumbency. There are various reasons why cattle may end up becoming recumbent, ranging from metabolic or toxic problems, to trauma and infections. When a cow is unable to rise for more than 24 hours after the initial recumbency, then secondary recumbency takes place, thus the name of this condition. This occurs mainly due to the fact that there will be considerable pressure on the muscles and nerves. If recumbency is prolonged, the muscle and nerve injuries will often include pressure-induced ischemic necrosis, specifically on the muscles in the thighs, which often negatively affect the hindlegs too. Some cows may still be alert, and not show any signs of systemic illness. They may also continue to eat and drink. Other cows will however be non alert and visibly appear depressed and unwell. What Causes Downer Cow Syndrome? Hypocalcaemia or milk fever Hypomagnesemia or grass tetany Nutritional acidosis Ketosis or acetonaemia Hypokalaemia Fatty liver disease Trauma The cow might be suffering from trauma. Traumatic conditions include a dislocated hip, a rupture in a tendon, muscle or ligament, or a fractured femur.