Lameness is a major reason for culling, and it represents a decrease in welfare, productivity, and profit. High culling rates are economically expensive, reduce productivity, and represent a risk to herd health when new gilts are brought in. Young sows are often culled due to lameness and reproductive failure, so efforts should be made to reduce these numbers. Lameness can be caused by many reasons, but claw lesions can result in pain and inflammation. This can lead to reduced feed intake, lowered BCS, and inflammatory responses that can impact the entire body including reproductive organs. Lowered BCS can also increase the chance of a sow developing acyclic ovaries. Nutrition can be used to improve claw health, and trials using Zn, Mn, and Cu supplementation showed improvements in claw lesion occurrence and severity. The treated sows also had an increased reproductive performance as indicated by birth weights and litter size.