Digital dermatitis is a worldwide disease causing lameness in cattle, especially when housed. Despite its widespread nature there are relatively few peer-reviewed articles providing experimental data concerning its treatment and control. At the risk of descending to anecdote, this review attempts to summarise the current state of knowledge. Three approaches to digital dermatitis treatment have been used: (1) systemic antibiotics, (2) individual topical treatment, and (3) mass topical therapy using a footbath. Systemic antibiotics have become a rare treatment because of their cost and perceived lack of efficacy. Individual topical treatment, mainly with antibiotic preparations, is the most commonly reported method. It is widely considered the treatment of choice by virtue of reliable information about efficacy, the advantage of precise targeting of antibiotic usage and the requirements of legislation. However, at least in the UK, mass treatment of digital dermatitis by foot bathing is commonly used on many farms. In some cases, for example with antibiotic footbath solutions, these treatments create legislative, health and safety and environmental difficulties. Despite the widespread use of many different treatments, there is a lack of good comparative data and the consequence is a very variable and somewhat anecdotal approach in the field. There is a pressing need for well-researched treatment strategies for different herd situations.