A cuff that is a semi-rigid polymer having a U-shaped base and integral wall partially circumnavigating said base. The base has screw holes for attachment to a shoe and the wall has button holes for attachment to a hoof. An equine cuff-and-shoe assembly is also provided where the cuff is attached to an equine shoe, preferable a shoe that covers substantially all the underside of a hoof. Additionally, the assembly can include an orthotic and/or a pulsing bladder that fits beneath the equine hoof on the inside top of the cuff assembly when the shoe/cuff assembly is employed. Method of use are also described.