Editor’s note: The following commentary is in response to the article “Use an index to help you rethink lameness prevention,” written by Vic Daniel and published in the March 21, 2012 issue of Progressive Dairyman. Click here to read more about this topic. In the 1980s Karen Mortensen, a Danish researcher, introduced the concept of lameness being a “multifactorial problem.” That theme, I suggest, is the same as the recently published article by Vic Daniel, which was thought-provoking and timely. Stress Daniel’s article reminds us that lameness does not have just one cause, but is initiated by a number of different interrelated factors.