| Risk Factor | Reason for Increased Likelihood of Teat-end Hyperkeratosis |
| Pointed Teats | The load applied by the closing liner acts on a smaller area of teat surface |
| Increasing age | The “wrinkle” factor in all species |
| Higher production | Cups are on for longer |
| Peak lactation | Cups are on for longer |
| Cups on before milk let down | Increased period of milk flow <1.0 kg/min (<2.2 lb/min) |
| Low threshold for ATOs | Increased period of milk flow <1.0 kg/min |
| Over-milking | Increased period of milk flow <1.0 kg/min |
| High vacuum | Increased stress on teat tissues |