Early detection and treatment of hoof disorders in dairy cattle is imperative for animal well-being and production. Changes in cow behavioral patterns may assist with the early detection of hoof disorders. The objective of this study was to evaluate how hoof disorders affect behavioral patterns in Holstein cows. Hoof trimming records collected over 2 yr at the Washington State University Knott Dairy Center (Pullman, WA) were used to identify cows diagnosed with hoof disorders (H; n = 69) and sound cows (S; n = 69), matched by age and hoof trimming date. Hoof disorder diagnoses included digital dermatitis, white line disease, and sole ulcers. The CowManager system was used to collect cow ear temperature, activity, rumination, and eating behaviors for 7 d before hoof trimming, day of hoof trimming, and 7 d after hoof trimming. Data were analyzed to compare differences between cows using PROC MIXED in SAS. A 3-way interaction among cow age, hoof health status, and day of study was detected for ear temperature (P < 0.0001), active (P < 0.0001), non-active (P = 0.0002), rumination, (P = 0.008), and eating (P = 0.0003) behaviors. All cow groups had the lowest ear temperatures before hoof trimming and highest ear temperatures after hoof trimming, with the greatest difference occurring in the 5-yr-old cows (P = 0.03). The oldest cows (7 yr of age and older) with hoof disorders showed more variation in all behaviors over the 15-d period than sound counterparts. The youngest cows (3 yr of age) with hoof disorders spent less time being active (H: 2.14 ± 0.01 h vs. S: 2.61 ± 0.01 h) or eating (H: 2.12 ± 0.02 h vs. S: 2.70 ± 0.02 h) than sound counterparts. A significant difference (P = 0.01) in non-active behavior occurred between 4-yr-old cows with hoof disorders (6.85 ± 0.03 h) and sound counterparts (8.30 ± 0.04 h). The greatest difference in rumination between cows with hoof disorders and sound cows occurred in the oldest cows (H: 7.91 ± 0.05 h vs. S: 9.97 ± 0.04 h). The use of activity monitoring technologies to identify changes in behavior could aid in the early detection of hoof disorders in dairy cows; however, the age of the animals being monitored should be considered, as demonstrated in this study.