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Your Guide to Preventing and Treating Laminitis

Updated: Apr 3


Healthy horse hooves prevents laminitis

Laminitis, a prevalent ailment in the world of equine care, poses a significant threat to horses. Whether these noble creatures are cherished companions or vital partners in sports and labor, any condition that compromises their well-being can have dire consequences. Thus, veterinarians and dedicated horse owners unite in unwavering dedication to shield these majestic animals from the clutches of laminitis. The spectrum of this affliction ranges from mild discomfort to life-threatening lameness, with its most extreme form rendering treatment futile, prompting the heart-wrenching consideration of euthanasia as the sole recourse to spare the horse from enduring unrelenting agony.


Laminitis Unveiled: A Deeper Look at this Painful Condition

At its core, laminitis is a debilitating condition that takes root in a small yet crucial structure within a horse's hoof – the laminae. These delicate, interlocking layers play an instrumental role in suspending the coffin bone within the hoof, anchoring it securely in place. When any harm befalls these laminae, it triggers a cascade of events, chiefly marked by inflammation and the constriction of blood flow to this essential structure.


Nestled between the coffin bone and the hoof, numerous interdigitating laminae are akin to a finely tuned suspension system, akin to the intricate workings of a well-engineered machine. However, if inflammation seizes hold and the blood supply is impeded, the once-vibrant laminae start to wither and succumb to distressing consequences.


In the early stages, a timely and appropriate intervention can often pave the way for a complete recovery, leaving behind no lingering scars of this painful episode. But in more severe cases, where the damage is profound, a sinister transformation begins to unfurl. The connection between the coffin bone and the hoof wall weakens, and over time, it fractures. This leads to a harrowing scenario where the coffin bone may rotate or sink within the hoof, a dire circumstance commonly referred to as "founder."


In this grim scenario, each step the horse takes becomes a painful ordeal. The very tip of the coffin bone, once safely nestled within the hoof's protective walls, now has the potential to pierce through the sole with excruciating consequences. It is this grim reality that underscores the urgency of preventing and managing laminitis, as its progression can transform a horse's life from one of grace and freedom to one fraught with agonizing steps.

healthy hoof vs laminitic hoof in horse diagram
Photo by: Hygain

Unraveling the Multifaceted Causes of Laminitis

Laminitis, a complex and debilitating condition, can arise from a variety of factors, all converging on a common denominator - the disruption of blood flow to the laminae, setting the stage for this painful affliction. Let's delve into the intricate web of potential causes:

person wrapping horse leg from injury
  • Severe Injuries: Trauma, such as fractures or joint infections, can force a horse to shift excessive weight onto the unaffected limb, inadvertently affecting the blood flow to the hooves and ultimately triggering laminitis.

  • Strenuous Exercise: Horses undergoing rigorous training and exercise, particularly on hard or unforgiving surfaces, are at risk of developing laminitis due to the relentless pounding and concussion experienced by their hooves.

  • Hoof Care and Conformation: The care and maintenance of a horse's hooves are paramount. Neglected hooves with improper trimming and shoeing can result in elongated toes, a structural conformation that is notoriously challenging to rectify. This distortion can set the stage for laminitis to develop and unleash its serious implications.

But the causative factors do not stop at mechanical issues; there are non-mechanical triggers as well:

Horses eating too much grain could get laminitis
  • Overfeeding: Excessive intake of food can lead to laminitis, particularly when a horse consumes a diet high in carbohydrates. Overindulgence in grains or cereals, for example, can tilt the metabolic balance, increasing the risk of laminitis.

  • Gut Infections: Infections of the gut, such as bowel infections, can lead to a condition known as toxemia. Toxins released into the bloodstream during such infections can travel to the limbs, causing destruction of the delicate laminae.

  • Adverse Drug Reactions: The overuse of certain medications, notably corticosteroids and antibiotics, can provoke laminitis and other health issues in horses. It underscores the importance of judicious and careful use of pharmaceuticals in equine medicine.

  • Hydration Practices: After rigorous exercise, providing cold water to a hot and sweating horse might seem refreshing, but it's a practice that should be avoided. Drinking large quantities of cold water post-exercise can predispose a horse to laminitis, serving as a stark reminder that hydration must be managed with care.

  • Underlying Health Conditions: Horses with a history of laminitis are at risk of recurrence, often due to underlying health issues such as tumors of the pituitary gland or metabolic disorders. These factors can contribute to the recurrence of laminitis and underscore the need for comprehensive veterinary care.

Understanding the multifaceted nature of laminitis causation is crucial, as it allows horse owners, trainers, and veterinarians to employ proactive strategies for prevention and, in cases where laminitis strikes, implement timely and appropriate interventions to alleviate suffering and restore equine health.


Signs and Symptoms of Laminitis

The signs and symptoms of laminitis can vary in severity, and they often depend on how advanced the condition is. Here's an elaboration on the signs and symptoms of laminitis:

  • Swelling and Heat: In the early stages of laminitis, the affected area, usually the hooves, may appear swollen and warm to the touch. This is due to inflammation and increased blood flow to the hooves.

  • Increased Pulse: One of the hallmark signs of laminitis is a significantly strong pulse in the digital artery located at the back of the fetlock or at the heel. The increased pulse is an indication of the inflammation and pain in the hooves.

Horse with laminitis will stand with his hind hooves under himself while his front hooves are stretched out to reduce weight bearing
Photo by: Washington Vet Clinic
  • Characteristic Posture: Horses suffering from laminitis often adopt a specific posture to alleviate pain. They tend to shift their weight to minimize the pressure on the affected hooves. This can include:

    • Forelimbs Outstretched: Horses will extend their forelegs in an attempt to reduce weight-bearing on the painful hooves.

    • Hind Legs Under the Body: They tend to keep their hind legs positioned under their body to ease the burden on the front hooves.

    • Rocking Back: Some horses may rock backward onto their hindquarters to further minimize weight on the front hooves.

  • Reluctance to Move: Laminitic horses are often reluctant to move due to the pain associated with every step. They may stand still for extended periods, and when they do move, they tend to do so cautiously, trying to avoid putting too much pressure on their sore hooves.

  • Shifting Weight: Laminitic horses may constantly shift their weight from one foot to another, trying to find a more comfortable position that minimizes pain.

  • Lameness: Laminitis causes lameness, which can vary in severity. In mild cases, the lameness may be subtle, while in severe cases, the horse may be unable to walk at all.

  • Hoof Testing: A veterinarian or farrier may perform a hoof test, applying pressure to different areas of the hoof with hoof testers to identify the specific regions causing pain.

  • Behavioral Changes: Horses with laminitis may display signs of discomfort and distress, such as increased restlessness, sweating, and a reluctance to eat or drink.

  • Founder Lines: In chronic cases of laminitis, "founder lines" may appear on the hoof wall, indicating the episodes of laminitis the horse has experienced. These lines can help in assessing the history of the condition.

It's essential to note that laminitis can progress rapidly, and early recognition and prompt veterinary intervention are crucial to minimize long-term damage and alleviate the horse's suffering. Treatment may include pain management, anti-inflammatory medications, dietary adjustments, and specialized hoof care. In severe cases, the horse may need to be confined to a stall to limit movement until the condition stabilizes.


Navigating the Treatment Landscape for Laminitis: A Multifaceted Approach

Laminitis, a condition with varying degrees of severity, demands a meticulous and swift response upon recognition. The treatment pathway is intricately linked to the extent of the condition, and it is paramount to involve a veterinarian in the decision-making process. Here's a closer look at the potential treatment strategies:


Mild Cases

  • Stable Rest: Rest is a key component in the treatment of laminitis. In mild cases, providing a quiet, comfortable stall or enclosure is often the initial step to minimize further damage and allow the hooves to heal.

  • Dietary Adjustments: Restricting the horse's diet is essential to prevent the ingestion of excessive carbohydrates that can exacerbate laminitis. A balanced, low-carbohydrate diet is often recommended.

Farrier applying a horse shoe for corrective shoeing
  • Anti-Inflammatory Medication: Non-steroidal anti-inflammatory drugs (NSAIDs) may be prescribed to reduce inflammation and alleviate pain.

  • Corrective Shoeing: Farriers may apply special shoeing techniques to relieve pressure on the affected hooves and provide additional support to the coffin bone. This can aid in the healing process.

Mild cases typically have a more favorable prognosis, and with prompt intervention, many horses can make a full recovery.


Severe Cases

  • Medication: In severe cases, aggressive treatment may be required to address the excruciating pain and prevent further deterioration. Medications may include strong NSAIDs and drugs to reduce blood pressure to the affected limb.

  • Remedial Hoof Trimming: Farriers or equine podiatrists will often play a pivotal role in reshaping the hooves to relieve pressure, realign the coffin bone, and promote healing.

  • Radiography (X-rays): Radiographs may be taken to assess the extent of damage, particularly in cases where coffin bone rotation or sinking is suspected. These images guide further treatment decisions.

  • Critical Care Management: Some severe cases require intensive care in a specialized facility, such as a veterinary hospital with expertise in laminitis treatment.


Critical Condition

In the most extreme scenarios, where the coffin bone has penetrated the sole or the horse's suffering is beyond alleviation, euthanasia may be the humane and ethical course of action to prevent further agony. This decision is never made lightly but is sometimes the only option to spare the horse from unbearable pain.


In all cases, the treatment plan should be tailored to the individual horse and the specific circumstances. Regular veterinary assessments, ongoing monitoring, and adjustments to the treatment plan are often necessary. It's worth emphasizing that early recognition and intervention play a critical role in improving the prognosis for horses afflicted with laminitis.


Preventing Laminitis with Care and Vigilance

Preventing laminitis is a paramount concern for horse and pony owners, and a proactive approach is the key to success. Here's a comprehensive guide on how to safeguard your equine companion from this painful affliction:


Diet and Weight Management

  • Ponies: Ponies, like many horses, have evolved as grazers, adapted to a diet with limited access to high-quality forage. Thus, it's essential to monitor their diet closely and manage their weight. Ensure they do not become overweight, as excess weight can strain the delicate structures within the hooves.

  • Grazing: When the grass is lush and abundant, consider restricting grazing time or using a grazing muzzle to control the intake of high-sugar pasture, which can trigger laminitis in susceptible horses.

Vigilance for Health Issues

  • Infections and Illnesses: Be vigilant about your horse's overall health. Common ailments like colic, diarrhea, and uterine infections can lead to toxemia, a major trigger for laminitis. Promptly address and treat these conditions to minimize the risk.

  • Medications: Be cautious about the use of certain medications, especially corticosteroids and antibiotics, which can predispose horses to laminitis. Consult with your veterinarian regarding their appropriate use.

Exercise and Environment

  • Exercise Surfaces: Avoid strenuous exercise on hard or unyielding ground, as this can generate excessive concussive forces on the hooves. When exercising your horse, choose soft and forgiving surfaces to minimize stress on the feet.

  • Proper Care and Grooming: Regular grooming is not just about aesthetics but is integral to equine well-being. Proper grooming helps identify early signs of laminitis, such as heat in the hooves, and allows for early intervention.

  • Hoof Care: The hooves are a horse's foundation. Regular hoof care and maintenance are essential. Partner with a skilled farrier who can monitor for changes, ensure proper balance, and address any issues promptly. Proper trimming and shoeing can prevent imbalances that may lead to laminitis.

In essence, laminitis prevention revolves around a holistic approach to equine management. Diligent dietary control, prompt attention to health issues, prudent medication use, and conscientious exercise management are all vital components. Moreover, the heart of laminitis prevention lies in fostering a deep appreciation for your horse's unique needs and responding with the care and vigilance they deserve. By nurturing a strong partnership with your equine companion and working closely with knowledgeable professionals, you can mitigate the risk of laminitis and provide a life of health and vitality for your beloved horse.


Preventing and Healing Laminitis with EquineGlow Wraps

Unlock a proactive approach to safeguarding your horse against laminitis and aiding recovery with the transformative power of red light therapy. Here's how EquineGlow Wraps can make a substantial difference:

  • Prevention through Enhanced Blood Flow: Red light therapy, in addition to its healing properties, plays a pivotal role in preventing laminitis. By promoting healthy blood flow, it fortifies the laminae and hooves, reducing the risk of laminitis development.

  • Accelerated Healing for Laminitis: In the unfortunate event of laminitis, red light therapy becomes a potent ally. It stimulates the rejuvenation of cells, encourages blood flow, reduces inflammation, and actively participates in the repair of damaged tissues. This leads to quicker and more effective healing.

  • Non-Invasive and Drug-Free Solution: Red light therapy is a non-invasive, drug-free approach to equine care. It requires no downtime, making it a convenient and gentle treatment option for your horse.

  • Red Light Therapy Wrap Rentals: Explore our red light therapy wrap rentals, offering an easy and affordable way to provide your horse with the benefits of this cutting-edge technology in the comfort of your own barn. It's a proactive and convenient step towards better equine health.

Empower your horse's well-being with EquineGlow Wraps. Whether you're seeking to prevent laminitis or support healing, red light therapy is a powerful and versatile solution. Contact us to learn more about our red light therapy wrap rentals and take the next step towards a healthier, happier equine companion.


How can Poll to Pastern help?

Regular acupressure or red light therapy sessions offer excellent preventive care options for your horse. Both modalities are adept at enhancing blood flow and maintaining overall health. Notably, there are acupressure points strategically positioned around the pastern area to promote robust circulation.


Red light therapy, on the other hand, exerts a comprehensive influence on your horse's well-being. It rejuvenates cellular function, fosters blood flow, mitigates inflammation, repairs damaged tissues, and delivers effective pain relief.


Furthermore, should laminitis afflict your horse, there's still hope. Both acupressure and red light therapy can be instrumental in alleviating the condition due to the diverse benefits they offer. These therapeutic methods can be harmoniously integrated with your veterinarian's or farrier's recommendations to provide comprehensive care.


Poll to Pastern specializes in red light therapy sessions thoughtfully designed to target acupressure points. Additionally, we extend the convenience of red light therapy wrap rentals, enabling a DIY approach. This form of therapy is non-invasive, pain-free, and drug-free, requiring no downtime. It's a flexible and effective solution for the well-being of your cherished equine companion.


Final Thoughts: Safeguarding Your Horse's Hooves and Well-being

Laminitis stands as a formidable adversary in the realm of equine health, and its implications are profound. Horses, known for their strength and grace, can find themselves impaired by this insidious condition, with the potential for devastating consequences, particularly if they're athletes or vital contributors in various equine-related activities.


The key takeaway from our exploration of laminitis is the unassailable importance of vigilant attention and care. The well-being of our equine companions hinges on our commitment to their health, and the stakes are high. Minor lapses in care or a lack of awareness can translate into significant losses, both in terms of financial investments and, more crucially, in the quality of life for these majestic creatures.


It's imperative to recognize that the adage "no hoof, no horse" encapsulates a profound truth. The horse's hoof is not just a physical foundation; it is a symbol of their vitality, mobility, and grace. To preserve this, we must adopt preventive measures with the utmost care and dedication.


Our horses rely on us for their health, their happiness, and their ability to thrive in the roles they fulfill, whether it's in the arena, on the trail, or as trusted companions. The battle against laminitis is one that can be won through informed, proactive, and compassionate care. With dedication, education, and unwavering commitment, we can safeguard our beloved horses and ensure they continue to grace our lives with their presence, vitality, and enduring spirit.

Horse shown jumping with front hooves over the jump


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