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Writer's pictureHannah Egan

The Silent Threat: Laminitis in Horses

As the vibrant hues of spring begin to paint the world, horse owners often find themselves facing a silent but significant threat: laminitis. This debilitating condition can strike suddenly, wreaking havoc on your equine companion's hooves and overall well-being.


In this blog, we'll dive deep into the enigmatic realm of laminitis, unraveling its mysteries and dispelling common myths.


Get ready to arm yourself with knowledge and protect your beloved horse from this insidious adversary.



Understanding Laminitis


Laminitis is a painful and potentially crippling condition that affects the sensitive laminae within the hoof. These delicate structures, responsible for attaching the hoof wall to the coffin bone, become inflamed and weakened, leading to instability and lameness.


To truly understand laminitis, it's essential to grasp its underlying mechanisms, contributing factors, clinical signs, and management strategies.


Anatomy of the Hoof

Laminitis primarily affects the laminae, which are intricate structures that suspend the horse's coffin bone (also known as the distal phalanx or third phalanx) within the hoof capsule.

The laminae consist of sensitive and insensitive laminae, interlocking like Velcro to stabilise the coffin bone within the hoof.



Pathophysiology of Laminitis

Laminitis occurs when there is disruption or inflammation of the laminae, leading to structural damage and compromise of the attachment between the coffin bone and the hoof wall. This disruption can result in the displacement or rotation of the coffin bone within the hoof capsule, causing excruciating pain and lameness.


Causes and Triggers

Laminitis can have various triggers, including:


  • Nutritional Factors: Overconsumption of carbohydrate-rich feeds, particularly in the form of lush spring pasture or grain overload, can overwhelm the digestive system and lead to metabolic disturbances.

  • Endocrine Disorders: Conditions such as Equine Metabolic Syndrome (EMS) and Pituitary Pars Intermedia Dysfunction (PPID or Cushing's Disease) can predispose horses to laminitis due to hormonal imbalances.

  • Inflammatory Conditions: Systemic illnesses such as colic, severe infections, or retained placenta in mares can trigger an inflammatory response that affects blood flow to the hooves.

  • Concussion or Trauma: Excessive concussion on hard surfaces, such as prolonged roadwork or traumatic injury to the hooves, can also induce laminitis.


Clinical Signs

Early recognition of laminitis symptoms is crucial for prompt intervention. Common clinical signs include:

  • Increased digital pulse in the affected hooves.

  • Reluctance to move or walk, with a shortened stride or shifting weight.

  • Heat in the hooves, particularly in the toe region.

  • Standing in a "founder stance" with weight shifted back onto the hindquarters.

  • Rings or ridges are visible on the hoof wall, indicating periods of laminitic episodes.

Management and Treatment


Managing laminitis requires a multi-faceted approach, including:

  • Immediate Intervention: Contacting a veterinarian promptly for assessment and treatment is critical to alleviate pain and minimise further damage.

  • Hoof Care: Corrective trimming and shoeing techniques, such as therapeutic shoeing or supportive pads, can help realign the hoof structures and relieve pressure on the laminae.

  • Pain Management: Non-steroidal anti-inflammatory drugs (NSAIDs) may be prescribed to manage pain and inflammation.

  • Dietary Management: Adjusting the horse's diet to reduce carbohydrate intake and maintain a healthy body condition score is essential for long-term management and prevention of future episodes.

  • Monitoring and Follow-Up: Regular monitoring of the horse's condition, including hoof growth, radiographs, and bloodwork, is necessary to assess progress and adjust treatment protocols accordingly.


What Causes Laminitis?

While the exact cause of laminitis can vary, common triggers include:


  • Overindulgence in a lush spring pasture, which is high in sugars and carbohydrates.

  • Endocrine disorders such as Equine Metabolic Syndrome (EMS) and Cushing's Disease (PPID).

  • Excessive grain or carbohydrate consumption.

  • Trauma, such as excessive concussion on hard surfaces.

Understanding these triggers is crucial for prevention and management strategies.


Is Laminitis Preventable?

While not always preventable, there are steps horse owners can take to minimise the risk of laminitis:


  • Monitor and limit grazing on lush pasture, especially during peak growth periods.

  • Implement a controlled diet tailored to your horse's individual needs and nutritional requirements.

  • Maintain a healthy body condition score to reduce the strain on the hooves and metabolic system.

  • Work closely with your veterinarian to manage underlying health conditions that may predispose your horse to laminitis.

What Are the Warning Signs of Laminitis?

Early recognition of laminitis symptoms is crucial for prompt intervention and treatment. Look out for:


  • Increased digital pulse in the affected hooves.

  • Reluctance to move or walk, shifting weight frequently.

  • Heat in the hooves, particularly in the toe region.

  • Shifting lameness or standing in a "founder stance" (with weight shifted back onto the hindquarters).

If you suspect laminitis, contact your veterinarian immediately for assessment and guidance.


Dispelling Myths Surrounding Laminitis


Myth: Laminitis only affects overweight or obese horses.

  • Fact: While obesity can increase the risk of laminitis, horses of all shapes and sizes can be affected, particularly those with underlying metabolic disorders.

Myth: Once a horse has laminitis, there's nothing that can be done.

  • Fact: Early intervention and proactive management can significantly improve the prognosis for laminitic horses. Treatment may include pain management, corrective hoof care, dietary adjustments, and therapeutic shoeing.

Myth: Laminitis is a death sentence for horses.

  • Fact: While severe cases of laminitis can be life-threatening, many horses can recover with appropriate veterinary care, diligent management, and ongoing support.


Conclusion


Laminitis may lurk in the shadows, but armed with knowledge and vigilance, horse owners can stand ready to defend their equine companions against this formidable opponent.

By understanding the causes, recognising the warning signs, and dispelling common myths, we can empower ourselves to take proactive steps towards prevention and early intervention.


Together, let's strive to ensure our horses enjoy a springtime filled with vitality, soundness, and freedom from the specter of laminitis.


Hannah

The Saddle Fitting Therapist

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