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Laminitis


 

What is Laminitis?

Laminitis is a separation of the laminae from the coffin bone because of a disruption in blood supply to the hoof. This disruption may be caused by multiple factors or other systemic problems. The laminae are the main “support structure” to keep the coffin bone, or P3 stable and level. When the blood supply is affected, the laminae start to weaken and pull apart, causing the coffin bone to become unstable and potentially rotate downward. All of the exact reasons why this occurs are still unknown.

Is Founder the Same as Laminitis?

No. Often thought to be the same, Founder is actually the name for what happens when horses have laminitis and as a result there are changes in the integrity and structure of the hoof. There are various changes that can be present, including coffin bone rotation. It is a chronic problem which is a consequence of developing Laminitis.

What Does Coffin Bone “Rotation” Mean?

When the coffin bone rotates in a downward fashion, it causes pain, pressure, and a high likelihood of lameness for the horse. Coffin bone rotation can occur in varying degrees, with “1” being the mildest degree of rotation, and “4” being the most severe. When complete separation of the laminae occurs, the horse is called a “sinker” because the coffin bone will “sink” to the bottom or through the bottom of the foot.

Is Laminitis Serious?

It depends on the severity of the condition. Horses with a slight degree of rotation can usually lead a high quality of life, and may also be ridable. Severe cases need intense, supportive care; it is very much a case by case disease. It is important to remember that horses that have foundered are predisposed to getting laminitis again, and must be carefully managed. There are often permanent changes in the horse’s lifestyle for the remainder of its life. The disease itself is not deadly, but the secondary conditions produced from laminitis or founder can be very grave if not treated promptly.

What are Some Common Causes of Laminitis?

** It is important to note that there are often multiple factors involved in what predisposes or creates laminitis, and the exact reasons why this kind of damage occurs to the hoof structures is still unknown.
  • Digestive Upsets due to abrupt changes in diet or carbohydrate/sugar overload
  • Access to Lush grass that is uncontrolled (ie horses body does not have time to adapt)
  • Known or unknown toxins introduced to horse’s system
  • High fever, pathogenic diseases that cause high fever, or metabolic diseases
  • Retained placenta
  • Severe colic
  • Excessive concussion
  • Uneven weight bearing (on primary leg) because of injury
  • Lengthy use or high doses of corticosteroids
  • Black walnut shavings
  • Some prescribed drugs used
  • Hormonal imbalances, thyroid disorders

What are the Symptoms of Laminitis?

There are two types of laminitis, chronic and acute. Acute Laminitis symptoms include:
  • Lameness, especially turning in circles
  • Heat in the feet (in occurrence w/ other symptoms)
  • Strong digital pulse in the feet
  • Pain in the toes region when hoof tester is applied
  • Unwillingness to move or walk, when forced will “walk on eggshells”
  • Stands with weight towards the hindquarters, leaning back to alleviate pressure on the front feet

Chronic Laminitis Symptoms Include:

  • Rings in hoof wall (in accordance w/ other symptoms)
  • Bruised soles
  • Chronic abscesses, wide white line or seedy toe
  • Dropped and flat soles
  • Thick cresty neck
  • Dished hooves even when properly maintained. The “ski” look

How Can You Treat Laminitis?

There is no cure for foundered horses or horses that have laminitis, prevention is the best remedy. Horses who are afflicted can benefit greatly from supportive care to help prevent damage and further pain. Things that may help, decided again on a case by case basis by your veterinarian:
  • Administer fluids
  • Administering anti-coagulants, NSAIDS, antibiotics to fight infection, vasodilators, and anti-endotoxin drugs
  • Soft bedding that encourages horse to lie down
  • Provide frog and sole support, and take pressure off of the hoof wall only under the guidance of an experienced veterinarian or farrier
  • X-rays to determine if treatment working/degree of damage
  • Careful diet, low in grain
  • Top quality hoof care including an excellent hoof supplement
  • Management of all other predisposing conditions, particularly for chronic sufferers

What Kinds of Nutraceuticals are Useful in the Treatment Laminitis and Foundered Horses?

These supplements may increase the speed of healing, lessen the amount of damage, and may make the horse more comfortable with this painful condition. *** Horses with the condition, who have chronic laminitis, or those who have foundered in the past should always have had a veterinarian’s exam and opinion on proper treatment for the individual animal.***

Other Possible Sources of Help:

  • Recovery EQ ( helps speed tissue repair, promote circulation)
  • Phyto-Flex (de-toxifying, pain reliving, and anti-inflammatory properties)
  • Zero-Bute ( herbal mild bute substitute for pain relief, inflammation)
  • InflamAway EQ ( Yucca , MSM, Glucosamine and Chondroitin to ease pain, inflammation)
  • Lame-Away (Glucosamine, grape seed, amino acids to help w/ pain and healing)
  • BL –Solution ( anti-inflammatory, pain –reducing properties)
  • Jiaogulan (This Asian herb has shown promise in helping to treat the inflammation that occurs with Laminitis. SmartPak currently does not carry any supplements that have this ingredient at this time.) Dr. Eleanor Kellon is a veterinarian at the forefront of a study on the effects of Jiaogulan and Nitric Oxide, and may be contacted at drkellon@aol.com for more information on her research.)
**Please be aware of supplement manufacturers that make claims of being able to cure laminitis. There are no ingredients in any supplement that will cure all of the effects of Laminitis or Founder. The rotation of the coffin bone is a permanent change and there is no scientific data to support otherwise.

**As with all Medical issues, please contact your veterinarian for information on the care and treatment of your horse.**

References:
Robertson, I. and Hood, D. “What is meant by the term Foundering.”
Loree, S. “Laminitis Simplified.”
Kellon, E. “Jiaogulan and Nitric Oxide Protocol”
“Equine Health Care, Laminitis.” Bayer Health, Inc., 2003




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