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Laminitis is a painful and crippling condition in which the laminae of the hoof becomes inflamed. The laminae are the structures responsible for holding the hoof wall to the pedal (coffin) bone in the hoof. Laminitis can affect any horse regardless of breed, age or sex and at any time of the year. Laminitis is often considered a "fat pony" problem and associated with overfeeding, however there are a number of different factors that can contribute to the onset of laminitis, including: u Obesity u Overeating or an excessive intake of grain or grass u Trauma or injury u Hoof concussion caused by continual working on hard ground u Stress from illness, transport or overworking u Infections or toxaemia like retained membranes post foaling, placentitis or post-surgery infections u Hormones - problems with thyroid or pituitary function u High insulin levels associated with Equine Metabolic Syndrome A horse can suffer from acute laminitis which will typically only last for a few days if it is treated promptly and the underlying cause of the laminitis is managed. A horse that suffers from acute laminitis will often heal and not go on to develop chronic laminitis. Chronic laminitis, commonly referred to as Founder, is more severe and requires long term care and management. In chronic laminitis cases the laminae can become so inflamed that the structure of the hoof is compromised; as the laminae swells causing the hoof wall and the pedal bone to separate. This can result in the pedal bone dropping or rotating. Signs and symptoms of Laminitis vary depending on the severity of the case but can include: u Depression u Lameness or reluctance to walk or turn u Heat in the hooves, especially around the coronet band u Pain when pressure is applied to the sole of the foot u An increased or bounding digital pulse in the affected feet u Shifting weight from foot to foot u The classic laminitis stance - front legs outstretched and rocking back to move weight onto the back legs u Increased periods of lying down u The hoof may change shape and have a more sloped angle when the pedal bone has dropped or rotated. u Some horses may appear to be in severe pain while other horses suffering from laminitis may show little to no pain The most important part of treating laminitis is trying to make the horse comfortable and to reduce the inflammation within the hoof and laminae. A vet will administer non-steroidal anti-inflammatories and try to determine and treat any underlying factors that may have caused the laminitis. Putting the horse in a box with deep soft sawdust or in a paddock with soft ground can also help relieve the pressure on the hoof. A farrier that is familiar with laminitis cases may also be required to trim the horse's feet to help support the hoof and relieve some pressure from the frog, laminae and pedal bone. Unfortunately treatment of laminitis can be expensive and is often very time consuming, requiring lifelong management. If you notice any signs or symptoms of laminitis you should contact a veterinarian immediately. Laminitis Laminae becomes inflamed Pedal Bone Navicular Bone Digital Cushion Bulbar Cushion Tendons Hoof Wall Laminae Layer

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