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The Veterinary clinics of North America. Equine practice2010; 26(2); 451-458; doi: 10.1016/j.cveq.2010.06.004

First aid for the laminitic foot: therapeutic and mechanical support.

Abstract: The goals of mechanical treatment during the acute phase of laminitis are to preserve the lamellar interface by reducing the forces that are compromising its integrity and to make the horse more comfortable. Early decision making is important in managing acute laminitis. This article helps the practitioner to identify some of the commonly used and accepted methods of protecting the laminitic foot. The materials available and the theories behind their use are also described. The laminitic foot needs to be understood before determining methods for its support. Most treatment options involve shifting the weight-bearing forces from compromised areas of the foot (ie, the lamellar interface) to areas more capable of supporting the patient's weight, remembering that the sum of the forces should remain the same. The many treatment options available allow for flexibility and effective management and permit each modality to be combined in infinite ways for hoof support. The goal of therapy is to support the foot and stop the progression of the disease to the chronic phase.
Publication Date: 2010-08-12 PubMed ID: 20699187DOI: 10.1016/j.cveq.2010.06.004Google Scholar: Lookup
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Summary

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The said research discusses techniques to support and treat horse feet suffering from acute laminitis, a painful and potentially crippling disease. The study focuses on early decision-making with methods aiming to preserve the integrity of the foot, redistribute weight-bearing forces, and halt the disease’s progress.

Understanding of Laminitis

The research first delves into the understanding of laminitis, a condition affecting horse’s feet. It’s a painful disease which can be acute or chronic in nature. During the acute phase, the lamellar interface, a crucial part of the hoof’s structure responsible for bearing weight, can be compromised. Hence, finding methods to protect and support this part of the laminitic foot forms the crux of the research.

Treatment Strategies

  • The researchers stress early decision-making as a key element in managing acute laminitis. Early measures can halt the advancement of the disease to its chronic phase, and reduce the risk of long-term damage.
  • The study examines commonly used mechanisms to protect the laminitic foot. These usually involve redistributing the weight-bearing forces from the compromised area of the foot (the lamellar interface) to areas that can better handle the weight. The sum of these forces, however, should remain the same.
  • Different materials and their underpinning theories for treatment are also discussed, helping practitioners understand what resources are available to them and their potential use.

Goals of Therapeutic Support and Comprehensive Treatment

  • The study revolves around two main objectives of mechanical treatment during the acute phase of laminitis which are to preserve the lamellar interface and provide comfort to the horse.
  • Another critical aspect the research addresses is the numerous avenues of treatment available which permit maximum flexibility and effective management of the condition. Each therapeutic modality can be applied in numerous combinations for effective hoof support.
  • The ultimate goal, however, still remains to stop the progression of the disease to its chronic phase by comprehensive protection and support of the hoof.

Cite This Article

APA
Reilly PT, Dean EK, Orsini JA. (2010). First aid for the laminitic foot: therapeutic and mechanical support. Vet Clin North Am Equine Pract, 26(2), 451-458. https://doi.org/10.1016/j.cveq.2010.06.004

Publication

ISSN: 1558-4224
NlmUniqueID: 8511904
Country: United States
Language: English
Volume: 26
Issue: 2
Pages: 451-458

Researcher Affiliations

Reilly, Patrick T
  • University of Pennsylvania, School of Veterinary Medicine, New Bolton Center, 382 West Street Road, Kennett Square, PA 19348, USA. reillypa@vet.upenn.edu
Dean, Emily K
    Orsini, James A

      MeSH Terms

      • Animals
      • Foot Diseases / therapy
      • Foot Diseases / veterinary
      • Hoof and Claw
      • Horse Diseases / therapy
      • Horses
      • Inflammation / therapy
      • Inflammation / veterinary
      • Shoes

      Citations

      This article has been cited 3 times.
      1. Aoun R, Charles I, DeRouen A, Takawira C, Lopez MJ. Shoe configuration effects on third phalanx and capsule motion of unaffected and laminitic equine hooves in-situ.. PLoS One 2023;18(5):e0285475.
        doi: 10.1371/journal.pone.0285475pubmed: 37155654google scholar: lookup
      2. Al Naem M, Litzke LF, Geburek F, Failing K, Hoffmann J, Röcken M. Effect of heel elevation on breakover phase in horses with laminitis.. BMC Vet Res 2020 Oct 1;16(1):370.
        doi: 10.1186/s12917-020-02571-5pubmed: 33004040google scholar: lookup
      3. Mitchell CF, Fugler LA, Eades SC. The management of equine acute laminitis.. Vet Med (Auckl) 2015;6:39-47.
        doi: 10.2147/VMRR.S39967pubmed: 30101095google scholar: lookup