Treating laminitis: beyond the mechanics of trimming and shoeing.

This research article explores the complexities and requirements associated with the diagnosis and treatment of laminitis in horses. The research pinpoints the importance of a multidisciplinary team approach for the successful treatment of this disease.

Understanding Laminitis

• Laminitis is a painful and complicated disease that occurs in horses, affecting the hooves. It is typically distinguished into four phases: developmental or prodromal, acute, subacute, and chronic.
• The etiology and pathophysiology of laminitis is still not entirely understood due to conflicting scientific evidence. The interpretation of these studies is dependent on the understanding and scope of the clinician, as well as the model used to induce laminitis during the study.

Diagnosing Laminitis

• A correct diagnosis of laminitis is crucial and involves several steps. Firstly, an accurate and detailed history is required, focusing on any noticeable symptoms, abnormal behavior, or potential triggers.
• The second step in the diagnostic procedure necessitates a thorough physical examination which includes observing the horse’s gait, checking for signs of pain, and looking for distinct changes in hoof shape or structure.
• The third, and very critical diagnostic tool is using radiographs (X-rays). The use of high-quality radiographs provides a detailed look inside the hoof, helping identify any changes or abnormalities associated with laminitis. The clinician needs these radiographs for accurate diagnosis and subsequent treatment planning.

Treatment of Laminitis

• Laminitis is a complex disease requiring a team effort for successful treatment. The team generally comprises the veterinarian (who leads the diagnosis and medical treatment), the farrier (engaged in appropriate trimming and shoeing to optimize foot mechanics), and the horse’s owner (who supports and follows through with the treatment plan).
• The objective of the team is to manage the horse’s pain, treat the underlying cause if known, and facilitate the animal’s return to optimal function using both medical interventions and hoof care.