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Laminitis results from a breakdown of the
interlocking laminae within the hoof that
supports the pedal bone. If sufficient bonds
are destroyed, this bone is likely to rotate
and sink resulting in severe pain and lameness.
If caught quickly (target 24 hours), then
treatment can be very effective. The longer
the delay before treatment is received,
the greater the potential long term effects.
This is the first problem; depending upon
the causative trigger leading to a laminitic
event – it could be up to 24 or even 48
hours before the classic symptoms of posture
and gait are observable. These being forelegs
well out, hindlegs under, reluctance to
move or stand, rocking, laminitic rings
on feet, etc. Prior symptoms of distress,
increased pulse and respiration always suggest
pain, but by trying to localise this to
the feet can the early stages be caught.
At this stage, the feet will usually feel
hot and the blood vessels at fetlock level
will be felt pounding.
The initiating causes can be various, but
the most common involves grain overload
(hydrolysable starch) releasing excessive
carbohydrates, and intake from new / lush
grass growth (sugars / fructans). Spring
grass can be a prime trigger but even following
sharp frost, photosynthesis reactions within
pasture can be similarly causal. However,
amongst other well-known triggers are placenta
retention in a mare who has recently foaled,
stress, colic, excessive weight bearing,
plant toxins, Corticosteroids, Cushings
syndrome, insulin resistance, general toxaemia
and a hereditary propensity (un proven).
It should be remembered that Laminitis is
an end result of a systemic condition.
Within these more common causes, the fermentation
within the gut of carbohydrate overload
results in an excess of Lactic acid (and
other toxins) producing endotoxins that
assist in unbalancing the chemistry of the
laminar matrix leading to separation. Endotoxins
on their own have not been shown to lead
to Laminitis.
Divergent hypotheses of vasoconstriction
and vasodilation (amongst others) serve
well to potentially mislead the treating
Vet as to the best course of treatment and
continuing research into other trigger factors
continues. Future improvements in treatment
are most likely as continuing influencing
factors are found.
Prevention or at least minimising potential
triggers is obviously most important to
the owner and winter diets of low starch
/ carbohydrate should be followed, along
with standard regimes of regular exercise
and keeping the feet in good condition.
Do not make sudden diet changes nor restrict
turnout to fresh spring pasture. Supplements
are also useful to ‘pre-condition’ the horse,
especially if not in top health but do not
be lulled into a false sense of security
by so using. Similarly, follow manufacturer’s
recommendations, more is not necessarily
better. Do not mix ‘n’ match.
Each animal is different in its requirements
and should yours suffer from a particular
condition then a vet should be consulted
as to the appropriateness of any supplement.
Notwithstanding, look for a comprehensive
and balanced vitamin, mineral and amino
acid supplement. For minerals, Bioavailable
Sulphur (usually MSM), Zinc and clays are
of significant benefit and to a lesser degree
Magnesium, Selenium and Iodine (unless e.g.
thyroid problems dictate a bias) - preferably
chelated as these tend to be more readily
bioavailable. Unfortunately, Chromium is
no longer admissible in supplements.
For amino acids, a comprehensive package
is preferable (not necessarily all 23),
but adequate Methionine is almost paramount.
Lysine, Glutamine and Cysteine amongst others
can also be complementary.
Of the vitamins, C and E are useful as
antioxidants. Biotin is sometimes added
for hoof building. Vitamin A, D and K will
justifiably often be incorporated into a
general health supplement but of limited
direct value for a Laminitis supplement.
Other additives may include Fructo oligosaccharides,
Omega oils, yeasts, blue-green algae and
a number of specific plant extracts. These
can be useful in combination with the main
ingredients but predominantly superficial
in isolation.
Should you suspect that your horse could
be suffering from this condition, then a
vet should be consulted immediately. Restrict
rations and salt (higher blood pressure),
but do not starve. If it is not acute, then
gentle exercise as advised by your vet will
assist the circulation and help flush out
any toxins. Don’t be concerned if the animal
lies down, consider frog support. Any observed
exudation from the coronet is good as it
gets rid of the toxins, just keep it clean.
Limit to strictly necessary the amount of
pain killers as this may encourage the horse
to prematurely exercise and do further damage.
This feature is not designed to replace
veterinary advice and any slight concerns
over your horses’ well being should always
entail seeing a vet.
Net-Tex Healthy Laminae - Advanced nutritional
support for Laminitics is available nationwide.
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