LaminitisLaminitisDr. Charlotte KinDr. Charlotte Kin
Exclusively Equine Veterinary Exclusively Equine Veterinary Services, PC.Services, PC.
Dave & MaryAnn CrabtreeDave & MaryAnn CrabtreeCrabtree Farrier ServicesCrabtree Farrier Services
Dr. Charlotte Kin: Dr. Charlotte Kin: CredentialsCredentials
USDF Bronze and USDF Bronze and Silver Medalist Silver Medalist
USDF “L” Judges USDF “L” Judges Program GraduateProgram Graduate
USPC “HA” GraduateUSPC “HA” Graduate USPC National Visiting USPC National Visiting
InstructorInstructor Former Member of Former Member of
NCAA National NCAA National Champion OSU Champion OSU Equestrian TeamEquestrian Team
Dr. Charlotte Kin: Dr. Charlotte Kin: CredentialsCredentials
Graduated from OSU Graduated from OSU College of Vet MedCollege of Vet Med
Internship: Rood & Riddle Internship: Rood & Riddle Equine Hospital Lexington, Equine Hospital Lexington, KYKY
Residency in Equine Residency in Equine Practice: Oakridge Equine Practice: Oakridge Equine Hospital Edmond, OKHospital Edmond, OK
Owner of Exclusively Owner of Exclusively Equine Veterinary ServicesEquine Veterinary Services
Dr. Charlotte Kin: Spare Dr. Charlotte Kin: Spare TimeTime
What is LAMINITIS?What is LAMINITIS?
Also referred to as Also referred to as FOUNDER FOUNDER
Laminitis=acute Laminitis=acute inflammation inflammation
Founder=chronic Founder=chronic laminitislaminitis
What is LAMINITIS?What is LAMINITIS?
Inflammation that leads to Inflammation that leads to disruption of the blood-disruption of the blood-flow to the sensitive & flow to the sensitive & insensitive laminainsensitive lamina
Disruption of the Disruption of the attachment mechanism attachment mechanism between the sensitive & between the sensitive & insensitive laminainsensitive lamina
Lamina attach the coffin Lamina attach the coffin bone to the hoof capsule. bone to the hoof capsule.
Laminitis: RotationLaminitis: Rotation In the normal In the normal
position the coffin position the coffin bone sits parallel to bone sits parallel to the hoof capsule the hoof capsule
Rotation occurs Rotation occurs when the coffin when the coffin bone (P3) rotates bone (P3) rotates away from the hoof away from the hoof capsule capsule
Laminitis: RotationLaminitis: Rotation
Laminitis: RotationLaminitis: Rotation
In severe cases the bone and hoof In severe cases the bone and hoof wall separate and the coffin bone wall separate and the coffin bone may be displaced downward.may be displaced downward.
Laminitis: SinkingLaminitis: Sinking
In the most severe In the most severe cases the coffin cases the coffin bone can sink and bone can sink and penetrate the penetrate the bottom of the sole. bottom of the sole.
This can lead to This can lead to sloughing of the sloughing of the hoof capsule. hoof capsule.
What are the signs of What are the signs of LAMINITIS?LAMINITIS?
Lameness especially Lameness especially when turning in circleswhen turning in circles
Shifting weight back Shifting weight back and forth.and forth.
Pain in the toe region Pain in the toe region when hoof testers are when hoof testers are applied. applied.
What are the signs of What are the signs of LAMINITIS?LAMINITIS?
Saw-horse stanceSaw-horse stance
““walking on eggshells”walking on eggshells”
Increased digital pulseIncreased digital pulse
Heat in the feetHeat in the feet
What are the signs of What are the signs of LAMINITIS?LAMINITIS?
Reluctant or unable to Reluctant or unable to riserise
Hemorrhage visible on Hemorrhage visible on solesole
Separation and Separation and abscess formationabscess formation
What are the signs of What are the signs of LAMINITIS?LAMINITIS?
CHRONIC FOUNDERCHRONIC FOUNDER
Chronic lamenessChronic lameness
Rings in hoof capsuleRings in hoof capsule
Aladdin's shoe Aladdin's shoe
Chronic abscessesChronic abscesses
What are the signs of What are the signs of LAMINITIS?LAMINITIS?
CHRONIC FOUNDERCHRONIC FOUNDER ““seedy toe”-seedy toe”-
widened white linewidened white line
Dropped soles or Dropped soles or flat feetflat feet
Dished hoovesDished hooves
What are the causes of What are the causes of LAMINITIS?LAMINITIS?
““Grass Founder”Grass Founder”
““Grain Overload”Grain Overload”
Abrupt changes Abrupt changes in dietin diet
What are the causes of What are the causes of LAMINITIS?LAMINITIS?
EndotoxemiaEndotoxemia
High fever or High fever or illnessillness
Severe colic or Severe colic or diarrhea (colitis)diarrhea (colitis)
What are the causes of What are the causes of LAMINITIS?LAMINITIS?
Retained Retained placentaplacenta
““Road founder”Road founder”
Injury to another Injury to another limb causing limb causing excessive weight excessive weight bearingbearing
What are the causes of What are the causes of LAMINITIS?LAMINITIS?
Prolonged use of Prolonged use of steroids (not that steroids (not that kind of steroids)kind of steroids)
Primary foot diseasePrimary foot disease
Black walnut Black walnut shavingsshavings
What are the causes of What are the causes of LAMINITIS?LAMINITIS?
Previous laminitisPrevious laminitis
Endocrine Endocrine diseases-CUSHINGS diseases-CUSHINGS DISEASE.DISEASE.
What is the treatment for What is the treatment for LAMINITIS?LAMINITIS?
GRAIN OVERLOADGRAIN OVERLOAD CALL VET IMMEDIATELYCALL VET IMMEDIATELY
NG tube-pump stomach NG tube-pump stomach & administer charcoal or & administer charcoal or oiloil
Anti-inflammatoriesAnti-inflammatories
Anti-endotoxic drugsAnti-endotoxic drugs
VasodilatorsVasodilators
What is the treatment for What is the treatment for LAMINITIS?LAMINITIS?
Identify & treat Identify & treat primary problemprimary problem
The sooner the better!The sooner the better!
Anti-inflammatoriesAnti-inflammatories
IV fluids +/- DMSOIV fluids +/- DMSO
What is the treatment for What is the treatment for LAMINITIS?LAMINITIS?
AntibioticsAntibiotics
Vasodilators-acepromazine, Vasodilators-acepromazine, isoxiprineisoxiprine
Sand or deep beddingSand or deep bedding
Pull shoesPull shoes
RadiographsRadiographs
What is the treatment for What is the treatment for LAMINITIS?LAMINITIS?
Open and drain Open and drain abscessesabscesses
Frog supportFrog support
Coronary grooving Coronary grooving
Dietary restrictionsDietary restrictions
What is the treatment for What is the treatment for LAMINITIS?LAMINITIS?
Ice legsIce legs
COOPERATION COOPERATION BETWEEN VET AND BETWEEN VET AND FARRIER!!!!FARRIER!!!!
LONG TERM LONG TERM TREATMENTS……TREATMENTS……
What is the long term What is the long term prognosis & maintaince for prognosis & maintaince for
LAMINITIS?LAMINITIS?
Some horses suffer an Some horses suffer an acute episode and go on to acute episode and go on to live normal lives.live normal lives.
Most require maintaince Most require maintaince treatmentstreatments
Some horses are so severe Some horses are so severe that they are euthanized that they are euthanized for humane reasonsfor humane reasons
What is the long term What is the long term prognosis & maintaince for prognosis & maintaince for
LAMINITIS?LAMINITIS?
Radiographs before Radiographs before shoeing and resetting shoeing and resetting shoes. shoes.
Important to have good Important to have good working relationship with working relationship with vet and farrier. vet and farrier.
Dietary restrictions: little Dietary restrictions: little or no grass, low carb high or no grass, low carb high fat grain. fat grain.
What is the long term What is the long term prognosis & maintaince for prognosis & maintaince for
LAMINITIS?LAMINITIS? Good health Good health maintaince program to maintaince program to prevent other diseases prevent other diseases that may induce that may induce laminitis. laminitis.
Anti-inflammatory Anti-inflammatory medications-BUTEmedications-BUTE
Hoof growth Hoof growth supplementsupplement
How do I prevent LAMINITIS?How do I prevent LAMINITIS?
Keep grain locked up!!Keep grain locked up!! Gradually introduce horses to green Gradually introduce horses to green
pasture.pasture. Good hoof careGood hoof care Good preventative health care programGood preventative health care program If you suspect laminitis call you vet If you suspect laminitis call you vet
IMMEDIATELY!IMMEDIATELY!
Any Questions???Any Questions???