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Pre-Surgical Information

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Special Library

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Discharge Instructions

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Laminitis Discharge Instructions







Laminitis is a complex disease with complex treatments.  Prevention is the best medicine, but failing that, here is a listing of some of the more common things we recommend.



Every laminitic horse needs three things:

One:  Phenylbutazone: Phenylbutazone, or bute, is the main medication.  It's anti-inflammatory properties are crucial in fighting the inflammation in the horse's laminae.  It's pain-killing properties are vital in keeping your horse comfortable, and many believe that it's blood-thinning properties are important in fighting the circulatory problems that happen in a lamanitic foot.  We give adult horses two grams (tablets) by mouth every 12 hours for at least two weeks.

Two: A Diet Change.  Diets high in soluble carbohydrates are known to either cause laminitis or to make it worse.  Alfalfa hay contains lots of soluble carbohydrates, and grains contain even more.  So does beet pulp. So does green grass in the early summer, up to say August. Grass hays are good, but can be hard to find.  A second choice would be last year's alfalfa.  The longer alfalfa sits, the fewer soluble carbs it has.  We're not talking spoiled or moldy hay here, just old.  Many laminitic horses have equine Cushings Disease or else Metabolic Syndrome/Insulin Resistance.  This kind of low-carb feeding program helps them as well. 

The second way to decrease soluble carbs it to feed less feed.  Most overweight horses are overweight to begin with.  We recommend cutting the hay ration in half. At least.  Scant rations can go a long ways to helping sore horses recover.  They will not starve to death.  However, they might very well die from laminitis complications, so it is worth it.

Three:  Rest.  Because the laminitic horse's feet are self-destructing before our eyes, it is important to give them rest.  No riding or working sore horses.  Two weeks after they are no longer visibly lame is the absolute minimum.


Most lamanitic horses need their feet trimmed by a professional.  Not all of them, but most seem to have long feet.  It is a great idea to get x-rays to evaluate the feet for the presence of rotation of the coffin bone.  Good trimming can make them much more comfortable and speed recovery.  Bad trimming can send them crashing down in flames.  Don't dothis yourself unless you have a lot of experience.

Some laminitic horses need special shoes.  These shoes are used to provide support to unstable feet.  We use these in horses that are severe, or that do not respond to other treatments.  There are as many good ways to accomplish this as there are good farriers, so no specifics here.  We can refer you to some good farriers if needed.

Most laminitic horses feel better if they are stalled in sand.  The more serious the case, the more strongly we recommend this, but even the mildly-affected horses feel much better in the sand.  Fill a boxstall at least 4 inches deep.  Straw or shavings are not the same, although any soft bedding promotes lying down, which is a good thing for foot-sore horses.

An ounce of prevention is worth tons of cure.  Any horse that has ever had one laminitis episode is likely to have others, and the damage just adds up with each episode.  The grass in the early spring is especially likely to trigger an attack.  Laminitic horses should not be allowed to graze from March through the end of July, and then carefully.  Also, avoid alfalfa hay, especially the nice stuff.  Avoid all grains, especially corn and barley.  An exception would be the new, low-carbohydrate feeds now available for insulin resistant horses.  Above all, make sure your horse does not get fat.  A golf ball placed on his back should roll off, not back and forth.  Keep an eye out for the cresty neck that laminitis-prone horses develop.  An example is the Appaloosa in the picture above.  Cresty is bad, and means that they need less to eat.  If they are on pasture, lock them up either all night or all day.  And finally, keep up on the foot-trimming.