Laminitis Dr. Charlotte Kin Exclusively Equine Veterinary Services, PC. Dave & MaryAnn Crabtree Crabtree Farrier Services.

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???