Now that Spring is hopefully on its way, laminitis will be on the increase again. It is clearly too large a topic to cover in one newsletter but here we will aim to cover some important points.
As we all know small fat ponies with a cresty neck are classically the worst effected. However, large horses can also succumb.
Predisposing factors include obesity and excess carbohydrate intake (most commonly associated with grass). There are certain sugars called Non-fermentable carbohydrates which are not well absorbed in the horse’s gut. This leads to increased numbers of certain bacteria and changes to the intestinal environment. It is this which is thought to allow substances affecting the laminae to enter the blood stream. (There still several theories about the exact mechanism causing the changes in the laminae).
Other predisposing factors include cushings disease, systemic infections with circulating toxins (an example of this occurs after foaling when membranes are retained) excessive long term weight bearing on a single limb, and not forgetting, equine metabolic syndrome.

In severe cases where the animal is in a lot of pain a vet should be called straight away to access the situation. The horse or pony will require the application of supports to the affected hooves. In a flair-up of the condition in a chronic laminitis sufferer veterinary attention/advice can also be sought. The horse/pony should be removed from the likely cause e.g. pasture. They should be put onto a deep bed to provide support and painkillers given.
In cases of laminitis which do not improve over the next day or two may require x-rays to assess the position of the pedal bone. When the acute stage has passed and the horse/pony is comfortable, appropriate shoeing will need to be discussed with the vet and your farrier.
Avoiding a laminitis episode in the ‘at risk’ horses and ponies and a flare up in those already suffering with chronic laminitis is vital. An awareness of the predisposing factors mentioned above is key to this. Dietary management is probably the most important. Reducing the intake of the sugars implicated in laminitis means limiting access to certain foods.
The vast majority of the diet should be forage. Soaking hay for at least half an hour will reduce the sugar level significantly. Steaming is also effective. Haylage contains less of the sugar but is highly palatable, meaning intake could be excessive if not restricted.
Hard feed should really be avoided, especially if there is a weight issue. If required there are several manufactured feeds available for laminitis prone horses and ponies which provide essential minerals and vitamins. As mentioned treats should be avoided, a carrot to a horse is equivalent to us eating a mars bar! Grazing can be a tricky subject but with knowledge of the most risky times to turnout it is possible to manage susceptible animals.
Please don’t hesitate to contact the practice if you have any questions about this topic.