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

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Presentation on theme: "Laminitis Dr. Charlotte Kin Exclusively Equine Veterinary Services, PC. Dave & MaryAnn Crabtree Crabtree Farrier Services."— Presentation transcript:

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

2 Dr. Charlotte Kin: Credentials USDF Bronze and Silver Medalist USDF Bronze and Silver Medalist USDF L Judges Program Graduate USDF L Judges Program Graduate USPC HA Graduate USPC HA Graduate USPC National Visiting Instructor USPC National Visiting Instructor Former Member of NCAA National Champion OSU Equestrian Team Former Member of NCAA National Champion OSU Equestrian Team

3 Dr. Charlotte Kin: Credentials Graduated from OSU College of Vet Med Graduated from OSU College of Vet Med Internship: Rood & Riddle Equine Hospital Lexington, KY Internship: Rood & Riddle Equine Hospital Lexington, KY Residency in Equine Practice: Oakridge Equine Hospital Edmond, OK Residency in Equine Practice: Oakridge Equine Hospital Edmond, OK Owner of Exclusively Equine Veterinary Services Owner of Exclusively Equine Veterinary Services

4 Dr. Charlotte Kin: Spare Time

5 What is LAMINITIS? Also referred to as FOUNDER Also referred to as FOUNDER Laminitis=acute inflammation Laminitis=acute inflammation Founder=chronic laminitis Founder=chronic laminitis

6 What is LAMINITIS? Inflammation that leads to disruption of the blood-flow to the sensitive & insensitive lamina Inflammation that leads to disruption of the blood-flow to the sensitive & insensitive lamina Disruption of the attachment mechanism between the sensitive & insensitive lamina Disruption of the attachment mechanism between the sensitive & insensitive lamina Lamina attach the coffin bone to the hoof capsule. Lamina attach the coffin bone to the hoof capsule.

7 Laminitis: Rotation In the normal position the coffin bone sits parallel to the hoof capsule In the normal position the coffin bone sits parallel to the hoof capsule Rotation occurs when the coffin bone (P3) rotates away from the hoof capsule Rotation occurs when the coffin bone (P3) rotates away from the hoof capsule

8 Laminitis: Rotation

9 In severe cases the bone and hoof wall separate and the coffin bone may be displaced downward.

10 Laminitis: Sinking In the most severe cases the coffin bone can sink and penetrate the bottom of the sole. In the most severe cases the coffin bone can sink and penetrate the bottom of the sole. This can lead to sloughing of the hoof capsule. This can lead to sloughing of the hoof capsule.

11 What are the signs of LAMINITIS? Lameness especially when turning in circles Lameness especially when turning in circles Shifting weight back and forth. Shifting weight back and forth. Pain in the toe region when hoof testers are applied. Pain in the toe region when hoof testers are applied.

12 What are the signs of LAMINITIS? Saw-horse stance Saw-horse stance walking on eggshells walking on eggshells Increased digital pulse Increased digital pulse Heat in the feet Heat in the feet

13 What are the signs of LAMINITIS? Reluctant or unable to rise Reluctant or unable to rise Hemorrhage visible on sole Hemorrhage visible on sole Separation and abscess formation Separation and abscess formation

14 What are the signs of LAMINITIS? CHRONIC FOUNDER Chronic lameness Chronic lameness Rings in hoof capsule Rings in hoof capsule Aladdin's shoe Aladdin's shoe Chronic abscesses Chronic abscesses

15 What are the signs of LAMINITIS? CHRONIC FOUNDER seedy toe-widened white line seedy toe-widened white line Dropped soles or flat feet Dropped soles or flat feet Dished hooves Dished hooves

16 What are the causes of LAMINITIS? Grass Founder Grass Founder Grain Overload Grain Overload Abrupt changes in diet Abrupt changes in diet

17 What are the causes of LAMINITIS? Endotoxemia Endotoxemia High fever or illness High fever or illness Severe colic or diarrhea (colitis) Severe colic or diarrhea (colitis)

18 What are the causes of LAMINITIS? Retained placenta Retained placenta Road founder Road founder Injury to another limb causing excessive weight bearing Injury to another limb causing excessive weight bearing

19 What are the causes of LAMINITIS? Prolonged use of steroids (not that kind of steroids) Prolonged use of steroids (not that kind of steroids) Primary foot disease Primary foot disease Black walnut shavings Black walnut shavings

20 What are the causes of LAMINITIS? Previous laminitis Previous laminitis Endocrine diseases- CUSHINGS DISEASE. Endocrine diseases- CUSHINGS DISEASE.

21 What is the treatment for LAMINITIS? GRAIN OVERLOAD CALL VET IMMEDIATELY CALL VET IMMEDIATELY NG tube-pump stomach & administer charcoal or oil NG tube-pump stomach & administer charcoal or oil Anti-inflammatories Anti-inflammatories Anti-endotoxic drugs Anti-endotoxic drugs Vasodilators Vasodilators

22 What is the treatment for LAMINITIS? Identify & treat primary problem Identify & treat primary problem The sooner the better! The sooner the better! Anti-inflammatories Anti-inflammatories IV fluids +/- DMSO IV fluids +/- DMSO

23 What is the treatment for LAMINITIS? Antibiotics Antibiotics Vasodilators-acepromazine, isoxiprine Vasodilators-acepromazine, isoxiprine Sand or deep bedding Sand or deep bedding Pull shoes Pull shoes Radiographs Radiographs

24 What is the treatment for LAMINITIS? Open and drain abscesses Open and drain abscesses Frog support Frog support Coronary grooving Coronary grooving Dietary restrictions Dietary restrictions

25 What is the treatment for LAMINITIS? Ice legs Ice legs COOPERATION BETWEEN VET AND FARRIER!!!! COOPERATION BETWEEN VET AND FARRIER!!!! LONG TERM TREATMENTS…… LONG TERM TREATMENTS……

26 What is the long term prognosis & maintaince for LAMINITIS? Some horses suffer an acute episode and go on to live normal lives. Some horses suffer an acute episode and go on to live normal lives. Most require maintaince treatments Most require maintaince treatments Some horses are so severe that they are euthanized for humane reasons Some horses are so severe that they are euthanized for humane reasons

27 What is the long term prognosis & maintaince for LAMINITIS? Radiographs before shoeing and resetting shoes. Radiographs before shoeing and resetting shoes. Important to have good working relationship with vet and farrier. Important to have good working relationship with vet and farrier. Dietary restrictions: little or no grass, low carb high fat grain. Dietary restrictions: little or no grass, low carb high fat grain.

28 What is the long term prognosis & maintaince for LAMINITIS? Good health maintaince program to prevent other diseases that may induce laminitis. Good health maintaince program to prevent other diseases that may induce laminitis. Anti-inflammatory medications-BUTE Anti-inflammatory medications-BUTE Hoof growth supplement Hoof growth supplement

29 How do I prevent LAMINITIS? Keep grain locked up!! Keep grain locked up!! Gradually introduce horses to green pasture. Gradually introduce horses to green pasture. Good hoof care Good hoof care Good preventative health care program Good preventative health care program If you suspect laminitis call you vet IMMEDIATELY! If you suspect laminitis call you vet IMMEDIATELY!

30 Any Questions???


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