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Managing the Laminitic and Foundered Horse with Sole Support

  • Managing the Laminitic and Foundered Horse with Sole Support

    by Tabb Pig, Certified Journeyman Farrier
    When an equine athlete experiences an episode of Laminitis or Founder it can be a
    painful experience. While there are numerous studies and articles on the causes of these
    two maladies, there is also a general consensus on what the hoof capsule experiences
    after the episodes occur.
    When a horse experiences a bout of Laminitis, whether through injury, overfeeding or
    metabolic issues, inflammation of the lamina occurs. The anatomy of the hoof is such that
    the insensitive lamina is attached to the hoof wall and the sensitive lamina is attached to
    the coffin bone. In the event of hoof trauma, the inflammation and reduction of blood
    flow can cause partial or total separation of the lamina, allowing the coffin bone to rotate
    downward. Laminitis can show up as subtle lameness in the front feet, external bruising
    in the sole or White Line Disease. When this happens, the experience can be compared to
    pulling off your fingernail in an accident.
    The Anatomy of Laminitis and Founder
    The relationship between the sensitive and insensitive lamina inside the hoof wall are like
    interlacing fingers in a tight hold; once they start to loosen, it does not take much to pull
    them apart. At this point it would be described as Founder. In acute stages of Founder,
    the hoof’s exterior would not show signs or symptoms of the disease. Once the bone has
    rotated, Founder can be detected by an x-ray. Because the fragile attachment of the
    lamina is the support of the horse’s body weight, it is critical to get a hoof care team
    involved to address the issue fast. Proper diagnosis and treatment are crucial to recovery.
    Treating Founder
    Traditional methods of treating Founder have varied and progressed over time. With
    today’s methods, an equine athlete can be expected to recover to a normal life in most
    cases. Past methods have included heart bar and egg bar shoes; a shoe nailed on
    backwards and with wedge pads. The only shoe that truly provides any type of support
    for a laminitic horse is a heart bar. Application of a heart bar shoe should be a very
    precise procedure, requiring training and x-rays for proper placement. If necessary, a vet
    may call for pads. In some cases, pads may allow sand and moisture to collect under the
    pad, which can be trapped between the pad and the foot. If the horse abscesses, the shoe
    will have to be removed for treatment. With any of these applications, the coffin bone
    and sole have limited support. Without solar or frog support, there will still be stress on
    the interior lamina.
  • When a farrier shoes the horse, all of the weight is placed on the hoof wall. When the
    horse moves, the coffin bone and sole are moving downward toward the ground. This
    creates more stress on the already inflamed lamina. The goal is to minimize stress, and
    support the bone column and sole. During this phase the hoof care team strives to relieve
    the stress between the hoof wall and the lamina. The most effective way to do that is to
    protect the hoof with a pad or a pour-in pad. These packages are designed to increase
    surface area for weight bearing so that the sole can take on some of the horse’s weight,
    and not just the hoof wall. Historically, it was thought that anything you put underneath a
    pad would help protect and cushion the sole of the horse. This, however, is not always the
    case. For instance traditional silicone from the hardware store has been used under a pad,
    despite some of its challenges. Some drawbacks of traditional silicone include:
    a long set time of 24 hours
    messy application
    the acid-base can leave a smelly residue.
    the material does not absorb concussions, sending the pressure up the horse’s leg.
    The best alternative to traditional pads and silicone filling is a liquid pour-in pad made of
    urethane adhesive. Products like Vettec’s Equi-Pak offer a versatile solution that is easy
    to apply, sets quickly and produces a soft, resilient supportive pad material. Advantages
    of pour-in pad materials include:
    an immediate bond to the sole, sealing out moisture and debris.
    the pour-in pad material can be filled to ground level for maximum support and
    effectively absorbs concussion, instead of sending it up the leg like silicone
    support to the boney column by loading the entire solar surface with a pour-in
    pad, but also positions the weight-bearing load over the entire ground surface and
    not just the wall. This reduces the “pull” on the lamina between the hoof wall and
    internal structures resulting in a faster recovery and a more comfortable horse.
    Modern liquid pad materials come in different levels of firmness so they will match the
    needs of the individual horse. The pad materials can be poured to ground level. Even on
    hard ground, the sole frog and hoof wall bear equal weight. The pads can be customized
    so that if you do not want to cover an area that may be sensitive, it can be blocked out.
    Even if the whole sole cannot be covered, a half pad is 50% more support than not having
    Managing a horse’s acute Founder or Laminitis can be a challenge, and it’s important to
    have a good team in place to diagnose, manage the treatment and ensure recovery of the
    equine athlete. There are a number of treatments on the market today, but consider ones
    that will help relieve the internal stresses within the hoof capsule and support the boney
    column, providing a speedier recovery and a more comfortable horse. Using liquid pad
    technology, veterinarians and farriers now have the ability to use materials that will bond
    to the foot and withstand the weight of the horse.