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· Horses who have had previous episodes of laminitis
· Older horses with Cushing's disease
Signs
Signs of acute laminitis include the following:
· Shifting weight bearing legs when standing.
· Heat in the feet.
· Increased digital pulse in the feet
· Pain in the toe region when pressure is applied with hoof testers.
· Reluctant or hesitant gait ("walking on eggshells").
· A "sawhorse stance," with the front feet stretched out in front to alleviate pressure on the toes and the hind feet positioned under them to support the weight that their front feet cannot.
Treatment
The sooner treatment begins, the better the chance for recovery. Treatment will depend on specific circumstances but may include the following:
· Diagnosing and treating the primary problem (laminitis is often due to a systemic or general problem elsewhere in the horse's body).
· Dietary restrictions; stop feeding
all grain-based feeds and pasture. Feed only grass hay until advised by your veterinarian.
· Treating with mineral oil via a nasogastric tube to purge the horse's digestive tract, especially if the horse has overeaten.
· Administering fluids if the horse is ill or dehydrated.
· Administering anti-inflammatories such as Bute or Banamine.
· Stabling the horse on soft ground, such as in sand, pea-gravel or shavings.
· Opening and draining any abscesses that may develop.