Re: Looking for feedback on hoof progress

Lavinia Fiscaletti

Hi Lisa,

Sorry that Haven is going thru all this. His blood work is definitely positive for EMS/IR, which is no surprise as he is a Morgan - poster children for IR. Likely, he has been IR all along but being in steady work was keeping things under control. Once He stopped working, he crossed the threshold and became symptomatic. His PPID test is negative. Really tightening up his diet is going to be key to resolving the underlying laminitis. Because endocrinopathic laminitis ins not an inflammatory condition, NSAIDs won't help. Putting him on the emergency diet until you can get his hay tested, then mineral balanced appropriately will help immediately. The winter laminitis issues are building on the base laminitis because the cold temps (anything below 50*F) can trigger vaso-constriction in susceptible individuals. Any time the temps dip into the 40s and below, blanketing him, putting wool socks on his feet inside of boots will help maintain blood flow to the hooves. Fleece-lined shipping boots are another option to keep the lower legs and feet warm. He can be allowed to wander at his leisure as long as he isn't on NSAIDs.

Thanks for uploading the series of rads. There is no bony column rotation present, but there is capsular rotation. Capsular rotation is a trim issue where the laminar connections are being strained by the lever forces being applied from too-long toes.The LF bony column alignment is really spot-on, while the RF has a broken back HPA. Heels are seriously underrun on the RF, which is being compounded by the shoes.There is some degree of sinking but it's hard to tell how much since the rads don't have the coronary band marked. His walls are medially taller on both feet. Both have side bone, with the medial side more advanced. Sole depth is adequate. The toes are getting progressively longer between trims/resets, which says that the trim interval is too long. It also points to the trim not taking the toes back far enough to set the breakover where it should be. We don't recommend shoes for laminitics as they tend to make it harder to do trims in a timely manner and are really only a band-aid to cover the actual issues.

Pictures of the feet would be helpful. Here's what is needed:

All of this appears to be fixable if the trim gets the mechanics tightened up and the underlying EMS/IR that is driving the laminitis is managed properly.

Lavinia, George Too, Calvin (PPID) and Dinky (PPID/IR)
Nappi, George and Dante Over the Bridge
Jan 05, RI
Moderator ECIR

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