{"id":21795,"date":"2025-02-07T11:52:06","date_gmt":"2025-02-07T10:52:06","guid":{"rendered":"https:\/\/hartog.eu\/articles\/hoefbevangenheid-bij-paarden-symptomen-behandeling-en-voer\/"},"modified":"2025-03-28T08:49:38","modified_gmt":"2025-03-28T07:49:38","slug":"laminitis-in-horses-symptoms-treatment-and-feed","status":"publish","type":"articles","link":"https:\/\/hartog.eu\/en\/articles\/laminitis-in-horses-symptoms-treatment-and-feed\/","title":{"rendered":"Laminitis in horses: symptoms, treatment, and feed"},"content":{"rendered":"<div class=\"product\"><div class=\"product\"><p>Recognizing the symptoms of the laminitis disease is crucial so that prompt action can be taken as a horse owner. This condition can develop suddenly and often requires immediate veterinary advice. This article provides an in-depth discussion of what laminitis in horses is, which signs of laminitis you have to watch our for, what causes laminitis,\u00a0and what treatment and prevention options are available to keep your horse as healthy as possible.<\/p>\n<h2><strong>What is laminitis in horses?<\/strong><\/h2>\n<p>Equine laminitis is a serious and painful condition that affects the hooves of a horse or pony. Also known as founder, it occurs due to inflammation in the laminar structure of the hoof, weakening the connection between the hoof wall and the coffin bone. In severe cases, the coffin bone may rotate or sink, causing extreme pain for the horse and potentially leading to permanent damage or even euthanasia. Laminitis can affect horses of all ages and breeds, but it is commonly seen in ponies and overweight horses or those with a sensitive metabolism such as good doers.<\/p>\n<p>The condition can occur in both <strong>acute<\/strong> and <strong>chronic<\/strong> forms. The acute form develops suddenly and requires immediate attention, whereas the chronic form results from repeated or untreated episodes of laminitis. Understanding the disease and early detection are essential for effective laminitis treatment.<\/p>\n<h2><strong>Laminitis symtoms<\/strong><\/h2>\n<p>Recognizing signs of laminitis in horses at an early stage is essential for successful treatment. The main symptoms of laminitis include:<\/p>\n<ul>\n<li><strong>Warm hooves<\/strong><\/li>\n<li><strong>Increased digital pulse<\/strong><\/li>\n<li><strong>Difficulty or painful movement<\/strong> (the horse moves as if walking on eggshells)<\/li>\n<li><strong>Characteristic stance:<\/strong> front legs stretched forward and hind legs positioned under the body<\/li>\n<li><strong>Lameness<\/strong>, and in severe cases, prolonged lying down<\/li>\n<li><strong>Hoof changes<\/strong>, such as growth rings on the hoof wall in chronic laminitis cases<\/li>\n<li><strong>Reduced appetite and general lethargy<\/strong><\/li>\n<\/ul>\n<p>In some cases, the horse may show intermittent lameness or an increased heart rate as a response to pain. In chronic cases, the hoof shape may change permanently, and a depression at the coronary band may become visible.<\/p>\n<h3><strong>Difference between acute and chronic laminitis<\/strong><\/h3>\n<p>Laminitis occurs in two forms: <strong>acute<\/strong> and <strong>chronic<\/strong>. The main difference between these two is the duration and progression of the condition.<\/p>\n<p><strong>Acute laminitis<\/strong> develops suddenly and is often triggered by a direct cause, such as a dietary change or an underlying infection. Symptoms include:<\/p>\n<ul>\n<li><strong>Severe pain and lameness<\/strong><\/li>\n<li><strong>Warm hooves and an increased pulse<\/strong><\/li>\n<li><strong>A characteristic stance<\/strong>, where the horse extends its front legs forward to relieve pressure on the hooves<\/li>\n<li><strong>Limited mobility<\/strong>, with the horse struggling to move or even refusing to walk<\/li>\n<\/ul>\n<p><strong>Chronic laminitis<\/strong> occurs when the condition is not treated properly or in time. This form results in permanent hoof damage and can lead to:<\/p>\n<ul>\n<li><strong>A permanently deformed hoof<\/strong> with visible growth rings<\/li>\n<li><strong>A deep groove at the coronary band<\/strong>, caused by coffin bone displacement<\/li>\n<li><strong>Intermittent lameness and sensitivity<\/strong><\/li>\n<li><strong>Reduced performance and recurring pain issues<\/strong><\/li>\n<\/ul>\n<p>By acting quickly in cases of acute laminitis, the risk of chronic damage can be significantly reduced. Preventive measures and timely treatment play a crucial role in maintaining the horse\u2019s well-being.<\/p>\n<h2><strong>What causes laminitis in horses<\/strong><\/h2>\n<p>Laminitis can be triggered by various factors, including:<\/p>\n<h3><strong>Diet and Metabolism<\/strong><\/h3>\n<p>Excessive intake of sugar-rich grass or concentrated feed can disrupt sugar metabolism, leading to laminitis. This is common in horses with Equine Metabolic Syndrome (EMS) or <a href=\"https:\/\/hartog.eu\/en\/articles\/ppid-in-horses-symptoms-treatment-and-nutrition-tips\/\">Cushing\u2019s disease (PPID)<\/a>. Sudden dietary changes can also act as a trigger.<\/p>\n<h3><strong>Inflammation and Infections<\/strong><\/h3>\n<p>Conditions such as <a href=\"https:\/\/hartog.eu\/en\/articles\/equine-colic-causes-symptoms-and-prevention-tips\/\">colic<\/a>, <a href=\"https:\/\/hartog.eu\/en\/articles\/resolving-thin-manure-causes-and-solutions\/\">diarrhea<\/a>, pneumonia, or uterine infections after foaling can cause systemic inflammation, which may lead to laminitis. Stress can further aggravate these effects.<\/p>\n<h3><strong>Mechanical Overload<\/strong><\/h3>\n<p>A horse that puts excessive weight on one leg for an extended period\u2014due to an injury on the opposite limb\u2014has an increased risk of laminitis in the overloaded hoof. This is often seen in horses that have been on stall rest or suffered an injury to one of their limbs.<\/p>\n<h3><strong>Hormonal and Metabolic Disorders<\/strong><\/h3>\n<p>Horses with insulin resistance or Cushing\u2019s disease are at a higher risk of developing laminitis. Obesity is also a significant risk factor, as fat tissue can contribute to hormonal imbalances and inflammation.<\/p>\n<h2><strong>Treatment and nutrition for laminitis<\/strong><\/h2>\n<p><strong>Laminitis is a medical emergency. If you suspect your horse has laminitis, it is crucial to contact a veterinarian immediately.<\/strong><\/p>\n<p>While waiting for the vet, minimize movement to prevent further damage. Provide a soft, thick surface, such as deep straw or sand, to support the hooves. Avoid removing horseshoes, as this can cause additional discomfort. The veterinarian will conduct initial examinations to assess the severity of laminitis, including checking vital signs and possibly taking X-rays.<\/p>\n<h3>Laminitis treatment<\/h3>\n<p>The treatment of laminitis focuses on identifying and addressing the underlying cause, managing pain, and preventing further damage:<\/p>\n<ul>\n<li><strong>Pain management:<\/strong> Anti-inflammatory drugs such as phenylbutazone or flunixin are commonly prescribed.<\/li>\n<li><strong>Dietary adjustments:<\/strong> Avoid high-sugar feeds and provide low-sugar hay (&lt;10-12% NSC).<\/li>\n<li><strong>Rest and support:<\/strong> Ensure a thick, soft surface and limit movement to prevent further damage. In some cases, keeping the horse on sand or deep straw is recommended.<\/li>\n<li><strong>Hoof care and shoeing:<\/strong> A specialist farrier can apply corrective shoeing or pads to relieve pressure on the hooves. Regular trimming helps control hoof growth and restore balance.<\/li>\n<li><strong>Cryotherapy:<\/strong> Cooling the hooves (e.g., standing the horse in ice water) can help reduce inflammation in acute laminitis cases.<\/li>\n<li><strong>Medication:<\/strong> Depending on the underlying cause, the vet may prescribe additional medications.<\/li>\n<li><strong>Dietary guidance and management:<\/strong> A tailored feeding plan is essential for recovery and preventing future episodes. Need help? Request a <a href=\"https:\/\/hartog.eu\/en\/horse\/feeding-advice\/\">feeding consultation<\/a> for expert advice.<\/li>\n<\/ul>\n<h3><strong>Feeding advice for laminitis<\/strong><\/h3>\n<p>A well-balanced diet is essential for both the recovery and prevention of laminitis. The key nutritional guidelines include:<\/p>\n<ul>\n<li><strong>Eliminate high-risk feeds <\/strong>Immediately remove any feeds that may have triggered laminitis, such as grains or sugar-rich products.<\/li>\n<li><strong style=\"font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, 'Helvetica Neue', Arial, 'Noto Sans', sans-serif, 'Apple Color Emoji', 'Segoe UI Emoji', 'Segoe UI Symbol', 'Noto Color Emoji';\">Low-sugar hay <\/strong>Provide hay that is low in non-structural carbohydrates (NSC)<span style=\"font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, 'Helvetica Neue', Arial, 'Noto Sans', sans-serif, 'Apple Color Emoji', 'Segoe UI Emoji', 'Segoe UI Symbol', 'Noto Color Emoji';\"> (fructans, sugars, and starch), with a maximum content of <\/span>10-12% dry matter<span style=\"font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, 'Helvetica Neue', Arial, 'Noto Sans', sans-serif, 'Apple Color Emoji', 'Segoe UI Emoji', 'Segoe UI Symbol', 'Noto Color Emoji';\">. Soaking hay before feeding can help further reduce its sugar content.<\/span><\/li>\n<li><strong style=\"font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, 'Helvetica Neue', Arial, 'Noto Sans', sans-serif, 'Apple Color Emoji', 'Segoe UI Emoji', 'Segoe UI Symbol', 'Noto Color Emoji';\">Supplementing the diet <\/strong>A balanced supplement, such as <a href=\"https:\/\/hartog.eu\/en\/product\/hartog-essential\/\">Hartog Essential<\/a><span style=\"font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, 'Helvetica Neue', Arial, 'Noto Sans', sans-serif, 'Apple Color Emoji', 'Segoe UI Emoji', 'Segoe UI Symbol', 'Noto Color Emoji';\">, can help <\/span>replenish protein, vitamins, and minerals<span style=\"font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, 'Helvetica Neue', Arial, 'Noto Sans', sans-serif, 'Apple Color Emoji', 'Segoe UI Emoji', 'Segoe UI Symbol', 'Noto Color Emoji';\">. <\/span>Biotin<span style=\"font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, 'Helvetica Neue', Arial, 'Noto Sans', sans-serif, 'Apple Color Emoji', 'Segoe UI Emoji', 'Segoe UI Symbol', 'Noto Color Emoji';\"> supports hoof growth and improves hoof quality.<\/span><\/li>\n<li><strong style=\"font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, 'Helvetica Neue', Arial, 'Noto Sans', sans-serif, 'Apple Color Emoji', 'Segoe UI Emoji', 'Segoe UI Symbol', 'Noto Color Emoji';\">Gradual reintroduction of grass <\/strong>Horses prone to laminitis should have limited grazing time<span style=\"font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, 'Helvetica Neue', Arial, 'Noto Sans', sans-serif, 'Apple Color Emoji', 'Segoe UI Emoji', 'Segoe UI Symbol', 'Noto Color Emoji';\"> and preferably wear a <\/span>grazing muzzle<span style=\"font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, 'Helvetica Neue', Arial, 'Noto Sans', sans-serif, 'Apple Color Emoji', 'Segoe UI Emoji', 'Segoe UI Symbol', 'Noto Color Emoji';\"> to control their intake.<\/span><\/li>\n<li><strong style=\"font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, 'Helvetica Neue', Arial, 'Noto Sans', sans-serif, 'Apple Color Emoji', 'Segoe UI Emoji', 'Segoe UI Symbol', 'Noto Color Emoji';\">Specialized feeds <\/strong>Certain products, such as <a href=\"https:\/\/hartog.eu\/en\/product\/hartog-essential\/\">Hartog Essential<\/a><span style=\"font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, 'Helvetica Neue', Arial, 'Noto Sans', sans-serif, 'Apple Color Emoji', 'Segoe UI Emoji', 'Segoe UI Symbol', 'Noto Color Emoji';\">, are <\/span>grain- and molasses-free balancers<span style=\"font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, 'Helvetica Neue', Arial, 'Noto Sans', sans-serif, 'Apple Color Emoji', 'Segoe UI Emoji', 'Segoe UI Symbol', 'Noto Color Emoji';\">, rich in <\/span>vitamin E and biotin<span style=\"font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, 'Helvetica Neue', Arial, 'Noto Sans', sans-serif, 'Apple Color Emoji', 'Segoe UI Emoji', 'Segoe UI Symbol', 'Noto Color Emoji';\">, which support hoof health.<\/span><\/li>\n<li><strong style=\"font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, 'Helvetica Neue', Arial, 'Noto Sans', sans-serif, 'Apple Color Emoji', 'Segoe UI Emoji', 'Segoe UI Symbol', 'Noto Color Emoji';\">Consult a Nutrition Expert <\/strong>A nutritionist or feed specialist<span style=\"font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, 'Helvetica Neue', Arial, 'Noto Sans', sans-serif, 'Apple Color Emoji', 'Segoe UI Emoji', 'Segoe UI Symbol', 'Noto Color Emoji';\"> can help create an <\/span>optimal feeding plan<span style=\"font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, 'Helvetica Neue', Arial, 'Noto Sans', sans-serif, 'Apple Color Emoji', 'Segoe UI Emoji', 'Segoe UI Symbol', 'Noto Color Emoji';\"> for a horse recovering from laminitis. Do you have questions about your horse\u2019s diet? <\/span>Request a <a href=\"https:\/\/hartog.eu\/en\/horse\/feeding-advice\/\">feed consultation<\/a><span style=\"font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, 'Helvetica Neue', Arial, 'Noto Sans', sans-serif, 'Apple Color Emoji', 'Segoe UI Emoji', 'Segoe UI Symbol', 'Noto Color Emoji';\"> or get in touch for expert advice.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, 'Helvetica Neue', Arial, 'Noto Sans', sans-serif, 'Apple Color Emoji', 'Segoe UI Emoji', 'Segoe UI Symbol', 'Noto Color Emoji';\">By combining <\/span>targeted treatment<span style=\"font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, 'Helvetica Neue', Arial, 'Noto Sans', sans-serif, 'Apple Color Emoji', 'Segoe UI Emoji', 'Segoe UI Symbol', 'Noto Color Emoji';\"> with <\/span>proper nutritional management<span style=\"font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, 'Helvetica Neue', Arial, 'Noto Sans', sans-serif, 'Apple Color Emoji', 'Segoe UI Emoji', 'Segoe UI Symbol', 'Noto Color Emoji';\">, the damage caused by laminitis can be minimized, and the recovery process can be optimized.<\/span><\/p>\n<h3><strong>Grazing management<\/strong><\/h3>\n<p>Horses that develop equine laminitis due to grazing should be (temporarily) kept in a stable and placed on a modified diet consisting of low-sugar hay and a ration balancer. The duration of this rest period depends on the severity of the condition.<\/p>\n<p>After recovery, the horse can gradually return to pasture, starting with 1 to 2 hours per day. Horses with insulin resistance or PPID may need to be restricted from grazing for a longer period to maintain a healthy weight and insulin balance. Some horses with recurring laminitis may require permanent grazing limitations.<\/p>\n<p>Preventing laminitis from grazing:<\/p>\n<ul>\n<li><strong>Pasture management:<\/strong> Keep grass short and regularly mowed to limit fructan buildup.<\/li>\n<li><strong>Grazing times:<\/strong> Allow horses to graze early in the morning or late in the evening, when sugar levels in the grass are lower.<\/li>\n<li><strong>Seasonal monitoring:<\/strong> Be extra cautious in spring and autumn, when fructan levels tend to be higher.<\/li>\n<li><strong>Limited intake:<\/strong> Use a grazing muzzle or let horses graze after other animals to reduce their sugar intake.<\/li>\n<li><strong>Pasture rotation:<\/strong> Rotate grazing areas with other livestock species to maintain stable vegetation.<\/li>\n<\/ul>\n<p>Check the <a href=\"https:\/\/www.hoefnatuurlijk.nl\/nl\/fructaanindex.html\" target=\"_blank\" rel=\"noopener\">up-to-date fructaanindex here at the website of hoefnatuurlijk.<\/a><\/p>\n<p><!-- Begin Fructaan-index code --><br \/>\n<iframe src=\"\/\/www.hoefnatuurlijk.nl\/fcgi\/PaardNatuurlijkMap.fcgi\" width=\"450\" height=\"600\" align=\"right\"><\/iframe><!-- Einde Fructaan-index code --><\/p>\n<p>With careful grazing management, laminitic horses can still safely enjoy outdoor space.<\/p>\n<h2><strong>Can laminitis be cured?<\/strong><\/h2>\n<p>Yes, a horse can recover from laminitis, but the duration and likelihood of full recovery depend on the severity and underlying cause. Mild cases may improve within a few weeks, while severe cases can require months of intensive care. In some cases, a horse may remain sensitive and require lifelong management. Long-term laminitis can cause permanent hoof damage and mobility issues.<\/p>\n<h2><strong>How to prevent laminitis?<\/strong><\/h2>\n<p>Prevention is crucial, especially for horses prone to this condition. Key preventive measures include:<\/p>\n<ul>\n<li><strong>Managing diet:<\/strong> Avoid sugar-rich pastures and concentrates. If necessary, soak hay in water to reduce sugar content.<\/li>\n<li><strong>Weight control:<\/strong> Prevent obesity, especially in horses with EMS or Cushing\u2019s disease. Excess weight significantly increases the risk and should be managed proactively.<\/li>\n<li><strong>Regular hoof care:<\/strong> Schedule frequent farrier visits to keep hooves properly trimmed.<\/li>\n<li><strong>Gradual transition to pasture:<\/strong> Avoid sudden exposure to sugar-rich grass, especially in spring and autumn. Consider using a grazing muzzle to limit grass intake.<\/li>\n<li><strong>Routine health checks:<\/strong> Horses at higher risk should have <strong>regular veterinary check-ups<\/strong>. Blood tests can help detect hormonal imbalances early for timely treatment.<\/li>\n<\/ul>\n<h2><strong>Is laminitis fatal?<\/strong><\/h2>\n<p>In severe cases, laminitis can be fatal, especially if the coffin bone rotates or sinks. However, timely intervention and proper treatment can significantly improve the prognosis. Close collaboration between the owner, veterinarian, and farrier is essential for managing the condition effectively.<\/p>\n<h2>Conclusion<\/h2>\n<p>Laminitis is a serious but largely preventable condition. Recognizing symptoms early and managing risk factors can help reduce the chances of laminitis in horses. Proper nutrition, exercise, and hoof care play a crucial role in prevention. Additionally, monitoring and addressing hormonal and metabolic disorders proactively is essential. Prevention remains the key to ensuring a long and healthy life for your horse.<\/p>\n<p>Need help determining the best diet for your (laminitic) horse? We\u2019re happy to assist! Request a free <a href=\"https:\/\/hartog.eu\/en\/horse\/feeding-advice\/\">feed consultation<\/a> at our website.<\/p>\n<p>&nbsp;<\/p>\n<\/div><\/div>","protected":false},"featured_media":21787,"template":"","area":[56,248,249,250],"suitable-for":[362,301,298,266],"class_list":["post-21795","articles","type-articles","status-publish","has-post-thumbnail","hentry","area-horse","area-horse-en","area-horse-de","area-horse-fr","suitable-for-gezondheid-en","suitable-for-overweight-horses-en","suitable-for-sober-breeds-en","suitable-for-sugar-sensitive-horses-en"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Laminitis in horses: symptoms, treatment, and feed<\/title>\n<meta name=\"description\" content=\"Laminitis in horses: learn more about the causes, symptoms, treatment, and prevention for a healthy and pain-free horse.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, 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