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Laminitis MUCH worse after trim

This is a discussion on Laminitis MUCH worse after trim within the Hoof Care forums, part of the Horse Health category
  • Laminitis gets better, than worse again

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    04-20-2013, 10:16 AM
  #71
Weanling
Quote:
Originally Posted by loosie    
I'd ask her how long it took to fix the problem & get the foot back to normal with this treatment, and what other measures were taken.
In that case, it was a pony with cushing's. Reportedly, it took only a few days for him to move around again and the rehab time was very short. Apparently, he got clinically better almost instantaneously.
Tbh, I can imagine very well that the same thing would happen if we put shoes on Leo, since apparently what's causing the most pain for him is the pressure from the sole on the tip of the coffin bone (so at the toe). This seems to have been caused by the farrier cutting back the hoof wall and rasping off the wall in the front like that, which was an attempt to take the toe back as much as possible and make breakover easier. Before the trim, when he had a lot of wall left, he was clinically a lot better, so I wouldn't be surprised if he got better again by putting some space in between the sole and the ground with a shoe.
The question is though - will the wall load do further damage to the lainae, so that it might be better for Leo to "stick it out" barefoot?
Also, I still don't quite understand what a bar shoe is supposed to do and why it's so much better than a regular shoe...
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    04-21-2013, 02:28 PM
  #72
Yearling
Bar shoes reduce the amount of flexing a foot can do and adds support to the back of the foot. Not my personal first choice but that can work/help done right. The main idea is to reset often so the growth doesnt lift the shoe and pack too high over the sole thus loading that wall again. 4 or 5 weeks max between rests. 6 weeks is usually pushing it. If you add a pour in pad to the back of the foot and leave only a void where the toe is, it could help. You do not want to ONLY load the wall in a laminitic animal. Use pour in pads/packing of some sort leaving it open where the sole is thin and sore at the toe or use a softer packing there with less fill. A good farrier will know what to do.
     
    04-21-2013, 03:41 PM
  #73
Trained
I had shoes put on my chronically laminitic, foundered and rotated mare. I, being in Italy at this time(2005)was very lucky to have found a Prof from the university who had attended a Ric Redden clinic. We found a farrier( again very lucky) who had a similar approach and was quite successful with it. With presence of the vet and x-rays he took off heel to de-rotate and put something similar to a W-shoe under. Open toe, slight wedge, frog support. He then chopped off toe. My mare was immediately more comfortable. I was told to handwalk her in the sand arena for her to understand it didn't hurt anymore for about two weeks, 10 minutes twice a day. Second day she was bucking and kicking during her walks, obviously feeling very good.
We did monthly resets with several emergency resets in between because she had lost a shoe from running around too much.
Unfortunately farrier decided to make her the object of learning for an apprentice, didn't check enough and she didn't improve, got worse again. Wasn't worth the 200$ for each reset. I decided to go the barefoot route after seeing several horses recovering to complete soundness.

So I cannot tell if shoeing would have CURED. It for sure was a quick fix, a painful one tho. Nailing on shoes HURTS.

Faced with another case now I wouldn't bother with shoes, I'd be patient and go barefoot
     
    04-21-2013, 03:46 PM
  #74
Yearling
I don't know why more farriers don't look into casting. Its so simple and provides a great deal of instant relief with no nailing. Probably because of the cost of the "name brand" I guess.? *shrug*
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    04-22-2013, 11:41 AM
  #75
Started
Regula, how is he doing in the Soft Ride boots, and which inserts are you using?
     
    04-22-2013, 12:12 PM
  #76
Started
I agree with Trinity!..CASTING! If it doesn't work, or you messed up, it can easily be removed.
     
    04-22-2013, 12:39 PM
  #77
Super Moderator
My 2 cents worth
First my horse was way worse than the OP's when she came down with insulin related laminitis after being fed a sweet mix while on full board - she lay down and refused to get up never mind struggled to walk
Correct trimming is essential to getting laminitic feet in the right shape and its not unusual for a badly effected horse to be in pain after a trim but I would be suspicious that the pedal bone/coffin bone had rotated and a lot of the pain is caused by increased ground pressure on it after the foot was trimmed shorter which is why its vital to keep affected horses on deep shavings when stabled and avoid direct contact with hard ground
I found a combination of cold hosing and padding the hooves helped most - Styrofoam, diapers etc but the pads need to be taken off regularly as unhealthy feet are more prone to thrush than healthy ones and the pads make a great breeding ground for it
Bute is a part of the recovery process because
A. Its an anti inflammatory and a major part of the problem in the hoof is being caused by inflammation.
B. It relieves pain and pain elevates the blood pressure which is also something that has a negative impact on recovery - many vets will prescribe ACE to lower the horses blood pressure.
If there is no worrying rotation then once the horse is comfortable gentle exercise on a soft surface will improve circulation and blood flow
My mare is fully recovered and her feet show no sign of ever being laminitic, plus with good management she's never had a repeat attack
     
    04-23-2013, 09:17 AM
  #78
Weanling
Quote:
Originally Posted by aforred    
Regula, how is he doing in the Soft Ride boots, and which inserts are you using?
He is steadily but very slowly improving. We reduced the Bute last Thursday, and then switched him over to Previcox yesterday. He has better and worse times and still lies down a lot, but the vet had a look yesterday and thinks he will most likely fully recover. Vet wants to wait till next week and then take a decision whether to manage him barefoot or possibly shoe.
We are using a size 3 (which for some weird reason is larger than the 5 we tried before) and turquoise inserts.
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    04-23-2013, 09:20 AM
  #79
Weanling
Quote:
Originally Posted by deserthorsewoman    
Faced with another case now I wouldn't bother with shoes, I'd be patient and go barefoot
That's a bit how I feel. I have no doubt that shoes would bring short-term relief, but I'm hesitant cause I'm not sure it's the best long-term solution...
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    04-23-2013, 11:59 AM
  #80
Super Moderator
If you can protect and support the soles of the feet then I'd avoid shoes, I know a lot of advice is to use them but my mare was 100% improved when we made the decision to take them off and that was the turning point in her recovery
I did have shoes back on her for about a year once she was sound again because I never found boots to work for her and in the UK I had no choice but to ride on roads so she needed some protection for a while
She is now barefoot all the time as she has really hard feet
Previcox is more expensive but far safer than bute for long term - I've had her on a daily dose for arthritis for over a year now and never had any ill effects
     

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