28/09/2026
🚨 LAMINITIS IS A MEDICAL EMERGENCY🚨
Here is our recommended first aid protocol. What you do in the first 2–4 hours dramatically dictates their long-term soundness.
If your horse is suddenly shifting weight, rocking back onto their heels, reluctant to move, or showing pounding digital pulses with hot hooves. Do not wait. Laminitis is an active cascade of lamellar failure.
Here is what to do!
1. Stop Movement & Confine Immediately
Do NOT force a laminitic horse to walk. Every step can shear compromised laminae and increase mechanical tearing of the coffin bone from the hoof wall. Confine them in a small, deeply bedded stall (shavings or sand work best) right where they are. Pull all hard feeds, grains, and lush grass immediately. Provide clean water and low-sugar, soaked grass hay.
2. Continuous Cryotherapy (Ice Therapy)
Cryotherapy is the single scientifically proven non-pharmaceutical intervention to halt acute lamellar destruction. If started early.
The Rule.. Hooves and lower limbs (up to the mid-cannon/knee) must be submerged in a 50/50 ice-water slurry. Maintain continuously for 24 to 48 hours during the acute stage.
**Note: Simple ice packs or cold hosing won't drop the internal hoof temperature enough. Use heavy-duty cryotherapy boots, large dry bags, or rubber feed buckets taped securely.
3. Call Your Vet and Farrier IMMEDIATELY
This is a team effort from minute one. Call the Vet: For systemic pain relief, anti-inflammatories, sedation if needed, and to arrange diagnostic lateral radiographs. Call the Farrier. Immediate mechanical support cannot wait until "routine shoeing day."
Why immediate farrier intervention is non-negotiable. While the vet manages systemic inflammation and pain, the farrier manages the mechanical forces actively tearing the foot apart. Once the laminae weaken, the deep digital flexor tendon continues to exert constant rotational pull on the pedal bone. Without immediate mechanical intervention, gravity and tendon tension will cause rotation or sinking. Applying emergency digital support and unloading the deep flexor tendon by using (clogs, graduated heel support, or our recommendation The Shoeing Lab Home of More Aid Hoof Care squish pads) transfers weight off the compromised dorsal wall onto the frog and bars. Removing dynamic breakover resistance minimizes the tensile pull of the deep digital flexor tendon during stance and the rare steps they must take. Working off X-rays: In tandem with your vet’s radiographs, immediate farriery halts catastrophic displacement before permanent damage sets in.
Remember: Laminitis is never a "wait and see until tomorrow" condition. Act fast, ice continuously, bed deep, and get your vet and farrier on-site together ASAP!