06/15/2026
What is a Laminar Wedge?
Inside the hoof, thousands of tiny structures called laminae act like Velcro, securely attaching the hoof wall to the coffin bone. When a horse develops laminitis, these laminae become damaged and weakened. As the connection between the hoof wall and the bone begins to separate, we hear things like rotation or founder. This is very painful to the horse who's now walking on a bone that's detached from the hoof wall. A "gap" is then formed between the bone & hoof wall. Over time, this gap fills with inflamed stretched, distorted horn, creating what we call a laminar wedge. That's what can be seen in the pictures, observed as a "dished toe".
A laminar wedge is often a visible sign of chronic laminitis and indicates that the hoof wall is no longer tightly connected to the bone as it should be. This separation can contribute to hoof distortion, discomfort, and reduced stability within the hoof capsule.
The goal of therapeutic hoof care is to support the internal structures, reduce mechanical stress on the damaged laminae, and encourage healthier hoof growth over time. How do we know when we're achieving this? When a full new hoof capsule grows in (6 months to a year) reveling improved angles (less "dish" = better internal connection). This can be seen in the pictures I've attached. I've been working on this horse for over 6 month's now and I'm very happy with the progress! We're definitely achieving a better internal connection and this is only the beginning! He's been trimmed every 4-5 weeks. The owner made the necessary diet changes and followed vet recommendations for metabolic related treatment. We now have a healthier hoof and a happy trail horse. š„° Did I mention- I pulled his shoes, did a couple rounds of casting, and he's now barefoot! ā¤ļøš“