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Rapid diagnosis of laminitis is often difficult, since the general problem often starts somewhere else in the horse's body. With modern therapies, most laminitics will be able to bear a rider or completely recover, if treated quickly, and if the laminitis was not severe or complicated (e.g. by equine metabolic syndrome or Cushing's disease ...
Although support-limb laminitis is a risk for any horse that is not weight-bearing lame, occurring in roughly 16% of cases, it is uncommon in foals and yearlings. [135] It usually occurs weeks to months after the initial cause of lameness, [ 136 ] and greatly increases the likelihood of euthanasia of the patient. [ 137 ]
Additionally, horses with a hind limb lameness will tend to reduce the degree of leg use. To do so, some horses will reduce the contraction time of the gluteals on the side of the lame leg, leading to a "hip roll" or "hip dip" and appearance that the hip drops a greater degree on the side of the lame leg. [10]
By July 13, Barbaro had developed a severe case of laminitis in the left hind hoof—a potentially life-threatening affliction that is common in horses who shift weight to one hoof for extended periods to keep pressure off an injured hoof.
The prognosis for a horse with navicular syndrome is guarded. Many times the horse does not return to its former level of competition. Others are retired. Eventually all horses with the syndrome will need to lessen the strenuousness of their work, but with proper management, a horse with navicular syndrome can remain useful for some time.
Horses usually require 3–6 days of treatment before clinical signs improve. [30] Due to the risk of endotoxemia, laminitis is a potential complication for horses suffering from colitis, and may become the primary cause for euthanasia. Horses are also at increased risk of thrombophlebitis. [31]
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