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The treatment of equine lameness is a complex subject. Lameness in horses has a variety of causes, and treatment must be tailored to the type and degree of injury, as well as the financial capabilities of the owner. Treatment may be applied locally, systemically, or intralesionally, and the strategy for treatment may change as healing progresses.
A lameness exam is used to try to pinpoint the cause of lameness in the horse, which subsequently guides treatment. It is the first step to evaluate decreased performance in an equine athlete, even if the horse does not appear overtly lame, to rule out any pain-associated cause.
Horses are best managed by only allowing short grazing periods—less than 1 hour since they can rapidly ingest grass, [18] or confining them to a limited turn-out area or by use of a grazing muzzle. Horses with severe IR, that have recurrent laminitis, are not recommended to return to pasture. Hay low in NSC is provided in place of pasture.
A horse can live with laminitis for many years, and although a single episode of laminitis predisposes to further episodes, with good management and prompt treatment it is by no means the catastrophe sometimes supposed: most horses suffering an acute episode without pedal bone displacement make a complete functional recovery. Some ...
People on both sides agree that proper hoof shape and angle are an important long-term management plan for a horse with navicular disease. As with laminitis , different horses may respond in different ways to a given technique, so the farrier , owner, and veterinarian should work as a team to formulate a plan and to adapt if the initial plan is ...
Even hay/grass may be high enough in sugar to cause laminitis. A healthy diet for horses currently with or prone to laminitis is based on free access to hay that has been tested for carbohydrate content and found to be less than 10% WSC + starch, appropriate mineral supplementation, and no grain.
A horse with PPID, which has an overactive pars intermedia not regulated by glucocorticoid levels, does not suppress ACTH production and, therefore, cortisol levels remain high. False negatives can occur in early disease. [1] Additionally, dexamethasone administration may increase the risk of laminitis in horses already prone to the disease. [8]
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