It must be spring if talk about horses turns to founder. To some, founder is a
serious disease, to others a temporary nuisance when their horse seems a
little "foot-sore" for a week or two. Most know that horses on those early,
fast-growing pastures seem to get founder in spring more than any other time of year.
But does anyone really know what it is?
What is Founder?
Founder is a general term that may mean different things to different people.
The clinical name laminitis narrows down what most people would call founder.
Laminitis is a swelling inside the horse's foot. Because it is inside the foot,
the swelling creates special problems mostly because the hoof is a rigid structure
that surrounds a bone. The only place that can swell is between the hoof wall
and the bone where the blood supply passes through to nourish the foot.
This narrow space is where the laminae are located.
Laminae form the latticework that connects the inside of the hoof wall to the
surface of the bone. Laminae on the inside surface of the hoof wall interlock
with laminae covering the bone, and where they meet creates a connection similar to
Velcro. The connection is strong, has many blood vessels running through it,
and is responsible for supporting the weight of the horse. The health of the foot
depends on the health of the laminae, and when laminitis occurs, the horse is in
serious trouble.
If the swelling is minimal, the laminae may recover without much damage. As the
swelling increases, a cascade of complications may result. First, the swelling
creates pressure inside the foot that diminishes blood flow. Without enough blood,
the laminae begin to die. Dead laminae don't bind together and the wall actually
separates from the bone. In some this separation can be seen on the underside of the
foot where the sole and wall meet (the area known as the white line).
Separation of the foot is bad enough; in some cases this separation may not be
complete and only separates in patches around the foot. But any kind of separation
can create a rotation of the coffin bone inside the foot because the supporting
laminae aren't supporting the bone in place anymore. The tension from the muscles in
the leg, normally counteracted by the strong connection of the laminae,
is now strong enough to pull the back of the bone up towards the leg,
thus causing the toe of the bone to point downward. This rotation of the
bone can be so severe that the bone could penetrate the sole of the horse's foot.
Even if the horse recovers, too much rotation and the animal won't ever be sound again.
Inflammation of the laminae could lead to separation, causing rotation of the bone. Or the separation
could be so severe that the entire bone actually drops away from the hoof wall. This occurrence,
often termed a "sinker," is a precursor of the complete sloughing of the foot. At this point, the horse
has little to no hope of survival. Deaths in these cases usually result from infections to the exposed laminae.
Because of the progression of laminitis, it should be considered a genuine threat to the horse's life.
If the condition is caught in time, there is hope that the progression can be stopped and the horse saved.
Catching it in time means knowing what to look for.
Signs and Symptoms
Of course the most obvious sign is that the horse is lame. This is not a typical lameness where the horse is
nodding his head and limping on one foot. Laminitis almost always affects both front feet at once,
and very rarely, all four. In early stages, the horse will try to shift his weight from one foot to another
as if he can't decide which foot hurts worse. The pain becomes more severe, and the horse will try to shift his
weight backward by stretching his front feet forward and almost squatting on his hind legs.
If all four feet are affected, the horse may be in a more exaggerated sitting position, trying to stay on the bulbs
of the heels, or the horse may lie down and refuse to get up. The main symptom to watch for is lameness
in both front feet at the same time.
Other signs that an owner can check are a definite warmth to the outside of the foot, a strong digital
pulse, and a heart rate over 50 (normal heart rates range from 30-40). When the vet arrives he'll also check
the horse's temperature, and use hoof testers to try and determine if the pain is localized anywhere on the foot.
With laminitis, a horse will test positive with hoof testers over the entire foot, not in any one particular place.
Once the vet has diagnosed the horse with laminitis, the cause of the laminitis will be discussed.
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