Laminitis advice needed- also in Veterinary- long sorry!

wormhugs

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Apologies for multiple posting, but there is more traffic in here
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I need a bit of advice everybody! I havent been in this situation before so any help appreciated.
My horse has been a laminitic for 3 years. It started as a weight bearing laminitis as a result of a bruised sole and the vet said that he wouldnt be at an increased risk of grass laminitis as it didnt cause it the first time. Well he was and last year came down with it very suddenly.
This year I have been super paranoid and he had his muzzle on from the beginning of April on alternate days on winter grazing.
3 weeks ago, YO decided to turn him out on rich grazing for 2 days without prior warning despite my asking to be told if he was to be moved. A day or 2 later I found digital pulses in all 4 feet and he was a bit short in front. Vet advised box rest for 3 days. He doesnt cope well with being in by himself (box walks, constant neighing) and after 2 days a different vet said I could turn him out on small pretty bare paddock with muzzle on.
And thats still the situation. Its 3 weeks on and nothing has changed. He still has digital pulses in all 4 feet but has only been a bit pottery twice. He doesnt appear to be in any pain the rest of the time. The pulses fluctuate- some days they are weaker and I think there is an improvement, but the next day they are back. They are not 'bounding', but definitely detectable.
My question is really, is it just going to take time to return to normal, or do I need to be managing him differently?
He is fed 1/2 scoop of Safe & Sound twice a day, is turned out 8-4 and gets haylage at night. The haylege was only cut 3 days before the hay so is not nearly as rich as normal haylege and the alternative is really grotty hay. He is also slightly underweight (ribs visible) as I have been totally paranoid all winter, fat lot of good its done me!
Wine and chocolate cookies if you've made it this far!!
 
Whenever mine gets it , pottery signs, I bring him in for a month. Its awful but it goes away completely if kept in. Its a nightmare. I have tried everything in the past 4 years and he still got it. Now I am at a new yard and he is out 24/7, in a tennis court sized area,so I will try this approach! The only way to avoid it is no grass at all ever. I have tried muzzles, in at night, in during the day, Cushings tests, Lamigard, this feed that feed, etc etc. I was at a farm with very rich fertilised grass, and run by an idiot. Now I am at a lovely knowledeable place. YO owner said stick him out, abandon all additives and hay unless grass is non existent and let him be a horse. vet said yea, go ahead and see what happens. I am sick of trying this and that and he still got it, so Ok he may well get it again, but at least when he is ok he is having a ball.
I have posted many many times on here to get advice, it helps.
 
Hi there,
it is such a nightmare isnt it! I had been sooo careful this year, and then wham, on to rich grass without any warning. I do hope your boy thrives in his new environment. Good luck
x
 
I would keep him in on a very thick bed until the digital pulse dissapears completly for 7 consecutive days. Only feed him on 2 hour completly soaked hay to remove all the nutrients.

Then keep him in a well grazed minute paddock of no more than one quarter of an acre. Laminitis can be caused by a number of things including emerging encysted Red Worms so make sure that you worm for them at least twice a year with a wormer that deals with them.



When you hack out avoid any stones etc. that may cause a bruised sole.
 
He will get used to it, hopefully! its the only way, 30 days box rest then he will be ready for life in the fast lane! Be strong, its hard but worth it. I know! been there lots!!
 
If you are keeping him in I would ask your vet about perhaps giving him some ACP. Not only might it keep him calmer in the stable but it is often prescribed in laminitis cases to improve blood flow in the feet
 
Having native ponies I'm afraid I've been in this situation a few times and the only solution unfortunately is box rest with a big bed, ideally not straw. The same thing happened to our Fell Pony years ago, YO put her onto lush spring grass and within 2 hours she was down!! We were advised to keep her stabled for 4 weeks, Gypsy wasn't one for the stable - she had climbed the door twice! - so we had to give her sedatives twice a day to stop her hurting herself! But sure enough she was right as rain, for a few weeks at least until the same YO dropped her foot and bruised her sole - another 2 weeks box rest!!
 
Definitely agree with the majority of posts - a months rest and ACP which helps the blood flow and encourages them to lie down (and should calm him down). Big thick shavings bed as softer but more supportive on the soles and level all over stable including near door.Whilst recovering from lami I was advised that my pony needs to be off her feet, the pottering is because they are in pain so as little movement as possible. Once they are better then gentle exercise is good as increases blood flow so bare paddock or muzzles. Have yo utried a mirror to help with anxiety in the stable? They do adjust to box rest but the surroundings need to be calm as possible.
 
At least 12" of shavings over the whole stable was the order for my pony. Wouldn't want to feed haylage either, just well soaked hay. According to the Laminitis trust they should also be kept this way for a month following the withdrawal of painkillers (painkillers withdrawn when pony sound). Is there any reason for feeding the safe and sound? I'd just feed a handful, enough to mix meds with.

I wish you the best luck for your pony's recovery.

Jo x
 
Thanks everyone for your replies, am going to phone the vet now to arrange a visit this pm.
The safe and sound really is not much more than a handful, he gets it to carry his supplements and cos everyone else gets a breakfast and dinner bucket. He is slightly underweight, so I dont think this is doing any harm. Poor boy, if he ever got to see the volumes other ponies got in their buckets he would be sooo cross!
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That was me making assumptions and thinking he was fat! Yes I agree totally that he needs his breakfast and dinner however small, for his mental health apart from anything else. I bet he really looks forward to his bucket!

Jo x
 
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