Laminitis care

Malicob23

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Really need some advice having owned horses lifelong but never a Shetland and never any laminitis. I've an elderly who arrived just before winter having weaned her last of a long line of foals.
She's not ever coped with rain and wind here and shivers to the point she's needed a light rug in bad weather and as we live very high up it's mountainous, open and the wind is truly horrendous. I am in the process of trying to build a shelter but there are hedges with hollows carved out for both my ponies to stand in.
After being quite slim until summer she's now a complete tub and last week went lame very badly on what looked like one front. After a couple of days on bute and being confined to a muddy little patch with no grass at all she wasn't looking better and I struggled to get her Bfoot trimmer out but eventually got a very good new Farrier. He immediately said it's laminitis, not that bad but her hooves show a slight dip in the front walls so she's definitely had it in the past and it's the old story, the previous owner told me she'd never once had it.
He trimmed back the toes as far as he dared and will return in 3 weeks.
Her current diet is a tiny handful of very low sugar mash with a few garlic grains to get the bute to her twice a day then every few hours a very small handful of low sugar wrapped hay or haylage and I'm careful to check sugar and protein levels on what I buy as the other pony needs weight management too.
The Farrier had me walk her up and said he wasn't bothered enough to say get the vet, but as I have no stable or proper field shelter yet, to keep both ponies completely off grazing on the muddy little patch I have which is very soft underfoot but nonetheless a small paddock. Ideally of course I'd have her stabled on a deep bed etc but this is our situation right now and there's no neighbours for miles so nobody to board her. It's hard to see what's what as it's still muddy even in August and the weather is totally horrible to the point she looks miserable shaky and lame. The shaking/shivering isn't a new thing in bad weather but somehow coupled with the lameness now looks far worse and obviously I've owner's guilt she's got laminitis as her actual field genuinely looks very bare and rough so I didn't see it coming, I thought I was controlling diet for both ponies so it would be an abscess.
Time wise, she has been lame a week now but I thought she seemed slower the week before that however since she's 20 I put it down to that.
After a week of bute and no grazing whatsoever limited moving and a decent foot trim, is this normal for laminitis? At what point would you expect any improvement?
Please no judgement regarding lack of stable and taking farrier advice to postpone vet visit. I'm guilty enough without that.
 

meleeka

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Well if you were box resting the usual advice is a month for every week they had acute laminitis, so you are early days yet. I'd keep her on the bare paddock and rug if needed. I don't think it's fair to leave a pony shivering if they are cold, all that will do is make her stiff on top of everything else. you could give very low calorie chaff to bulk her hay ration, which will help keep her warm. If the ground is soft that will help with her soreness so she's better off where she is at the moment. You could also investigate boots with yoga mats inside to make her more comfortable. You can normally pick them up second hand if you have measurements, but do be wary of scammers! Mine needed boots for a couple of months.

ETA- At 20 I'd also be getting a cushings test done as that can also affect temperature regulation.
 
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Pearlsacarolsinger

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I would get the vet out asap and ask for a Prascend trial. It is likely that her ATCH test results will be high because of the laminitis anyway, so I wouldn't bother with the blood test and waiting for results. You will probably find that the Prascend helps her to recover from the laminitis. My mare had a grumbling abscess that just wouldn't clear up until we started her on Prascend. Poor temperature control can be a symptom of Cushings.
 

Highmileagecob

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Absolutely second Cushings test. Laminitis and difficulty controlling temperature would tick a couple of boxes for me. A low starch soaked feed such as sugar beet or Fast Fibre would replace grass and supplement her rations. Please don't try to starve weight off - work out how much she should be getting and be creative about making it last.
 

Malicob23

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Thank that's helpful. She's on a handful of a&p fast fibre to carry the bute and I never saw her hungry for much hay until now she's got zero grass. I missed a beat and assumed because I'm not feeding sugars and trying to keep her weight in check laminitis was low risk.
 

Pearlsacarolsinger

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Thank that's helpful. She's on a handful of a&p fast fibre to carry the bute and I never saw her hungry for much hay until now she's got zero grass. I missed a beat and assumed because I'm not feeding sugars and trying to keep her weight in check laminitis was low risk.
I have used plain oat straw chaff to fill up dieting equines. I got an obese mare down to an appropriate weight by allowing her ad-lib forage with most if it being oat straw chaff(Honeychop or Halleys)
 

Malicob23

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That seems better to me than just the single handful of hay each few hours as I've always done adlib hay in the past, it's only that I'm still struggling to get hay delivered having my supply suddenly stop twice where the farmers needed to conserve for their own animals so I'm buying ridiculously expensive haylage. That said the farrier did tell me he despairs of seeing laminitic ponies with constant access to hay so it's a bit of a minefield with the forage. I will get a bag of oatstraw chaff this afternoon but I'll need to be creative as it's windy enough to simply blow away if not dampened-
 

Malicob23

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What are thoughts on bute over the coming weeks if the lameness persists this way?
I used to have a huge mare on copious amounts of bute permanently for arthritis but my vet at the time thought the side effects were outweighed the pain relief and her lifespan was not going to be great.
However, this is a new breed to me, mini Shetland, so any thoughts please?
 

meleeka

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What are thoughts on bute over the coming weeks if the lameness persists this way?
I used to have a huge mare on copious amounts of bute permanently for arthritis but my vet at the time thought the side effects were outweighed the pain relief and her lifespan was not going to be great.
However, this is a new breed to me, mini Shetland, so any thoughts please?
Definitely carry on with bute if she needs it. You could drop it down as she feels more comfortable, then stop altogether when she's better. I would be wary of turning her back out until she's pretty sound anyway.
 

Pearlsacarolsinger

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Some vets will prescribe ACP for laminitis to help the blood flow.
I've always put chaff into a big trug to stop it flying away. Can you fix a trug to something, or weight it down?
 

The Xmas Furry

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OP, my vet preferred to give Rheumocam (expensive!) rather than bute to a mini shetland under 150kg - as far easier on the stomach and easier to up a dose and to get exact. Even danilon is kinder than bute on the gut.
Can you get a bale of hay in the car? Wrap in old sheet if necessary. 1 small bale ought to last a mini 8 to 10 days.
I would split a section in half - 1 half overnight and the other divided into 2 again and given for breakfast and lunchtime.

Other v good advice above ref cushings test, rug if cold etc.

Edited to add, put hay in a net, dump it in a trough or even a haylage plastic sack, rinse through and leave to soak for 10 mins, drain and serve. Its vile if left to soak or hang around after soaking, in warm temps.
You need the weight to come off steadily, sudden restrictions can trigger all sorts of issues. A handful of hay isnt enough.
 
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Malicob23

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Update... the little one looked so much worse this lunch time so the vet has now been. The bad news is that all four feet are now affected but we're going to try for a few days as she's now had a pain killing injection and the vet thinks there might still be hope. I was duped every which way when I accepted this pony from the person who gave her to me having stopped breeding from her. I'd only seen her from across a field on one occasion and she was sent to me a few months later as a companion with the inevitable mistruths that she had never had laminitis, was very easy to catch etc etc. Both the vet and farrier say the hoof wall shows a bad attack from about the time I agreed to take her. If she makes an improvement following the pain relief I'm told we can do that again but equally if there's no change after the weekend it will be heartbreaking, as I wanted to give her retirement she deserved, being a beloved pet. So no bute until tomorrow, continue with the fast fibre and low sugar haylage, keeping her in the tiny muddy patch with her friend and rugged up against the cold. I'm gutted I initially didn't see it as laminitis, and that delayed any help for a few days. I also realise the Bf trimmer missed the signs she was a risk by the hoof shape and it took an actual farrier to spot it in about a second flat.

Hard lessons
 

JackFrost

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I'd talk to the vet first thing tomorrow about getting her on Prascend straight away . Feeling the cold +laminitis strongly suggests PPID/cushings. Prascend can be a game changer.
It takes (I think) a couple of weeks to start being effective, so needs a proper discussion with vet on how to manage the various treatments right now.
 

Malicob23

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I'd talk to the vet first thing tomorrow about getting her on Prascend straight away . Feeling the cold +laminitis strongly suggests PPID/cushings. Prascend can be a game changer.
It takes (I think) a couple of weeks to start being effective, so needs a proper discussion with vet on how to manage the various treatments right now.
I've had this conversation today with the attending vet but the thinking was that right now she's dealing with so much it's touch and go if she'll come through this at all but if she pulls through we can then work out how to manage it.
 

HopOnTrot

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I don’t think anyone understands how hard laminitis is until it you have to deal with it, my 13.2 is out in a bare paddock but even then has to be muzzled, once you know the warning signs you can spot it quickly and manage it. I check pulses every day and monitor how puffy she is above her eyes.

What ever happens it sounds like you are putting her first now and that’s a good retirement no matter the length.
 

Malicob23

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I don’t think anyone understands how hard laminitis is until it you have to deal with it, my 13.2 is out in a bare paddock but even then has to be muzzled, once you know the warning signs you can spot it quickly and manage it. I check pulses every day and monitor how puffy she is above her eyes.

What ever happens it sounds like you are putting her first now and that’s a good retirement no matter the length.
Thank you so much for that kindness. I truly appreciate that right now.
 

winnie

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I do feel for you and you are doing a wonderful thing, giving her a good retirement however long or short it will be. I know how stressful this is for you but you can only do your best and she will enjoy having proper one to one love and attention, probably for the first time in her life. I am also new to the breed and have recently taken on 2 old Shetlands as companions. The first is a 25 yo mini gelding who had been neglected for several years. He is vey thin and also feels the cold in the summer when it rains but is fine in winter when he has his thick coat. So he's rugged only in spring and summer when it is wet. I'm going to get him tested for Cushings too. I will consider hoof boots if he ever shows signs of laminitis - have seen you can get tiny ones and boots can make a massive difference to pain levels. My other Shetland is an 18yo who was a brood mare all her life until she came to me. She came to me just 6 months ago and I don't think had been handled much at all. She was impossible to catch, put headcollar on and couldn't get her feet trimmed for a few months. But with lots of work she is tons better now and it's lovely watching her character develop as she starts to trust me. These Shetlands are very rewarding but hard work! Well done for giving your girl a chance.
 

Highmileagecob

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Laminitis is one of the last things to show up in a Cushings pony. Unfortunately, the pain levels associated with Cushings are often hard to manage. Prascend will turn things around if she responds to it. It was a last resort for my daughters gymkhana pony some years ago, but unfortunately he didn't respond and it wasn't a happy ending. Sending all good vibes your way.
 

Malicob23

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Update to the lovely people here who try to help with support and info.
Since the other day when I actually thought it was the end, the little one is looking quite a bit better especially standing and going over to her water. She's mooching for treats and asking for grooming so she must feel a bit brighter. I've had a chat with the vet and we've agreed to watch and wait unless she goes downhill again but either way the vet will check in end of this week.
I never thought I'd be so grateful for a tiny deeply muddy enclosure but it goes to show, everything has its place with horses,or dogs for that matter. I've a big pack of rescue dogs and the old boy who loves a job now sits out with the pony and patrols her pen as he's aware she's vulnerable. Many flowing tears this week!
 

Malicob23

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Liphook used to do free Cushings testing. Maybe ask your vet if free tests are still available. Hope she continues to make progress.
I'll ask at the next visit if she is still improving, I feel I can't quite breathe easy just yet. I'm also now scouring the empty fields for troublesome plants as we get alot of wild foxgloves and there's been discoveries of giant hogweed nearby, not to mention the different trees surrounding their bottom bit of ground. Someone pointed out that because their fields are bare perhaps she found other things to eat, but then again they certainly aren't starving.
 
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