Page 263 - The Veterinary Care of the Horse
P. 263

If a hormonal condition, e.g. EMS or PPID is suspected, the animal should be tested and

        treated if the disease is confirmed.
  VetBooks.ir  3 TO RELIEVE THE PAIN AND PROVIDE EMERGENCY FIRST AID TO



        HELP STABILIZE THE PEDAL BONE WITHIN THE HOOF CAPSULE AND

        RESTORE THE BLOOD SUPPLY TO THE FOOT
        The horse or pony should be managed in the following way.

        •    Confined to a stable with a thick, non-edible bed of wood shavings, sand or peat (45 cm

             [18 in] thick); these materials conform to the shape of the foot and provide some support
             and comfort. A comfortable bed encourages the animal to lie down more and this reduces
             the mechanical strain on the laminae.

        •    Given  non-steroidal  anti-inflammatory  drugs  such  as  flunixin  or  phenylbutazone  to

             reduce the pain and inflammation. Flunixin and phenylbutazone may be used together in
             lower doses during the early stages of laminitis; phenylbutazone is considered to be the

             most effective analgesic while flunixin has anti-endotoxic effects. The dose should be
             kept to the minimum necessary to control the pain in order to avoid side effects such as

             gastric ulceration; this is especially important in ponies and older horses. If these drugs
             do  not  provide  sufficient  analgesia,  more  sophisticated  drug  combinations  can  be
             delivered by an infusion pump.

        •    Fitted  with  frog  supports.  As  a  temporary,  emergency  measure,  the  frog  may  be

             supported  with  a  roll  of  bandage,  pieces  of  carpet  cut  to  the  shape  of  the  frog  or  a
             commercially available frog support pad bandaged in place. If the horse is found in the
             field, these should be fitted before asking the horse to walk very far; the best solution is

             to apply frog supports and box the horse if any distance is involved.



        How to fit a frog support

        •    Pick out the feet and remove any residual debris with a soft brush. Examine each foot

             carefully. If the frog is level with the weight-bearing surface of the hoof wall or shoe,
             there is no need to fit a support. Keep the horse on a deep bed of shavings.

        •    If the frog is not level with the weight-bearing surface, use a commercially available frog

             support or place a roll of bandage over the frog so that it ends 1 cm (  in) short of the
             point  of the frog (Figure 6.47).  When  the  bandage  is  compressed  firmly,  it  should  be
             level with the wall of the hoof or the ground surface of the shoe, if the horse is shod. If

             the  frog  support  is  too  thick  it  will  put  pressure  on  the  frog  and  increase  the  horse’s
             discomfort.
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