Laminitis is one of the most painful and debilitating conditions in horses, causing damage to the sensitive structures of the hoof. Prevention through dietary management is the primary welfare strategy.
Laminitis welfare significance is extreme - full rotation or sinking founder causes some of the most severe pain experienced by any domestic animal. Prevention is overwhelmingly preferable to treatment: monitoring risk factors, managing body condition, restricting spring grass access for susceptible horses, and addressing PPID early all reduce laminitis risk substantially. Once laminitis occurs, immediate NSAID pain relief is welfare-critical rather than optional. Long-term management of chronic laminitis requires veterinary, farriery, and nutritional expertise working in combination. Quality-of-life assessment using pain scoring tools is essential for horses with repeated laminitis episodes to guide end-of-life decisions.