Laminitis is one of the most painful and welfare-compromising conditions in horses, requiring lifelong management after recovery from acute episodes.
Laminitis welfare management must be viewed as lifelong after any significant episode. The structural changes from even a single severe episode create permanent vulnerability to recurrence. Owners managing horses post-laminitis face daily decisions about turnout, grazing access, diet and exercise that are welfare-critical. Equine metabolic syndrome requires ongoing management beyond simply restricting grass access. Regular farriery with a specialist understanding of post-laminitis hoof mechanics maintains comfort and mobility. Welfare assessment should regularly evaluate pain level and quality of life.