Laminitis is one of the most painful conditions in horses and is largely preventable through appropriate pasture management and dietary control in at-risk animals.
Laminitis causes severe foot pain from inflammation and disruption of the sensitive laminae connecting the pedal bone to the hoof wall. In severe cases the pedal bone rotates or sinks, causing permanent structural damage. The pain during acute laminitis is among the most severe in equine medicine. Prevention through pasture management is far more effective and welfare-positive than treatment after the event. At-risk horses should be monitored with regular insulin testing, bodyweight management, and strict pasture access control during high-risk periods.