AVA Conference Brisbane 2018

Once you have made a diagnosis of endocrinopathic laminitis, it is important to use that information to guide treatment of the acute laminitis episode as well as to guide long term management to prevent recurrence. However, not all endocrinopathic laminitis cases are lame and the importance of recognising sub clinical laminitis and the development of divergent hoof rings or other hoof capsular changes to enable preventive strategies to be implemented are emphasised. The aims of this presentation are to: 1. Discuss management of the acute case including managing the pain, providing hoof support and preventing further damage as well as immediate endocrine treatment considerations. The evidence for medical options beyond NSAIDs will be discussed. 2. Discuss management of the endocrine laminitis case after the acute episode, where the management focus is on the underlying cause, principally reduction of reduction of hyperinsulinaemia and improvement of insulin sensitivity using dietary management, exercise and medical therapy, depending on the case. 3. Provide case based examples of endocrinopathic laminitis management, including longer term management, pitfalls and difficulties that may be encountered. This includes consideration of the owner and their requirements – how to tailor your plan to ensure owner compliance and equine welfare.