Understanding Founder

Founder . . . if there is any emergency that a horseowner should be prepared for, this is the one. Founder is one of the most common causes of lameness and death in horses, but it doesn't have to be. Understanding founder, its causes and basic treatment can help you prevent it; or if it should occur, help you make informed decisions that may save your horse from a lifetime of unsoundness or death.

Defining Laminitis and Founder
By definition laminitis (or any "itis") is the inflammation of that tissue. In this case, the laminae in the hoof is inflamed. The lamina is an interwoven finger-like tissue that forms the bond between the hoof capsule and the coffin bone. In essence, it is the "glue that binds the foot together". (for more click on the image below).

Founder in its original definition is a nautical term that means to sink. Some foundered horses are still referred to as "sinkers" because their coffin bone (third phalanx or P3) has sunk within the hoof capsule. However, modern consideration of of the term is the effect of laminitis severe enough to have resulted in so much damage to the laminae that the bond between the coffin bone and the hoof capsule has broken and the bone has rotated, sunk or both.

Basic Symptoms and Emergency Treatment of Laminitis
Laminitis is divided into two significant stages - acute and chronic. Acute is the earliest stage when the horse is suffering the initial attack. This short window of opportunity is the time to take immediate action to prevent extensive damage that can result in founder. Gaining a basic understanding of the symptoms of acute laminitis and what action to take may save your horse's life.

Usually, the first visual sign of laminitis is lameness. The horse is often noted to look like it is "walking on eggshells". This quick, light stepping is visibly different from most other forms of lameness. In most cases, it is evident in both front feet, although it can be seen in only one, or occasionally in the back feet. Generally accompanying this lameness are elevated temperature in the feet and a bounding digital pulse. The horse may be in enough pain to make it unwilling to walk or stand. It also might assume the typical "founder stance" where the horse throws it weight onto the rear quarters and rocks back to place weight on its front heels rather than its painful toes.

Note: When taking the digital pulse, do not use your thumb. It has its own pulse which can be mistaken for the horse's. You may need to press relatively hard to find the pulse. Practicing ahead of time will help you determine what your horse's average pulse is. (see figure at left)

The first action is to call your veterinary. The next step is to remove all concentrates and to put the horse on a hay only diet. If possible the hay should be less than good quality. Hay older than 6 months and preferably a year old that is free of dust and mold is the most beneficial for horses that are laminitic. Because the forage is nutritionally insufficient, a quality equine vitamin/mineral mix is also recommended. Do not administer any drugs such as bute unless your vet advises so. This will mask the symptoms and may lead to a misdiagnosis.

During this time, forcing the circulatory system to function in a more normal fashion seems to limit the damage in most cases. Cold hosing or icing the feet (actually placing the feet in buckets and dumping ice in) is recommended. This should be done for approximately 30 - 40 minutes or until the ice melts. Then repeat at approximately 6 hour intervals for the next 24 - 48 hours. This timing emulates the natural "warming" of the feet that takes place in winter. As the temperatures drop in the feet, the blood supply is increased to help prevent freezing. Then, once warmed, the flow slows again until the cooling feet call again for warm blood. During a bout of laminitis, this cycle is broken and the laminae become gorged with blood and then it is believed that ischemia may set in as the circulatory system begins to return to normal.

Administering Universal Animal Antidote Gel (UAA - activated charcoal and clay) within the first 24 hours has also been successful in limiting the effect of toxins that were ingested or endotoxins released during the onset of laminitis. You can purchase UAA gel from local feed and tack stores, your vet, or online.

In cases of carbohydrate overload (excess grain, concentrates, or lush grass). feeding a human antacid such as Maalox or Pepto Bismal or acid buffering agent such as epsom salts, magnesium or a combination of magnesium and calcium counters affects of acidosis (more on this later).

Recognizing Risk Factors
There have always been certain risk factors that were understood as possible predispositions for founder, but there was a lack of understanding as to why those factors acted as laminitis triggers. However, in recent years, researchers have discovered the reasons behind these factors and given us an advantage in treating certain types of laminitis.

The following list of risk factors will help you determine if your horse is a candidate for laminitis:

 

 

  • cresty neck
  • fat pads around shoulders/withers area and tail head
  • overweight, easy keeper type
  • metabolic disorder (Cushings, thyroid, insulin resistance)
  • carbohydrate overload (spring grass, excess grain)
  • mineral imbalances
  • breed (pony, Morgan, gaited, Arab, Mustang)
  • allergic reactions
  • poisoning from plants or chemicals
  • retained placenta
  • other diseases, especially those with a high fever
  • excess weight bearing on one foot to compensate for an other injured foot
  • excessive concussion (road founder)
  • trimming "too short" that results in weakening the hoof
  • injuries or trauma to the foot

Signs of Founder

  • lameness - usually both front feet
  • elevated hoof temperature
  • bounding digital pulse
  • unwillingness to move or stand
  • founder stance

Making the Connection
Founder is usually divided into two main categories: metabolic and mechanical. Some of the risk factors listed above may be familiar to you, others may not be so obvious. To help clarify, let's look at the basic causes of laminitis.

It is common knowledge that "fat" horses are prone to founder. But, why is that? At the top of our list you noticed that a cresty neck, fat pads, and overweight or "easy keeper" were all key factors. One or all of these are often symptoms of an underlying metabolic disorder. The metabolic issues that are related to laminitis are Cushings (a tumor on the pituitary gland), insulin resistance (similar to Type II diabetes in humans), carbohydrate intolerance, and other hormonal imbalances that remain to be identified. In the case of the majority of metabolic issues, there is a direct relationship to a form of carbohydrate (sugar and starches) sensitivity

While most horses do not appear to have metabolic issues, there are some that are just genetically different and most likely have a predisposition for an intolerance to high intakes of carbohydrates. These types are generally labeled "easy keepers" and are often the ones that suffer laminitis from spring grass or overindulge of feed. The term "thrifty gene" has been associated with these horses. It is not a dysfunction of the system, but rather genetic hardwiring for survival. It is reasoned that these horses are attuned to surviving in times of drought, winter and other situations of inadequate food by relying on limited amounts of carbohydrates and having a natural tendency to accumulate fat stores to see them through times of need.

This "thrifty gene" or "easy keeper" syndrome is apparent in some breeds. Ponies seem to be most consistently linked to the risks associated with "easy keeper" syndrome. Likewise, some of the horses that we generally think are beautiful because of their long, thick manes and tails, rounded bodies, broad flat backs, and thick arched (cresty) necks seem to carry the genetic makeup that puts them at risk. Old style Morgans, Foundation Quarter Horses and Appaloosas, Arabs, Spanish breeds, drafts, gaited breeds, and domesticated Mustangs are all included in the "at risk" pool.

The second primary grouping of risk factors is related to toxic reactions. Allergies to drugs, inoculations, and certain plants can cause a reaction severe enough to result in laminitis. Similar reactions occur in cases where toxins are ingested in the form of chemical contaminants (high nitrate concentrates in water sources, pesticide run-off, and herbicides sprayed on plants along pasture fences) or poisonous plants. Spring "overload" in the form of inoculations coupled with slight pollen allergies, lush grass and/or hormonal changes may contribute to laminitis.

Retained placentas and laminitis that seems related to other diseases are also similar in nature to allergic or toxic reactions. Systemic conditions set up by the body to counteract the effects of the toxins released during illness or when a placenta is retained often set off a series of events that trigger laminitis.

The final grouping of factors are those related to what is commonly called "road founder". More correctly termed mechanical founder, the conditions for laminitis are set up by the health and integrity of the foot and the amount of trauma induced. Mechanical founder is often misdiagnosed as it is the "catch all" for "unknown" causes of laminitis. It is generally the easiest to deal with because the horse rarely has a repeat occurrence. Treatment is generally restoring the integrity of the feet and avoiding a repeat of the causative trauma.

Extended Treatment
In some cases, laminitis (especially that experienced from spring grass or mechanical means) is minor and will resolve itself in several days. However, more severe cases may become chronic (repeat or long lasting) and need additional diagnosis and treatment. These cases require a diligent team effort of the vet, farrier and owner. It is best to seek a veterinary and farrier experienced in treating chronic founder. Often, chronic cases are presented as intermittent lameness that damages the lamina and allows the coffin bone to slowly sink within the hoof capsule. "Sinkers" are generally regarded as the most severe cases and rarely recover to soundness as it is nearly impossible to restore the coffin bone to its original position.

Your veterinary should take x-rays of the feet to determine the amount of rotation or sinking. They then generally provide written instructions for, or consult with, the farrier. The primary goal will be to "de-rotate" the coffin bone and return it to is correct position within the hoof capsule. In addition to optimal hoof care, the underlying cause of the laminitis must be determined and treated.

Recent research indicates that many founder cases (especially those that are chronic) suffer from an underlying metabolic disorder. Some of the less severe cases have been successfully treated with the addition of magnesium to their diet. Supplementary magnesium is often needed in areas east of the Mississippi River because of a soil or plant deficiency. Magnesium is essential in cell wall health and neuron function. It is also needed to keep insulin receptors functioning properly. Additionally, magnesium is an acid buffer that helps reduce excess stomach acid and acidosis.

Recent research indicates that excess acid in the digestive track seems to be more common than was previously thought. Studies revealed that a high percentage of horses have ulcers. It is believed that many foals are even born with ulcers. Feeding large amounts of whole grains or concentrates can result in excess acid and possibly acidosis which may trigger laminitis. Horses are designed to digest concentrates in the stomach and small intestine, while forage passes to the large intestine to be broken down by microbial fermentation. The high levels of carbohydrates (sugars and starches) in concentrates are supposed to be converted and absorbed in the acid of the foregut. When they are forced to the large intestine (by being consumed in large volumes (more than 5 - 6 quarts per meal) or large amounts are consumed over the course of the day (such as while grazing lush spring pasture), it sets up an acid reaction in the hindgut that kills off the beneficial bacteria that helps with digestion. This rapid die-off results in the release of endotoxins that prompt a systemic enzymatic reaction that effects the feet.

It appears that some horses simply have an issue with carbohydrates in the form of sugars and starches and are prone to excess acid or acidosis. Therefore it is always wise to provide forage as the majority of your horse's meals.  It is recommended that upper limits of concentrates be less than 30% of the total diet. However, the safe limit for horses that may have a propensity to laminitis is suggested at 20% or less. It is also recommended that these cases be fed alternative forages as opposed to grains and commercial concentrates. Beet pulp and forage pellets or cubes may be substituted to add extra calories. For horses that do not have access to or are prohibited from grazing, a source of omeg-3 fatty acids should be provided. Flax (seed, meal or oil) or fish oil are good sources of these essential fatty acids.  Essential fatty acids also provide support for repairing and growing hoof tissues.

Many times it is necessary to confine horses prone to founder to dry lots or limit grass intake. Often, grazing muzzles help limit intake without the need for confinement. However, some horses learn to take them off and must be carefully monitored. Other methods are to provide limited grazing time or limited areas for grazing that have little or poor quality grass. Additionally, feeding hay before turnout will help the horse feel full and therefore encourage self-limitation of grazing.

Summary
Laminitis and founder can generally be controlled and do not have to be a life threatening issue. Being prepared to take immediate action if you suspect your horse is suffering a bout of laminitis is your best line of defense. If your horse does founder, you should consult with an experienced veterinary and farrier to devise a plan of optimal treatment. Returning the coffin bone to its correct position within the hoof capsule is important for optimal healing. Discovering and removing the underlying causer is imperative in preventing further bouts of laminitis or founder. Managing horses with metabolic issues on strict diets and discovering if they are deficient in minerals is also an essential part of extended treatment in keeping "at risk" horses healthy and laminitis-free.

This week's tip has provided you with some of the basics, but laminitis cases can be very complex. There is not "one cure fixes all". You may need to consult with a veterinary and/or farrier that have a variety of successful treatments available. A carefully chosen team and knowledgeable owner is the best chance your horse has of optimal recovery from founder. 

© Sue Baker, Russo's Tack Shack  2004

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