LAMINITE EM ÉGUA MANGALARGA MACHADOR ATENDIDA NO MUNICÍPIO DE GUIMARÂNIA - MG: relato de caso
Authors: Jhonathan Peres Hermenegildo, Jonathan de Oliveira Gonçalves, Paulo Rufino Paulino Vieira
Journal: Scientia Generalis
Summary
# Editorial Summary: Chronic Laminitis Management in an Adult Warmblood This case report documents the successful management of chronic laminitis with third phalanx rotation in a Mangalarga Machador mare, providing clinically relevant insights into a condition that demands swift, multifaceted intervention. Diagnosis was confirmed radiographically, revealing corneal capsule sinking alongside skeletal changes; clinical presentation included marked forelimb lameness, hoof hyperthermia, elevated digital pulse and recumbency. The treatment protocol combined corrective trimming with synthetic plaster-and-silicone orthopedic boots, a multimodal pharmaceutical approach (phenylbutazone, gabapentin and amitriptyline for pain control, firocoxib for inflammation, omeprazole for gastric protection), and dietary management restricted to high-roughage forage. The combination of phenylbutazone, gabapentin and amitriptyline proved particularly effective for managing chronic pain, whilst regular farriery, heart-bar shoe application and pasture-based nutrition facilitated sufficient functional recovery for the horse to resume athletic work within a relatively short timeframe. For practitioners, this case reinforces that chronic laminitis—even with skeletal involvement—warrants aggressive pain management and corrective trimming alongside nutritional standardisation, as this integrated approach can substantially improve prognosis and return to performance rather than accepting permanent disability.
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Practical Takeaways
- •Chronic laminitis cases may recover to functional athletic status with aggressive multimodal analgesia (phenylbutazone + gabapentin + amitriptyline) combined with corrective farriery and orthopedic support
- •High-roughage diet (grass-based) should be prioritized during laminitis recovery alongside pharmaceutical and mechanical interventions
- •Regular corrective trimming with appropriate hoof support (heart-shaped shoes, orthopedic boots) is essential for pain relief and structural stabilization in rotational laminitis cases
Key Findings
- •Chronic laminitis with third phalanx rotation and corneal casing sinking confirmed by radiography in a Mangalarga Machador mare
- •Multimodal pain management with phenylbutazone, gabapentin, and amitriptyline effectively controlled chronic pain and enabled rapid recovery
- •Corrective farriery (trimming and heart-shaped horseshoes) combined with high-roughage diet and orthopedic support (synthetic plaster and silicone boots) facilitated return to athletic activity