Supporting limb laminitis (SLL) appears to have a unique pathophysiology compared to other types of laminitis; decreased perfusion likely to play a role in the disease process. Recent data (Univ. of Queensland) indicate that it may not be the excessive weight on the supporting limb that initiates the disease process in SLL, but more the lack of movement of the limb,According to our survey, the classic horse at risk of laminitis would be a large horse suffering moderate to severe pain from a septic synovial structure or fractured limb, with the first clinical signs of SLL (occurring 2-4 weeks post initiation of treatment for the original injury) being increased digital pulses on the supporting limb and a sudden increase in weight bearing on the originally affected limb.
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