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Laminitis Quick Answers

Laminitis season can feel urgent—especially in spring. These quick answers summarize key guidance from Dr. James Orsini (UPenn New Bolton Center) and highlight what matters most: a continuous cooling protocol you can realistically maintain.

Can laminitis affect only one foot?

Yes. While it often involves both front feet, it can present in one foot, which is why it’s important to protect the “good” foot and keep hoof care consistent.

Why are ponies more prone to laminitis?

Ponies are often easy keepers and may be more sensitive to grass sugars. Practical management can include grazing muzzles and turnout timing—early morning or later day vs peak sun hours.

What causes laminitis?

Major pathways include systemic inflammation after illness,equine metabolic syndrome (EMS)/insulin resistance, and support-limb laminitis after injury.

What early signs should I watch for?

Common red flags include abounding digital pulse,sustained hoof warmth, increased weight shifting, and a shortened stride early on. Involve your veterinarian early when risk is suspected.

How does cooling help?

Cryotherapy helps by reducing inflammation and lowering the tissue’s glucose and oxygen requirements, creating a protective, “hibernation-like” effect during high-risk periods.

When does cooling matter most?

There’s often a window before clinical signs in high-risk horses. Starting early and maintaining cooling through the high-risk period (often 1–3 days) is emphasized.

Is there a target temperature?

A protective target discussed is maintaining hoof temperature below ~10°C—what matters is reaching it and keeping it consistent.

Watch Dr. Orsini’s Webinar

Laminitis specialist Dr. James Orsini, Founding Director of the Laminitis Institute and Associate Professor at the University of Pennsylvania's New Bolton Center explains the symptoms, ways to treatment of laminitis and how horse owner's can help prevent their horse from an episode of laminitis. 

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New Scientific Study Proves IceHorse's Laminitis Boot is Better by Miles

Something as serious as Laminitis needs the best treatment there is. A new study from the Department of Clinical Studies, New Bolton Center, School of Veterinary Medicine, University of Pennsylvania confirms IceHorse's dry cryotherapy is a much more effective cold therapy treatment than ice water buckets, gels or compression-based cold therapies.

View Study