S9E07 Laminitis aka Founder

In this comprehensive episode of *Straight from the Horse Doctor's Mouth*, Dr. Erica Latcher and host Justin Long dive deep into laminitis—commonly known as 'founder'—one of the most devastating and complex conditions in equine medicine. The discussion covers both the metabolic (fat horse) and systemic (sick horse) forms of laminitis, explaining how inflammation of the hoof's laminae—comparing it to shag carpet Velcro—leads to pain, rotation, and even sinking of the coffin bone. Dr. Latcher emphasizes that laminitis is not a static condition but a dynamic process influenced by insulin dysregulation, toxins from colic or pneumonia, and poor blood flow. Key updates include the critical importance of continuous ice therapy for sick horses, the revolutionary role of SGLT2 inhibitor drugs like Artugliflozin (the 'Flozins'), and advanced farriery techniques such as Redden Ultimate shoes and squish pads. The episode stresses early detection through regular exams, foot x-rays, and farrier collaboration, with a strong message that timely intervention dramatically improves outcomes and reduces long-term costs. The hosts also address the emotional and financial toll of managing laminitis, urging owners to recognize when to continue treatment versus when to consider humane end-of-life decisions.