b'LEARNING/RESEARCHTreatmentReshod the horse with Imprint Sport shoes in front and trimmed the hinds as previously carried out.ResultThe patients condition had stabilised and was making good progress. The case was handed back to John Stanley the regular farrier to continue with the work. The owner was delightedthere was much work to do but he was looking like a sound horse and the hoof was growing out healthily. A positive result was anticipated, provided infection did not complicate matters. The regular farrier having attended and been fully aware of all that was carried out and confident of being able to continue the work, proceeded with no further issues. All further communication both from farrier and owner was to report good progress and that Murphy was full of joie de vivre!FootnoteThis case is one example of when farriers and vets collaborate with the best interest of the patient in mind, and in this case a pleasing outcome was achieved. What can be learned from this case? To begin with, as a substantial sized cob, the horse was a high risk regarding potentially becoming a laminitic casualty, and when larger horses succumb they are harder to treat than, say, a 13hh pony. Farriery involvement from the onset would have been desirable and possibly speeded the patients recovery. Having seen many similar cases recover from being in a similar condition brings one to the conclusion that if managed well and as with previous cases this one too may rally. It was on this premise that a cautiously optimistic prognosis was mooted. The owner would have been pleased if he was able to recover to be field sound; the reality was that he went on to do as much as he had done prior to the laminitis.How was the above achieved? Attention to detail. All hoof trimming was taken with reference to the deep anatomy,sacrificing the toe of the hoof. Comfort and hoof integrity were balancing the hoof to the actual bone alignment on all planes.and are high ideals.Before treatment when the horse was asked to walk he toeShoe placement and support: The shoe was placed as close to flicked and the hoof landed heel first. It is impossible for acentral beneath P3 as could be achieved with the frog cradle horse with a contracted DDFT to do this; in fact this is anproviding a three dimensional finite base to inhibit further indicator of excess heel.rotation or sinking of the bone. The shoe was fitted so that the Chase the bone is one of my mottos, that is: keep thesole was elevated to alleviate direct loading and yet maintain phalangeal bones in true alignment and balance and you haveessential access to the sole for treatment and ventilation; this the foundation of a sound procedure. The strength of the hoofis an important aspect when treating all laminitic cases. The capsule was not compromised even though it was partiallypoint of breakover was set under the toe to shorten the lever detached, mechanical function could be achieved withoutarm.Owners report, August 2019Four years on from serious laminitis, when a deep digital flexor tenotomy on Murphy would have left him unrideable, Murphy is back to his old seld. At the time, the attending vet was sceptical of your methods, but after seeing what you were doing, went away with the greatest respect for your techniques.Murphy was treated by you in September and November 2015, recommended by my regular farrier. After your treatment, my regular farrier took over and carried out your follow-up treatment instructions. Murphy was looking well and sound by mid November 2015five months after onsethe was led out in hand on soft/smooth ground for 20 minutes or so. In late November he was regularly led out with a stable mate for around 40 minutes. He stayed sound and looked to be getting back to his old self.By June 2016, he remained sound, and was being gently ridden on soft going. From 2017 to date, Murphy has been taking part in hunt rides, etc. We are members of Endurance GB (EGB) and take part in their organised rides not more than 10 to 12 miles (because we get bored after that distance!) He is slim, fit, on a permanent diet as per your instructions/orders. Speedy beet has been a good find. Even my farrier has remarked on how well and fit he looks!The vets were impressed and I think have taken note of your methods. Thank you for your advice and keeping Murphy on the go. Anne Goodall, and MurphyNovember 2019|FORGE| 2718-30 NOV section 3.indd 27 29/10/2019 10:18'