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Laminitic with Eva foam leather clogs

Some farriers will disagree with this method. However many have positive results with this. This a laminitic mare. You can see the sinking and misalignment in the radiographs. Very little sole depth.
With this package she’s now comfortable and in a position to heal, presuming her insulin resistance remains under control.
These are EVA leather clogs. They will conform to the horses sole giving full solar and frog support. They also allow the horse to wedge herself the correct amount for proper phalangeal alignment. This alignment and support is key to regenerating internal structures and allowing proper blood flow. 
The clogs are screwed on from the top. This is done instead of nails from the bottom because you don’t get vibrations from the nails resonating into the overly sensitive laminitic foot. 
The heel bulbs are then protected with dental impression material and the foot is casted with fibreglass casting material. The casting allows me to be more aggressive in my trim to remove distortion. This allows for new growth to come in clean and functional and removes excess leverage. 
When dealing with laminitis the shoeing prescription serves primarily to keep the horse comfortable. The rest lies primarily on the owner and veterinarian to come up with a dietary program to manage. In the case of pituitary dysfunction a drug management program may also be involved. The success of any laminitis case is dependent purely on owner management. 
Feeling bad for muzzling a laminitic horse, sneaking them grain and treats can literally kill them.

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Collateral ligament shoe

Collateral ligament shoe I made for a horse today. Prescribed by vet for a lateral laceration to pastern. 
This shoe is significantly wider on the lateral branch, this allows the outside of the foot to float in soft footing and the inside to sink. Ideally causing minimal strain on the outside of the foot. 
As much as I was cursing making this shoe, it’s pretty satisfying to make a pair of shoes from a piece of steel and have them nail up nicely.

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Hoof Pastern Alignment 

Sometimes feet that are less than ideal are not so obvious. However some simple mechanical realignment can help gain a healthier foot and ideally start to grow enough heel to get natural alignment. 
In the after photos you can notice a difference in how the legs are positioned under the horse and helping to support the horse as they should. 
This horse has some internal trauma to the foot which was the reason for veterinary involvement. It is also suffering from long toe and low heel. This contributes to poor blood flow, weight distribution and ultimately thin soles and poor growth. 
This horse is in outdoor muddy turnout so bar shoes were not the best option. However a frog support pad, a wedge pad and some pour in equipak material was the chosen package between myself and the vet. 
The better alignment and frog support will help restore proper blood flow to the foot. This will allow for faster heeling and help to grow heel as we pull the toe back to where it should be as per the radiographs.