| The developmental
or prodromal phase of laminitis can only be truly
observed when an event which is known to initiate
laminitis occurs. The date and time of the onset of this
condition until the date and time of the first symptoms
of pain or laminitis, defines the duration of this phase.
Laminitis is often a sequel to a disease or condition which in some
cases triggers laminitis.
All the listed conditions below are known to induce laminitis.
- Excess of carbohydrates (accidental access grain or over
feeding)
- Obesity (lush pasture)
- Enteritis
- Colitis
- Peritonitis
- Metritis & retained placenta
- Azoturia
Generally the duration of the developmental phase is considered to
last just a few days or hours at most, as a rule the triggering event
will cause laminitis in a very short time. When the triggering event is
unknown as in obesity induced laminitis, it's impossible to define the
duration of the developmental phase, which in these cases can be months.
The DWLT model of laminitis proposes that the systemic diseases
which are associated with laminitis are not acting directly on the
sensitive laminae but cause the heels of the hoof capsule to grow faster than
normal. The laminae and other sensitive structures are then traumatised
as the hoof capsule distorts beyond normal limits. The speed of heel growth, the shape and strength of the hoof
will determine the duration of the developmental phase and the severity
of the subsequent laminitis.
Despite encountering what could be a triggering event or being obese, not all
equines become laminitic, one possible reason is that weak
hoof capsules with flaring or dissipating heels will harmlessly splay
outwards when the heels start to grow faster (Fig 1) and not cause the
hoof capsule to distort at the toe. Another reason may
be that rapid heel growth is not always initiated in some cases.
Generally, stronger hoof capsules are intolerant to rapid heel
growth and become severely laminitic while weak flaring hooves don't
distort at the toe so the laminae are not traumatised. |

Fig 1. This hoof is showing signs of faster heel
growth, fortunately for the pony the heels are splaying outwards and not
causing distortion at the toe. |