Do you have Lyme disease in your area?
Hi, sorry missed that one out, also had vet check for lyme disease as we did remove a tick from him about 4 months before the laminitis started.
she said the test came back negative but i asked if we could try antibiotics anyway, thats when the norodine came in. We live in the south west of the UK, i had never heard of lyme disease before i started researching laminitis, so i dont think its a big thing here.
No other blood work has been done, the pain seems limited to the feet but he has not had nerve block.
I know it seems horrible but we have spent alot of money on him already and i dont want to just keep doing tests unless i actually know what im looking for, do you know of any other causes of laminitis (i have checked his bedding for black walnut-none of that) or any other conditions that can cause lameness in all four feet?
Not horrible.... it's realistic.
Many things can cause laminitis, but in mini's and ponies, the most common cause is insulin resistance (sometimes confused with Cushings, but a different syndrome).
If Tango was here in front of me, I'd start by blocking his feet, one at a time starting with the front. If both front feet blocked out, I'd be tempted to conclude it's really laminitis, without rotation, and either run insulin and glucose tests, or just assume it's IR and make dietary changes (low starch - no grain, soaked hay to leach out soluble carbs).
The response to antibiotics is intriguing, as that antibiotic is not the one of choice for Lyme. The one we use here (doxycycline) has anti-inflammatory properties as well as fighting the organism. The sulfa drugs do not.
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