Horse Care Finder
Health & Emergencies 5 Min Read July 13, 2026

Signs of Laminitis in Horses: What to Watch For

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Laminitis is one of the most serious conditions a horse can face — painful inflammation of the sensitive tissues (laminae) that bond the hoof wall to the bone inside. Caught early, it can often be managed. Missed or delayed, it can become permanently crippling. Every horse owner should be able to recognize the signs and treat it as the emergency it is.

What is laminitis?

Inside the hoof, the laminae hold the coffin bone in position against the hoof wall. When they become inflamed, that bond weakens and the bone can rotate or sink — the painful, damaging stage often called founder. Front feet are most commonly affected, though any or all four can be involved. Because damage can progress fast, laminitis is always urgent.

Signs of laminitis in horses

  • The classic stance. Rocking weight back onto the heels with front feet stretched forward, trying to unload the painful toes.
  • Reluctance to move. Short, stilted, walking-on-eggshells steps, or refusing to walk at all, especially turning or on hard ground.
  • Heat in the hooves. One or more feet warmer than normal to the touch.
  • A strong or bounding digital pulse. Felt at the back of the pastern — a key early sign worth learning to check.
  • Shifting weight and lying down. Frequently shifting from foot to foot, or lying down more than usual to take pressure off the feet.

What causes laminitis

Common triggers include too much rich grass or grain (a carbohydrate overload), obesity and metabolic conditions such as EMS and Cushing’s (PPID), severe illness or infection, and excessive concussion on hard ground. Overweight horses and easy keepers are at higher risk, which is one more reason to manage how much your horse eats and keep body condition in check.

What to do if you suspect laminitis

Treat it as an emergency. Call your equine veterinarian immediately, move the horse off grass and onto soft footing, and do not force it to walk any more than necessary. Prompt veterinary treatment and close work with your farrier or hoof care specialist give the best chance of recovery. When in doubt, use our emergency gut-check guide — but with laminitis, sooner is always better.

Related: what founder is and how it relates to laminitis.

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Frequently Asked Questions

What are the first signs of laminitis?

Early signs include a strong digital pulse at the pastern, heat in the hooves, reluctance to move or turn, and the classic rocked-back stance with weight on the heels.

Is laminitis an emergency?

Yes. Laminitis can cause permanent damage quickly. Call your vet immediately, move the horse off grass onto soft footing, and limit movement.

What is the difference between laminitis and founder?

Laminitis is the inflammation of the laminae. Founder refers to the later, damaging stage where the coffin bone rotates or sinks. Founder is a consequence of severe or untreated laminitis.

What causes laminitis in horses?

Common causes include carbohydrate overload from rich grass or grain, obesity, metabolic conditions like EMS and Cushing PPID, severe illness, and excessive concussion on hard ground.

Can a horse recover from laminitis?

Many horses recover with prompt veterinary care, careful farrier work, and management of the underlying cause. Early treatment greatly improves the outcome.