
09/08/2025
Fall Laminitis Awareness
It's time to keep fall laminitis on your radar for your equines! Depending on where you are on the globe, the seasonal shifts may already be causing some problems, and for others it may be a bit later into the fall.
There are a few reasons why fall laminitis happens in equines.
The seasonal changes, like increased rain, can trigger new growth of grass, just like it does in the spring. This new grass growth is higher in sugar. The frosty nights that start occuring add another layer of problems. Photosynthesis, which creates sugars during the day, is happening just like in spring and summer, but in the warmer temperatures, respiration occurs overnight and the plants utilize their sugar storage for growth,making grass lowest in sugar in the early morning. In cooler temps, respiration is suppressed and the sugars are retained overnight so that sugar content is not going down! Often we will tell people in the spring and summer that early morning grazing is the safest but that is NOT the case when the temperatures drop below 6 degrees C (43 F) at night.
On top of the grass being higher in sugar, another factor is that equine's metabolisms are gearing up for the winter! The body naturally goes through hormonal shifts to increase fat storage and quite a bit of energy goes into growing the new coats. Insulin levels naturally rise this time of year, but in animals with metabolic issues, the sugar levels in the grass can create dangerous levels of insulin in the body, triggering laminitis.
And then there is PPID ( Pituitary Pars Intermedia Dysfunction-formerly known as Cushings disease), which is responsible for a lot of fall laminitis cases due to the seasonal rise of ACTH (adrenocorticotropic hormone) during the late summer/Fall.
It's normal for ACTH to elevate in all equines this time of year as it is part of the body preparing for winter, however in PPID horses the rise can become quite excessive. This rise creates elevated cortisol, which can either cause hoof pain due to decrease in circulation or induce insulin resistance, triggering laminitis. Equine's don't even need to be eating fall grass for this to occur as it happens all on it's own when they have unmanaged PPID. Access to higher sugar feed ( hay, grass or concentrates) increases the risk of insulin related laminitis even more in these animals. Subclinical or acute fall laminitis is often one of the first signs of PPID, so make sure if you have an equine that is showing signs of sore feet this time of year, that PPID and insulin testing is part of your investigation into why. Keeping your PPID animals moving as much as possible over the colder months is also imperative to keeping their circulation healthy and preventing fall and winter laminitis.
Something else that isn't always discussed is also how the new grass growth affects the gut. Sudden changes in diet, increased carbohydrates, different fibre/moisture content etc can change the microbiome in ways that negatively affect the animal, either just with diarrhea or f***l water, or more seriously with colic and laminitis. This type of laminitis is not always linked to insulin, but actually to toxicity in the gut due to unhealthy bacterial growth or die off and how that affects fermentation in the gut. An equine does not need to have insulin regulation issues to suffer from this type of laminitis.
There are other factors that may contribute to sore feet during this time of year that are not caused by laminitis. One of the main ones is seasonal shedding of callused material. This shedding is perfectly normal and natural, but depending on the footing they live on, or the weather, this can cause temporary discomfort because their built up summer protection has disappeared. In a healthy hoof, the newly exposed and softer sole and frog should harden up quickly. Having hoof boots on hand to aid in this transitional period during seasonal shifts can help for exercising comfortably. In cases where hooves are already compromised or rehabilitating, good therapeutic turnout boots or some other form of hoof protection ( tons of options these days!) can keep the comfortable.
If your equine is experiencing hoof pain this time of year and it is accompanied by heat, digital pulses, reluctance to move ( so many people call subclinical laminitic horses "Lazy"), exaggerated heel first landings in the front feet, leaning back off the front hooves or standing in strange postures, laying down more frequently or for longer periods, increased respiration, difficulty turning or going down hills, or other unusual signs of discomfort, please contact your vet and hoof care provider. Laminitis IS an emergency, and the triggers need to be identified and eliminated ASAP and a treatment and rehabilitation plan put in action to prevent serious damage and dysfunction.