The laminitis had been ongoing for 2 months and had progressed to prolapse of the left distal phalanx. A consultation was set up a week after application of the wooden shoes. The left was removed and replaced with a modified wooden shoe (Figure 2).

The shoe is a layer of plywood with ethylene vinyl acetate (EVA) on the ground surface. The pour-in sole packing was replaced with cotton impregnated with iodine, formaldehyde and Venice turpentine. The medicated cotton was applied in the prolapsed toe area to gently support, yet unload, the toe after the shoe has been troughed out. The medicated cotton was packed into the palmar foot for support. Normally, impression material would occupy this area, but the soreness in the foot required special consideration.

Tubes were applied to the dorsal hoof wall and extended to the prolapsed sole area to allow the owner to treat the solar prolapse with a medicated solution daily. No trimming was done to the foot (Figure 3).

The right foot was not changed at this time because the left foot was so painful the…