Comments by Gene Ovnicek
"Abscesses that occur at the coronary band and through the sole of the
foot are expected in serious cases and offer the patient a better chance
of recovering to a higher level of soundness with a much greater future
of returning to pre-disease condition. This can only happen when proper
support is given immediately to these patients in the area of the foot
that is naturally redeveloping for that purpose.
I have records of the last 30 cases that have abscessed through the
coronary band and/or through the sole within a short time after the
initial insult of laminitis (1 to 2 months). Our purpose was to record
results of those cases whose abscesses were treated, versus those who
were untreated. Over half of the abscesses were not soaked or encouraged
to dry up. The abscesses at the coronary band were left uncovered. The
sole abscesses were wrapped and protected from dirt and debris only. No
trimming of the sole in the area of the abscess was done to encourage
drainage. The wraps consisted of two layers of prepared Styrofoam blocks
applied with Elasticon tape. The other cases were soaked with Epsom
Salts or Betadine for 2 or 3 days. Some of those cases were cleaned of
debris on the sole where the abscess came through.
There were little to no set backs in healing with those who were untreated. Most cases that were treated by soaking progressed slower and some had reoccurring painful periods. All of the cases that had sole material removed around the abscess site stabilized much later and had even more setbacks. All but 2 cases survived with over 70% returning to their pre-disease purpose. The abscesses associated with laminitis are the 'mechanisms of debridement' and follow a cycle that seems to work well if left to follow its own course of events."