Nijinsky II responded to Dr. Redden's treatment, and was able to stand at stud for an additional six years, enjoying a good quality life until he was euthanized due to the infirmities of old age. This episode helped to give Dr. Redden determination to work harder to solve difficult laminitis cases, and enhance the learning process about laminitis for farriers and veterinarians through his annual symposia. Laminitis is not simply caused by the horse overeating grain, but is secondary to another disease process or trauma, according to Dr. Redden. This may be colic, Potomac horse fever, or a salmonellosis. Even such episodes as a prolonged high fever or stress can initiate laminitis.
Laminitis begins with lameness.
In a severe case it may appear to have its feet nailed to the floor. The feet may be warm to the touch. Most people think laminitis always involves at least the two front feet, if not all feet, but it can occasionally occur in only one foot. He advises trainers, or owners, to become a team member in the treatment process early on. The typical horse should get four grams.