If grain overload is involved, several doses of mineral oil given by stomach tube and Banamine as quickly as possible are very important. Rotation continues despite treatment. Rotation exceeds 12 degrees. Less than 6 degrees is important if a return to athletic endeavors is hoped for. The coffin bone sinks away from the wall at the level of the coronet.
Pain prevents a horse from rising.
In the case of remarkable pain and little rotation, there is always hope, but some of these horses will be very slow to recover. They may require several months of care and medication. If the horse is having marked pain, but rotation is not remarkable, consider the possibility of sole abscesses as the cause. Usually abscesses arise unilaterally, so you first notice one foot much worse than another, but abscesses may follow rapidly in the other foot. Any suspiciously painful areas in the sole should be explored.