Laminitis is one of the most painful, debilitating, and complex conditions affecting horses—responsible for thousands of cases of lameness, diminished quality of life, and even euthanasia each year. Often referred to as “founder,” laminitis is characterized by the inflammation and structural breakdown of the laminae—the sensitive, vascularized tissues that connect the hoof wall to the coffin bone (P3) within the hoof capsule. This connection is vital for the structural integrity and weight-bearing function of the equine hoof. When compromised, it can lead to excruciating pain, abnormal hoof growth, rotation or sinking of the coffin bone, and in severe cases, irreversible damage.
Laminitis is not a one-size-fits-all diagnosis. It can be acute or chronic, mild or severe, and is often caused by an underlying systemic condition. Common contributors include metabolic disorders like Equine Metabolic Syndrome (EMS) or Pituitary Pars Intermedia Dysfunction (PPID, also known as Equine Cushing’s Disease), dietary imbalances, mechanical overload, or inflammatory insults such as systemic infection or colitis. Regardless of the trigger, once the cascade of inflammation and tissue breakdown begins in the hoof, the resulting pathology is notoriously difficult to halt or reverse.
Traditional treatment approaches to laminitis generally involve a multi-pronged plan that includes:
However, despite these interventions, many horses continue to struggle with recurring flare-ups, chronic hoof damage, or secondary complications. This reality has fueled interest in complementary therapies that can work alongside conventional treatments to support healing at a deeper biological level.
One such emerging therapy is ozone therapy—a modality that utilizes medical-grade ozone (O₃) to stimulate healing through controlled oxidative stress. Ozone therapy has long been used in human and veterinary medicine for its broad-spectrum antimicrobial effects, immune modulation, anti-inflammatory activity, and ability to enhance tissue oxygenation and regeneration. In equine medicine, it is gaining recognition as a supportive treatment for a range of conditions including joint issues, infections, wounds, and, increasingly, laminitis.
When it comes to laminitis, the benefits of ozone therapy are uniquely aligned with the disease’s underlying mechanisms. By enhancing local oxygen delivery, modulating inflammatory pathways, improving circulation, and supporting the repair of damaged tissues, ozone therapy addresses several root contributors to laminitic damage. Furthermore, ozone can be administered through various methods—including systemic applications like rectal insufflation or ozonated IV fluids, and localized techniques such as hoof bagging or ozonated oil application—making it a versatile option in the integrative care toolbox.
This blog explores the intersection of ozone therapy and laminitis management in depth. We'll begin by understanding how laminitis impacts the equine body and why it's so difficult to treat. Then we’ll dive into the science behind ozone therapy—how it works, how it’s administered, and what the latest case reports and anecdotal evidence show in terms of outcomes. We’ll also discuss safety, limitations, and how ozone can fit into a holistic treatment plan for horses at every stage of the laminitis journey.
For veterinarians, horse owners, and caretakers looking for science-backed, minimally invasive, and natural ways to support recovery and improve quality of life, ozone therapy offers a promising and increasingly accessible path forward.
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