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Savannah is a grass induced laminitis case about 4 or 5 years into treatment.  Her left front foot is mildly affected with stretching of the lamina, but the right foot appears to grow only a millimeter of horn every 8 weeks or so.  The sole is always well below the wall, so a build up of the wall to bear weight is necessary. 

Her physique is excellent right now and she seems pretty sound with her current management.

The conditions for this shoeing are not ideal.  The ground surface is damp and dirty, but we get through it anyway.  Aesthetics are not the goal here.  This horse is also turned out daily and right now of course that means soupy mud.  As a result, she is somewhat under-shod.  She is better off under-shod and with something on her feet than ideally shod and no shoes (at this point).

	In the beginning, the sole was very septic.  The lateral (left side of this picture) quarter and heel was infected previous to this shoeing.  Although dark, it is ready to be covered again.
	The crack is permanent due to damage to the coronary corium.  Earlier this year, the quarter and heel from the crack back was separating, but is fairly solid right now.
	First round of Equithane Adhere and Equi-Pak.  The foam pad on ground is used for the Equi-Pak.
	The dark rim around the inside rim of the shoe is the Adhere which is used to glue the shoe on.  The transparent material is Equi-Pak.  The Equi-Pak is used here more to keep material out of the hard to clean area of the shoe than for sole protection.
	The finished result.  Not very pretty, but quite effective.  In a more ideal situation I would have put a bunch more Adhere on the hoof and then cleaned it up for better appearance.
	April 30, 2007  Much better integrity. She has been barefoot most of the winter.