This article presents the essential elements and principles of supportive t
herapies for the horse with acute laminitis. The pertinent anatomy and func
tion of the normal foot are reviewed, as is the pathophysiology of the acut
e phase of the disease. The underlying principles and practical application
of techniques necessary to limiting further digital damage via removal of
the inciting cause, mechanical support, trimming, and reduction of edema ar
e presented and discussed.