Helping a horse with laminitis is a long road.

Most cases require diligent investigation and management. At Daisy Haven Farm we have helped thousands of horses overcome laminitis and return to their pre-laminitic level of soundness. While horses develop laminitis for many reasons, most of the cases that we see have a metabolic component. Looking back at our cases over the last 12 years, we have compiled a list of protocols that have helped guide us to successful rehabilitation.

The foundation of our protocol to help laminitic horses when there is a metabolic component is DDT/E. DDT/E: Diet, Diagnosis, Trim, and Exercise is a formula designed by Dr. Eleanor Kellon ( to provide a framework for successful rehabilitation of the metabolic laminitic horse. Daisy has added TEAM to the DDT/E protocol as a critical component for success.

DDT/E plus TEAM:

D: Diagnosis, management of underlying condition
D: Diet, nutrition and environmental management
T: Trim, hoofcare including shoes and boots
E: Exercise, when appropriate
TEAM: Veterinarian, Farrier, Owner, Caretaker, and other Horse Professionals

Each Team member has their own role to play in the rehabilitation of the horse. The horse owner is responsible for selecting the Team, making care decisions for their horse, paying the bills, and implementing the plan developed by the Team. The veterinarian is responsible for diagnosing any underlying condition, overseeing pain management, and prescribing medications. The farrier is responsible for working on the horse’s feet with trimming and shoeing, assisting the veterinarian with pain management, and handling hoof complications. There are other caretakers like the Barn Owner/Manager/Staff, Trainer, or Horse Professionals such as Holistic Veterinarian, Massage Therapist, etc, who may also have a role in the rehabilitation of the horse depending on each individual situation. Every team member needs to be responsible for their area of expertise to help the horse.

Every situation should be evaluated on a case-by-case basis. Here are some case studies demonstrating how this protocol helps laminitic horses in our care:

Need Help?

For more information on how this protocol can be applied to help your horse, please contact us for a consultation!