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ly, for it follows as a matter of course that these tissues, themselves in a diseased condition, must naturally produce a horn of a greatly altered and inferior quality. When following the _subacute_ form of laminitis, the changes characterizing pumiced-foot are slow in making their appearance. The animal at first goes short, and the lameness thus indicated gradually becomes more severe, until the animal is no longer able to work. The feet become hot and dry, the hoof loses its circular form, and the growth of horn at the heels becomes excessive. At this stage the appearance of bulging at the sole begins to make itself seen. Later, the outer surface of the wall becomes 'ringed' or 'ribbed,' the rings being somewhat closely approximated in the region of the toe, and the distance between them gradually widening towards the heels. The wall too, especially in the region of the toe, instead of running in a straight line from the coronary margin to the shoe, becomes concave. It is this change, together with the appearance of the rings, that indicates the loosening of the attachment of the os pedis to the wall, and its afterwards backward and downward direction (see Fig. 124). [Illustration: FIG. 81.--HOOF WITH THE RIBS OR RINGS CAUSED BY CHRONIC LAMINITIS.] As a sequel of _acute_ laminitis, these changes make their appearance with more or less suddenness, and are generally complicated in that they owe their occurrence to the formation of pus within the horny box. _Treatment_.--Pumiced-foot is always a serious condition. The animal is useless for work upon hard roads or town pavings, and is of only limited utility for slow work upon soft lands. The more serious form, that following acute laminitis, and complicated by the presence of pus, we may regard as beyond hope of treatment. With the more simple form of the condition, we may do much to render greater the animal's usefulness. The same principles as were applied to the shoeing of flat feet will have to be observed here. Trimming or paring of any kind, save 'straightening up' of the wall, must be severely discountenanced. A broad-webbed shoe, one that will give a certain amount of cover to the sole, is indicated. As in the treatment of flat-foot, however, direct pressure upon the sole must be avoided, and the shoe 'seated.' The 'seating,' however, should not commence from the absolute outer margin of the shoe's upper surface. A _flat_ bearing should be given to the
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