Patrick T. Reilly, Emily K. Dean, James A. Orsini Veterinary Clinics of North America Equine Practice August 2010 26 2 451-458 The goals of mechanical treatment during the acute phase of laminitis are to preserve the lamellar interface by reducing the forces that are compromising its integrity and to make the horse more comfortable. Early decision making is important in managing acute laminitis. This article helps the practitioner to identify some of the commonly used and accepted methods of protecting the laminitic foot. The materials available and the theories behind their use are also described. The laminitic foot needs to be understood before determining methods for its support. Most treatment options involve shifting the weight-bearing forces from compromised areas of the foot (ie, the lamellar interface) to areas more capable of supporting the patient's weight, remembering that the sum of the forces should remain the same. The many treatment options available allow for flexibility and effective management and permit each modality to be combined in infinite ways for hoof support. The goal of therapy is to support the foot and stop the progression of the disease to the chronic phase.