Is your horse at risk? Laminitis is damage and inflammation of the tissue between the hoof and the underlying coffin bone (distal phalanx, P3). This tissue, the laminae (also called lamellae), is actually folded layers of tissue contacting the surface of the bone on one side and the inside of the hoof wall on the other, connecting the two. Depending on how severely these attachments are weakened, the outcome can range from mild foot soreness to separation of the coffin bone and hoof (founder). The front hooves, which bear the majority of the horse’s weight, are most commonly affected, but it can also occur in the hind hooves.