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Laminitis was once considered a death sentence for many horses. Severe cases with rotation of the coffin bone often ended in euthanasia because treatment options were limited and long-term success was rare. Today, advances in regenerative therapy, biomechanics, and rehabilitation have changed that reality. With the right plan, rotation can be stabilized, the laminar bond can strengthen, and horses that once had no future can return to comfort and even athletic use. The key is recognizing that laminitis is not just a hoof disease but a systemic and biomechanical problem. Managing weight, circulation, inflammation, and mechanical support together is what makes recovery possible. What was impossible 20 years ago is now achievable. Modern equine medicine gives horses a chance that generations before us never had.