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Hans Castelijns says the goal of therapeutic shoeing with these soft tissue injuries is to keep the healing tendon or ligament from overloading during rehabilitation. The farrier and equine veterinarian from Cortona, Italy, recommends larger surfaces of shoe support to keep the foot from sinking too much into soft ground. On harder, more compacted ground, you'll learn the benefits of breakover enhancement when dealing with desmitis and tendonitis concerns.

Castelijns suggests these shoeing strategies should be based on good diagnostics, including ultrasound. he also says a detailed clinical exam that measures the tolerance to extension and flexion with a digital extension device is critical in choosing the correct shoeing prescription.

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