The success of this approach to laminitis hinges on trimming the feet OFTEN  weekly, keeping the horse on firm, non-concussive ground during the recovery period when he is barefoot, and using removable boots when working him on hard or rocky ground to prevent stone bruises-until enough sole and hoof wall thickness builds up and enough stronger new laminae grow down to return the coffin bone to a more normal position. Actually, trimming every 3-4 weeks is not often enough for optimum results.  It is the minimum for making a little progress Dr. Strasser gets her spectacular results trimming 2-3x weekly This more closely mimics the ideal state, where a horse is exercising enough over varied (partly rocky) terrain
that he wears himself down constantly and never needs trimming.  

she trims 2-3x weekly... I am not talking about a full-scale peel of the entire sole These are subtle little tweaks in selected areasonly where needed. involves repairing lamintis by INCREASING CIRCULATION and RESTORING THE BOTTOM OF THE COFFIN BONE TO A GROUND-PARALLEL POSITION by primarily mechanical means
....frequent correct trims, and more movement from constant turnout in the company of other horses.
Restoring the bottom of the coffin bone to a ground-parallel position is one of the single most important aspects of both fixing and preventing rotation in the future.

Severely foundered foot
(rotation 30 degrees before toe profile backed up)
trimmed for a ground-parallel coffin bone
Note high heels on right hoof, which was not trimmed yet.Also note how tip of coffin bone remodeled due to long-term high heels. This is completely at odds with conventional laminitis therapy . The orthodox view is that raising the heels will reduce the stress on the deep flexor tendon, thus reducing the likelihood of rotation. In fact, raising the heels i puts the base of support out in front of the bone column, which also stresses the deep flexor tendon, sinking down with every step.  It throws more weight on the toe,
 overstressing the toe laminae and making rotation more likelyground-parallel coffin bone idea is being revived in the farrier community the American Farriers Association web site ...Michael Savoldi
 resident farrier at California State Polytechnic University 28 years. he talks about trimming walls even with
the live sole plane to get a 'uniform sole thicknesstrimming  results in a ground-parallel coffin bone.
 trimming in a way that follows the form of the underlying structure an unbalanced hoof will result in sole distortion and coffin bone remodeling. trimming to“uniform sole thickness the true foot reveals itself
so that form and function are optimal regardless of breed or confirmation

 Horses go better and stay better Uniform sole thickness (UST) defines the plane of the hoof capsule
 That is to say the sole at each point of connection to the hoof wall is of equal thickness from heel to toe
 When uniform sole thickness is not maintained, adverse changes occurin the heel. There seems to be general agreement as to toe length Everyone’s opinion will be slightly different but, overall, a group of professional farriers will look at a foot and arrive at some consensus with regard to toe length
 However with regard to length of heeL there is wide disagreement in order to establish uniform sole thickness the heels should be taken down to the junction of dead and live tissue in similar fashion to the treatment normally given to the toe area. it doesn’t matter how far down or how far back you take the toe
if you leave too much heel.  it has been thought that when the angle of the toe, the angle of the heel
 and the angle of the first, second and third phalanx line up. the foot is in correct trim. 

three layers of tissue Dead, or necrotic tissue appears white and chalky healthy living sole, yellowish in color and more waxy in appearance A final layer of sensitive lamina is reddish in color Removing the first layer of necrotic tissue reveals a layer of living, healthy sole.With this tissue now removed, it is more apparent that there seems to be excess wall length in the heel below the level of the live sole. This excess heel dramatically changes the mechanics of the foot.  length is not so much in the toeas it is in the heel.
 Although trimmed to uniform sole thickness, the plane of the hoof capsule remains elevated by the excess of wall length in the heel area. Unless this excess length is removed, body weight will continually cause movement of tissue, creating flares and possibly causing the sole to drop. Horses are well-served by establishing and maintaining UST. The petal bone moves within the hoof capsule creating sole flexion.
 When there is excess hoof wall, the sole deforms to such a degree that the PIII bone “seeks out”
the level of the horizon. When UST is not establishedand maintained, the hoof capsule and the sole distort,
and, over time, PIII remodels. The heels are going to collapse, or the sole will have to bend, or both.
 How the hoof reacts to excess length of wall depends on a variety of factors, including confirmation,
the size of the animal and how the animal moves.
 
each time the horse takes a step, PIII is “jammed” forward and downward causing the sole to flatten
and the toe to flare out. When a hoof is trimmed to UST and regular shoeing intervals are maintained
, there are no toe flares to speak of.

The sole will level to the shoe very quickly. How quickly will depend on several factors, including moisture content of the hoof and the severity of the distortion. Leave the frog intact to provide sole support and assist with blood circulation. If a hoof is trimmed other than to UST, the sole and the pedal bone (PIII) will distort.
 The sole will flatten, and PIII will remodel.the plane of the hoof capsule is set by trimming to UST, but the plane of PIII is defined by the angles of the sole. The sole seeks to be on a plane with the horizon.  the level ground surface. Because the angle of PIII is dictated by the angles of the sole, PIII rarely will be level with the horizon. However we can best promote hoof heath by understanding and trimming to UST so that the angle of PIII, and the entire bone column, is normalized.