Online Consult Recording: Case Study #4 - small animal vet owner of a TB with suspected NPLA and associated pathology
- Beccy Smith
- May 11
- 3 min read
VIP Membership content
Join Beccy Smith, and UK based small aninal vet Lorraine in this incredible detailed (and entertaining!) 2 part online equine podiatry consult recording featuring Lorraines TB Chalis who has suspected negative plantar P3 angle (NPLA) and associated lameness and pathology.

Lorraine describes Chalis as having dorso-plantar bilateral hind hoof imbalance, with pathology in the laminae, navicular region, which isn't often diagnosed in the hind hooves. He also has bilateral proximal suspensory injury and has had intermittent lameness in the fronts, including abscesses and left hind limb lameness recently.
As a vet, Lorraine was aware she needed help to rehab the hoof imbalance, and had not had success with her current farrier. Lorraine was hoping to return to low level riding or even pasture sound for happy retirement. Front hooves are shod, and the hind shoes were only recently removed. Chalis cannot stand square on his own, and Lorraine is concerned about the short and long term impact of his hoof balance and ability to live a comfortable life.
Webinar content
Join us in this recording of a real life online consult where Beccy will share her knowledge on
Detailed assessment of a 17hh 8 year old OTTB (un-raced) gelding with less than ideal hoof morphology and posture
Review of the scientific evidence relating to hoof balance, posture and lameness risks
Review of what constitutes healthy hoof morphology, balance, posture and why
A detailed assessment of the HoofmApp mark ups on hoof photos and what they mean for this horse
What trimming approach is recommended to restore healthy morphology and why
What other integrative measures might be considered during rehab and why
Booting and shoeing intervention options discussed for the current and predicted future environment focusing on safety and comfort as a priority
Top tips throughout to help promote healthy horses from the hoof
The result of the interventions implemented and feeback from Lorraine 2 months post consult
Who is this 2-part recording for?
This educational and informational webinar is suitable for anyone interested in horse care and welfare, including horse owners, students and industry professionals (vets, farriers, trimmers, podiatrists, physios, therapists, saddle fitters, dentists, trainers, breeders, scientists and grooms/managers, etc).
If, like Lorraine, you want to learn how to assess, map, trim and help horses like Chalis regain and maintain feelings of safety and comfort for optimum well-being, resilience and longevity, I recommend joining our VIP subscription membership where you can access videos like this, live webinars and recordings, discounted in-person events and much more, to help you on your path. You can also book online consults, in-person consults (subject to availability), mark up service, and mentorship by the hour, half and full day (which can be shared with friends and tailored to your individual needs).
How to watch the 2-part videos
This video is accessible to logged-in VIP Members Subscription Members
Or, purchase the videos in our video library:
Want to read more?
Subscribe to holisticequine.co.uk to keep reading this exclusive post.