With the arrival of spring grasses, horse owners often face challenges managing laminitis, a painful hoof condition affecting many horses, especially those prone to it. Despite best efforts to carefully control diet and weight, laminitis can still occur unexpectedly. Thankfully, recent scientific research highlights the potential role of the herb milk thistle in supporting prevention and management of this debilitating disease.
Laminitis damages the sensitive lamellar tissue inside a horse's hoof, often caused by endotoxins known as lipopolysaccharides (LPS). These endotoxins exist commonly in the environment and the digestive tract but become problematic when a horse's immune system is compromised due to illness, antibiotics use, or other stress factors. The toxin-related inflammation leads to separation of laminae, an early symptom of laminitis.
Milk thistle contains an active extract called silymarin, which has proven anti-inflammatory and antioxidant properties. Studies, including recent Austrian research, show that silymarin can neutralise endotoxins and reduce oxidative stress in hoof tissues. While not as powerful as some pharmaceuticals, silymarin's ability to protect lamellar tissue offers a natural supportive approach for horses at risk of laminitis, especially during high-risk times like spring.
Beyond supporting hoof health, milk thistle is renowned for its liver-supportive actions. Its compounds help regenerate healthy liver cells, assist in fat and bile flow, and promote metabolic health, which is crucial since liver function is linked indirectly to laminitis risk. Horses undergoing intensive training or on medication may particularly benefit from milk thistle supplements.
Milk thistle supplements are widely available through reputable equine feed manufacturers. Forms include seeds, powdered seeds, tinctures, liquids, and dried herbs. It is important to follow manufacturer dosing recommendations carefully because excessive amounts may cause digestive upset, such as diarrhoea. There is no known toxicity from appropriate use, making milk thistle a safe adjunct supplement.
While current evidence on milk thistle and silymarin is promising, laminitis is a complex condition with multiple triggers, and not all horses respond the same. Therefore, milk thistle should be used as a supportive measure alongside proper diet management, veterinary care, and weight control—not as a stand-alone cure or guaranteed preventative. Ongoing research is needed to define optimal dosages and establish its effectiveness across diverse cases.
Milk thistle offers a natural, scientifically supported supplement to help reduce the impact of endotoxins involved in laminitis by protecting sensitive hoof tissue and supporting liver health. Especially during spring when laminitis risk increases, adding a milk thistle supplement could be a valuable addition to a horse’s diet. However, it must be part of a wider responsible care plan and used with veterinary guidance.