Article: Founder can come on suddenly, and is a serious medical condition, so make sure to call the vet and administer first aid to manage your horse's pain.  While you are waiting for the vet to arrive, encourage the horse to walk on soft ground. Gentle walking helps blood to circulate in the hooves and can relieve some of the pain by removing inflammatory toxins from the hoof. If the horse refuses to move, she may well be in so much pain that she can't, so leave her alone. If you have access to equine aspirin, then give a dose to your horse as a first aid measure while you wait for professional help.  Some types of aspirin (acetylsalicylic acid) are available over the counter from pharmacies, making them a useful first aid treatment. Always make sure your horse has access to a plentiful supply of fresh water, to help with the digestion and absorption of aspirin. Never give aspirin to a horse that is taking other medications without first consulting your vet. AniPrin contains powdered acetylsalicylic acid mixed in a palatable molasses flavor base, designed to be mixed in feed.  The dose is 10mg/kg once daily. For a 500kg horse this equates to 5,000mg (or 5 grams) of AniPrin. Two scoops are supplied with the product: the larger measures out 28.35grams, and the smaller 3.75grams. Thus, a typical 500kg horse requires 1.5 small scoops of AniPrin once daily on food. A full recovery from a serious flare up can take 6-12 months, and especially during the first few weeks good pain relief is essential for the animal's welfare.  Over the longer term, effective pain relief involves drugs from the non-steroidal anti-inflammatory (NSAIDs) family, of which aspirin is a member. No one drug is superior to any other, and it is largely a matter of which medication best suits a particular horse. What works well for one horse may not help another, so if you horse remains in pain despite using a certain drug, the vet may suggest switching meds. NSAIDs work by inhibiting the release of prostaglandins that cause inflammation and pain. Never give NSAIDs on an empty stomach, to avoid liver and stomach damage. Never give NSAIDs to a dehydrated animal because this could concentrate the drug and amplify its damaging effects on the kidney. If your horse exhibits loss of appetite and increased thirst, this could be an indicator of NSAID side effects. Stop administering NSAID medications and contact your vet to seek further medical treatment. Commonly known as "bute" amongst horse owners, phenylbutazone reduces pain and fever.   Phenylbutazone is a prescription NSAID and needs to be prescribed by your vet. It should not be used in combination with other NSAIDs, steroids, or given on an empty stomach. A typical equine preparation is Butazolidin.  The dose for a 454kg horse is 2-4 grams once a day with or after food. It is available as 1 gram tablets, an oral paste, or an oral powder containing 1 gram of phenylbutazone in a 10 gram sachet. The manufacturer advises that you don't exceed 4 grams a day, and if possible administer the lowest effective dose. Flunixin is another prescription NSAID and a typical equine formulation is Banamine.  The mode of action is similar to other NSAIDs in that it inhibits prostaglandin, and therefore inflammation and pain. It is rapidly absorbed by the stomach and small intestine, and each dose works for 24-30 hours. The dose of Banamin is 1.1mg/kg once daily by mouth. A 500kg horse requires 550 mg (0.5gram) which is equivalent to one 20 gram sachet containing 500mg of flunixin. Flunixin has been show to block some of the effects of endotoxins (natural toxins produced as a result of inflammation) released during the inflammatory process of laminitis. In severe cases of founder, many veterinarians use flunixin as their first choice treatment because of this additional effect.
Question: What is a summary of what this article is about?
Call the vet and give your horse first aid as soon as you notice founder. Administer AniPrin in order to manage pain immediately. Treat your horse with equine NSAIDs to manage long-term pain. Try using phenylbutazone to manage severe pain. Use flunixin to manage pain if other NSAIDs don't manage pain effectively.

Dimple piercings are fairly risky since you are dealing with an area more prone to infection than most. If done right, though, dimple piercings can partially mimic the look of dimples. Keep the piercings if you want to permanently highlight the dimple area or take them out eventually so that the skin eventually heals, leaving behind a dimple-like indentation.  Due to the risks involved with dimple piercing, some professionals do not offer them at all. Others may offer them but often refuse them to anyone under the age of 18, even if that individual has the permission of a legal guardian. Dimple piercings cut through muscle and usually cause some mild form of nerve damage. This nerve damage can help hold the dimples in place even after the piercing closes up, but it can also be risky and could do unforeseen harm. The professional piercer should clean the outside of your cheek and should also instruct you to clean the inside of your mouth before making the dimple piercings. The needle and jewelry should also be sterilized. The piercer will puncture both cheeks symmetrically, right at the spot where natural dimples would fall. Afterward, he or she will place a straight barbell or other piece of piercing jewelry into each hole to prevent it from closing immediately. Your dimple piercings will need to be cleaned multiple times a day with a saline solution to prevent infection from setting in. You can keep the dimple jewelry in permanently if desired, but you can usually take them out after three months have passed. If the piercing did the expected nerve damage, you should have an indentation in your cheek even after the skin heals over the original hole. If you want something that looks more natural and will last for the rest of your life, learn about a plastic surgery procedure that will create dimple-like marks in your cheeks. Cosmetic surgery can be costly and does come with its own set of risks, but this option will give you fake dimples that look more natural than many other methods can.  A plastic surgeon will use local anesthesia for the procedure. He or she will make a small incision on the inside of the mouth and into the inner surface of the cheek. Using specialized tools, the surgeon will make an indentation in the cheek muscles and mucosal tissues. Afterward, the dimple divot will be held in place with internal stitches, and external stitches will be used to close the wound in the inner mouth. For larger dimples, a plastic surgeon may perform a punch tissue excision. During this procedure, a portion of the cheek muscle is completely removed, creating a deeper and more obvious indentation. In either case, the procedure will take an hour or less. You should expect some pain, swelling, and bruising immediately after the procedure. The area is also weak to infection afterward, so you will need to carefully and thoroughly follow any instructions provided by the surgeon concerning proper wound care and cleansing. For the first few weeks, your dimple-like indentations will be present at all times. Once your cheek muscles partially heal, though, you should only notice the marks when smiling.
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One-sentence summary --
Get dimple piercings. Consider cosmetic surgery.