4 Ways To Help Your Pet With a Luxating Patella

Sudden Lameness

Sophia was having a nice walk on a beautiful beach. Out of the blue she started limping. Her concerned guardian rushed her to her veterinarian who diagnosed luxating patellas (dislocating kneecaps) and advised surgery.

Did Sophia really need immediate surgery? Was surgical intervention her only therapeutic option?

No. There were other options. There usually are.

Sophia is a happy patient of certified vet homeopath Dr. Jeff Feinman

Sophia frolicking on a beautiful beach in Mexico (despite her luxating patellas)

Like Sophia, (a Maltese mix), patellar luxations are most commonly seen in smaller dogs. Most are asymptomatic and are found during routine examinations. They are usually associated with a shallow patellar groove and are often inherited.

The “Trick”

Larger dogs and cats can also have “trick knees”. They are often secondary to hip problems and trauma in bigger dogs and are rarely symptomatic in cats.

Many vets are recognizing an increasing incidence of this problem. Actually, my observation is that all problems of the knees and other joints seem to be increasing in the past thirty years. Holistically-minded practitioners associate this with over-vaccination.

Research has shown, for many years, that connective tissue (bone, cartilage, etc.) problems are often related to vaccination.

Patellar laxations are graded from 1 to 4. The severity is based on how easily the kneecap can be moved and replaced. Grade 1 and 2 dislocations are the most minor and are most commonly found. Frequently these are asymptomatic or might only cause an occasional skipping gait.

I advise proactive homeopathic treatment and lifestyle changes for most pets in this category.

Many pets are born with this problem yet don’t have any problems until later in life. This phenomenon is often from the untreated, and therefore increasing over time, underlying problem.

Is Surgery Needed?

Most patients that I see with luxating patellas do not need surgical correction.

Certified vet homeopath Dr. Jeff Feinman can also work with your companion to have a long and healthy life.

Most homeopathic patients like Winka can have long lives without major surgery

Canine athletes and some big dogs are the main exceptions. In these cases, surgery may necessary and can be very successful. Especially when performed by an experienced Board Certified surgical specialist.

Whenever an invasive treatment like surgery is being considered, the benefits should outweigh the risks. Using a surgical specialist and homeopathic treatment prior to surgery helps reduce the risks of surgery, anesthesia, etc.

In my opinion, the best way to to treat dislocating kneecaps and other causes of acute, chronic or vague lameness (which will be discussed in an upcoming post) is by helping your pet to be healthier overall.

Healthier animals usually have fewer problems and get over them faster.

You can work with a veterinary homeopath to treat the underlying energetic imbalance that results in many problems. These include the lameness from luxating patellas.

In addition, here are four ways to help most animals with luxating patellas:

Four Ways To Help

1. Weight reduction. Most companion animals need to lose weight. A proper diet is invaluable.

2. Gently massage the knee. Massage will increase blood flow and can replace luxated patellas.

3. Stabilize the kneecap by developing supporting muscles and connective tissue. Exercises like sit-stand, walking up and down hills, underwater treadmill etc.

4. Supportive supplements like omega-3 fatty acids, glycosaminoglycans like glucosamine sulfate, flavonoids like Antiox, etc.

Ideally discuss any new exercise program or supplement regime with your veterinary homeopath.

Please post your experiences and questions below or on my forum.

Be well.

Dr.  Jeff

57 Comments
  1. My chihuahua Dory is 3yrs.old,when I adopted her last June 2013,I shelter and doctor told me she had #4 patella in her back legs. They sad that she was born that way and had adjusted well. They advised me to have the surgery done but only gave her a 30 to 40 % chance of improvement. After thinking it over I declined the surgery. She walks,runs and jumps but you can tell when she gets tired. She only weighs 7.4 lbs and it looks like she is squatting to pee when watching from behind. Was this a good decision? And what can I do to help her as she ages???

    • What a fantastic example Cheryl! Thanks so much for posting it. Dory’s body has adapted admirably to this “severe” dis-ability. Exactly as it’s capable of doing in most dis-eases.

      It sounds like she may need to develop the muscles (and strength) of her hind legs. If possible, either work with a dog physical therapist who will help design an exercise program for her. You can also help in the meantime by promoting up and down hill walking, teaching her the sit-stand exercise, etc.

      The better physical shape she’s in as she ages, the better her function.

      With a Gr. 4 you also may want to work proactively with a vet homeopath and consider some nutritional supplementation (a few helpful ones are in the article). I’d also consider the excellent Nutriflex from Rx Vitamins for her.

      Good luck!

      Dr. Jeff

  2. I have an 8yr. Old female who was diagnosed around 4 with this condition. She has both knees out, I cannot afford the surgery. It has been the worst this past year. Sometimes she just stops, or falls because she cannot walk…

    • I have a chi-weenie who just recently having back leg issues. It began with her back right and now her left. She kept stretching out her right back leg all the time and now she doesn’t do that. She yipes when someone barely grazes her side. She can walk but gives up easily and lays down. This morning is the first time she had problems going to the bathroom outside. She tried to go poop but struggled to keep up back legs squatted and was continuously dragging her back legs sideways as she pooped. It was hard to watch. I also don’t have 4,000 dollars for a surgery like this. I’m at a loss on what to do.

      • You should look into getting a wheel chair for your dog. If you’re not sure what I mean, you should definitely look it up. They allow the dog to use his back legs, but there’s also wheels supporting the weight. Eddys Wheel Chairs on Facebook has a bunch of photos. Wishing the best for your pup

  3. Thank you for writing this article. I also have a dog with this problem in both back legs. He is mixed with beagle and springer spaniel, and he was born in 2007. He takes more after the beagle than spaniel. The only springer in him is a few white spots around his mouth. I took him to the vet and they wanted to do the surgery for 4000.00. We are on a fixed income and cannot afford this. I am interested in your suggestions for supplements, and anything I can do to help him. I take glucosamine myself, as well as fish oil. What are your recommendations for the amts. and what kind,(human or animal)?

    • Before turning to supplementation, you may need to consider a weight loss program for him. He should be lean and even underweight (which is rare for many beagle-types).

      How much does he weigh?

      Dr. Jeff

      • He weighed 40 lb. last time he was at the vet, and he is not tall, he has short legs. The vet did not do any x-rays. He just determined his diagnosis by manipulating his knees. He tried putting the kneecaps back in, but they would not stay. In one breath he said to exercise him, then he said not to walk him until I could get the weight off of him. I have cut back on his food, but, apparently not enough, he hasn’t lost much. Thank you for looking at my post. Anything you can suggest WILL be greatly appreciated. Thank you.

        Louise

  4. Dr. Jeff coached one of my cockers through an ACL problem. We used homeopathy, PT ( swimming and under water treadmill ) and time. Another was fine after a chiropractic adjustment and rest. Surgery would be my very last choice!

  5. Yes. No need for surgery in many cases.

    Thanks for sharing your experience Taffy.

    Dr. Jeff

    • Dr. Jeff, when would you consider surgery necessary for a luxating patella grade 4? My rescue, AmStaffTerr/Boxer mix, received a grade 2 lameness, grade 4 MPL yesterday. Of course, they want to do surgery but I have been looking into treating homeopathically. So how bad does it have to be, in your opinion, to do the surgery? Duke is 2yr, neutered male, weighing about 65 lbs. I keep him lean as advised. He eats semi-raw, no vacs, no paraciticides or HW meds. He burns alot of weight playing but does favor his leg at night. Thank you for any advise!!!

  6. My 12 year old has weakness in both her back legs. Last
    Year she jumped off her chair insanely and threw
    Her left rear kneecap. Her vet showed me
    How to kneed kneecap into place. After several
    acupuncture sessions she has been fine for
    the past year. She weighs less than 6 pounds.

  7. I have a 5 year old female bichon frise who weighs 13 pounds. When she was under a year old, we were told at a vet examine that she had a luxating patella. Until that point, we always thought the skip in her step every so often was cute. I have noticed these passed six months she limps more frequently or place her back right leg down very gingerly but she never yelps or complains in anyway. I just started her on a supplement about two weeks ago. I heard they take awhile to take affect. Is this true? The supplement we chose is Artramine which contains glucosamine 250 mg, omega-3 fatty acids 10 mg, vitamin C 60mg, Manganese 10mg, and ash 10.2%. It states to give a dog her size half the pill. However I was told to give her the entire pill. What do you suggest? I have been carrying her more often, e.g., to place her on or off of a bed or couch, up and down stairs. But now after seeing your post I am wondering if I am doing her more harm than good by carrying up and down the stairs.

    • Oh, I have been making her food for over three years now too.

  8. Hi Dr. Jeff, I left you a reply under my post where you asked me how much my dog weighed. Would you please look at it, and let me know what I can do to help him…..Thank you!!!!!!

    Louise

    • Yes Louise. He will need to lose weight. First and foremost. I’d advise stopping any dry food or carbohydrate-containing treats.

      Slow walking on a soft surface (or better yet an underwater treadmill) will also help build up the surrounding musculature.

      Good luck!

      Dr. Jeff

  9. Our 8 year old yorkie has been having problems for a month with his back right leg. He has pupating patellas but usually we have been able to manipulate it back in place. A month ago he took off from laying to sprinting and the doctors think he may have a partial tear of the CCL. He lost his limp for about a week and then reaggravated it somehow. Now everytime he jumps at all, he is limping. Surgery scares my wife and I to death, any suggestions where to start and how long we should wait before looking seriously at surgery?

  10. Hi Scott-

    Your best first step is weight loss and gradual exercise. Ideally under the guidance of a trained PT vet.

    I’d also advise consultation with an experienced surgical specialist. You can find one at: https://online.acvs.org/acvsssa/rflssareferral.query_page?P_VENDOR_TY=VETS

    Dr. Jeff

  11. I really do believe in every one of the tips you could have provided in your posting gmat. These are really persuasive and definitely will certainly function. Even now, your articles are extremely quick for starters. May you please expand these a little bit through next time? Thank you for the actual submit.

  12. Hi,
    My 2 year old Blue Russian was just DX with patellar luxation today. I had to take her to the ER over the weekend due to her limping, hissing and growling in pain. I was worried needless to say. ER doc possible soft tissue sprain and to follow up with my reg vet if need be, which I then did today 4 days after the fact. I am not sure if my cat did any trauma to her leg since it literally happened over night! It is so hard seeing her like this and I want her quality of life back! She’s too young to not run and play! I was given a sample of glucosamine tablets today to try and I am tempted to invest in them to avoid surgery at all cost. What else can I do because I am a worried mom here!! Thank you!

  13. Hi Mary-

    I definitely agree with you that your kitty’s quality of life is essential. She absolutely needs to be able to run and play.

    Depending on the severity of the musculoskeletal problem a glucosamine *sulfate* (note that all glucosamine products are not created equal) could certainly help. There are also useful supplements like Trace Animinerals (from Pet’s Friend), other antioxidants, etc. Even before starting a supplement program tough, it’s important to insure that she’s eating a good species-appropriate meat-based diet.

    I’ve also found homeopathic treatment to be invaluable in cases like hers. Other options to avoid surgery include acupuncture and chiropractic care.

    One last thought is that you can also consult surgical and/or physical rehabilitation specialists. There are specific exercises that can help.

    Good luck! I hope you and your kitty have a great holiday season.

    Dr. Jeff

  14. Hi
    I’m wondering if you can help.
    Our sweet soon to be three yr old lab / retriever mix has luxating patella. Our vet just told us yesterday and said the only solution is surgery. Needless to say we are devastated. We weren’t told the cost as of yet but I know we can’t afford it. She’s about 50 lbs and on a raw food diet (just switched a 3 months ago). Any advice or suggestions?

    Much appreciated!
    Erin

    • Hi, I was wondering how your lab is doing and if you have been able to find something to help her. My one year old lab was just diagnosed with a stage 2 last week. I have noticed that it is already starting to change her personality. She is not as active and playful as she was before her first episode a couple of weeks ago. I am so worried about her.

  15. My 8 year old chihuahua had a luxating patella and tore her ACL due to the fact that she was never diagnosed with floating kneecaps. Luckily with some extreme Google research I was able to save over $1500 by discovering MLS laser therapy. It’s made a huge difference and no fear of my dog going under for a make or break surgery, which the vet will tell you MAY NOT work. After 6 treatments my dog was acting like a puppy again! I try to reccomend this to those who have the same issue of a luxating patella and ACL tear.

  16. Hi there I have a French bulldoghe is 3 he has had both legs done and has been sooo good since as it was so bad it needed to be operated on. My daughter who is nearly two fell on him the other day and now he is very stiff and is limping. I already give him vet spec joint mobility. I was woundering is there anything I can do to help him.He has a very stricked diet as he is a very musclerly and is very fit too. Only the past few days he has only been having short walks as I don’t want this to get worse I want him to rest but I really need advice please asap. Thank You

  17. Thank you so much for all this information! I was starting to feel like surgery was the only option! have a chiuahua/jack Russell mix that is 8 years old. He stared limping a week ago so I took him in to a 24hr Vet. After doing X Rays they said he needs surgery soon. Right now they put him on anti inflammatorys and tramadol. I cannot afford surgery! I stopped giving him the tramadol (because that was just making him tired)and started researching and giving him supplements such as, glucosamine, msm, and fish oil. I also started him on a diet of Satiety dog food because he is overweight. He does seem better and isn’t limping like before, he just seems uncomfortable. How long do I need to wait to really see results? And will a wrap,splint, or brace help keep the weight off at all?

  18. My 10 month old Maltese mix was just diagnosed with a luxating patella, hind leg. He is lean and fit and on raw, balanced, low carb diet. He also gets supplemental fermented fish stock, which has omega 3’s and glucosamine and chondroitin. The vet said surgery is not needed and that if his muscles can strengthen, it could be corrected naturally. However, he gave no advice for helping the pup gain muscle, other than walking him. We have hopes of agility training when he’s older. How can I find a good K9 PT?

  19. I have an 8 1/2 year old Tibetan spaniel who has recently ruptured her acl and also has loose knees, hip displacia and evidence of arthritis in her hips. I would like to know how much pain she would be in and what her quality of life would be if I did have her knee operated on. Would I be doing her an injustice if I did go through with the operation due the fact that her recovery will likely be 14 weeks due to her other health issues?

  20. Hello,

    My dog is 1 and a half years old. The other day rocky was playing and he started limping, when we took him to the vet she said he popped his knee, but did not say what it was. She wrapped it and said to come back in ten days. Just before Rocky chewed the wrap off and was walking fine. We brought him back to the vet and she rewrapped it. So we now have to go back to the vet in the ten day period. When I asked the vet she said it was not the worst grade and didn’t even give him a grade just said its in now but may come back out but the wrap should help it stay in place. We love Rocky so much and want whats best for him, but we do want to avoid surgery if it isn’t bad for Rocky. Any feedback would be greatly appreciated.

  21. A week ago my 8 month olds started limping. When I took him to the doctor they took x-rays. At first they told me to keep him rested for 4 to 6 weeks off his leg and now are saying he has bilateral medial patellar luxation. They are suggesting surgery. He is 11.5 pounds and he is a Boston Terrier Chihuahua mix. When he is on cement the majority of time he is walking fine its when he is on uneven surface, grass that he starts limping. What are your suggestions. Would waiting 4 to 6 weeks to see how he heals with rest be advised before talking him to a surgeon? I already have him on joint support and fish oil prior to this happening.

  22. Hello all,
    We have an 18month old male Chihuahua who seems in final e health, he runs, jumps, walks & loves playing, he’s quite small and weighs 4.6lbs,he’s in good shape and very lean.
    During a recent vet checkup they diagnosed a level 4 patella Luxation on his rear left leg & advised surgery at 1500USD in house, 3000USD for a travelling specialist, or 4500USD for referral to a university hospital.
    Fortunately cost is not that much of a problem.
    The problem is whether we should go through with it right now, he seems fine & happy right now, he does not limp or show any signs of discomfort, once or twice we have seem him raise this leg when stopped stationery on challenging terrain, (a shingle beach as a good example) but always goes back to 4 legs before walking going on to no I’ll effects. Again my dilemma is to accept to have him put under the knife when outwardly he seems totally happy and fine. Many thanks in reading my posting.

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  24. How to whiten yellow sneakers? How to wash sneakers yellow? Suppose you asked how to whiten yellow sneakers question, how would you answer it? If you’ve never inattentive these things in everyday life, it is necessary learn from scratch up.

  25. I had purchased a male Savannah for breeding purpose. He is just a bit over a year old the past few months I noticed his right leg pops out and then he shakes it and it goes back. It doesn’t happen all the time just on occasion. Took him to our vet and yes they suggested surgery for #2 patellar fluxation and told me probably not good to breed him. I have always tried to keep to the homeopathic remedies and decided to research this problem. I have all my cats on human grade food, immune support supplements and salmon oil. I recently started him on a glucosamine supplement. I just read your article about massaging the knee area so I will start that but what other suggestion might you have. Thank you, Tammy

    • We just returned home from the vet today, I have a 73 lb Boxer/ Mastiff mix who was diagnosed with a luxating patella. We were told that surgery was the best option but after researching online there were plenty of people who were saying there are other treatments. I was wondering if there were any negatives to having the surgery, I mean its like 90% successful so why would we not do it over vitamin or basic exercises? I just do not want it to get worse. He turns a year old next month, and I want him to live a long and pain free life. I’m just doing some research to see what others have gone through and what they recommend.

    • PLEASE DO NOT BREED! Thousands of dogs are “put down” across the nation every day! There is an overpopulation of dogs and cats and so many that don’t have a loving home. I BEG of you, PLEASE DO NOT BREED!

  26. Dr Jeff I need advice!!!

    My dog is a 6 year old mexican hairless min pin mix that weighs 11.4 lbs. Her left leg is a grade 2-3 and her right leg is grade 3. She needs bilateral medial luxating patella surgery and it’s $2600 to fix it. I’m not sure if that will fix her malformation of the tibia but I think he said it could. I know it’s a progressive problem so I’m leaning towards surgery.

    However I’ve had her since she was 4 months old and shes never used her right leg going down the stairs. Last Christmas 2015 she cried out in pain and her leg swell up, not long after icing it for an hour it went away. Then she stopped using her right leg more when we go on walks (since then I have restricted her from walking and playing, so maybe that’s why shes not using it as much? I’ve read its better for to walk around then resting). But she is still determined to walk and jump up on our bed which is 30 inches high ( I know have a baby gate so she can’t jump on the bed and she only walks for about 5-10 minutes then I pick her up.)The only sign of pain she shows is her not using her right leg.

    Would you still suggest surgery if she does everything else normal but not using her leg while on walks?

    • Get your dog a set of dog stairs,I have a pom and a pomchi and both have learned to use them. They are great!

  27. My mother’s 3-year old cat was beginning to limp quite a bit and was diagnosed with a grade 2 luxating patella. We convinced my mother that surgery was the best option as that was the recommendation by the specialty center we were referred to. Unfortunately, her cat went into cardiac arrest under anesthesia (before surgery was performed) and CPR was used to bring her back. Luckily, she survived, which I understand is very unusual in that only about 10 percent of animals survive something like that. She went home over the weekend after spending three days in the clinic’s ICU. Her limp is even more pronounced, but I cannot imagine my mother agreeing to surgery after this. The clinic could not provide a reason for the cat going into cardiac arrest, so there is no guarantee it wouldn’t happen again. They did chest X-rays and ultrasound, and said the cat’s heart is sound. The total bill was $3,000, excluding the surgery that wasn’t performed. Is it likely that her knee will worsen, or will she be able to continue to use this leg?

  28. Thank you for this article, it is very helpful. I am a physical therapist a profession but when my dog got sick I feel like I don’t know anything. My dog Dexter has a symptom of hyperventilation, L leg limping and pain which we can not locate where. He prefers to stand instead of lying or sitting in his bed. I took him right away to the veterinarian and diagnosed to have left acute patellar dislocation medially displaced. They give him pain and inflammatory medicine once a day and with a suggestion for physical therapy. Your post gave me idea of what kind of exercises to do. Let me know if this is a good idea to put cold pack 2 times a day for 15 min per session. Don’t worry I make sure he don’t get ice burn. It seems helping. I did active assistive flexion and extension of the knee. It has been 24 hours since I saw the doctor and I did not see improvement yet. I am kind of anxious to let him go up and down the stairs on the first 3 days after injury.

  29. I have a 4 year old maltese that weighs 6.6punds (3kg).
    We just came back from the vet who said that both of her back knees have a Luxating Patella. The left is a stage 1 while the right is a stage 2, shown from X-rays.
    He wants to do surgery on her right knee as soon as possible however I’m a little hesitant as she doesn’t seem to be in any pain, she happily jumps, runs and goes for daily walks without a problem. The only time I notice anything is when she runs her back legs will occasionally skip together.
    The vet said her right knee pops in and out, and she often walks on her right knee while it is popped out, he said that this will start to cause arthritis.
    Her knees have been like this for a couple of years now so I’m wondering if they will stay the same or if they will get any worse?
    Will it be better to get more X-rays in a years time to compare them too her current X-rays to see if they have gotten any worse or will her knee just deteriorate more waiting that extra year? or should I just get the surgery to prevent her from developing arthritis?

  30. I know this is more about dogs, but I have a 7 month old male kitten who started with this random limp a week ago…took him to vet and she said both his patellars sublux. His right leg is much worse than his left. It popped out and in as she was doing the physical exam. She said surgery is an option but not until he is a year old. I can’t stand watching him run around with his Sister playing and then see him limp. He manages to get it back it place after moving it around on his own… As a kitten he’s very hyper and it’s difficult to get him to stop jumping on things. I need to find someway to help him through the next 5 months until he can get the surgery. He’s 10 lbs, he’s a large cat but not over weight. What do you think I could do for him? Please

    • You should look into getting a wheel chair for your cat. If you’re not sure what I mean, you should definitely look it up. They allow the animal to use their back legs, but there’s also wheels supporting the weight. Eddys Wheel Chairs on Facebook has a bunch of photos.

  31. Hi, my dog is 14 and is a llhasa apso x bichon frise, she has always been in excellent health. Suddenly a few weeks ago she started yelping in pain whenever her lower back and left side was touched. I took her to the vets who prescribed loxicom. This has improved her pain but now she can not walk with her back legs. She could not even stand but now she has slowly stated to be standing unaided. She drags her feet and just wont seem to walk. I massage her legs and am encouraging her to walk but is there anything more intensive to help her please???

  32. Look into wheel chairs for dogs. It’s basically like training wheels by the back legs, taking the weight off them while allowing them to function. Eddys Wheel Chairs on Facebook has a ton of phtots

  33. My 7 month old Akita has been diagnosed with luxuriating patella in both legs. Unfortunelty she may require surgery witch can cost up to £2500. I am unsure of what to do. I have looked into acupuncture or her. Do you recommend surgery if she is at grade2/3?

    • It really depends. How lame is your pup (if at all)? Is she overweight? Have you been following the advice in the article?

      Luxating patellas in a dog this size often do need surgical correction.

      Dr. Jeff

  34. hello,

    My 8-month old dog, canaan type, started screaming all of a sudden after waking up in the morning while lifting his back leg. the vet diagnosed his case as dislocated patella and recommended physical therapy under hot compresses. I went on the net and they did not recommend physical therapy…. I went to another vet who recommended surgery.
    by reading all your comments above, I am not sure it is a dislocated patella. my dog screams of pain I didn’t read that in any of the comments above.
    can anyone pls. help me out?

    • My 5yr old pup was diagnosed with a luxated ing patella a couple of years ago. Most days he is fine and can walk/run/jump normally without any indications of pain. Once every year or so he will “tweak” it (as I call it) and will yelp (scream in pain) very loudly. Twice he has been in pain for about a week after that and I give him muscle relaxers/anti inflammatory/pain meds (from Doctor). The last couple of days he has had a few times where he has yelped/screamed in pain. This is common occurrence when a dog has a luxating patella and it is causing him pain. Depending on the grade of the luxating patella, you might be able to feel the knee pop if you hold his/her knee and flex and extend it. I know I can on my pup. If you can’t, and want to be 100% sure about the diagnosis, get an X-ray done at the vet and have them show you (if you don’t know how to properly read an X-ray).

  35. My 10 year old chihuahua has a luxated patella but the vet did not tell me how bad it was a 1,2,3, or 4. He also has mitral valve disease which is at a 5 out of six is what I was told. I was told he would not survive surgery due to his heart disease. I am hoping this is not causing him more stress. What can I do for him could it be splinted to try and fix it?

  36. Dr. Jeff,

    I have a 16 month old Pitbull Husky mix. over the past month he developed an occasional limp so I went to the vet and she diagnosed him with a luxating patella of the right hind leg. She told me to start joint supplements and watch his weight but that he was at a healthy weight currently so just maintain. She also said to observe him for a worsening of the condition. He goes on walks every day and I live in the mountains so we hike frequently so he is very active. He has the limp (non weight bearing) at least a minimum of 5 times a day and as frequently sometimes as 10 times in 1 day. Now that I know what it is I can gently put the patella back in place and then he will start baring weight on it again. She mentioned doing X-rays to see if there was another underlying cause but before I paid for that I noticed they make braces for it. Would that be beneficial for me to try before doing diagnostic tests to further evaluate or what are your thoughts on braces for the condition?

    Thanks in advance
    -Brea

  37. Dr. Jeff,

    I have a 16 month old Pitbull Husky mix named Sawyer. over the past month he developed an occasional limp so I went to the vet and she diagnosed him with a luxating patella of the right hind leg. She told me to start joint supplements and watch his weight but that he was at a healthy weight currently so just maintain. She also said to observe him for a worsening of the condition. He goes on walks every day and I live in the mountains so we hike frequently so he is very active. He has the limp (non weight bearing) at least a minimum of 5 times a day and as frequently sometimes as 10 times in 1 day. Now that I know what it is I can gently put the patella back in place and then he will start baring weight on it again. She mentioned doing X-rays to see if there was another underlying cause but before I paid for that I noticed they make braces for it. Would that be beneficial for me to try before doing diagnostic tests to further evaluate or what are your thoughts on braces for the condition?

    Thanks in advance
    -Brea

  38. Hi I have a chihuahua puppy that is 10 months old. He weights 5.2 lbs. two weeks ago he was out in the back yard came in hoping holding his left leg up . I waited till the next day it was no better . Took to a vet. Said its a level three to a 4 and surgery is needed .. Of course I cried .. They gave me meds he has been on two weeks and still the same . He prefers to walk in soft floors I put down blankets rugs etc . If he wants to go to the pee pad he will hold his leg up limp over there . I’m concerned . Took him back to vet yesterday . I made the appointment for surgery on Tuesday July 5th… I’m so scared for him . They suggested laser therapy sessions afterwards.. To help heal. The cost is a lot and now it’s higher than they told me at first .. Dr. Any advice would be appreciated

  39. I have a 4yo 30lb aussiedoodle. At a year and half old, she partially ruptured her acl and some months later she ruptured the other. Both times we did conservative management, cold laser therapy and physio. Luxating patella was suspected. She’s had two sets of X-rays and the vet says he does not see a shallow trochlear groove, but, I can often feel her knees click and sometimes she limps and I have to manipulate the kneecap back into place. However, this is the issue now: almost a year ago she was diagnosed by endoscopy to have Inflammatory bowel disease, and so we have her on a kibble from the vet (Hills DD which is potato and salmon). Supplemented with fresh poached salmon and an extremely slow introduction to some other cooked vegetables. She has been stable with the IBD for nearly a year. prior to the IBD diagnosis I was feeding raw. I can no longer do this. So my question is if she starts limping again and seems in pain, how can I give her some temporary anti inflammatory medication AND keep her IBD from flaring up? My poor girl has been thru a lot in her 4 short years. Thanking you in advance for a reply.

  40. Hello you speak of Grade 1&2 not needing surgery I am very, very concerned about my Yorkie Buttercup she just been diagnosed with a grade 3 Luxiating Patella in her right knee and grade 1 in her left as well as ACL. In her left leg she is 6 lb 15 oz. I know she needs to loose weight plus she use to have grand mall seizures about 6 1/2 yrs ago but she is no longer on meds and have not had a seizure in years. How can a grade 3 not have surgery I want to skip surgery if I can because I am not sure if she will do well. How can you make a dog be still for 2 months. My Yorkie do not do well under anesthesia her bones are tiny who is to say they won’t mess her up I am very frighten and concerned it is a no win situation. I just don’t know what to do… I feel she is getting worst some days. She went to the groomers and when I got her home she could not walk prior to that she hop on the bed a month ago and her right leg went out I massaged it and hot compressed it and she was fine. Now she is walking again bit carefully I feel that it is gonna happen again lameness in her legs, how do I help her without surgery is my question.. I do t want her to suffer either way I want to make the best and fight decision for her.

  41. He don’t answer these

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