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Hip Dysplasia in Dogs: What We Now Know

Management and Prevention of Hip Dysplasia

Hip dysplasia in dogs is a genetic condition that affects the hip joint, leading to pain and mobility issues. This article will help you understand the causes, recognize the symptoms, pursue proper diagnosis, explore treatment options, and implement prevention strategies.

  • Hip dysplasia in dogs, particularly in large breeds, is primarily genetic but can be exacerbated by environmental factors such as diet and exercise. It leads to hip joint instability, pain, and decreased mobility
  • Early identification and diagnosis of hip dysplasia symptoms, such as hind limb lameness and reluctance to move, are crucial for effective management and improving quality of life for affected dogs
  • Treatment for hip dysplasia include medical management with pain relief medications and supplements, various surgical procedures like Total Hip Replacement (THR) and Femoral Head Ostectomy (FHO), as well as complementary therapies such as physical therapy and alternative treatments

Understanding Canine Hip Dysplasia

Hip dysplasia is a painful condition affecting the hip joint, leading to joint instability, deterioration, and loss of function. This condition, also known as degenerative joint disease, begins in puppyhood, where the ball and socket of the hip joint fail to develop properly, causing looseness and instability in the joint. Over time, this instability leads to joint deterioration and can severely impact a dog's mobility and quality of life.


Genetic predisposition plays a significant role in the development of hip dysplasia, particularly in large breed dogs and giant breed dogs like German Shepherds, Saint Bernards, and Labrador Retrievers. Comprehending the genetic and developmental factors of this condition can facilitate early detection and management, thus lessening its effects on your dog's life.

Signs of Hip Dysplasia in Dogs

Early identification of hip dysplasia symptoms can greatly aid in controlling the condition and preventing developing hip dysplasia from worsening.


Early signs are:

  • Intermittent or persistent limb lameness
  • Difficulty rising
  • Reluctance to run or jump
  • Noticeable pain in the hip joint


These symptoms often lead to a decrease in motion levels and could be mistaken for general aging. Clinical signs such as hind leg weakness and stiffness, especially after rest, are also common indicators of hip dysplasia.

You might notice:

  • An unusual gait, often described as a bunny hop, where the dog moves both hind legs together
  • Difficulty getting up or lying down
  • Reluctance to jump or climb stairs
  • Decreased activity or exercise intolerance


These signs indicate significant hip joint issues. If you notice any of these symptoms in your dog, it's important to consult with a veterinarian for a proper diagnosis and treatment plan.


As the condition progresses, muscle atrophy in the thighs and lethargy due to pain are common. The severity of lameness can vary depending on the extent of arthritic changes in the hip joints. Monitoring these signs closely can help in early diagnosis and effective management of the condition.

Causes of Hip Dysplasia in Dogs

The primary cause of hip dysplasia in dogs is believed to be genetic, but there has been no direct link found. With certain large and giant breeds being more susceptible. Studies have shown that multiple chromosomal locations may be involved in this genetic predisposition, particularly in breeds like German Shepherds. However, genetics alone do not determine the severity of the condition.


Environmental factors play a significant role in the development and progression of hip dysplasia. Diet, exercise, and growth rate are critical influences. Excessive caloric intake and rapid growth during puppyhood can outpace the development of the soft tissue structures that stabilize the joints, leading to hip joint laxity. Proper nutrition and controlled exercise are essential in preventing the exacerbation of this condition.


Diagnosing Hip Dysplasia in Dogs

Prompt diagnosis of hip dysplasia is paramount, particularly for breeds with high susceptibility. One of the first steps in diagnosing this condition is a thorough physical examination, including the assessment of joint laxity using the Ortolani sign. If hip dysplasia is suspected, X-rays under general anesthesia are the most reliable method for confirming the diagnosis.


Early testing and regular monitoring can help determine the severity of the condition and guide appropriate preventive measures. Early identification of hip dysplasia enables pet owners to implement effective management strategies and enhance their dog's well-being.

Treatment Options for Hip Dysplasia

To treat hip or joint issues, a combination of medical management, surgical procedures, and complementary therapies is employed. The choice of treatment depends on various factors, including the severity of the condition and the dog's overall health. Maintaining an optimal weight is vital to avoid joint pain and excessive inflammation.


For younger dogs, specifically those under 10 months, a surgical option called triple pelvic osteotomy can be considered. This procedure realigns the hip joint to improve overall mobility and comfort as the dog grows.


A veterinarian will conduct a complete orthopedic evaluation before recommending the best treatment approach. Understanding the available methods can help pet owners make informed decisions about their dog's care.

Medical Management

Non-surgical treatment options for hip dysplasia depend on the severity of the condition and whether the dog is a candidate for surgery. Medical management typically involves a multimodal approach, including prescription pain medications like nonsteroidal anti-inflammatory drugs (NSAIDs) such as Galliprant® and Rimadyl®. Adequate pain relief is essential in enabling dogs with hip dysplasia to stay active and thwart additional complications.

Dietary supplements:

  • Vitamins C and E
  • Green Lipped Mussel
  • Glucosamine
  • Chondroitin


Can help reduce the risk and severity of hip dysplasia. Effective weight control and consistent, moderate exercise are also key elements of non-surgical management.


Surgical Procedures

Several surgical options are available for treating hip dysplasia in dogs, each with its own benefits and considerations. Total Hip Replacement (THR) is the most effective surgical treatment for severe cases, involving the implantation of a prosthetic hip to replace the damaged joint. This procedure can significantly help with mobility and reduce pain. With Total Hip Replacement, the cost can get quite high compared with other hip dysplasia surgery types that focus on the dog's hip joint. The preferred treatment for mild hip dysplasia would be medication.


Femoral Head Ostectomy (FHO) is another surgical option, where the femoral head of the hip joint is removed to create a false joint, reducing discomfort. This procedure is less invasive and can be a viable option for dogs not suitable for THR.


Double Pelvic Osteotomy (DPO) involves making cuts in the pelvic bone to rotate a section and improve femoral head coverage. This procedure is typically recommended for younger dogs with early signs of hip dysplasia to prevent further joint damage.


Triple Pelvic Osteotomy (TPO) is another surgical option suitable for younger dogs under 10 months. This procedure involves making three cuts in the pelvic bone to realign the hip joint, improving overall mobility and comfort as the dog grows.

Complementary Therapies

Complementary therapies can be instrumental in managing hip dysplasia, with the goal of promoting joint health and enhancing overall quality of life. Physical therapy and rehabilitation methods, such as therapeutic exercises, hydrotherapy, and laser therapy, can help improve mobility and reduce pain in dogs with hip dysplasia.


Alternative therapies like acupuncture, cannabinoids (CBD oils), and traditional Chinese medicine have shown varying degrees of success in managing hip pain and hip joint pain symptoms. Stem cell therapies offer a regenerative approach, aiming to repair and regenerate damaged tissues in the hip joint.

Cost Considerations for Treating Hip Dysplasia

The cost of treating hip dysplasia can vary widely depending on the chosen method.


Some approximate costs:

  • Surgical options like Femoral Head Osteotomy (FHO): $1,200 to $2,500
  • Double Pelvic Osteotomy (DPO): around $3,000
  • Total Hip Replacement (THR): $3,500 to $7,000 per hip


Although surgery may seem costly upfront, it can be more cost-effective over time compared to long-term medical management, which could range from $4,800 to $19,200 over a dog's lifetime. Pet insurance may cover some of these costs, further easing the financial burden.


Some trainers may find male vs female Goldendoodles with females being slightly easier to train, but the differences are minimal.

Prognosis and Life Expectancy

Dogs with hip dysplasia can still lead full and active lives with the proper treatment and care. Effective management can significantly enhance their quality of life.


  • Surgical interventions, such as total hip replacement or femoral head ostectomy
  • Medical management, including pain medications and joint supplements
  • Physical therapy and rehabilitation exercises
  • Weight management to reduce stress on the joints


Preventing hip dysplasia starts with selecting puppies from breeders who screen for the condition. Balanced nutrition is vital, particularly for larger breed puppies, to prevent rapid growth and weight gain that could strain developing joints.


Avoiding over-exercising young dogs is also important, as it can increase damage to the hip joint. Techniques like symphysiodesis can prevent hip dysplasia by increasing femoral head coverage in at-risk puppies.

Key Takeaways

Understanding, managing, and preventing hip dysplasia can dramatically improve the quality of life for your dog. Early recognition of signs, appropriate treatment options, and preventive measures are key to keeping your pet comfortable and active throughout their life.

Frequently Asked Questions

By being proactive and informed, you can help your four-legged friend live a happy, healthy life despite the challenges of hip dysplasia. Remember, the right steps taken today can make all the difference in your dog's future.

What are the early signs of hip dysplasia in dogs?

If you notice limb movement issues, difficulty rising, or reluctance to run or jump in your dog, it could be an early sign of hip dysplasia. Pain in the hip joint is also a common indicator.

How is hip dysplasia diagnosed in dogs?

Hip dysplasia in dogs is diagnosed through a physical examination, joint laxity assessment, and hip radiographs under general anesthesia. These methods help veterinarians accurately detect the condition and develop a treatment plan.

What are the treatment options for hip dysplasia?

The treatment for hip dysplasia include medical management with pain medications and supplements, surgical procedures like total hip replacement and femoral head ostectomy, and complementary therapies such as physical therapy and acupuncture. Surgery may be considered in severe cases.

How much does it cost to treat hip dysplasia in dogs?

Treating hip dysplasia in dogs can cost between $1,200 to $7,000, varying on the treatment method chosen. Surgery options such as Femoral Head Osteotomy range from $1,200 to $2,500, while Total Hip Replacement can cost between $3,500 and $7,000 per hip.

Can hip dysplasia in dogs be prevented?

Yes, hip dysplasia in dogs can be prevented through measures such as selecting puppies from screened breeders, providing proper nutrition, maintaining a healthy weight, and avoiding over-exercising young dogs.