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How To Fix A Luxating Patella (Trick Knee) In A Dog Without Surgery

Updated on March 16, 2017
DrMark1961 profile image

Dr Mark is a veterinarian in Brazil. He has been working with dogs for more than 40 years.

Surgical repair of a luxating patella is not possible for some dogs.
Surgical repair of a luxating patella is not possible for some dogs. | Source

What Is A Trick Knee?

A trick knee in your dog is caused by a luxating patella. Patellas (kneecaps) can luxate (move out of place) towards the dog´s body (medially) or away (laterally). The kneecap normally rides in a groove in the femur and works so well that most owners do not even realize that it is there. A trick knee shows up occasionally, though, often inherited in small dogs or larger breeds that have hip dysplasia.

Some dog owners will also say that their dog has a “trick knee” after a cruciate ligament tear, but ruptured ligaments are actually a lot more serious and have to be treated quite differently.

Your new puppy may have been diagnosed with a trick knee during his first exam. You may have just noticed your puppy running on one back leg, or running with both back legs together (bunny hopping). This is more common is some breeds but can happen in any size dog, and at any age.

If a luxating patella is ignored, the dog will develop arthritis.
If a luxating patella is ignored, the dog will develop arthritis. | Source

Will My Dog Need Surgery?

When this problem is first noticed and diagnosed the vet will probably recommend strict confinement. She might try NSAIDs like Rimadyl or aspirin, and may even want to put your dog on a course of steroids. Sometimes these things will work.

Trick knees might respond to confinement or might get worse if not surgically repaired. There are four grades of luxations, however, and not all even need surgery.

1. Grade I: Dogs are not in pain. When the knee moves out of place, it can be massaged back to where it belongs. Since dogs carry most of their weight on their front legs, this dog will probably never need surgery if the problem is taken care of right away.

2. Grade II: Dogs have a few more problems with the affected knee. It can still be massaged back but it usually moves out of place again as soon as the dog starts walking around. A dog with this grade is usually not in pain but may develop arthritis and pain in the knee, and will sometimes need surgery.

3. Grade III: Dogs with this level of luxation are usually already arthritic and in pain by the time they are seen. The knee is out of the groove more than in it.

4. Grade IV: Dogs no longer have a groove and the kneecap cannot be put back into place. If this has been going on for a long time the dog is arthritic and in pain. A dog like this always needs surgery.

Surgical repair of trick knees differs based on how the dog is built, how many changes have already occurred, and what the surgeon will think is going to work. Sometimes a dog can get by with having the kneecap ligaments strengthened with non-absorbable suture, some will need a deeper groove cut for the kneecap to move in, and some even need surgical changes to the bone where the kneecap attaches. When the bone has changed a specialist may need to do the surgery and the dog will have less of a chance of recovering.


There are several nutritional, non-surgical alternatives. A non-surgical method is never going to change the anatomy of your dog´s leg. You can choose to accept alternative theories or not, but of course by delaying surgery the chances of recovery after surgery are lessened.

What a nutritional alternative can do is improve the dog´s health and the quality of the joint so that secondary changes are reduced. This is an important issue with knee conditions and a reason that so many dogs develop arthritis in their knees as they become older.

A luxating patella usually needs to be fixed surgically.
A luxating patella usually needs to be fixed surgically. | Source

How Can A Trick Knee Be Fixed Without Surgery?

If your dog´s trick knee is very mild, your vet can show you how to move it back into place during his exam. For more permanent results, however, you need to consider all of the following alternatives:

1. Put your dog on a severe diet so that he is not overweight, and definitely not obese: Besides living a shorter life, obesity will cause extra stress on all of his joints. Overweight dogs with trick knees will have more problems walking, and the arthritic changes to the knee will happen that much faster.

2. Walk your dog for a short distance several times a day: Exercise is good to treat many behavioral problems, and in this instance will also keep your dog physically healthier. Besides keeping off his excess weight, the muscles that hold his knee in place will be healthier.

3. Improved diet: A raw or homemade organic diet may improve overall cartilage condition and make all joints, including the knee, healthier. A raw diet can even be made with beef traches and chicken legs, which will add glucosamine and improve the condition of the joint.

4. Give glucosamine and chondroiton dietary supplements: These supplements improve the quality of the joint. They improve the cartilage and may even improve the fluid available in the knee. Some diets advertise the presence of chondroiton, but adequate amounts are only available in balanced raw diets.

5. Give added Vitamin C: This still needs a lot more evidence. Dogs produce vitamin C but the amounts are probably not enough to help with strengthening the ligament when your dog is affected by a trick knee. Doses have not been worked out but you should probably give your dog 1000mg a day (500 mg for a smaller dog), and preferably use natural sources like acerola.

6. Acupuncture: Consult a veterinarian who specializes in treating conditions of the knee.

Dogs with bad knees usually need restricted activity.
Dogs with bad knees usually need restricted activity. | Source

If your dog has been diagnosed with a luxating patella it is not the end of the world. You can find alternative treatments, and if nothing works find a good surgeon to repair the knee so that your dog can live normally.

If your dog has a trick knee, however, she should not be bred! Bad knees are sometimes a sign of hip problems, which are inherited. Even if only the knee is affected, this condition is genetic—it will be passed on to her puppies.

There is still a lot of controversy in this subject so I cannot definitely state which method is best and which method will succeed or fail. In 2011 a report came out that stated the method used by most vets was not even successful. If you choose the surgical alternative for your dog please research this subject carefully. Find the best orthopedic surgeon you can afford, and take care of this problem as soon as you can.

When the knee is okay, anything is possible.
When the knee is okay, anything is possible. | Source

© 2012 Dr Mark

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    • DrMark1961 profile image
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      Dr Mark 3 weeks ago from The Beach of Brazil

      Carmen, if YOU decide that it is so severe that they do need sur, I rec, you take your do for a second opinion to the US midwest where costs are more reasonable.

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      Carmen 4 weeks ago

      I have a rat terrier mix. Recently she stated limping so I took to the vet. He said she has a luxating patella and could only be fixed surgery. The surgery he said could cost about 4,000.00 and that her other knee has the same issue so that would be about 8,000. All together. You can imagine my reaction. I suggested manipulation of the knee and he said it probably would not work. I guess I need help finding a vet that can give me a second opinion at a reasonable cost. I live in Miami and would appreciate any suggestions to help my little girl.

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      Dr Mark 7 weeks ago from The Beach of Brazil

      Chris, w a grade 4 the signs will be visible at all times

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      Dr Mark 7 weeks ago from The Beach of Brazil

      Alison, I assume obesity is not an issue, so all I can suggest is the things in the article above (vit C, glucosmine) but w grade III the odds are not good

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      Alison 2 months ago

      I have a 5yr old Chihuahua with grade lll luxated patellas..Due to her poor condition and other health issues, is there anything that can help her that does not include surgery?..

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      Lucy 2 months ago

      Hi Dr. Mark,

      I have a 1 year 6 lbs chihuahua was hurt when jumping off a chair it looks like she had sprained her leg or dislocated her knee. She has been limping since Friday night Initially it looked like it was better but Tuesday she was still limping so I took her to the vet and they prescribed Rimadyl 25 mg 1/4 of a pill twice a day. I believe gradeII might be the case but I'm so confused as to what to do my vet told me to wait 10 days to see if she gets better after swelling goes down and minimal to no activity. I asked if a splint, bandage, massage, heat or cold packs. He told me to not do anything just wait but I don't see she's getting better and I could tell there's discomfort because she just lays around not doing much. The Dr. also mentioned she might need surgery for this condition Medial Patella Luxation but it's not a sure thing she will need surgery he also said I'd have to go to a specialist to find out. Is there something that you might suggest that I might be able to do before going the surgery route? Is there a splint you might recommend? Should I bandage it before she goes to sleep so that it can stay in position? Is there a technique? I'm sorry I'm asking so many questions but she's just a puppy I would ate for her to start having pain or discomfort so young.

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      Chris 3 months ago

      If a dog had stage 4 luxating-patella, would he be able to run a lot without showing signs of it?

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      Christina 3 months ago

      My Pomeranian chihuahua mix was diagnosed with this condition. He is only 3 years old. Is this common for younger dogs? Would a joint supplement like cosequin be helpful for him?

      He recently fell and must have made it worse because of the inflammation because it was bothering him from just walking. Any suggestions on what I can do to help? I did take him to the vet for X-rays to make sure the fall didn't break anything, and the diagnosis was a luxating patella.

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      Kasey 3 months ago

      we have a four month old Cane Corso not sure what he did to his leg but his left leg has a luxating patella. I think it's a grade one as it goes in and out very easily if I place my hand on his knee and bend the leg I can feel it pop and towards the inside and then back out. he doesn't seem to be in pain though he does limp on it and seems to favor it. the vet seems to think it might be a stretched ligament and rest will be adequate. he also has him on a round of Meloxicam. I'm trying to keep him somewhat confined but it's hard as he is young and full of energy. I'm nervous that this will impact him when he's full grown and he won't be able to live up to his full potential. just wondering your thoughts on this.

      thank you

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      Dr Mark 4 months ago from The Beach of Brazil

      Sue, a luxating patella is only in the knee. Maybe the Walker has early signs of hip dysplasiIa? I would also be concerned about the heartworms, so please read my article on the slow kill method using monthly ivermectin, orally (which is a lot less painful and traumatic than the method many vets recommend.) If the hip problem is mild, you can put her on glucosamine supplements now, feed her to stay thin, and the hips will not develop arthritis for many years.

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      Dr Mark 4 months ago from The Beach of Brazil

      Barry, the dogs do stand, even the ones that are very uncomfortable, but the do have limited movement in that leg.

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      Barry 4 months ago

      Will a treat knee prevent a dog from standing and or have limited movement?

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      Sue 4 months ago

      I am considering adopting a 1 yr 2 mo Walker/Beagle mix, which they have diagnosed as having Lux Patella in the hip. What do you recommend? I see you have recommendations for a trick knee but what about a hip. We have been visiting her for a few weeks and she does not seem to be impacted other than she plays for awhile then lays down. I am not one to give up on anything but I am asking what is your advise on a solution to her problem. They also told me she has heart worm. Bring me some good news.

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      Dr Mark 4 months ago from The Beach of Brazil

      Cathy, not sure a brace would even help but it is worth a try. A 12 year old Yorkie can be managed very well without surgery, so if you do not mind carrying him down steps, etc he should be okay. If he is in too much pain of course you might have to resort to surgery, but try some of the alternatives first (glucosamine, Vit C) and see how he does.

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      Cathy 4 months ago

      I have a male 12 yr. old Yorkie. He has a luxating patella which is at stage 3. Mostly out of the knee grove. My vet manually moves it back, however it slips right back out. He gets around pretty well, but I was considering a brace? Your thoughts? Recommendations? Interesting read about Vitamin C. I will try that as well.

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      Dr Mark 4 months ago from The Beach of Brazil

      A 10 week old puppy still has a chance of making it without surgery. Try to keep it in place with vetrap, talk to her vet about cosequin injections, and give an antioxidant like vitamin C. Do not wait too long, though, since if it is not improving or at least staying stable the best thing for her is the surgery.

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      Kathe 4 months ago

      I have a 10 week old Jack Russell that I recently rescued. They (the Human Society) have diagnosed her with a luxating patella (right rear leg), the vet that saw her said it was a three. It does seem to be uncomfortable for her at times but she if very active. I am wondering if we can support/immobilize this and give it a chance to heal on its own? I understand that this breed is prone to this issue and that it can be genetic, in this case I think that she was stepped on (the folks that had her were older and on a cane). The Humane Society has offered to pay for the surgery - but I am not excited about doing surgery on such a young dog that may grow out of the problem. Thanks.

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      Dr Mark 4 months ago from The Beach of Brazil

      Molly sounds very lucky. Just extend the leg, sort of like she is stretching it out when she first wakes up, and she should be fine.

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      Heather Murray 4 months ago

      Thank you so much for your help! I actually just did what Dr. Fox had told me to do and it popped right back in after a few tries. I was smothered with kisses. She tends to have it pop out often, so I'll try your method next time. Should I extend it straight out in front of her as if she were pointing like a human? Or just extend it straight but leave it flat on the floor? Kind of like if she were stretching? And don't worry! I'm going to buy her some supplements tomorrow since she's probably in need of a little extra vitamin love anyway. Molly gets frequently walked. I don't believe that a dog should stay inside and not get to use their wonderful nose! We take her out to the metroparks when it's nice to let them (her best friend/sister-from-another-mother) romp around. And she's lucky that her size is perfect for massages. She gets them frequently. Maybe that's what's helped keep it from getting so bad! You're definitely right, I'm super lucky that she's this old and still acting like a benjamin button. Thanks again, SO much! I really appreciate your quick response.

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      Dr Mark 4 months ago from The Beach of Brazil

      Heather, it is so nice to hear from someone that has an older dog with a mild case. The comment just below yours is from a guy with a young Great Pyrenees.

      The best way to get the knee back in place is to extend Molly´s leg so that it is straight; it will usually go back in place by itself. If not, just ignore the strange look and give her a gentle massage above the knee. It should feel just like the other leg, and that is how you are able to tell that you have put it back into place.

      Even though Molly´s case is mild, do not allow her to become obese! Give her a mild walk at least twice a day.

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      Heather Murray 4 months ago

      Hi, Dr. Mark. Molly the Maltese is 10 and has been diagnosed with grade 1 floating patella. I notice when it's bad because the leg shakes and she tends to put less pressure on it. The dr that diagnosed her said that I can manually pop it back in. It seemed to me he just rotated her leg in a normal walking position until he felt it pop back in. When I do it, I feel like I might be rubbing her cartilage against the knee cap, rather than fixing it. Can you be of any assistance on this? Or explain to me the best way to tell that it's put back in properly? She doesn't exhibit any pain when I try to do this on my own, just gives me a strange look of, "What do you think you're doing? Be careful, please." Any advice would be so helpful! Thanks in advance.

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      Dr Mark 4 months ago from The Beach of Brazil

      Lika, Clementine is suffering at such a young age because of her breeding. The breeder that chose her parents should have realized there were problems but allowed her dogs to breed anyway, making the puppies suffer from the bad knees, hips, and the early onset arthritis. If you cannot afford the surgery at this point the best thing you can do for her at this point is an alternative therapy like glucosamine, but for such a giant dog weight control is not going to help much and her life span is going to be short.

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      lika oates 4 months ago

      My poor pup Clementine, a Great Pyrenees of only 1 and a half years, has been diagnosed with 2 luxating patellas on her back knees. She also has some hip dysplasia and arthritis. How could this happen with such a young dog, and more importantly, can I treat with something other than surgery since $5000 is somewhat out of my scope.

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      Dr Mark 4 months ago from The Beach of Brazil

      Kelli, not at all sure how long to tell you about the walking since I have not examined her and seen how bad it is. Most dogs, even after major surgery, have to walk around a little because if they do not they overdo it the first day out and end up hurting themselves again. Therefore, small walks early are a good idea, then build up with time. Good luck on the diet and glucosamine!

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      Kelli Smithers 4 months ago

      I wish I had seen this article before I took my 18 month old rottie to the vet! We've had 2 surgeries in 2 months with horrible impact sores when the soft cast is removed. We are now $2500 in debt and I am terrified this will just go back like it was! I already started glucosamine and now I'll work on diet. I have been afraid to walk her at all. Its been 2 weeks since the second surgery. How long till I should start walking her? The soft cast came off yesterday

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      Dr Mark 5 months ago from The Beach of Brazil

      Sorry to hear that. Give him a little time but he may end up needing surgery.

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      Nicole 5 months ago

      Thanks we are trying a brace and we will keep up on his meds.. any thing else was could try or do? He is not walking on it at all at this time.

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      Dr Mark 5 months ago from The Beach of Brazil

      Nicole, dogs do not usally put up with braces/wraps, but you can give it a try and see how your Cane Corso does. It might help, but you should also concentrate on diet, glucosamine, etc.

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      Dr Mark 5 months ago from The Beach of Brazil

      Angela, rest might be enough for Kaira since her condition is mild, but even if she does better this is a warning for you to make sure she stays thin. I would also make sure she gets natural glucosamine.

      Not sure if she is ever going to be a running buddy. Take it easy on her.

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      Angela 5 months ago

      Hi there! My vet said my 9 month old shiba Inu Kaira has a grade 1 luxating patella she got when she slipped on our kitchen floor.. she is a very very active dog and the vet said it's more of the ligaments or tendons that stretched allowing the knee cap to occasionally come out of place and we've had her on strict rest for a week or two although it's been going on 3 weeks now and she is taking an anti inflammatory, will rest alone be able to heal her? I miss my running and hiking buddy I just want her to get better :/

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      Dr Mark 5 months ago from The Beach of Brazil

      Since she is so young Jill I think that she is a candidate for surgery, cannot tell you if she is a good candidate without seeing her x-rays and doing an exam. Give her a few weeks on the cosequin and see how she reponds, but based on her history and early presentation I think that surgery would probably become her only option soon.

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      Jill 5 months ago

      I have a 7 mth old female mini aussies that was just diag with luxating patellas, both legs. Did xray of hips and legs and hips look good, I was advised to put her on the glucosamine and chondroitin, I purchased Cosequin and started her on that last night. The vet suggested that they could go in and tighten the ligament on the outside but with her breed was not sure if it would help a lot. She is a very active girl and has been healthy since we brought her home at 8 wks old. She plays hard and rough, she just started limping a couple weeks ago, first one leg then the other. Is she a good candidate for the surgery where you deepen the groove and also tighten the ligaments, my vet made me feel like we shouldn't do anything at this time, but I want to help her asap. She was going to be used as a breeding female later on and I was hoping to show her in conformation and agility , I guess that is out now! Any advice would be greatly appreciated.

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      menooch 5 months ago

      thank you dr mark. im gonna try that.

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      Dr Mark 5 months ago from The Beach of Brazil

      Menooch, that dietary supplement already has vitamin C, so as long as you watch the weight it may be enough. It is hard to tell you how she is going to react, but if she was my dog at that age I would put her on a natural glucosamine supplement like a chicken leg or small amount of beef trachea. Watch her weight, hope she does okay.

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      menooch 6 months ago

      Dr mark,

      My chiweenie is 10 months old and out of the blue the same as lauren my dog started limping on both her back legs but mostly her back right. i took her to the vet and they said that one leg is stage 3 and one is stage 4 and also suggested the same as you have said mostly. ( no overweight ) they also prescribed EFA2N once a day. is that all I need to give her? should i also buy raw beef trachea? or glucoseamine? and vitamin c? and shes 7lbs. so how much do i give her. she also is on a 2 times a day feeding. thanks for your help

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      Dr Mark 6 months ago from The Beach of Brazil

      Siddesh, she may be happy but will not move around as much. I had a dog that we had to amputate a rear limb, and she was happy and healthy, but of course I was careful to never let her get overweight.

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      siddhesh mavkar 6 months ago

      thanx doc for reply but , if she is not treated or done surgery then can she live a healthy and happy life with this luxating patella if can, how?...

      please tell me i am so much worried

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      Dr Mark 6 months ago from The Beach of Brazil

      Wow Siddesh I am sorry to hear that. Surgery is not a good option in the region I live in either. Physiotherapy does not help much, unlike with arthritis of the hips, but with a Lab weight control is very important. You should also look into glucomsamine/chondroitin (especially natural, like chicken legs), and ask your vet if he gives adequan or some other injection forchondroitin. Hope it works out for her since a young dog like her does not need to suffer so much.

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      Siddhesh mavkar 6 months ago

      Hi doc I have a nine months old Labrador she has suffering from patellar luxation grade 3 surgery can't be done. As our vet group is not so good to perform surgery. Can I get it corrected by physiotherapy please help.

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      Dr Mark 6 months ago from The Beach of Brazil

      Lauren, I buy my chicken legs and raw beef trachea from a butcher every week, feed my dogs all natural (no commercial food). There are very small bones in feet, no problems eating them whole (but they should never be given cooked) and beef tracheas are only cartilage, so if you have access anywhere and do not feel good about the feet that is a good option. Do not give up! Let me know how things are going for them.

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      Lauren 6 months ago

      And ps- you don't need to post this comment but I wanted to tell you, you are spot on about doxies! Lol she is such a chowhound! As soon as I put her food down she scarfs it like she's starving! (And she's not at all!) I actually have to serve it to her on a large plate so she won't inhale it too quickly and choke. Silly girl. :)

      My other dog, a Pomeranian, will pick at his food over the course of a couple hours, and sometimes not even finish it! Fortunately they have their own bowl/plate ownership well established between the two of them, so my doxie shockingly leaves his uneaten bowl alone. He trained her well!

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      Lauren 6 months ago

      Dr. Mark,

      Thank you so much for your feedback! My vet told me her weight was perfect and I pride myself on feeding my dogs a high quality dog food in two measured servings a day. So I'm confident she will never become obese! :) But I appreciate your comments because it's good to have that decision reinforced.

      As far as the beef trachea or chicken legs, do you mean for me to serve that to her raw, (bones included) chopped up with a little mixed in her food? My vet is telling me that surgery is likely the only options to correct it but I would really prefer to go the natural route if possible. She is still not putting weight on her leg, however, and it's now been around 2 weeks. While she isn't in pain, I obviously can't stand to watch her hobbling around on 3 legs when she has 4! I will begin the beef/chicken and vitamin C today.

      Thank you again for your input!

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      Dr Mark 6 months ago from The Beach of Brazil

      Lauren, she is at the age where you can do a lot to help her. Do not let her get overweight as she ages, and make sure she gets at least a few walks per day to keep in shape. Please consider giving her a natural glucosamine source, like chicken legs or beef trachea, and also look into giving her vitamin C (which has not been proven to help but will definitely not hurt.)

      Again, let me emphasize that the most important thing for her future is that she does not become obese. Doxies are real chowhounds, and since Chis are small they do not need to be fed much so we humans tend to overfeed them!

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      Lauren 7 months ago

      Hi Dr. Mark!

      I have a 2 year old chihuahua/ dachshund mix. She has been a happy, hyper and active dog since I adopted her about 6 months ago. She loves to run around and play with my other dog with no previous or observable health conditions. 6 days ago she was outside in the backyard running around with my other dog when she suddenly became lame. I did not see how it happened, only that she was fine one minute when she ran out the door, and ten minutes later she would not put any weight on her back leg. We inspected it for a bite mark and she screamed out in pain. So I rushed her to the emergency vet clinic and turns out it is a luxating patella. Only just today, 6 days later, she is just starting to use it tentatively, but still mostly lifts her back leg. She received a steroid shot and has been on anti-inflammatory medication the past 5 days. What do you recommend at this point? Can I wait longer to see if it may correct on its own? I took her to my regular vet the day after when he prescribed the anti-inflammitory meds. He told me he can massage it back in place but that it slips right back out. Is it possible that it could get better without surgery? She doesn't seem to be in any kind of pain at all the last 5 days. Any advice would be greatly appreciated.

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      Dr Mark 8 months ago from The Beach of Brazil

      Donna,the foster Yorkie was not lame prior to the accident?If not, I would be more inclined to consider it a Grade 3. I would go ahead and give the pain meds, and in that time the dog will have some time for the swelling to go down. Not sure what to advise you on the shleter situation. Hopefully the dog will not need surgery, but an 11 year old Yorkie is not old, so if that is only option I would try non-surgical first, then maybe surgery if nothing else works.

      How overweight is she? Look into switching her diet to natural /raw instead of commercial, which has a lot of carbs. (That is, if you do adopt her) Good luck with this.

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      Donna 8 months ago

      My 11 year old foster Yorkie did a squirrel sprint in the yard a few days ago and immediately came up lame, This is a first in the year I have had her. Shelter vet said he couldnt reduce it so its considered grade 4 luxated patella. plan was 7 days doggie profen & weight reduction diet. No other advice. I'm limiting activity mostly by carrying for stairs adn not taking walks, though she still hobbles around the house on 3 legs more than I would like. I wonder if it is really a #4, maybe just enough swelling from the sudden injury that it won't reduce just yet. I hear there mighta lazer tx option. Shelter vet isn't going to pursue any other measurea due to expense. I could formally adopt her to pursue a repair but wondered if it might be reduced after the week's meds. Not sure he will even be willing to see her again. I am really disappointed in this Vet situation but can't take her elsewhere as long as she's a foster.

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      Dr Mark 8 months ago from The Beach of Brazil

      Gina, there are no exact doses. I would give at least 250 up to 500 mg for a dog that size. The problem with glucosamine is that it is not controlled, so the amount in the capsule may be a lot lower than on the label. I give natural glucosamine, like chicken feet and beef tracheas. One chicken foot is about 450 mg, so two raw feet a day would be a great supplement. (Read more about feeding raw food if you are giving Chibby commercial pellets.) I hope things work out for you both, be sure to leave another message later on and let me know.

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      Gina 8 months ago

      How much glucosamine for a 7-9 lb. dog? 10 mo. old puppy starting holding back leg up. Did massage last night and heard a slight popping. Will continue to monitor him, I am a proponate of glucosamine for humans. Hopefully will help my Chibby's situation.

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      Dr Mark 8 months ago from The Beach of Brazil

      sachin pat--sorry to hear about your little puppy. If you have already had him examined, and his regular vet does not think he will get better, there must be obvious signs of nerve damage. Maybe his toes do not have any feeling? Hard for me to judge without an exam.

      I am not sure if he will get better, but if he were my puppy I would put him on a raw diet high in glucosamine, based mostly on chicken legs, which are easy for a little puppy of that age to eat.

      Besides his regular diet, I would also give him vitamin C. You will probably not have a natural C in high enough amounts, so Vit C tablets is your best bet. Not sure how big he is, what breed, etc, so I can not tell you how much to give.

      Good luck with the puppy.

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      sachin pat 8 months ago

      my 2 months old puppy was attacked by some pigs his back legs knee is dislocated doctor says this can't be fixed what should I do now he is just walking on 3 legs he doesn't feel pain in that leg

      is there anything I can do to fix it

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      Dr Mark 10 months ago from The Beach of Brazil

      David, just take hold of your dogs foot and extend the leg all the way. The patella often pops back in when the leg is extended all of the way, if not just massage it and gently push it towards the center of the dog´s body. If she cries a lot she might need to be sedated, but this almost always works.

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      David 10 months ago

      How do you massage the patella back in place, I have a chihuahua she owns the house we just live their.

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      Sally 10 months ago

      My 14 year old Bichons was just diagnosed with this. We are doing acupunture along with total body massage with lavender oil from Young Living Essential Oils ...only therapeutic essential oil on the market. I've learned how to move her knee cap back into place and she lets me do it. Our vet is trained in Chinesse herbs and acupunture. She is also on an herb for inflammation along with a lot of rest and being carried up and down the steps and doing very well. Vet is AMAZED at how well she is responding!! GLORY!!

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      jm 11 months ago

      my 5 years old pekingese with congenital patellar luxation worsen, from grade 2 became grade 4, we did the surgery, he is recovy right now, and rehab program after 2 weeks.

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      Yvone 13 months ago

      All of this information was very helpful my puppy's leg literally just started acting up and I was so scared

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      Sherry Resnick 13 months ago

      Devasted right now! Our almost 3 year old 80# pit was just dignosed with luxating patella in both knees!! We are beside ourselves he is our baby!! I will not do the surgery! Has anyone had any luck with holistic vets?

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      Cindy 15 months ago

      Hi we have a boerbull. At 10 months he started limping. We took him to the vet and first opinion was an ACL. We took him to a second vet and exrays showed a luxating patella. We had the op done which was not completely successfull. They redid the op a few days later to tighten the knee as it was still popping out. A month and a half into recovery his second leg started showing signs of discomfort and this was now also putting weight on his leg that had been operated on. We then had the other leg operated on a couple of months later which was a huge success but because the first leg was not done correctly the first time and because of the added weight during healing he needed a third op on the 1st leg. We noted our concerns that something was not right when we took Rocky to have his stitches out. He has a follow up soon but I realized his leg was popping out again. The heart break. What now. The ops are exhausting not just to Rocky but us as well. He is confined to a cage most of the day and knight but as a very active strong willed dog he is throwing tantrums and he is totally oblivious to pain he really cares less about his sore legs. So the delema He wants to run and jump and as a huge dog he loves to throw his weight around. His had a bit of obedience training but the cage is taxing on him. Surgery on the leg does not seem as if its going to work on the leg that has had three ops already. I'm at my wits end what else can we do to stabilize the knee because i dont think Rocky would survive being confined all his life.

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      jacqueline 16 months ago

      My 15 month old baby girl Sopie as just diagnosed with this she is a pom. I am trying a brace and glucosamine with chronditan and omega 369

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      Beth 16 months ago

      Thank you for all this information. I just found out my dog has this.

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      Author

      Dr Mark 4 years ago from The Beach of Brazil

      Thanks Michelle this is not a popular subject, and not one people want to hear about. I hope your Westie never needs this information.

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      Michelle Liew 4 years ago from Singapore

      This is awesome, Mark. I would think especially so as the dog grows older. Thanks for sharing!

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