September 24, 2025

Understanding Hip Dysplasia in Dogs: Causes, Symptoms, and Treatment Options

Saint Bernard dog with a mobility cart, walking and receiving support at A Loyal Companion.

Hip dysplasia is one of the most common—and misunderstood—orthopedic conditions in dogs. From large-breed puppies bounding through growth spurts to senior companions struggling to rise from a nap, this degenerative joint disease can affect dogs across all life stages.

But here’s the good news: With early recognition, proactive care, and a commitment to long-term support, dogs with hip dysplasia can live happy, fulfilling lives. This guide will walk you through everything you need to know—from causes and symptoms to both surgical and non-surgical treatment options.


What Is Hip Dysplasia in Dogs?

Hip dysplasia is a developmental condition in which the hip joint—specifically the ball (femoral head) and socket (acetabulum)—does not fit or develop properly. Instead of a smooth, congruent fit, the joint may be loose, shallow, or misaligned, causing instability.

This instability leads to:

  • Abnormal wear and tear

  • Joint inflammation

  • Cartilage damage

  • Eventually, osteoarthritis

Over time, a dog with hip dysplasia may experience pain, limited range of motion, and reduced mobility.


Causes of Hip Dysplasia in Dogs

1. Genetics

The number one risk factor is heredity. Certain breeds are genetically predisposed to hip dysplasia due to generations of selective breeding.

High-risk breeds include:

  • German Shepherds

  • Labrador Retrievers

  • Golden Retrievers

  • Rottweilers

  • Great Danes

  • Saint Bernards

  • Bulldogs

Genetic screening is becoming more common among responsible breeders, but not all cases are avoidable.

2. Rapid Growth

Puppies that grow too quickly—especially large or giant breeds—are at higher risk. Excess calories, improper calcium/phosphorus ratios, or over-supplementation during growth can contribute to joint misdevelopment.

3. Obesity

Extra weight = extra pressure on already unstable hips. Dogs with hip dysplasia who are overweight tend to show symptoms earlier and experience more rapid progression of joint damage.

4. Nutrition & Exercise

Unbalanced diets or inappropriate exercise (e.g., high-impact activities in young puppies, quick movements on slick floors) may exacerbate the development of hip dysplasia, especially in genetically predisposed dogs.


Symptoms of Hip Dysplasia in Dogs

Symptoms vary depending on the dog’s age, activity level, and severity of the condition. In some cases, signs may be subtle until arthritis sets in later in life.

Common signs include:

  • Bunny hopping when running

  • Stiffness or difficulty rising

  • Hind-limb weakness or swaying

  • Reluctance to climb stairs or jump

  • Decreased activity or exercise intolerance

  • Audible clicking or popping in the hips

  • Loss of muscle mass in the hind legs

  • Pain or sensitivity around the hip area

Some dogs may not show pain directly but will alter their movement to avoid discomfort.


How Is Hip Dysplasia Diagnosed?

Diagnosis requires a combination of physical examination and imaging.

Veterinary exam:

  • The vet checks for signs of pain, looseness, or a “clunking” motion during manipulation of the hips.

  • Observation of gait and stance.

X-rays (Radiographs):

The gold standard for diagnosing hip dysplasia. They reveal joint shape, socket depth, and the presence of arthritis.

In some cases, PennHIP or OFA certification is used to evaluate hip conformation, especially in young dogs being considered for breeding.


Stages of Hip Dysplasia

While not formally staged like cancer, hip dysplasia can be described in degrees:

  • Mild: Minor looseness or shallow sockets; often asymptomatic in early life.

  • Moderate: Noticeable joint instability with some arthritic changes.

  • Severe: Marked deformity, severe arthritis, significant pain, and mobility loss.

Knowing your dog’s stage helps guide the best treatment approach.


Treatment Options for Hip Dysplasia in Dogs

Treatment is not one-size-fits-all. It depends on the dog’s age, size, pain level, activity expectations, and your budget. Most plans involve a multimodal approach—combining lifestyle management, medication, physical therapy, and sometimes surgery.

Non-Surgical Management

For many dogs, especially older or mildly affected ones, surgery isn’t the first step. Conservative care can significantly improve comfort and quality of life.

1. Weight Management

Keeping your dog lean is one of the most effective ways to reduce joint strain and slow disease progression.

2. Exercise Modification

Avoid high-impact activities (jumping, rough play) and opt for low-impact exercise like:

  • Leash walks

  • Swimming

  • Controlled incline walking

Consistency is key. Too much rest can lead to muscle loss; too much activity can cause flare-ups.

3. Joint Supplements

Nutraceuticals can support joint health by reducing inflammation, improving lubrication, and protecting cartilage.

Common supplements include:

  • Omega-3s (DHA + EPA): Especially from algae-based sources that reduce inflammation at the cellular level.

  • Glucosamine & Chondroitin

  • Green-lipped mussel

  • Turmeric (Curcumin)

  • Collagen peptides

Look for third-party tested, vet-recommended products that match your dog’s needs and diet.

4. Physical Therapy

Canine rehabilitation therapy improves strength, flexibility, and mobility. It often includes:

  • Underwater treadmill

  • Range-of-motion exercises

  • Balance and strength training

Certified canine rehab practitioners can tailor a plan to your dog’s condition.

5. Pain Management

Pain control is essential and includes:

  • NSAIDs (nonsteroidal anti-inflammatory drugs)

  • Gabapentin or tramadol for nerve pain

  • Alternative therapies: acupuncture, laser therapy, chiropractic

Work with your vet to find the right balance between comfort and safety.

Surgical Treatment

Surgery may be recommended for young dogs with severe dysplasia or older dogs with debilitating pain unresponsive to conservative care.

1. Juvenile Pubic Symphysiodesis (JPS)

  • Performed on puppies under 5 months old

  • Alters pelvic growth to improve joint alignment

2. Double or Triple Pelvic Osteotomy (DPO/TPO)

  • For young dogs before arthritis develops
  • Involves cutting and rotating bones to improve the socket fit

3. Femoral Head Ostectomy (FHO)

  • Removes the femoral head entirely

  • Allows a “false joint” to form

  • Often used for small dogs or cats; larger dogs may need more intensive rehab

4. Total Hip Replacement (THR)

  • Gold standard for severe cases

  • Replaces both the ball and socket with prosthetics

  • Restores near-normal function

  • High cost and longer recovery, but excellent long-term outcomes


Living with a Dog with Hip Dysplasia

Hip dysplasia is not a death sentence. Many dogs live long, happy lives with proper care and attention. The key is staying proactive.

Tips for daily life:

  • Use orthopedic bedding and avoid slippery floors

  • Install ramps or stairs for furniture or cars

  • Stick to a consistent routine of gentle exercise

  • Use a harness instead of a collar to reduce strain

  • Regularly reassess pain and mobility with your vet


Preventing Hip Dysplasia

While not always preventable, certain actions can reduce risk or severity:

  • Choose puppies from breeders who screen for hip health (OFA, PennHIP)

  • Avoid overfeeding growing puppies

  • Provide balanced nutrition for large-breed growth

  • Introduce exercise gradually and avoid high-impact play in young dogs


FAQs About Hip Dysplasia in Dogs

Can puppies have hip dysplasia?

Yes, though symptoms may not appear until adolescence. Early screening is key in high-risk breeds.

Is hip dysplasia curable?

No, but it is manageable. Many dogs improve dramatically with treatment.

How long can a dog live with hip dysplasia?

With good management, dogs can live a full life—even with significant joint changes.

Does insurance cover hip dysplasia?

Some pet insurance policies cover it, but pre-existing conditions may be excluded. Always check the fine print.


Early Action Makes the Difference

Hip dysplasia is common—but that doesn’t mean it has to define your dog’s life. Whether your pup is just starting to show signs of discomfort or you’re navigating a more advanced diagnosis, you’re not alone. With the right information and care team, your dog can enjoy years of tail wags, trail walks, and comfort by your side.

🔗 Explore related orthopedic resources and care strategies: Understanding CCL Tears in Dogs | Signs, Treatment & Recovery