Signs of Hip Dysplasia in Dogs

How to spot early signs, when to call your vet, and how to support comfort and mobility

Noticing changes in your dog’s hips or back legs?
Talk with a MedcoVet clinician about your dog’s symptoms, mobility, pain level, and next steps.

Written by: Alon Landa
Medically reviewed by: Kristy Williams, CVT, CCFT (Specialties: Pet rehabilitation, pain management, photobiomodulation)

Reviewed: June 2026
Updated: June 2026

What are the signs of hip dysplasia in dogs?

The most common clinical signs of hip dysplasia in dogs include difficulty rising, limping in the hind legs, a bunny hopping gait, stiffness, reluctance to run or jump, pain around the hip joint, and chronic or occasional lameness. These clinical signs may also present as limping without previous trauma, difficulty standing up, and decreased activity levels—such as a significant drop in enthusiasm for walking, playing, or jumping into cars. Some dogs show early signs as young as 4 months old, while others develop symptoms later as arthritis and joint damage progress. If your dog is showing changes in mobility, gait, or comfort, a veterinary exam and x rays can help confirm whether hip dysplasia is the cause.

If your dog is already showing signs of pain, stiffness, or reduced mobility:

Want help understanding your dog’s symptoms?

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What is hip dysplasia in dogs?

Hip dysplasia is a common skeletal condition where the dog’s hip joint does not form correctly. The hip is a ball and socket joint. The femoral head, which is the ball at the top of the thigh bone (femur), should fit smoothly into the hip socket in the pelvic bone.

With canine hip dysplasia, the ball and socket joint is loose, shallow, or poorly aligned. That poor fit creates joint instability. Over time, the hip joint can become inflamed, painful, and damaged.

Many dogs with hip dysplasia develop arthritis, bone spurs, stiffness, muscle loss, and reduced range of motion. The condition can affect one or both hips.

Hip dysplasia in dogs can look mild at first. A little hesitation. A slower start in the morning. A skipped jump into the car.

Then it becomes harder to ignore.

Early signs of hip dysplasia

Early signs of hip dysplasia

Early diagnosis matters because treatment can begin before joint damage becomes more advanced.

Watch for these early signs:

  • Difficulty rising after rest
  • Stiffness after naps
  • Limping without previous trauma
  • Occasional hind end lameness
  • Reluctance to run, jump, or climb stairs
  • Bunny hopping when moving quickly
  • Trouble getting on and off furniture
  • Abnormal sitting positions
  • Reduced range of motion in the hips
  • Less enthusiasm for walks or play
  • Pain when the hips are touched
  • Muscle atrophy in the hind legs

A bunny hopping gait means the dog moves both hind legs together instead of using them independently. Pet parents often notice this when the dog runs, climbs stairs, or moves uphill.

Hind end lameness may be persistent or occasional. Some affected dogs limp every day. Others look fine one day, then stiff or sore the next.

Some veterinarians take advantage of the anesthesia during spaying or neutering to perform pelvic X-rays. This allows for clearer imaging, which can help diagnose hip dysplasia early, even before symptoms appear, enabling timely treatment options.

Later signs of hip dysplasia

Later signs of hip dysplasia in dogs

As hip dysplasia progresses, dogs may show clearer signs of pain and joint damage.

These can include:

  • Trouble standing up from lying down
  • Avoiding stairs
  • Refusing to jump into the car
  • Reduced activity
  • Visible pain in the hip area
  • Worsening lameness after exercise
  • Loss of muscle mass in the hind limbs
  • Bigger shoulder muscles from shifting weight forward
  • Clicking or popping in the hip joint
  • Irritability when handled
  • Less interest in normal routines

Thigh muscle atrophy is common in dogs with hip dysplasia. The hind legs may look smaller because the dog avoids using them fully. At the same time, the shoulder muscles may become more developed because the dog shifts weight onto the front end.

That weight shift protects the hips, but it can create stress in other areas of the body.

Which dogs are most at risk?

Genetics plays a major role in developing hip dysplasia. Large breed dogs and giant breed dogs have a higher risk, especially breeds such as German Shepherds, Labrador Retrievers, Golden Retrievers, Great Danes, Rottweilers, and Saint Bernards.

Large breed puppies are especially vulnerable during growth.

Risk factors include:

  • Genetic predisposition
  • Rapid growth
  • Excessive exercise during the growth phase
  • Improper nutrition
  • Excess weight gain
  • Poor muscle development
  • Joint stress from high-impact activity

Environmental factors matter too. Improper nutrition, unbalanced diets, and fast weight gain can increase a dog’s risk of developing hip dysplasia. Excessive exercise in young dogs can place undue stress on developing joints.

Healthy hips start early.

If you are getting a puppy from a breeder, ask whether the breeding dogs were screened for hip dysplasia. To help prevent hip dysplasia, early screening, maintaining a healthy weight, and providing proper nutrition are important steps. For large-breed puppies, feeding a diet formulated for large-breed growth until at least 12 to 18 months of age can help support proper nutrition and joint development.

How veterinarians diagnose hip dysplasia

How veterinarians diagnose hip dysplasia in dogs

Diagnosing hip dysplasia usually begins with a physical exam. Your veterinarian may watch your dog walk, feel the dog’s hips, assess range of motion, check for pain, look for muscle atrophy, and check for signs of discomfort or abnormal joint movement in the dog’s hips.

X rays (radiographs) are commonly used to confirm hip dysplasia diagnosed by exam and to assess the severity of changes in the dog’s hip joint, including the hip socket, femoral head, joint laxity, arthritis, and bone changes.

Your veterinarian may also ask about:

  • When symptoms started
  • Whether the signs are getting worse
  • Your dog’s age and breed
  • Exercise habits
  • Weight history
  • Diet and supplements
  • Prior injuries
  • Response to pain medications

A clear diagnosis helps guide the treatment plan.

How hip dysplasia is treated

Managing hip dysplasia early is crucial for improving outcomes and supporting your pet’s health and mobility. Hip dysplasia treatment plans depend on the dog’s age, severity, pain level, activity, and whether medical or financial reasons affect available options.

Non-surgical treatment options may include:

  • Weight management (including weight loss)
  • Low impact exercise
  • Physical therapy
  • Physical rehabilitation
  • Joint supplements
  • Pain medications
  • Nonsteroidal anti inflammatory drugs
  • Joint fluid modifiers
  • Anti inflammatory medications
  • Lifestyle changes
  • Home modifications
  • Red light therapy

Hips exercise restriction is also important—limiting your dog’s activity on hard surfaces can help reduce joint stress and prevent the condition from worsening.

Medical management often uses a multimodal approach. That means combining several tools to alleviate pain, support joint health, preserve muscle mass, and improve the dog’s quality of life while maintaining your pet’s mobility and overall health.

Joint supplements such as glucosamine and chondroitin may be recommended to support joint health. Your veterinarian can help you decide when to start joint supplements, especially if your dog has a high risk of developing hip dysplasia.

Non-surgical treatments for hip dysplasia may involve weight management, physical therapy, and the use of joint supplements like glucosamine and chondroitin to support joint health.

Weight management is one of the most important pieces. A healthy weight and weight loss reduce strain on the hip joint and help affected dogs move more comfortably.

By managing hip dysplasia with early detection and a tailored treatment plan, you can directly influence your dog’s quality of life and help them stay active and comfortable for years to come.

Surgical options for hip dysplasia

Some dogs need surgical intervention, especially when pain is severe, mobility is poor, or conservative care is not enough. Surgical procedures are designed to modify or replace the dog’s hip joint to improve mobility and alleviate pain.

Several surgical procedures may be considered, including:

  • Total hip replacement
  • Femoral head ostectomy
  • Triple pelvic osteotomy

These surgical options can significantly improve mobility and reduce pain in affected dogs.

Total hip replacement replaces the damaged hip joint with an artificial joint. It can significantly improve mobility and reduce pain in the right candidate.

Femoral head ostectomy removes the femoral head, allowing the body to form a false joint with scar tissue. It is often considered for smaller dogs, though some larger dogs may also be candidates.

Triple pelvic osteotomy is generally performed in young dogs before severe arthritis develops. It changes the position of the pelvic bone to improve hip socket coverage.

Your veterinary surgeon can explain which option best fits your dog’s condition.

How red light therapy supports dogs with hip dysplasia

How red light therapy supports dogs with hip dysplasia

Photobiomodulation, or PBM, also called red light therapy, low-level laser therapy, LED therapy, cold laser, and near-infrared therapy, refers to the same therapeutic category using light energy to influence cellular biology.

Red light therapy can help dogs with hip dysplasia by reducing inflammation, supporting blood flow, and helping calm pain signals. It may also support muscle comfort and mobility when used as part of a comprehensive treatment plan.

Learn more here: Science of Red Light Therapy.

Red light therapy does not reverse structural hip changes. It can help manage the inflammation, pain, arthritis, and muscle strain that often come with hip dysplasia.

For dogs with stiffness, difficulty rising, and reduced mobility, that support can make daily life feel easier.

Why Luma is helpful for hip dysplasia

Why Luma is helpful for hip dysplasia in dogs

The MedcoVet Luma gives pet parents a way to support joint comfort at home.

Luma uses red and near infrared light to support pain relief, circulation, inflammation control, and tissue recovery around the affected area. It is non invasive, drug free, and designed for home use with clinician guidance.

That matters for chronic conditions.

Dogs with hip dysplasia often need long term support, not a one-time treatment. Luma can fit into a broader treatment plan with physical therapy, low impact exercise, weight management, joint supplements, and veterinary care.

Luma may help support:

  • Reduced hip pain
  • Improved mobility
  • Better comfort after exercise
  • Less stiffness after rest
  • More willingness to move
  • Muscle comfort around the dog’s hips
  • Long term joint health

Read more here: Red Light Therapy for Pets with Hip and Elbow Dysplasia.

For broader guidance, visit Red Light Therapy for Dogs.

👉 Want to know if Luma is right for your dog’s hip dysplasia signs?

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Real Stories from Dogs Using Luma

Every dog with hip dysplasia moves a little differently. Some struggle to stand. Some avoid stairs. Some still want to play, but their hips make it harder.

These stories show what can happen when pet parents add Luma to their dog’s comfort and mobility plan.

Categories
1-9 of 9 results
  • Violet

    “The Luma helped Violet so much with her hip. Luma was able to help Violet to be back enjoying…”

  • Sherlock

    “Sherlock is a 6 yr old Sheepadoodle with really painful hips but he has wonderful doctors and get regular PT,…”

  • Jax

    “Our senior dog Jax has been struggling with orthopedic issues for some time, and it was heartbreaking to see him…”

  • Anderson

    “Anderson was seen by 2 orthopedic doctors who recommended ACL repair on one or both legs. We opted…”

  • Cat

    “Three years ago, we started using the Luma on Cat’s arthritic hips, torn knee ligament and shoulder injury. It’s clear…”

  • Odin

    “The Luma has been amazing for our almost 11 year old German Shepherd, Odin. His arthritis pain in his hip…”

  • Wrangler

    “The Luma device helped Wrangler with his hip dysplasia and arthritis and with regular use it improved his mobility. We’re…”

  • Leo

    ““Leo is an 11 year old dog. He was diagnosed with elbow dysplasia about 3 years ago. If…”

  • Antigone

    “Antigone went from reluctantly and slowly getting up to go out to standing without apparent discomfort!! The Luma…”

Want to know if Luma could help your dog move more comfortably?

Hazel Moon

MedcoVet’s clinical view on hip dysplasia support

MedcoVet focuses on photobiomodulation protocols for dogs with pain, arthritis, surgery recovery, hip dysplasia, elbow dysplasia, and mobility issues.

Our clinical approach considers tissue depth, coat type, treatment location, activity level, pain pattern, and the dog’s overall treatment plan. Hip dysplasia in dogs often involves more than the hip joint. It can affect the hind limbs, shoulder muscles, gait, activity, confidence, and the pet’s mobility.

The strongest plans usually combine veterinary diagnosis, healthy weight, proper nutrition, low impact exercise, physical therapy, pain management, joint supplements, and at-home support.

Questions pet parents ask about hip dysplasia signs

Yes. Symptoms of hip dysplasia can appear as early as 4 months of age, especially in large breed puppies or giant breed dogs. Some dogs show signs later when arthritis develops.

Bunny hopping means the dog moves both hind legs together instead of independently. It can be one of the signs of hip dysplasia, especially when running or climbing stairs.

Yes. Many dogs have occasional lameness. They may limp after exercise, move stiffly after rest, or have good and bad days.

Veterinarians use a physical exam and x rays to assess the dog’s hip joint, hip socket, femoral head, arthritis, joint instability, and pain.

You cannot prevent every case, because genetics plays a large role. You can reduce risk by choosing breeders who screen for hip dysplasia, feeding large-breed puppies proper nutrition, avoiding excessive exercise during growth, keeping your dog at a healthy weight, and asking your veterinarian about joint supplements for high-risk dogs.

Red light therapy can support pain management, inflammation control, and mobility, but it does not reshape the hip joint. It works best as part of a broader treatment plan.

Yes. Thick or dark coats can block 80% percent of light energy. Proper placement, treatment contact, and clinician guidance can help improve delivery to the affected area.

See a veterinarian if your dog has difficulty rising, limping, bunny hopping, hip pain, reduced activity, muscle loss, or trouble climbing stairs. Early diagnosis gives your dog more treatment options.

Clinical summary

Mechanism:
Hip dysplasia is a developmental orthopedic condition in which the femoral head and hip socket do not fit correctly. Joint instability leads to inflammation, cartilage wear, arthritis, pain, and compensatory muscle changes. Red light therapy supports cellular activity, blood flow, and inflammatory balance around affected tissues.

Evidence level:
Hip dysplasia diagnosis and treatment are well established in veterinary medicine. X rays are the standard imaging tool. Weight management, pain medications, physical therapy, joint supplements, and surgery are common treatment options. Photobiomodulation has moderate support for pain relief, inflammation reduction, and mobility support in musculoskeletal conditions.

When it works best:
Red light therapy works best when dogs have pain, inflammation, stiffness, secondary arthritis, or muscle strain related to hip dysplasia. It is most useful as part of a comprehensive treatment plan that includes veterinary diagnosis, weight control, low impact exercise, and joint support.

When not to use:
Do not use red light therapy over a known or suspected tumor, untreated infection, or unexplained pain without veterinary guidance. Dogs with sudden lameness, severe pain, or rapidly worsening mobility should be evaluated by a veterinarian.

Help your dog move with less pain

Signs of hip dysplasia in dogs can start small, but they matter. Difficulty rising, bunny hopping, reluctance to climb stairs, and changes in the hind legs are all worth taking seriously.

Early diagnosis gives your dog more options.

If your dog is showing signs of hip dysplasia and you want to know whether red light therapy may help:

Want help thinking through your dog’s symptoms and next steps?

Dave

Dave

Evidence Citations

  • Bedinvetmab, alone or in combination with photobiomodulation and pulsed electromagnetic field therapy, on pain and quality of life in dogs with hip osteoarthritis

    By Cidral

    • 2026

    • Journal: Vet Res Commun

    Abstract: “These findings provide preliminary evidence that the combination of bedinvetmab and physiotherapy enhances pain control and promotes better quality of life in dogs with OA.”

    One Sentence Outcome:In dogs with hip osteoarthritis, bedinvetmab combined with PBM/PEMF and physiotherapy was associated with improved pain control and quality of life.

    Study Parameters:Dog (n = 30)

    Device Parameters: Wavelength: 808.0 nm; Power: 1000.0 mW; PBM+PEMF

    Evidence Level:Level 2b (small veterinary clinical study)

    Study Type: Veterinary clinical study

    Outcome Direction: Positive / supportive

  • Photobiomodulation

    By American Society for Laser Medicine and Surgery (ASLMS); Anders JJ

    • 2016

    • Journal: American Society for Laser Medicine and Surgery

    Abstract: ASLMS guidance states that PBM is used for relief of pain and inflammation, but pain should be diagnosed first to confirm it is from a neuromusculoskeletal condition and to rule out disqualifying conditions or contraindications such as cancerous skin lesions; it also notes pregnant women are not good candidates because fetal effects are unknown.

    One Sentence Outcome:ASLMS guidance supports diagnosis before PBM pain treatment and recommends screening for contraindications such as cancerous lesions and pregnancy.

    Study Parameters:ASLMS public guidance describing PBM indications, diagnostic prerequisites, contraindication screening, pregnancy caution, and parameter considerations.

    Device Parameters: PBM devices using lasers, LEDs, and broadband light in visible and near-infrared spectra.

    Evidence Level:Professional guidance

    Study Type: Professional guidance page

    Outcome Direction: Guidance / contraindication screening

  • Effect of weight reduction on clinical signs of lameness in dogs with hip osteoarthritis

    By Impellizeri et al.

    • 2000

    • Journal: Journal of the American Veterinary Medical Association

    Abstract: Results suggest that in overweight dogs with hind-limb lameness secondary to hip osteoarthritis, weight reduction alone can substantially improve clinical signs of lameness.

    One Sentence Outcome:Weight reduction alone may substantially improve lameness in overweight dogs with hip osteoarthritis.

    Study Parameters:Overweight dogs with hind limb lameness secondary to hip osteoarthritis underwent weight reduction and were assessed for lameness changes.

    Device Parameters: Not applicable; weight-management intervention.

    Evidence Level:Moderate

    Study Type: Clinical study

    Outcome Direction: Positive

  • The effect of weight loss on lameness in obese dogs with osteoarthritis

    By Marshall et al.

    • 2010

    • Journal: Veterinary Research Communications

    Abstract: In obese dogs with osteoarthritis, body weight reduction produced significant decreases in lameness; improvement was detected from approximately 6.1% weight loss onward.

    One Sentence Outcome:This study supports weight loss as a practical home-management strategy that can reduce OA-related lameness in obese dogs.

    Study Parameters:Fourteen obese client-owned dogs with clinical and radiographic OA followed a restricted-calorie diet over 16 weeks with repeated body weight, lameness, and kinetic gait assessments.

    Device Parameters: Not applicable; weight-loss intervention.

    Evidence Level:Moderate

    Study Type: Prospective clinical trial

    Outcome Direction: Positive

  • Evaluation of the effect of photobiomodulation on joint range of motion in dogs

    By Duarte & Alves

    • 2025

    • Journal: Lasers in Medical Science

    Abstract: This canine clinical study found significant improvements in joint range of motion after PBMT across all evaluated joints, with large effect sizes. The findings support mobility-focused home protocols where repeated treatment is feasible.

    One Sentence Outcome:PBMT significantly improved joint range of motion in dogs.

    Study Parameters:Clinical study in dogs assessing joint range of motion before and after PBMT.

    Device Parameters: 980 nm PBMT; exact power/output not stated in the database row reviewed.

    Evidence Level:Moderate

    Study Type: Prospective veterinary clinical study

    Outcome Direction: Positive

  • 2015 AAHA/AAFP Pain Management Guidelines for Dogs and Cats

    By Epstein et al.

    • 2015

    • Journal: Journal of the American Animal Hospital Association / Journal of Feline Medicine and Surgery

    Abstract: The AAHA/AAFP guidelines support veterinarians in incorporating pain management into practice and emphasize integrated pain management, patient care, early intervention, and evaluation of response.

    One Sentence Outcome:These guidelines support a multimodal, response-guided approach to companion-animal pain management rather than relying only on analgesic drugs.

    Study Parameters:Guideline summarizes contemporary pain management principles for dogs and cats, including integrated approaches and evaluation of treatment response.

    Device Parameters: Not applicable; guideline covering pharmacologic and non-pharmacologic pain management.

    Evidence Level:Guideline / expert consensus

    Study Type: Clinical guideline

    Outcome Direction: Positive

  • COAST Development Group’s international consensus guidelines for the treatment of canine osteoarthritis

    By Cachon et al.

    • 2023

    • Journal: Frontiers in Veterinary Science

    Abstract: This report presents international consensus recommendations for treating canine osteoarthritis by COASTeR stage, emphasizing patient-specific protocols, pain, mobility impairment, quality of life, and multimodal treatment choices.

    One Sentence Outcome:COASTeR guidelines provide a modern stage-based framework for treating canine OA pain, mobility impairment, and quality-of-life decline.

    Study Parameters:Consensus guidelines provide stage-based canine OA recommendations using COASTeR, incorporating evidence-based and expert-informed treatment decisions.

    Device Parameters: Not applicable; guideline for staged canine OA treatment.

    Evidence Level:Guideline / expert consensus

    Study Type: International consensus guideline

    Outcome Direction: Positive

  • A randomized blind placebo-controlled trial investigating the effects of photobiomodulation therapy (PBMT) on canine elbow osteoarthritis

    By Looney et al.

    • 2018

    • Journal: Canadian Veterinary Journal

    Abstract: Twenty dogs with naturally occurring elbow osteoarthritis were randomized to PBMT or sham treatment. PBMT at 10-20 J/cm² for 6 weeks improved lameness and pain scores and reduced NSAID requirements compared with sham.Twenty dogs with naturally occurring elbow osteoarthritis were randomized to PBMT or sham treatment. PBMT at 10-20 J/cm² for 6 weeks improved lameness and pain scores and reduced NSAID requirements compared with sham.

    One Sentence Outcome:This study reported a positive outcome for the photobiomodulation intervention or evidence question.

    Study Parameters:Both elbows treated for 6 weeks; lameness score, pain score, and NSAID dose recorded before and 7-10 days after the last treatment.

    Device Parameters: PBMT at 10-20 J/cm² per elbow joint; sham group received 0 J/cm². Exact wavelength was not stated in the PubMed abstract.

    Evidence Level:Level 1b (veterinary randomized controlled trial)

    Study Type: RCT

    Outcome Direction: Positive

  • Effects of low-level laser therapy on impaired mobility in dogs with naturally occurring osteoarthritis

    By Barale et al. Vet Med Sci. 2023.

    • 2023

    • Journal: Vet Med Sci

    Abstract: This study asked whether low-level laser therapy could increase physical activity in dogs with osteoarthritis. Twenty-three dogs wore accelerometers and received six weekly treatments while pain and owner-reported mobility scores were tracked.

    One Sentence Outcome:Daily activity and step counts rose significantly from baseline and remained elevated through week 6, suggesting better mobility and quality of life.

    Study Parameters:23 dogs with osteoarthritis; six consecutive weekly laser treatments; accelerometry plus CBPI and LOAD owner-reported outcomes.

    Device Parameters: Not clearly reported in the source database

    Evidence Level:Level 2b (prospective cohort, uncontrolled)

    Study Type: Prospective veterinary clinical study

    Outcome Direction: Positive

  • Preliminary clinical experience of low-level laser therapy for the treatment of canine osteoarthritis-associated pain: A retrospective investigation on 17 dogs

    By Barale et al. Open Vet J. 2020.

    • 2020

    • Journal: Open Vet J

    Abstract: Osteoarthritis is common in dogs and causes chronic pain that can impair quality of life and may not fully respond to analgesics; this retrospective study evaluated whether low-level laser therapy could improve quality of life and reduce analgesic needs in dogs with OA.

    One Sentence Outcome:Pain scores fell after the first session and continued improving, and analgesic medication was reduced in 13 of 17 dogs.

    Study Parameters:17 dogs with osteoarthritis-associated pain; serial LLLT sessions; clinical pain scales and analgesic use tracked over treatment.

    Device Parameters: Wavelength: 808 nm

    Evidence Level:Level 4 (veterinary case series/retrospective)

    Study Type: Retrospective veterinary clinical study

    Outcome Direction: Positive

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About the Author
Alon Landa is the CEO and co-founder of MedcoVet, a leader in at-home red light therapy for pets. With over 20 years of experience in medical technology and firsthand involvement in developing the Luma, Alon combines deep technical knowledge with a passion for improving pet health. He regularly collaborates with veterinarians and pet parents to advance photobiomodulation (PBM) care at home.
 📍 Based in Boston, MA
📖Read more from Alon here

Kristy Williams Medical Reviewer Headshot

About the Medical Reviewer
Clinical Focus: Surgery, anesthesia, canine fitness, injury prevention, agility
Kristy Williams brings over 30 years of experience to the veterinary field. Her career began in the 1990s, working as a civilian for the Army Veterinary Corps at RAF Feltwell in England, where she first discovered her passion for animal care and supporting their families. Upon returning to the United States, Kristy pursued her education and graduated in 2005 as a certified veterinary technician after passing the national exam. She has since gained extensive experience in both general practice and emergency/referral practices.
Read More about Kristy here.

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