Elbow Dysplasia in Dogs: How to improve Mobility & Reduce Pain
Is Your Dog Struggling With Stiffness, Lameness, or Limping After Exercise?
It’s heartbreaking to see your dog limping, slowing down, or struggling to keep up on walks. Maybe you’ve noticed them avoiding exercise, holding their leg out strangely, or even bobbing their head as they move. If you’re worried about their pain, their future mobility, or whether they’ll need surgery, you’re not alone.
Elbow dysplasia is a progressive condition, but with the right treatment, your dog can stay active, comfortable, and happy for years to come. Let’s explore what’s happening inside their elbows—and how we can help.
Every day without rehab is a step backwards—don’t wait!
"As seen on BBC Look North"
"Google Reviews 5 Star Rating "
Understanding Elbow Dysplasia in Dogs
Elbow dysplasia is one of the most common causes of front limb lameness in dogs, often appearing as early as five months of age. You may have noticed your dog limping after exercise, struggling to get comfortable, or avoiding long walks they once loved. In some cases, the lameness worsens over time, making it pretty awful to see them slow down and lose interest in activities that used to bring them joy.
- ⭐️⭐️⭐️⭐️⭐️ "I took my Labrador here for physio and hydrotherapy—within 3 weeks, he was hardly limping at all! He came in with arthritis in his elbow and stiff hips, but now he moves so much more freely. The team truly understands how much my dog’s health means to me." – Debbie D.
- At Butterwick Animal Rehab, we specialise in non-surgical treatments for elbow dysplasia, helping dogs reduce pain, improve mobility, and regain their enthusiasm for daily life.
- Whether your dog has recently been diagnosed or has been struggling for years, our physiotherapy and hydrotherapy programmes are designed to support their long-term health.
Symptoms & Early Signs of Elbow Dysplasia
Recognising the Signs – Don’t Ignore These Red Flags
Dogs with elbow dysplasia often start showing subtle signs early, but these can be easy to miss—especially if both front legs are affected. Many owners assume their dog is just a little stiff after play, but consistent lameness, reluctance to walk, or changes in movement are all signs of a deeper issue.
Why These Symptoms Matter
- If left untreated, elbow dysplasia progressively worsens over time, leading to pain, arthritis, and loss of mobility. The earlier we start rehab, the better the outcome for your dog.
- ⭐️⭐️⭐️⭐️⭐️ "Our young Chow Chow was born with elbow dysplasia, and unfortunately, surgery didn’t work. He was stiff, struggling to walk, and losing mobility. Since starting hydrotherapy and physiotherapy at Butterwick, I can’t believe the difference!" – Nicki
What Causes Elbow Dysplasia?
Why Does Elbow Dysplasia Happen?
Elbow dysplasia occurs when the bones that form the elbow joint don’t fit together perfectly, leading to uneven weight distribution, excess joint stress, and long-term damage. This abnormal development can result in pain, stiffness, and arthritis, often appearing in young, large-breed dogs.
- Common Causes of Elbow Dysplasia:
- Genetics – Some breeds are more prone to elbow dysplasia, including Labradors, Rottweilers, German Shepherds, and Golden Retrievers.
- Abnormal Bone Growth – If the radius, ulna, and humerus (the three bones of the elbow joint) don’t grow in perfect alignment, it can cause excessive pressure on certain areas, leading to pain and lameness.
- Wear and Tear – Repetitive impact, especially in active or working dogs, can accelerate joint damage.
- Obesity – Carrying extra weight puts more strain on the elbow joints, worsening symptoms over time.
Is Elbow Dysplasia Hereditary?
Yes, elbow dysplasia is a genetic condition, which means dogs can inherit it from their parents. This is why responsible breeders screen for it, though even puppies from healthy parents can develop the condition.
Does Your Dog Have a Higher Risk?
- Certain large and giant breeds are more likely to develop elbow dysplasia, including:
- 🐶 Labrador Retrievers
- 🐶 Golden Retrievers
- 🐶 German Shepherds
- 🐶 Newfoundlands
- 🐶 Bernese Mountain Dogs
- 🐶 Rottweilers
- 🐶 Chow Chows
- 🐶 Pugs (a small breed exception)
- While larger dogs are at the highest risk, elbow dysplasia can affect any breed. If your dog is showing signs of lameness, early intervention can help prevent further joint damage.
How Severe is my dog’s Elbow Dysplasia?
Understanding the Stages of Elbow Dysplasia
If you’re researching elbow dysplasia, you’re likely worried about what this diagnosis means for your dog’s future. Will they be in pain forever? Will they still be able to enjoy walks, play, and a good quality of life? The reality is, elbow dysplasia is a progressive condition, but the right treatment can slow it down and help your dog stay active and happy for years to come.
Veterinary specialists use a grading system to determine the severity of elbow dysplasia. This helps guide treatment decisions and gives you a clearer idea of what to expect. “For a veterinary perspective,
check out Cornell University’s guide to elbow dysplasia for further reading.
Or for a UK perspective –
https://www.bva.co.uk/canine-health-schemes/elbow-dysplasia-in-dogs/
Elbow Dysplasia Grading System
- Grade 1 (Mild): Minimal bone changes seen on X-rays (less than 2mm of bone growth). Dogs may have occasional stiffness or a slight limp after exercise.
- Grade 2 (Moderate): More noticeable joint changes, including bone spurs (2-5mm). Lameness becomes more frequent and may require treatment.
- Grade 3 (Severe): Significant joint changes (more than 5mm of bone growth), often causing chronic pain, stiffness, and difficulty moving.
Does Elbow Dysplasia Always Get Worse?
- Without intervention, elbow dysplasia will progress—but that doesn’t mean your dog has to suffer. With the right rehabilitation, pain management, and joint support, many dogs continue to enjoy life and stay active well into old age. The earlier treatment starts, the better the long-term outcome.
Will My Dog Develop Arthritis?
- Nearly all dogs with elbow dysplasia will develop some degree of arthritis, but early rehab can dramatically improve long-term comfort and mobility. The sooner we start treatment, the better their chances of maintaining a good quality of life.
How Can Canine Elbow Dysplasia Be Treated?
Is Surgery the Only Option?
This type of Elbow Dysplasia requires prompt and decisive action to alleviate pain and restore function.
Common Surgeries for Elbow Dysplasia
- 🩺 Arthroscopic Surgery (Keyhole Surgery) – Used to remove loose cartilage or bone fragments within the joint. This is a minimally invasive procedure and often the first step in surgical treatment.
- 🔧 Biceps Ulnar Release Procedure (BURP) – This procedure releases part of the biceps tendon, which can contribute to joint damage by pulling unevenly on the elbow.
- 🦴 Subtotal Coronoid Ostectomy (SCO) – Involves removing the damaged portion of the ulna’s coronoid process, which is a common source of pain in elbow dysplasia cases.
- 🦵 Proximal Ulnar Osteotomy (PUO) – If the elbow joint is misaligned, this surgery helps adjust the bones for better movement and reduced wear and tear.
- ⚙️ Total Elbow Replacement (TER) – A last-resort procedure for dogs with severe, end-stage arthritis where other treatments have failed.
Does Surgery Fix the Problem?
While surgery can reduce pain and improve mobility, it does not cure elbow dysplasia, and most dogs still develop arthritis over time. That’s why post-surgical rehabilitation is essential—to help your dog rebuild strength, prevent stiffness, and maintain mobility for as long as possible.
🐶 Whether your dog has had surgery or not, rehab is key to their long-term comfort and quality of life.
- ⭐️⭐️⭐️⭐️⭐️ "Roger, my Chocy Lab, had elbow dysplasia as a puppy and needed hydrotherapy to rebuild muscle after surgery. Later, he had a cruciate ligament repair and needed even more rehab. Hydro has been so beneficial for him that we’ve continued!" – Sandra, Brad & Roger
How We Help Dogs with Elbow Dysplasia
- At Butterwick Animal Rehab, we provide customised rehab plans designed to help dogs with elbow dysplasia move more freely and comfortably.
- ⭐️⭐️⭐️⭐️⭐️ "Butterwick Animal Rehab has been life-changing for my 3-year-old Lab with elbow dysplasia. After just 9 weeks of physio and hydrotherapy, he’s getting back to a normal, active life." – Bronwy T.
- 🐾 Physiotherapy: Strengthen, Stabilise & Keep Your Dog Moving—Without the Struggle
- Just like humans recovering from joint problems, targeted physiotherapy exercises help build muscle strength, support weakened joints, and slow the progression of arthritis. But we know owners don’t have hours to spend on dog exercises, and no one wants a battle with their dog just to get them moving.
- That’s why we design engaging, interactive exercises that:
- Fit into your dog’s daily routine—so it never feels like a chore
- Are fun and rewarding for your dog, keeping them motivated
- Build strength & flexibility without overwhelming them
💦 Hydrotherapy: Pain-Free Exercise That Delivers Real Results
- Hydrotherapy is a game-changer for dogs with elbow dysplasia. The buoyancy of water supports their weight, allowing them to exercise without painful joint impact. In our specialist canine hydrotherapy pools and underwater treadmills, dogs:
- Build strength and stamina in a safe, low-impact environment
- Improve range of motion without the strain of land-based exercise
- Reduce pain and stiffness while enjoying a fun, stress-free experience
- Many dogs who were reluctant to move start bounding into our hydrotherapy centre, excited for their session—because they feel the difference!
🌿 Pain Relief & Long-Term Joint Health
- While pain relief is often part of a vet’s treatment plan, rehabilitation offers something medication alone can’t—it actively works to improve joint health and function, reducing the need for long-term medication reliance. Our approach:
- Uses gentle, progressive movement therapy to keep joints mobile
- Reduces stiffness & inflammation through targeted rehab techniques
- Helps dogs stay comfortable & active for longer
- With the right rehab plan, your dog can regain mobility, reduce pain, and enjoy a more active, happy life—starting today.
What Other Dog Owners Are Saying: Real Dogs, Real Results
- When your dog is struggling with elbow dysplasia, every decision feels high-stakes. You want to know you’re choosing the right treatment, the right people, and the right place—somewhere that truly understands your dog’s needs and your worries as an owner. At Butterwick, we don’t just treat elbow dysplasia—we restore confidence, ease pain, and give dogs the freedom to move comfortably again. Whether it’s helping a young dog avoid surgery or supporting an older dog with arthritis, our specialist rehab team is here to help your dog feel stronger, happier, and more mobile for years to come.
- 🌟 Want to see more reviews from real dog owners?
EXCELLENT Based on 169 reviews london boroughlocksmith2025-02-17Trustindex verifies that the original source of the review is Google. Would highly recommend Butterwick Animal Rehab Clinic, I have taken my 3 year old lab for roughly 9 weeks who was diagnosed with elbow dysplasia. The Physiotherapy and hydrotherapy sessions are helping him get back to a normal active lifestyle. The staff are highly professional and well trained. My lab is a little anxious and they go above and beyond to put him at ease. Excellent service provided. Muzamil2025-02-17Trustindex verifies that the original source of the review is Google. Our young chow chow was born with elbow dysplasia and unfortunately the invasive surgery that he had to correct this last year was not successful. He has struggled for a while now to do the normal things that dogs of his age would do and had become very stiff with a poor range of movement in both elbows. Our vet recommended hydrotherapy and/or physiotherapy as a way of maybe helping him to feel more comfortable and helping to soothe his arthritis. We started weekly hydrotherapy treadmill sessions and regular physiotherapy sessions about 2 months ago at the Butterwick Animal Rehab Clinic and I honestly can’t believe the difference in him! His head bobbing when he walks has almost diminished, he’s enjoying longer and more rugged walks and he has a much better range of movement. More importantly though, he absolutely loves his treadmill sessions and can’t wait to get into the tank! All of the staff at the clinic are lovely and so welcoming and they’re all dog mad, which makes each appointment much more enjoyable for both my dog and for me! I’m so glad that we gave it a chance! Lisa-Ann Kelsey2025-02-13Trustindex verifies that the original source of the review is Google. Very knowledgeable and friendly people, would definitely recommend their services. Thank you 😊 xxx kathryn boal2025-02-03Trustindex verifies that the original source of the review is Google. Vet was concerned with muscle wastage on rear legs of our 12 year old border collie. Following an assessment she has been going to hydrotherapy & physio for 3 months. We have noticed a significant improvement in her general mobility and improved muscle strength in her rear legs. She is blind and deaf and as a rescue dog has always been a bit anxious . The staff have been very attentive and responsive to her specific needs. She is now going onto a maintenance programme so that she can maintain the improvements made so far and continue to be monitored. We are very pleased with the service provided and would not hesitate to recommend the practice to others. Hilary Chopin2025-01-31Trustindex verifies that the original source of the review is Google. The staff are incredibly friendly, greeting the animals as if they were long-lost friends. The facility is spotlessly clean, modern, and equipped with all the latest technology. It’s also conveniently located with ample parking. presently they are treating my dog Sassie for a cruciate ligament problem . After only 8 sessions of hydrotherapy she is almost healed and loves every minute of being there.She is now acting like a puppy and the true cocker spaniel she is .i can’t thank the staff enough for saving my friend from an awful surgery 👍🐾🐾😀 Susan Burn2025-01-24Trustindex verifies that the original source of the review is Google. My little dog Tino underwent hip replacement surgery on a back leg and was not using the leg at all post op.The muscle tone had disappeared.My vet recommended hydrotherapy treadmill and I was lucky to find Butterwick Animal Rehabilitation.I felt in capable hands from the outset,it was such a relief to be offered structure and a plan to achieve my aims in an estimated time scale.The whole team welcomed us warmly,putting Tino at ease and offering guidance for at home physio activities which have proved to be so valuable,alongside the treadmill.I have been impressed with the kindness,knowledge and professionalism we have enjoyed-the results speak for themselves-thank you all. Neil Durance2025-01-23Trustindex verifies that the original source of the review is Google. Butterwick has been magnificent for my Labrador Harvey he has significant muscle loss on his back right leg all of staff from physio and hydro treatment have been brilliant all the staff are very friendly and go out of there way above and beyond to make Harvey feel comfortable I’ve seen improvement after just 6 sessions Dion Watts2025-01-15Trustindex verifies that the original source of the review is Google. Firstly, I cannot express my love for this company. I feel like words isn’t enough, but I’ll try. Finding a place for my boy was difficult as a wheelchair user, but this place had no issues with that. Super accessible, and super accommodating. On to my boy, I had 0 hope. This was our last option before surgery. He had a grade 3 and grade 2 luxating patella. I found Butterwick after doing a bit of research & booked our first initial consultation, straight away they got into the plan going forward, and asked the goal. It was to make sure he could continue his assistance work as he loved it, and the staff were phenomenal, going above and beyond with Mel even staying back longer on sessions just to help me not overthink, and not catastrophise (a problem I have). Oreo is an assistance dog in training so him being 100% is super important. I was promised by the vet he wasn’t in pain, just discomfort which is why he continued work & hydro/physiotherapist Mel confirmed this too. We went ahead with the 12 weeks twice a week for hydro & once every so many weeks for physio, but also done physio exercises every day at home, but my hope was very minimal. Hopping all the time, going lame, and also going really fast at random points. His legs had no toning/muscle and were jelly like. His patella always came out, and I just wanted my boy to be himself again. We grafted, put the hard work in & after 12 weeks with the team, he hasn’t hopped, skipped or gone lame in weeks. He also is running normally again rather than bunny hopping, and his legs are no longer like jelly, you can feel the difference. He’s so much more happy in himself, and so much more confident & that’s because of these guys! & now he has gone down to hydro fortnightly to maintain & physio whenever he needs it. They took it at Oreo’s pace, made sure he was comfortable/confident around & in the pool & with staff before even starting sessions, and I cannot thank them enough. We had a really bad experience with “hydro” which now we know was definitely not hydro, but they didn’t make him feel comfortable, they just put him in the pool & expected him to swim, he was super uncomfortable & he showed many stress signs, other dogs were present, barking at him whilst he was in the pool. So getting him comfortable was super important, even though Oreo is a solid dog. Oreo loves every single member of staff, but I feel he built the best bond with Mel & Trev. They’ve both been absolutely incredible, walking me through everything making sure I understand all the exercises, making notes as they knows hydro makes me unwell with my disability and I often forget what has been said, everything I requested they provided, and more. It’s like a little family, and you honestly feel so welcomed and so loved, and the love for animals just radiates from them. For me to trust somebody with my boy, they must be good. & I trust these guys! The team and I believe the grade 3 is now a grade 2 & the grade 2 is now a grade 1, which needs to be confirmed by a vet but it’s looking positive! The patella is firmly staying in the groove even with Mel messing on with it, and the clicking has improved. I can’t even put it in to words how incredible they all are, and how incredible they have all been with my Oreo, and how understanding they have been with me. So did we reach our goal, YES! Oreo is back in active assistance dog training!!! You’ve changed our lives, gave us hope, and most of all made our boy confident, strong & happy again. I mean just look at the photo difference. He’s so happy now!🥺♥️ Most of all - Mel, Mark, Emma, Vicky, Trevor, & Claire THANK YOU! Nothing I can do, will repay what you have done for us. You guys are incredible & have made us feel so welcome, from receptionist Emma who is the loveliest & happiest woman ever, who instantly makes you feel at ease & happy even if it’s a rubbish day for you. She takes an interest in both you & your dog, to the hydro/physiotherapists team, to which there are just no words. The whole team is incredible.👏🏼 If I could I would score 1000/10. Saskia Hart2025-01-12Trustindex verifies that the original source of the review is Google. I can’t praise Mark and his team enough for the service they have provided for my labrador. Bagheera arrived limping and lopsided. With a programme of weekly hydrotherapy and monthly physio (with exercises at home), he is so much better. The staff are all completely professional and clearly passionate about what they do. The clinic is also unusual in that they offer hydro and physio in the same location. cadi price2024-12-23Trustindex verifies that the original source of the review is Google. Wow what an amazing place. Apollo had been recovering from a tplo surgery after a torn crucial ligament he also suffers from a lot of nerves and anxiety which caused us lots of worry about getting him into physio and hydro and wether it would actually possible. However Melissa at Butterwick has been absolutely amazing with him. The first session he was absolutely petrified and now he goes in wagging. Everything’s been taken at Apollos pace with adjustments made to ensure it’s as positive as possible for him everyone has been absolutely wonderful!
FAQ About Elbow Dysplasia
"Common Questions About Elbow Dysplasia—Answered!"
Not always! Many dogs see huge improvements with physiotherapy and hydrotherapy alone. Even in cases where surgery is recommended, rehab is crucial for long-term success—helping your dog regain strength, reduce pain, and avoid further joint issues.
Dogs often hide their pain, but subtle signs include:
✔️ Limping or stiffness after rest
✔️ Reluctance to go on walks or play
✔️ Holding their elbow slightly away from their body
✔️ “Head bobbing” when walking
If your dog is showing any of these signs, early rehab can make a big difference.
No—without intervention, elbow dysplasia will worsen over time. However, the right rehab plan can dramatically slow down the progression, reduce pain, and keep your dog happy and mobile for years.
Every dog is different, but most owners notice improvements within just a few weeks. Increased mobility, reduced stiffness, and a happier, more active dog are common early signs that rehab is working.
Yes, but don’t worry—we make sure the exercises are simple, interactive, and easy to fit into daily life. They won’t feel like a chore, and your dog will actually enjoy them!
Rehab is an investment in your dog’s long-term health, helping to reduce pain, avoid further joint damage, and even prevent surgery in some cases. Plus, many owners find it saves money in the long run by reducing the need for lifelong medication and costly interventions.
The First Step to a More Comfortable, Happier Life Starts Here
- Every day without the right treatment is a day lost to pain, stiffness, and limited mobility. But there’s good news—you don’t have to watch your dog struggle.
- Many owners worry: Will my dog ever walk comfortably again? Will they still be able to run and play like they used to? How do I stop their condition from getting worse?
- The reality is, elbow dysplasia doesn’t have to mean a lifetime of pain and restrictions. With the right rehab plan, your dog can:
- Move more easily with less stiffness
- Enjoy longer, happier walks
- Play and interact with confidence again
- Stay mobile for years to come
💦 Hydrotherapy: Pain-Free Exercise That Delivers Real Results
- Hydrotherapy is a game-changer for dogs with elbow dysplasia. The buoyancy of water supports their weight, allowing them to exercise without painful joint impact. In our specialist canine hydrotherapy pools and underwater treadmills, dogs:
- Build strength and stamina in a safe, low-impact environment
- Improve range of motion without the strain of land-based exercise
- Reduce pain and stiffness while enjoying a fun, stress-free experience
- Imagine seeing your dog happier, more active, and full of life—just like they used to be. That future is possible, and it starts today.