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Preventing Mobility Issues in Puppies: Physiotherapy Do’s & Don’ts

Writer: Loicia JohnsonLoicia Johnson

Updated: Feb 26

As a physiotherapist working with puppies, it's crucial to monitor their growth and development carefully. Puppies go through rapid changes in their musculoskeletal system, and early detection of abnormalities can prevent future mobility issues. Here are key things to watch out for when assessing and supporting a puppy's development.

Preventing Mobility Issues in Puppies: Physiotherapy Do’s & Don’ts

1. Growth Plate Development and Joint Health

Growth plates are soft areas at the ends of long bones that allow puppies to grow. These plates remain open until around 12-18 months, depending on the breed. Overexertion, high-impact activities, or injuries during this phase can lead to fractures or growth abnormalities.

Signs to Watch For:

  • Limping or favouring a limb

  • Swollen joints

  • Difficulty getting up or lying down

  • Uneven gait

Encourage controlled, low-impact exercises such as swimming and gentle walking to protect growing joints.

2. Hip and Elbow Dysplasia Risks

Large breed puppies, such as Labrador Retrievers and German Shepherds, are prone to hip and elbow dysplasia. These hereditary conditions cause improper joint development, leading to pain and arthritis.

Red Flags:

  • Bunny hopping when running

  • Stiffness after resting

  • Reduced range of motion in hips or elbows

  • Reluctance to play or exercise

Early intervention with physiotherapy techniques like massage, hydrotherapy, and strength-building exercises can help manage symptoms and improve mobility.

3. Paw Positioning and Gait Abnormalities

A puppy’s paw placement and walking style reveal a lot about musculoskeletal health. Splayed feet, knuckling, or dragging toes may indicate neurological or orthopaedic concerns.

Things to Observe:

  • Paws turning outward excessively

  • Uncoordinated or wobbly walking

  • Dragging nails on the ground

Regular gait analysis and balance exercises can help address these issues before they worsen.

4. Overexertion and Exercise-Induced Injuries

Puppies have boundless energy, but over-exercising them can lead to joint and soft tissue injuries. High-impact activities like jumping from heights, running on hard surfaces, or excessive fetch sessions should be minimised.

Warning Signs of Overuse Injuries:

  • Swelling or tenderness in limbs

  • Lethargy after exercise

  • Sudden reluctance to walk or play

Structured play and physiotherapist-guided exercise plans can support safe, healthy development.

5. Spinal and Postural Development Issues

Certain breeds, like Dachshunds and French Bulldogs, are predisposed to spinal issues such as intervertebral disc disease (IVDD). Monitoring posture and movement can help detect early signs of spinal stress.

Indicators of Potential Problems:

  • Arched back or hunched posture

  • Yelping when touched on the back

  • Sudden weakness in the hind legs

Core strengthening exercises and proper weight management are essential for spinal health.

6. Obesity and Its Impact on Joint Health

Puppies that gain excess weight too quickly put added stress on their developing joints, increasing the risk of arthritis and mobility issues.

Signs of Excess Weight:

  • Difficulty feeling the ribs under the skin

  • Less defined waistline

  • Fatigue or reluctance to move

A physiotherapist can help guide proper exercise and conditioning to prevent obesity-related complications.

Conclusion

Monitoring a puppy’s physical development is essential for preventing long-term health issues. Physiotherapists play a crucial role in detecting early signs of joint, muscle, and neurological concerns, ensuring puppies grow into healthy, active adults.

By integrating physiotherapy techniques such as controlled exercises, massage, hydrotherapy, and weight management, you can help puppies thrive while educating pet owners on the importance of early intervention.


Preventing Mobility Issues in Puppies: Physiotherapy Do’s & Don’ts

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Loicia Johnson MSc BSc (Hons) VetPhys EMMT DipSMT

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