- Panostitis in Dogs: A Comprehensive Explanation
- What is Panostitis?
- How does panosteitis occur?
- Symptoms of Panostitis in Dogs: A Comprehensive Description
- Treatment of Canine Panostitis: Detailed Explanation of Options
- Panostitis: Breeds Affected, Age and Preventive Measures
- Frequently asked questions (FAQs) about panostitis in dogs
- Summary: Panostitis in dogs
Panostitis in Dogs: A Comprehensive Explanation
Panostitis is a disease that often unsettles dog owners. It mainly affects young dogs and manifests itself through sudden and often painful lameness. But what exactly is behind this disease? How does it occur, what symptoms does it show and what measures can be taken? In this article we will examine panostitis in detail and give you all the important information you need as a dog owner.
What is Panostitis?
Panostitis, also known as “ growing pains ”, is an inflammatory disease of bone tissue that occurs especially in young dogs of medium and large breeds. It mainly affects the long bones such as:
- Upper arm bone (humerus)
- Elbow bone (ulna)
- Shinbone (tibia)
- thigh bone (femur)
The inflammation usually occurs in the middle section of the bones (diaphysis) and can progress in fits and starts. During an inflammatory phase, affected dogs often suffer from severe pain, which significantly limits their mobility and quality of life.

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Why does panostitis mainly occur in young dogs?
Panostitis mainly affects dogs aged five to 18 months, i.e. in the phase of intensive growth. The exact mechanism of the disease is not yet fully understood. However, an imbalance between bone growth and tissue supply is believed to play a role.
How does panosteitis occur?
The exact causes of panostitis have not yet been conclusively clarified, but there are some theories:
- Rapid bone growth:
The bones of large dog breeds grow particularly quickly. This can lead to the metabolism not keeping up with the supply of nutrients, which can trigger inflammation in the bone tissue. - Diet:
Excessive energy intake or too high a protein content in the feed can accelerate growth and thus increase the likelihood of panosteitis. - Genetic predisposition:
Some dog breeds such as German Shepherds, Golden Retrievers and Dobermans have a genetic predisposition to this condition. - Gender:
Male dogs are more likely to develop panostitis than female dogs. This could be related to hormonal factors. - Stress:
Excessive physical activity, such as long periods of running or jumping, can put additional stress on the bones and promote an inflammatory response.
Symptoms of Panostitis in Dogs: A Comprehensive Description
The symptoms of panostitis are diverse and can vary depending on the severity of the disease. They often become noticeable through sudden onset of symptoms, which can have a major impact on the dog's mobility and general well-being. In this section we will go into detail about the most common and less obvious symptoms so that you can identify early on whether your dog is affected.
1. Lameness : A typical key symptom
Lameness is the most noticeable and common sign of panostitis. It is manifested by a limited ability to move one or more legs. Lameness can manifest itself in different ways:
- Unilateral lameness:
Lameness often begins on one foreleg, as panostitis often affects the forelegs. The dog protects the affected limb and is reluctant to put any strain on it. - Changing lameness:
What is characteristic of panostitis is that the lameness can “wander” between the legs. While one leg is initially affected, the lameness may later appear on another leg, often confusing dog owners. - More severe restriction of movement:
In advanced cases, the dog may hardly want to walk because the pain is too great.
2. Pain sensitivity
Dogs with panostitis are sensitive to touching the affected limbs. This can be particularly noticeable during an examination by the vet or when petting:
- Pressure pain:
Light pressure on the affected bones can cause a strong pain reaction. This is a characteristic feature of the disease. - Avoidance of touching:
Some dogs retract the limb or show discomfort when the painful areas are touched.
3. Refusal to move
Many affected dogs avoid exercise as it can increase the pain. This is expressed, among other things, by:
- Unwillingness to go for a walk:
The dog often stops or doesn't want to go at all. - Increased lying down:
Dogs increasingly seek out quiet places where they can lie down and relieve the affected limb.
4. General symptoms
In addition to the specific complaints in the limbs, panostitis can also cause general symptoms of the disease that are due to the inflammatory reaction in the body:
- Fever:
A mild to moderately elevated fever is a possible accompanying symptom. It shows that the body is responding to the inflammation. - Loss of appetite:
Affected dogs often eat less or refuse food completely. This may be due to pain or general discomfort. - Fatigue:
Dogs appear tired, listless and withdrawn. This behavior is often a clear sign that the dog is uncomfortable. - Weight loss:
Reduced food intake and restricted exercise can cause the dog to lose weight.
5. Changes in behavior
The severe pain and restrictions can also be reflected in the dog's behavior:
- Irritability:
Some dogs become irritable or withdrawn when they feel uncomfortable. Others may even exhibit aggressive behavior when the painful areas are touched. - Restlessness:
Some dogs appear restless because they cannot find a comfortable lying position to relieve the pain.
6. Changed gait
The way the dog moves can change significantly:
- Limping:
Affected dogs limp noticeably and hardly put any strain on the painful limb. - Cautious Stance:
The dog attempts to rest the affected limb, causing him to walk unusually cautiously or stiffly. - Uncoordinated movements:
In some cases, gait may appear uncoordinated due to fluctuating lameness or pain.
7. swelling
In rare cases, panostitis can cause visible or palpable swelling in the area of the affected bones. However, these are more likely to occur with severe inflammation and are not always obvious.
The symptoms of panostitis are diverse and can manifest themselves in varying degrees. However, lameness and tenderness of the limbs are the most common and noticeable signs. In addition, there are general symptoms such as fever, fatigue and loss of appetite, which put additional strain on the disease. Close observation of your dog's behavior and movement patterns is crucial to detecting the disease early. If you suspect panostitis, be sure to consult a veterinarian to confirm the diagnosis and take appropriate action.
Treatment of Canine Panostitis: Detailed Explanation of Options
Treatment of canine panostitis focuses on relieving symptoms and improving the animal's well-being during the disease. Since the disease heals on its own in most cases, the focus is on pain management and supporting healing. Here we go into detail about the various treatment options so that you can ensure the best possible care for your dog.
1. Pain therapy
Pain therapy is the central part of treatment, as panostitis is associated with severe pain. The following approaches are often used:
a) Non-steroidal anti-inflammatory drugs (NSAIDs):
- These medications have anti-inflammatory and pain-relieving effects.
- Examples: Meloxicam, carprofen or firocoxib.
- Advantages: They work quickly and can significantly improve the dog's quality of life.
- Important: NSAIDs should only be used under veterinary supervision as they can cause side effects such as gastrointestinal disorders.
b) Analgesics (pain relievers):
- In particularly severe cases, stronger painkillers such as tramadol may be prescribed.
- These medications effectively relieve pain, but should only be used for a short time.
c) Glucocorticoids:
- In exceptional cases, corticosteroids such as prednisolone can be used. These drugs have a strong anti-inflammatory effect.
- Risk: The use of glucocorticoids requires careful consideration of benefits and side effects, as they can suppress the immune system.
2. Rest and restriction of movement
The rest phase is an essential part of the treatment. By protecting the musculoskeletal system, the strain on the affected bones is minimized, thereby alleviating pain and supporting healing.
Recommendations:
- Restricted walks: Keep walks short and avoid vigorous activities such as running, jumping or wild play.
- Leash requirement: Keep your dog on a leash during the healing period to prevent uncontrolled movements.
- Soft sleeping place: A comfortable, well-padded sleeping place can provide additional comfort and avoid pressure points.
3. physical therapy
Physiotherapy can be a useful addition to treatment, especially for long-term symptoms.
Possible measures:
- Massages: Gentle massages help to promote blood circulation and relieve muscle tension that can arise from posture.
- Passive range of motion exercises: These exercises maintain joint mobility and prevent muscles from breaking down.
- Heat therapy: Heat applications can relieve pain and promote healing.
4. Nutrition management
Proper nutrition plays a crucial role in both the treatment and prevention of panostitis. It supports growth and strengthens the musculoskeletal system.
Recommendations:
- Controlled calorie intake:
Avoid excessive energy intake, which could accelerate growth. Instead, choose a high-quality food that is tailored to the needs of large breed puppies. - Switch to adult food:
After six months of age, large dog breeds should be switched to adult dog food to slow growth. - Dietary Supplements:
Supplements with nutrients such as glucosamine, chondroitin and collagen can support the musculoskeletal system. An example of this are products with Ovopet , an active ingredient complex from the eggshell membrane.
5. Medical care
Close care from the veterinarian is of great importance during treatment. This includes:
- Regular checks:
The veterinarian checks whether the prescribed medication is working and whether side effects occur. - X-rays:
In more severe cases or if symptoms persist, repeat X-rays may be necessary to monitor healing progress.
6. Alternative treatment methods
Some dog owners also use alternative therapies to promote healing and increase the dog's well-being. However, these should always be discussed with the veterinarian.
Examples:
- Acupuncture:
Can help relieve pain and reduce the inflammatory response. - Homeopathy:
Preparations such as Traumeel or Zeel are sometimes used to provide support, even if their effect is scientifically controversial.
7. Psychological support for the dog
Panostitis and the associated restrictions can also put a psychological strain on the dog. Make sure that your dog remains mentally busy despite the immobilization:
- Intelligence toys:
Promote mental activity with search games or food balls. - Positive attention:
Give your dog attention and comfort to make the healing phase more comfortable.
8. Long-term forecast
The good news is that panostitis heals completely in most cases. Once growth is complete, symptoms usually disappear completely. However, the healing time can be several weeks to months. Patience and consistent implementation of veterinary recommendations are therefore crucial.
Treatment of panostitis requires a combination of medical therapy, appropriate exercise, good nutrition and loving care. With targeted pain therapy and the right care, you can help your dog get through this painful growth phase well. If you have any questions or uncertainties, do not hesitate to consult your veterinarian - your dog's health and quality of life always come first.
Panostitis: Breeds Affected, Age and Preventive Measures
Panostitis is a disease that primarily affects young dogs of certain breeds. It occurs during the growth phase and is particularly painful. In this section we explain which races and age groups are at risk and how you can minimize the risk of illness through targeted measures.
Which breeds are particularly at risk?
Panostitis is more common in medium to large breeds of dogs. These animals tend to grow faster than smaller dogs, which increases the risk of inflammatory processes in bone tissue.
Breeds particularly commonly affected:
- German Shepherd
This breed is particularly susceptible to panostitis, which is probably related to its genetic predisposition and rapid growth. - Golden Retriever
Due to their robust build and rapid growth, Golden Retrievers are also often affected. - Labrador Retriever
Labradors are also among the endangered breeds, especially if they are fed excessively. - Doberman
Dobermans also show an increased tendency to panosteitis, especially during the intensive growth phases. - Rottweilers
Rottweilers grow quickly and have a massive build, which makes them more susceptible to panostitis. - Bernese Mountain Dog and other large breeds
Large breeds with high weight and rapid growth, such as the Bernese Mountain Dog or Irish Wolfhound, may also be affected.
At what age does panostitis occur?
The disease mainly affects young dogs that are in the growth phase. The typical age is between 5 and 18 months , with the peak often occurring between 6 and 12 months of age. Once growth is complete, the condition usually goes away on its own.
Prevention: measures to minimize the risk
Because the causes of panostitis are complex and varied, prevention depends on what factors are at play in your dog. Below you will find differentiated prevention approaches.
1. Prevention of rapid growth
The rapid growth of bones is one of the main factors in the development of panostitis. To regulate growth, you should pay attention to nutrition and physical activity.
Measures:
- Appropriate diet:
- Feed large breed puppies with specially formulated puppy food that provides moderate energy and protein.
- From 6 months: Switch to adult food, which contains fewer calories, to slow growth.
- Avoid overfeeding - a constant oversupply of food leads to unnecessarily rapid growth.
- Regular weight check:
Keep your dog's weight within normal range to reduce stress on the bones.
2. Genetic predisposition
If your dog belongs to a susceptible breed, you can take additional measures to reduce the likelihood of panostitis.
Measures:
- Early consultation with the breeder:
Ask whether there have already been cases of panostitis in the breeding line and, if necessary, choose breeders who pay particular attention to slow growth. - Targeted Supplements:
Supplement your dog's diet with nutrients such as glucosamine, chondroitin and collagen to promote bone and joint health.
3. Prevention of overloading of the musculoskeletal system
Excessive physical stress can promote the development of panostitis, especially in young dogs whose bones are not yet fully developed.
Measures:
- Adjust movement:
- Avoid intense activities such as jumping, long runs or long walks during the growing phase.
- Limit playtime with other dogs if your dog tends to be overly active.
- Small, frequent walks:
Instead of long strains, short, quiet walks can be gentle on the joints.
4. Nutritional prevention
An unbalanced diet can increase the risk of panostitis by accelerating growth or impairing nutrient supply to the musculoskeletal system.
Measures:
- Calcium-phosphorus balance:
Make sure your dog food has a good balance of calcium and phosphorus, as an imbalance can affect bone growth. - High-quality food:
Choose food with controlled protein and fat levels to support consistent growth.
5. Regular veterinary checks
Early detection of growth problems or symptoms can help treat the condition more quickly or even prevent it.
Measures:
- Regular Examinations:
Have your puppy examined by the veterinarian regularly as he grows. - X-ray checks:
If growth problems are suspected, X-rays can help detect the first signs.
Panostitis primarily affects young large breed dogs during their growth phase. Through a balanced diet, moderate exercise and targeted precautionary measures, you can significantly reduce the risk of this painful disease. If your dog belongs to a susceptible breed or is starting to show symptoms, timely consultation with a veterinarian is crucial to ensure the best possible care.
Course of the disease: symptoms and treatment
Beginning of the disease
The disease often begins suddenly with lameness and sensitivity to pain, especially in young dogs.
Main symptoms
Typical symptoms include lameness, varying areas of pain, loss of appetite and fever.
diagnosis
Veterinarians use clinical examinations and x-rays to confirm panostitis.
Treatment
Painkillers, restriction of movement and an adjusted diet help to relieve the symptoms.
recovery
With proper care, panostitis usually heals completely once growth is complete.
Frequently asked questions (FAQs) about panostitis in dogs
Below you will find five frequently asked questions about panostitis in dogs, supplemented by detailed answers to help you better understand the condition and how to best deal with it.
What exactly is panostitis and how does it occur?
Panostitis is an inflammatory disease of bone tissue that occurs especially in young dogs of large and medium-sized breeds. The inflammation affects the diaphysis (the middle part) of long bones such as the humerus, ulna, tibia or femur. It is a “self-limiting” disease, meaning it usually clears up on its own once the dog has finished growing.
The exact causes are not yet fully understood, but the following factors probably play a role:
Rapid growth: Rapid bone growth can promote the development of the disease, especially in large dog breeds.
Genetic predisposition: Some breeds, such as the German Shepherd, have a higher susceptibility to panostitis.
Diet: Excessive calorie intake or too much protein in the food can accelerate growth and increase inflammation.
Stress: Excessive physical activity during the growth phase can worsen the disease.
What are the symptoms of panostitis and how can I recognize it in my dog?
Symptoms of panostitis can appear suddenly and vary depending on the severity of the disease. The most common signs are:
Lameness:
This is often the first noticeable symptom. Initially it only affects one leg, usually a forelimb, but over time it can spread to other limbs. Alternating lameness is characteristic: one leg heals while another is affected.
Pain:
The dog shows clear pain reactions when touching or putting pressure on the affected bones. These can also manifest themselves as restlessness or avoidance of movement.
General symptoms:
of appetite,
fatigue
, fever (mild to moderately increased),
weight loss due to reduced food intake.
An unusual gait, increased lying down and withdrawal can also indicate panostitis. If you observe such symptoms, you should consult a veterinarian immediately.
How is panostitis diagnosed?
Panostitis is diagnosed through a combination of clinical examination and imaging techniques:
Clinical examination:
The veterinarian palpates the affected limbs. Painful reactions when pressure is applied to the long bones are a typical sign.
X-rays:
X-rays show characteristic changes in the bone, such as compacted areas (so-called sclerosis). These are a clear indication of panostitis.
Exclusion diagnostics:
To rule out other diseases such as joint dysplasia, fractures or infections, additional examinations such as blood tests may be necessary.
X-ray diagnosis is particularly important as it allows panostitis to be clearly identified and excludes other possible causes of the symptoms.
What treatment options are available for panostitis?
Because panostitis usually heals on its own, treatment focuses on relieving symptoms and promoting healing:
Pain management:
Nonsteroidal anti-inflammatory drugs (NSAIDs) such as meloxicam or carprofen reduce pain and inflammation.
In severe cases, stronger analgesics such as tramadol can be used.
Restriction of movement:
Avoid strenuous activities. Keep walks short and keep your dog on a leash to prevent rampage.
Diet Adjustment:
Use moderate calorie and protein foods to slow growth.
Dietary supplements such as glucosamine or collagen can support the musculoskeletal system.
Physiotherapy:
Massages, passive movement exercises and heat applications can help to relieve the symptoms.
The healing time varies, but is usually several weeks to months. During this time, patience and consistent care are crucial.
Can panostitis be prevented, and if so, how?
Although the exact causes of panostitis are not fully understood, certain measures can significantly reduce the risk:
Diet:
Feed large breed puppies with special puppy food formulated for slow growth.
After about 6 months, switch to adult food to control growth.
Avoid overfeeding and ensure a balanced ratio of calcium and phosphorus in the food.
Physical activity:
Limit intense physical exertion, such as long running, jumping, or excessive gaming.
Instead, encourage moderate exercise that is gentle on the joints.
Regular veterinary checks:
Have your dog examined regularly by the vet during the growing phase in order to identify possible problems at an early stage.
Supplements:
Supplement your dog's diet with joint protection supplements containing important nutrients such as collagen, glucosamine and hyaluronic acid.
These measures can help minimize the risk of panostitis, especially in genetically susceptible breeds.
Summary: Panostitis in dogs
Panostitis in dogs is an inflammatory disease that primarily affects young dogs. It occurs primarily in large and medium-sized breeds that are in the growth phase. Panostitis in dogs characterized by inflammation of the long bones, especially the humerus, tibia and femur. The disease is painful and manifests itself through symptoms such as lameness, changing areas of pain and general signs of illness such as fever, loss of appetite and fatigue.
Canine panostitis is often diagnosed in animals between the ages of five and 18 months. Breeds such as the German Shepherd, Golden Retriever, Labrador Retriever, Rottweiler and Bernese Mountain Dog are particularly at risk. The exact causes of panostitis in dogs are not fully understood, but rapid growth, genetic predisposition, nutritional deficiencies and excessive exercise appear to play a crucial role.
The symptoms of panostitis in dogs can appear suddenly and vary in intensity. A typical feature is lameness, which often begins in one leg and can spread to other limbs as the disease progresses. Pain is another prominent symptom of panostitis in dogs and often causes affected dogs to be reluctant to move or seek quiet places. In more severe cases, canine panostitis also cause loss of appetite, fever, and weight loss.
Panostitis in dogs diagnosed through a clinical examination in which the veterinarian palpates the affected limbs and checks for pain reactions. Additionally, an X-ray is taken, which shows characteristic changes in the bone tissue. Treatment of panostitis in dogs is aimed at relieving symptoms, as in most cases the disease resolves on its own once growth is complete.
Treatment measures include painkillers such as non-steroidal anti-inflammatory drugs (NSAIDs), adjusted movement restriction and, if necessary, physiotherapeutic applications. Nutritional adjustments play an important role in regulating growth and minimizing the risk of relapse. Dietary supplements can also be helpful to support the musculoskeletal system and promote healing.
The prognosis for dogs with canine panostitis is usually good. With appropriate care and treatment, the disease heals completely. However, the symptoms can last for several weeks to months. minimize the risk of panostitis in dogs
Preventive measures are particularly important because the causes of panostitis in dogs are complex. A high-quality diet tailored to age and breed can help reduce the risk. Exercise should be controlled and tailored to the age of the dog in order to avoid overloading the musculoskeletal system.
Panostitis in dogs is a challenge for dogs and owners, but early diagnosis, targeted treatment and preventive measures can significantly improve the quality of life of affected dogs. Although panostitis in dogs usually heals on its own, it should not be left untreated as the pain can be significant. Working closely with a veterinarian is essential to ensure the dog receives the best possible support.
panostitis in dogs shows how important it is to carefully monitor the growth and development of young dogs. With proper care, a balanced diet and moderate exercise, the risk of this painful condition can be reduced. If your dog shows signs of canine panostitis , do not hesitate to seek veterinary advice to initiate quick and targeted treatment.
Panostitis in dogs requires not only medical attention, but also patience and care from owners. especially during the growth phase, when panostitis in dogs occurs most often. Even small changes in movement or behavior can be an indication of the beginning of panostitis in the dog .
An important factor in preventing panostitis in dogs is choosing a suitable food. High-quality puppy food that is specifically formulated to meet the needs of large breeds can significantly reduce the risk. After six months of age, it is recommended to switch to adult dog food to slow growth. Overfeeding, which can quickly lead to problems in large breeds, is an often underestimated risk factor for panostitis in dogs .
In addition to diet, proper exercise is also crucial to minimize panostitis in dogs Young dogs should not be subjected to excessive stress. Activities such as long running, jumping or intensive play with other dogs can put a lot of strain on the musculoskeletal system and increase the likelihood of panosteitis in the dog . Instead, short, regular walks and quiet activity games are recommended in order to exercise the dog physically and mentally without putting too much strain on his joints.
If panostitis does occur in dogs , it is important not to underestimate the disease. The pain associated with canine panostitis can be significant and severely impact the dog's well-being. Therefore, a visit to the vet should not be postponed. Early diagnosis is the key to effectively alleviating the symptoms of panostitis in dogs and supporting the healing process.
Even if panostitis in dogs does not leave any lasting damage in most cases, caring for the sick dog requires special attention. In addition to drug treatment, which reduces pain and inflammation, the rest phase plays a crucial role. During this time, keep your dog on a leash to prevent uncontrolled movements and provide him with a comfortable and quiet place to recover.
Another aspect of caring for dogs with canine panostitis is psychological support. The limited freedom of movement can be frustrating for the dog, especially if he is used to being active. Intelligence toys, calm cuddles and gentle activities can help make the healing phase more pleasant and strengthen the bond between you and your dog.
Panostitis in dogs shows once again how complex the growth phase can be in young dogs and how important it is to accompany them with attention and understanding. Although canine panostitis is often viewed as a temporary problem, it should not be taken lightly. Timely treatment and targeted prevention can help affected dogs recover more quickly and lead an active, pain-free life again.
panostitis in dogs is a disease that is common but can be easily treated if handled correctly. You can help your dog stay healthy with a balanced diet, moderate exercise and regular veterinary checks. If your dog is still affected by canine panostitis , you can ensure that he or she gets through this growth phase well and can soon go through life full of joy through your care and cooperation with an experienced veterinarian.
Panostitis in dogs also teaches us how sensitive the dog's musculoskeletal system reacts to external influences during the growth phase. The disease is a clear indication that young dogs should not be viewed as “small adults”. Your body, especially your bones, tendons and muscles, develops dynamically during this phase and is susceptible to overload and incorrect development. This is precisely what makes proper care and support so important to minimize canine panostitis
Particular attention should be paid to selecting activities that are good for your dog during this sensitive period. While wild romping, long jumps or long hikes can become stressful, there are many alternatives that simultaneously satisfy the urge to exercise and strengthen the bond between you and your dog. For example, short training sessions for basic training, search games or simply quiet walks at the dog's pace can help to exercise him physically and mentally without putting excessive strain on the musculoskeletal system. In this way you actively support the prevention of panostitis in dogs .
If you, as the owner of a young dog in one of the particularly vulnerable breeds, are faced with concerns about canine panostitis , it is advisable to act proactively. This means not only paying attention to diet and exercise, but also scheduling regular visits to the vet to monitor your dog's health. Early x-ray examinations if panostitis in dogs can help to identify the disease and initiate targeted measures before the pain and movement restrictions become too severe.
Healing panostitis in dogs requires patience and consistent implementation of veterinary recommendations. Even though the symptoms can be stressful, in the vast majority of cases the disease heals completely. However, it is important that the stress on the affected bones is minimized during the healing phase so that the inflammatory reactions are not further fueled. At the same time, you should make sure that your dog is not under-challenged despite limited exercise. Intelligence games or gentle stroking can help make the recovery time positive.
canine panostitis offers a valuable learning experience for dog owners. It shows how important it is to meet the individual needs of dogs, especially during the sensitive growth phase. Conscious feeding tailored to energy needs and age-appropriate exercise are crucial not only to prevent diseases such as panostitis in dogs , but also to promote the dog's overall health and well-being.
Even after a dog has overcome panostitis, it makes sense to continue to ensure that your dog is not put under excessive strain, especially for dog breeds that are naturally prone to joint problems. In addition, long-term administration of high-quality nutritional supplements that support the musculoskeletal system can be useful. These include preparations with collagen, glucosamine or hyaluronic acid, which help keep your dog's joints and bones healthy.
In summary, panostitis in dogs is an unpleasant and often painful growth phase, but can be overcome with the right care, prevention and medical care. It requires a high level of attention and care from the owners, but is rewarded with the prospect of a healthy, active dog that will soon go through life full of energy. Every step you take to promote your dog's health - whether through a balanced diet, moderate exercise or targeted veterinary checks - is an important contribution to ensuring that canine panostitis remains only a temporary challenge.