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Knuckling in Puppies: Causes & Ways to Help Your Puppy

Knuckling in puppies occurs when a pet stands on the top of their paw instead of the normal paw positioning. The puppy is often unaware that its paw isn't in the correct position. This abnormal gait is a sign of neurological disease and requires prompt attention. In this blog, our vets in Gilbert explain what knuckling is in puppies and how it can be stopped. 

What causes knuckling in puppies?

Knuckling is typically associated with neurological issues. The underlying causes can vary, including:

  • Spinal Cord Injuries: Trauma or injury to the spine can disrupt the nerves controlling the limbs.
  • Degenerative Diseases: Conditions like Degenerative Myelopathy can lead to knuckling.
  • Nutritional Deficiencies: Inadequate nutrition, especially during the crucial growth stages, can affect nerve function and lead to knuckling.
  • Genetic Factors: Some breeds are more prone to neurological issues that can cause knuckling.

Certain dog breeds, such as Dobermans and Shar Peis, may be more prone to a condition known as knuckling. Male puppies, especially those that grow quickly, are more likely to be affected. Knuckling typically occurs between the ages of 6 to 16 weeks.

Although knuckling can affect all breeds, it tends to be more common in larger than small breeds. Malnourished puppies are particularly at risk for knuckling since proper nutrition can lead to rapid growth, which may trigger this condition.

Therefore, it's important not to overfeed rescue puppies to prevent them from becoming overweight. Unfortunately, knuckling may occur in malnourished puppies due to processes already set in motion before they come into care.

How can I tell if my puppy is knuckling?

You can identify knuckling in your puppy if you notice unsteadiness or an uneven gait when they walk toward you or away from you. To check, have your dog stand and lift one paw at a time, then put it down with the knuckle under. They are likely knuckling if your puppy doesn't correct their paw's position and leaves their knuckle tucked under. 

If your puppy is knuckling, contact your vet immediately to schedule an exam. Our veterinarians in Gilbert specialize in treating and diagnosing internal medical conditions in pets.

Will knuckling over correct itself?

Knuckling may sometimes resolve independently, especially if caused by temporary factors such as minor injuries or nutritional deficiencies. However, having your puppy evaluated by a veterinarian to rule out underlying severe conditions is crucial. Early intervention increases the likelihood of a full recovery.

Can Knuckling in Puppies be Cured or Stopped?

The cause of your dog's knuckling can determine how the condition is treated. Some cases may be managed with supportive care, while others may require surgery. In some situations, the condition may not be treatable and can only be managed.

If your puppy is knuckling due to an injury or a sore paw, you can help by cleaning, bandaging, and treating the wound. However, if your dog has an injured paw, you should call your vet so they can treat the wound or provide you with the necessary steps.

Other causes of knuckling may require one or more of the following management or treatment methods:

  • Cage rest
  • Anti-inflammatory medications
  • Cold laser therapy
  • Acupuncture
  • Hyperbaric oxygen therapy
  • Toe grips
  • Mobility aids
  • Avoiding putting your puppy on slippery surfaces such as floorboards (stay on surfaces such as grass, rubber mats, and carpet)
  • A foot brace (designed for knuckling dogs)
  • Physical therapy
  • Keep the puppy in a warm environment (cold weather can worsen the condition)
  • Avoiding walks or physical play
  • Surgery

When puppies struggle to walk, it's generally recommended that they move about on the recommended surfaces rather than being crated or penned. Follow your vet's advice.

Dogs have no cure for degenerative myelopathy, but treating symptoms as they progress can help your dog maintain a good quality of life.

While recovering, puppies should rest on a soft bed and be rotated every few hours. Sometimes, a puppy retrieved from knuckling can walk in two to six weeks.

If your puppy is knuckling, the best thing you can do is to contact your vet to have them diagnose the underlying cause and provide the best possible treatment plan for your dog.

Note: The advice provided in this post is intended for informational purposes and does not constitute medical advice regarding pets. For an accurate diagnosis of your pet's condition, please make an appointment with your vet.

If you believe your puppy or kitten is knuckling, contact our Gilbert vets today to schedule an appointment.

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