
Common treatment options include:
- Non-steroidal anti-inflammatory drugs (NSAIDs) such as Previcox, Deramaxx, and Metacam to reduce pain, inflammation, and fever. ...
- Limiting exercise, especially during episodes of lameness. ...
- If your pet is losing weight or refusing to eat, your veterinarian will recommend a more palatable diet. ...
What is panosteitis?
Panosteitis is a painful inflammation of the outer surface or shaft of one or more long bones of the legs. It is sometimes called growing pains. Panosteitis may occur in more than one bone at a time or may move around, causing a shifting lameness that goes from one bone or leg to another.
How is panosteitis treated in dogs?
How is Panosteitis Treated? There is no specific medication or treatment for panosteitis in dogs, but the pain can be managed with a combination of rest and anti-inflammatory medications. Use non-steroidal anti-inflammatory drugs (NSAID) such as Rimadyl or Deramaxx as needed to control the painful periods of the disease.
Does panosteitis go away on its own?
Panosteitis is a self-limiting disease meaning that it will “go away” whether it is treated or not. It occurs only in dogs. Even though cause is unknown, it has been reported that high protein diets may make the symptoms worse and last longer.
Can panosteitis affect more than one leg?
With the pain shifting from leg to leg, the lameness may also affect more than one leg [1, 2]. Each bout of a panosteitis attack may last for a few days or weeks while the gap between the episodes may approximately be a month or more [1].

Can I walk my dog with panosteitis?
Panosteitis pain comes and goes, but even in the periods where pain seems lower, highly strenuous exercise is not advised. Light exercise, like a short walk, can be beneficial in keeping the blood flowing and the muscles moving as they should.
How do you prevent panosteitis in dogs?
High-protein diets may predispose large-breed dogs to panosteitis, so it is important to feed your dog a high-quality, large-breed puppy food to help prevent it.
How common is panosteitis?
Panosteitis is a relatively common orthopedic condition seen primarily in young, rapidly growing, large breed dogs.
What age group of dogs are most commonly affected by panosteitis?
Panosteitis also occurs more commonly in males than in females. Young dogs between 5–18 months of age are most commonly affected, but rare cases have been reported in middle-aged dogs as well. Once a dog develops panosteitis, episodes of pain and lameness may continue intermittently until the dog is 1–2 years old.
How can I help my dog with Panosteitis?
You can help your young dog cope with panosteitis through smart home care as well. Try to restrict your dog's activity as much as possible during painful bouts of the disorder. Feed your dog a balanced diet of food specifically for puppies. Ask your veterinarian about supplements that support healthy bones and joints.
What can I give my dog for inflammation?
Nonsteroidal anti-inflammatory drugs, or NSAIDs, help reduce swelling, stiffness, and joint pain in humans, and they can do the same for your dog....There are some of the available NSAIDs just for dogs:carprofen (Novox or Rimadyl)deracoxib (Deramaxx)firocoxib (Previcox)meloxicam (Metacam )grapipant (Galliprant)
How long do puppy growing pains last?
Shifting from one location to another the pain can phase from worsening to improving over a few days lasting up to a few weeks. Panosteitis occurs during growth and so affects puppies up to 2 years of age.
How can I treat my dogs limping at home?
Your dog may be limping because they're sore from overexertion or arthritic. You can carefully massage the area and apply a wrapped ice pack to the limb for 15 minutes. Anything beyond what is listed above should be treated by a vet!
Why is my dog limping but has no pain?
Some minor injuries can lead to limping without pain, such as a minor tear to their ACL, minor patella luxation, or minor sprains. Medically speaking, sprains harm the ligaments that connect bones. This can lead to joint damage if not properly taken care of.
Does panosteitis show on xray?
Three phases of panosteitis can be viewed from X-rays. Early phase: Some cases show few if any signs. Blurring or accentuation of the bone structure is seen towards the ends of the bone in the medullary cavity in X-rays. A few granular densities are seen in some cases as well.
What happens if a puppy grows too fast?
Rapid growth rates can stress developing bones and joints resulting in skeletal malformations. Bones that grow too quickly are less dense making the skeleton, including joints, weak. Exponential growth accompanied by increased body mass puts additional strain on bones and joints. So puppies should not get too fat!
How does meloxicam work in dogs?
Uses Of Meloxicam For Dogs It works by reducing the hormones in the body that cause pain and inflammation, and as an NSAID, it does so without relying on steroids. Vets sometimes prescribe meloxicam to reduce pain in dogs after surgery or recent injury.
What is panosteitis
Panosteitis (pan-all, oste-bones, itis-inflammation) commonly referred to as pano is an orthopedic condition primarily affecting large dog breeds, though also seen in smaller dogs and other animals like cats and horses. Characterized by pain, inflammation and sudden lameness, it occurs in the long bones of the limbs, mainly the humerus.
Causes and pathophysiology
It occurs when there is a rise in the activity level of the bone-synthesizing cells, osteoblasts, and collagen-synthesizing cells, fibroblasts present in the bone marrow, periosteum (outer bone membrane) and endosteum (thin membrane covering the inner surface).
Why is panosteitis more common in dogs
Researches are going on to find out the causes of its high incidence rate in dogs.
When do the symptoms occur
This condition is majorly seen in young dogs when they are 5 to 14 months old, while the symptoms may show up as early as at 2 months or even delay to 18 months [1]. It has a cyclic nature where the symptoms may come and go [1]. With the pain shifting from leg to leg, the lameness may also affect more than one leg [1, 2].
How is it diagnosed
If your dog experiences pain when the vet exerts pressure on the affected bone, then panosteitis may be suspected. Radiographs or X-rays of the affected limbs are taken for confirmation. Sometimes X-rays are also conducted on the unaffected limbs for comparing the changes [1, 3, 7, 8].
Treatment and management
Though this condition has no remedy, medications to relieve pain including NSAIDs (Non-steroidal anti-inflammatory drugs) [1], like carprofen [6, 12], and meloxicam [6, 11], may be recommended by your vet. In the case of severe and unbearable pain, steroids may be prescribed.
How long does it last
Panosteitis is usually a self-limiting condition with a positive outlook, gradually going away once the puppies become 18 to 24 months old. However, if the episodes prolong for more than 4 to 5 weeks, the growing pain may indicate other orthopedic disorders like an elbow or hip dysplasia, osteochondritis and hypertrophic osteodystrophy [1, 13].
What is the best treatment for panosteitis in dogs?
There is no specific medication or treatment for panosteitis in dogs, but the pain can be managed with a combination of rest and anti-inflammatory medications. Use non-steroidal anti-inflammatory drugs (NSAID) such as Rimadyl or Deramaxx as needed to control the painful periods of the disease. Antibiotics are not indicated unless there is ...
What bones do dogs have panosteitis?
Occasionally, a dog with panosteitis may have a fever or elevated white blood cell count.
What is the age of pano in dogs?
Most cases of pano in dogs occurs in larger breed dogs such as German Shepherds, Retrievers, and Rottweilers between the ages of 4 and 18 months, so it is often referred to as puppy growing pains. Other common dog breeds that experience pano include Great ...
Can you take antibiotics with steroids?
Antibiotics are not indicated unless there is a concurrent infection. Steroids should not be used unless the pain is severe, and your veterinarian recommends this course of treatment. Because of the potential long-term side effects of steroids, it is best to try other pain killers first.
What Is Panosteitis in Dogs?
Panosteitis in dogs, also known as pano, is a condition that affects the long bones of the legs. Because it most commonly affects large-breed dogs that are less than 2 years old, it has been called growing pains in dogs.
Symptoms of Panosteitis in Dogs
The predominant symptom of panosteitis is limping and leg pain. The pain can come on suddenly and then resolve very quickly. You usually won’t see any signs of injury or trauma—your dog just wakes up limping one day.
How Vets Diagnose Pano in Dogs
To diagnose panosteitis, veterinarians start with your dog’s history and a physical exam. Your dog’s health information, such as being a young, large-breed dog with a sudden onset of limping, is often the biggest clue.
Treatment for Panosteitis in Dogs
Treating dogs for panosteitis primarily involves nonsteroidal, anti-inflammatory medications to relieve pain and reduce inflammation. Restricting your dog's activity also helps.
Recovery and Management of Pano in Dogs
An episode of panosteitis typically lasts a few weeks and then goes away. It sometimes happens again, in different legs, weeks to months later. Fortunately, after your dog is 2 years old, pano usually stops with no lasting inflammation or pain.
Panosteitis in Dogs FAQs
Reducing your puppy’s activity will help alleviate growing pains. Your veterinarian can also prescribe a nonsteroidal, anti-inflammatory pain medication, such as carprofen, to relieve pain.
What is the pain of panosteitis?
The typical symptom is a sudden, unexplained, painful lameness (limping) of one or more legs. The lameness may be mild or severe. The most common bone that is affected is the humerus (upper arm), but panosteitis may also be found in the radius and ulna (both bones in the foreleg), the femur (thigh), and/or the tibia (lower rear leg). The affected bone will be painful to the touch. Other symptoms such as fever, decreased appetite, lethargy, or weight loss may be noticed.
What is panosteitis in dogs?
Over 500,000 users trust FirstVet to care for their animals. Panosteitis is a condition that affects young, rapidly growing dogs. Although it can occur in any breed of dog, larger breeds, such as German Shepherds (most common), Great Danes, Golden Retrievers, Labrador Retrievers, Rottweilers, Doberman Pinschers, and Basset Hounds, ...
How old is a dog when it has panosteitis?
The average age of onset is 5 - 12 months, although it has been reported in dogs as young as two months and as old as five years . It is more common for males to be affected than females, and in females, the panosteitis often occurs with the first estrus.
Can panosteitis be diagnosed?
Panosteitis can be a difficult disease to diagnose. The lameness can shift from limb to limb. X-rays can show changes in the middle of the long bones, but the x-rays can be difficult to interpret if taken at early or late stages of the disease. There is typically pain when the shaft of the affected bones is pressed firmly.
How to treat pancreatitis in hospital?
Treatment. Initial treatments in the hospital may include: Fasting. You'll stop eating for a couple of days in the hospital in order to give your pancreas a chance to recover. Once the inflammation in your pancreas is controlled, you may begin drinking clear liquids and eating bland foods.
How to recover from pancreatitis?
Lifestyle and home remedies. Once you leave the hospital, you can take steps to continue your recovery from pancreatitis, such as: Stop drinking alcohol. If you're unable to stop drinking alcohol on your own, ask your doctor for help. Your doctor can refer you to local programs to help you stop drinking. Stop smoking.
How to help with pancreatic pain?
Severe pain may be relieved with options such as endoscopic ultrasound or surgery to block nerves that send pain signals from the pancreas to the brain. Enzymes to improve digestion. Pancreatic enzyme supplements can help your body break down and process the nutrients in the foods you eat.
What tests are used to diagnose pancreatitis?
Tests and procedures used to diagnose pancreatitis include: Blood tests to look for elevated levels of pancreatic enzymes. Stool tests in chronic pancreatitis to measure levels of fat that could suggest your digestive system isn't absorbing nutrients adequately. Computerized tomography (CT) scan to look for gallstones and assess the extent ...
How to cope with pain?
Examples of alternative therapies that may help you cope with pain include: Meditation . Relaxation exercises. Yoga.
Can pancreatitis cause pain?
Pancreatitis can cause severe pain. Your health care team will give you medications to help control the pain. Intravenous (IV) fluids. As your body devotes energy and fluids to repairing your pancreas, you may become dehydrated.
Can drinking alcohol cause pancreatitis?
Treatment for alcohol dependence. Drinking several drinks a day over many years can cause pancreatitis. If this is the cause of your pancreatitis, your doctor may recommend you enter a treatment program for alcohol addiction. Continuing to drink may worsen your pancreatitis and lead to serious complications.

What Is Panosteitis?
Are All Dogs Affected with This condition?
- Panosteitis is a condition that affects young, rapidly growing dogs. Although it can occur in any breed of dog, larger breeds, such as German Shepherds (most common), Great Danes, Golden Retrievers, Labrador Retrievers, Rottweilers, Doberman Pinschers, and Basset Hounds, are more prone to this problem. Affected dogs are usually between 5 and 14 months of age, but the first s…
What Is The Cause?
- Panosteitis is a painful condition, and the pain is likely caused by increased pressure within the bone, and/or by stimulation of pain receptors in the periosteum(outer, soft tissue lining of the bone). The underlying cause of panosteitis is unknown, but genetics, stress, infection, metabolism, or an autoimmune component may be factors. Since German Shepherds seem to b…
What Are The Clinical Signs?
- The typical symptom is a sudden, unexplained, painful lameness of one or more legs. The lameness may be mild or severe. The most common bone that is affected is the humerus (upper arm), but panosteitis may also be found in the radius and ulna (both bones in the foreleg), the femur (thigh) and/or the tibia(lower rear leg). The affected bone will be painful to the touch. Othe…
How Is It Diagnosed?
- When your veterinarian examines your dog, panosteitis will be suspected if the patient shows pain when pressure is applied to the affected bone(s). The diagnosis is confirmed by radiographs (X-rays), which usually show a characteristic increase in the density of the affected bones. The degree of change may not correlate to the severity of the lameness. In some cases, radiographi…
What Is The Prognosis?
- Panosteitis is a self-limiting disease, meaning that it will eventually go away. The disease should be completely resolved by the time the dog reaches 18-24 months of age. Each episode of lameness should last no longer than 3 weeks; if your pet's lameness persists without relief for longer than 4-5 weeks, it is likely that the dog is affected with another bone disorder (see hando…