Panosteitis in dogs is a painful condition that primarily affects young, medium to large-breed dogs. It is characterized by inflammation of the long bones and typically presents as sudden, shifting lameness. While the exact cause of panosteitis remains unknown, recognizing the symptoms and understanding how it’s diagnosed and treated is essential to managing your dog’s pain.
Clinical Signs
The main symptom of panosteitis in dogs is sudden-onset lameness, which can vary in severity. This lameness usually lasts between 1 and 3 weeks and may shift from one limb to another. The front legs are often affected first. Some dogs may also experience anorexia and weakness, which in severe cases may require hospitalization.

It’s important to distinguish panosteitis from other conditions such as infections, immune-mediated joint diseases, or other bone growth disorders.
Diagnosis
Diagnosis begins with a thorough physical examination. The veterinarian will palpate the affected bones to pinpoint areas of pain. X-rays are then used to identify characteristic bone lesions. However, these changes might not be visible during the acute phase of the disease. It’s also possible to detect abnormalities in limbs that do not currently appear painful.
Treatment
Treatment focuses on relieving pain and helping the dog return to normal activities. Common medications include non-steroidal anti-inflammatory drugs (NSAIDs) such as meloxicam, deracoxib, or carprofen. In more severe cases, stronger pain medications, like opioids, may be prescribed. Nutritional support and short-term hospitalization may also be required in some instances.
It’s important to note that while rest may help reduce discomfort, it does not speed up recovery. Complications are rare but may include gastrointestinal issues, liver or kidney damage, and blood clotting disorders due to medication.
Although natural supplements and vitamins are sometimes considered, there is no proven benefit for treating panosteitis. If lameness persists, regular check-ups every 2 to 4 weeks are recommended to monitor for additional problems.