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Signs and Symptoms of Medial Patellar Luxation in Dogs

Signs and Symptoms of Medial Patellar Luxation in Dogs

Medial Patellar Luxation

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Learn the common signs and symptoms of medial patellar luxation in dogs to spot early warning signs and get timely veterinary care for your pet

By 

Sustainable Vet Group

Updated on

June 9, 2025

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Understanding Medial Patellar Luxation

Medial Patellar Luxation (MPL) is a condition where the kneecap (patella) slips out of its normal position toward the inside of the dog’s leg. This causes the knee joint to become unstable, leading to pain and difficulty walking. MPL is common in small dog breeds but can affect dogs of all sizes.

Recognizing the symptoms of MPL early is very important. When caught early, treatment can reduce pain and prevent long-term damage like arthritis. Early care helps your dog stay active and comfortable. If left untreated, the condition can worsen, causing more severe limping and joint problems.

By watching for signs like limping, skipping steps, or stiffness, you can get your dog the help they need quickly. Early veterinary care improves your dog’s quality of life and can often avoid the need for complex surgery.

Common Movement-Related Signs of MPL

Medial Patellar Luxation (MPL) often changes how your dog moves. Watching for these signs can help you notice the problem early.

  • Sudden skipping or hopping while walking or running: Your dog may suddenly lift one leg or hop to avoid pain when the kneecap slips out of place. This quick change in movement helps reduce discomfort.
  • Limping or skipping gait: Limping is common when the dog puts less weight on the affected leg. You might see an uneven or skipping walk as your dog tries to avoid putting pressure on the painful knee.
  • Intermittent or persistent lameness: Sometimes, lameness happens only after exercise, but in more serious cases, your dog may limp all the time. Both need veterinary attention to avoid worsening.
  • Holding the affected leg up or avoiding weight bearing: Your dog might lift the injured leg or refuse to stand on it because of pain or instability in the knee.

If you notice these signs, it’s important to see a vet for diagnosis and early treatment.

Pain and Mechanical Symptoms

Dogs with Medial Patellar Luxation (MPL) often show pain and unusual knee movements. Watching for these signs can help you know when your dog needs care.

  • Pain or discomfort around the knee area:
    Your dog may lick, bite, or favor the leg because of pain. The discomfort can be mild or severe depending on how often the kneecap slips out of place.
  • Visible abnormal movement or popping of the kneecap:
    You might see the kneecap move out of its groove or the knee looking unstable. This popping happens especially when your dog walks or stands.
  • Audible clicking or popping sounds from the knee:
    Sometimes you can hear clicking noises when the kneecap slips out and back in. This sound shows the knee joint is unstable.

If you notice any of these pain or mechanical symptoms, visit your vet. Early treatment can reduce pain and stop more damage to the knee joint.

Functional Difficulties and Posture Changes

Medial Patellar Luxation (MPL) can cause problems with how your dog moves and stands. These changes affect your dog’s daily activities and comfort.

  • Stiffness or difficulty walking after rest:
    Your dog may seem stiff or slow to start moving after resting. This happens because the knee feels tight or sore, making it hard to walk smoothly.
  • Difficulty jumping or climbing stairs:
    Activities that put extra pressure on the knees, like jumping or going up stairs, can become hard or painful. Your dog might avoid these tasks to reduce discomfort.
  • Bow-legged appearance or abnormal hind limb posture:
    In some cases, the leg may look bow-legged or positioned oddly due to changes in the knee joint and surrounding muscles.
  • Knee joint instability or looseness:
    The knee may feel loose or unstable because the kneecap is not held securely. This can cause your dog to wobble or struggle with balance.

If you notice these signs, it’s important to get your dog checked by a vet. Managing these difficulties early helps keep your dog active and comfortable for longer.

Muscle and Activity Changes

Medial Patellar Luxation (MPL) often leads to changes in your dog’s muscles and activity levels. Because the affected leg causes pain or discomfort, your dog may use it less than usual.

  • Muscle loss in the affected leg from reduced use:
    When your dog avoids putting weight on the injured leg, the muscles around that leg can shrink or weaken. This muscle loss makes it harder for the knee to stay stable, which can worsen the condition over time.
  • Decreased activity or reluctance to exercise:
    Dogs with MPL may become less active because movement causes discomfort or pain. They might avoid running, jumping, or playing as much as before. This reduction in activity can affect their overall health and fitness.

It’s important to help your dog stay as active as possible without causing pain. Gentle, controlled exercise and physical therapy can improve muscle strength and support the knee joint. Working with your vet to create a safe exercise plan helps your dog stay healthy and feel better despite MPL. Early management of muscle and activity changes improves your dog’s quality of life.

Progression and Severity of Symptoms

Medial Patellar Luxation (MPL) symptoms can change over time and with your dog’s activity level. Often, symptoms get worse as the condition progresses or if your dog is very active.

  • Symptoms worsen with activity or over time:
    Increased exercise or movement can cause the kneecap to slip more often, leading to more pain and discomfort. Over time, repeated slipping may damage the knee joint, making symptoms more severe.
  • Mild cases show subtle or occasional signs:
    Dogs with mild MPL might only limp sometimes or skip steps now and then. These signs can be easy to miss but still need attention to prevent worsening.
  • Moderate to severe cases cause frequent lameness and pain:
    In more serious cases, dogs limp often or have trouble walking. Pain can be constant, and the knee may feel unstable or locked.
  • Both hind legs can be affected, usually one side is worse:
    Sometimes MPL affects both knees, but one leg often has more severe symptoms. This imbalance can affect your dog’s posture and movement.

Early vet care helps manage symptoms and slow progression, improving your dog’s comfort and mobility.

When to See a Veterinarian

Knowing when to take your dog to the veterinarian is very important if you suspect Medial Patellar Luxation (MPL). Certain signs need prompt veterinary attention to prevent further damage and pain.

Key signs to watch for include sudden limping that doesn’t improve, your dog refusing to put weight on a leg, visible swelling or heat around the knee, or if the leg locks or feels unstable. If your dog shows signs of strong pain, such as whining, crying, or reluctance to move, you should see a vet right away.

Early diagnosis and treatment are crucial for the best outcome. When MPL is caught early, your vet can recommend treatments to reduce pain, improve mobility, and prevent long-term problems like arthritis. Delaying care can cause the condition to worsen, making treatment more complicated and recovery longer.

Regular veterinary check-ups help monitor your dog’s knee health and catch any early changes. If you notice any signs of MPL, don’t wait—visit your vet to protect your dog’s comfort and quality of life.

Frequently Asked Questions About Signs and Symptoms of Medial Patellar Luxation

What are the first signs of medial patellar luxation in dogs?

Early signs include limping, skipping steps, or sudden hopping while walking. Your dog may hold the leg up or avoid putting weight on it. These subtle changes often appear during activity or after rest.

How can I tell if my dog is in pain from MPL?

Dogs may lick or bite their knee, show reluctance to move, or limp frequently. Signs like whining or stiffness after resting also indicate pain related to the kneecap slipping out.

Can MPL cause permanent damage if untreated?

Yes, untreated MPL can lead to arthritis and joint damage. This causes chronic pain, stiffness, and difficulty moving. Early care can prevent these long-term problems.

Why does my dog’s knee make clicking sounds?

Clicking or popping sounds occur when the kneecap slips out and back into place. This noise is a common mechanical symptom of MPL and shows joint instability.

Does MPL affect both legs or just one?

MPL can affect one or both hind legs. Often, one side is more severe, causing uneven movement and posture changes.

When should I take my dog to the vet for MPL symptoms?

If your dog limps suddenly, refuses to put weight on a leg, or shows signs of pain or swelling, see a vet immediately. Early diagnosis improves treatment success.

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