Bella is almost 10, and recently diagnosed with left luxating patella. Leg frequently pops in and out however there is never limping or any clinical signs other than popping out of place, not given a grade as far as severity by vet. I do not want to do surgery on her due to age or pain meds if not needed. Are there effective alternate treatments such as supplements, acupuncture, chiropractic care, etc? She eats natural balance fish and sweet potato. Is this good for LP?
Patellar Luxation is very common in toy breed dogs, and usually does not require treatment. If she is not limping or having clinical signs, surgery is generally not needed. If your vet recommended surgery, I would follow up with them to determine why and perhaps talk to a orthopedic specialist to confirm. If you found out about surgery on your own, then no need to investigate further.
Since the patella is moving over the bone in an abnormal way, it can wear down the cartilage around the knee. Fish oil and glucosamine can help support joint function. Your veterinarian can give you confirm that these are appropriate for Bella and give you doses. Acupuncture and chiropractic care may be helpful if Bella is uncomfortable, but don't have a lot of science backing that up. There are no special diets (unless you wanted to put her on a prescription joint diet - ask your vet about this too if interested, it's basically a replacement for the fish oils and glucosamine).
Finally, unless Bella is hit by a car or had a major trauma recently, she was probably born with this issue and it just wasn't noted on a physical exam until now. So you shouldn't start seeing issues all of a sudden as a result of patella luxation.
Best of luck to you and Bella!
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