“๐“๐ž๐ซ๐ซ๐ข๐ž๐ซ ๐‡๐จ๐ฉ”: ๐ฐ๐ก๐ฒ ๐ฐ๐ž ๐ฌ๐ก๐จ๐ฎ๐ฅ๐๐ง’๐ญ ๐๐ข๐ฌ๐ฆ๐ข๐ฌ๐ฌ ๐ญ๐ก๐ข๐ฌ ๐š๐ฌ ๐š “๐ฅ๐ข๐ญ๐ญ๐ฅ๐ž ๐๐จ๐  ๐ญ๐ก๐ข๐ง๐ ”

Have you seen your small breed dog doing a little hop with a back leg? It might look like a quick, bouncy skip your small dog does, a movement so brief it’s almost like a little hop. It’s often so quick that the leg is back on the ground and they’re trotting along as if nothing happened. Many refer to this as the “Terrier Hop,” a cute and quirky habit of small, active breeds.

This is often dismissed too easily and can be a sign of other things going on. This hop is often a sign of patella luxation.

๐–๐ก๐š๐ญ ๐ข๐ฌ ๐๐š๐ญ๐ž๐ฅ๐ฅ๐š ๐‹๐ฎ๐ฑ๐š๐ญ๐ข๐จ๐ง?

Patella luxation means the kneecap (patella) slips out of its normal groove on the thigh bone. It can slip to the inside or outside of the leg. When this happens, the dog holds their leg up for a moment to pop the kneecap back into place, which is the “hop” or “skip” you see.

๐‚๐ก๐ซ๐จ๐ง๐ข๐œ ๐๐š๐ข๐ง & ๐‡๐จ๐ฐ ๐ˆ๐ญ ๐๐ซ๐ž๐ฌ๐ž๐ง๐ญ๐ฌ ๐ข๐ง ๐๐ž๐ก๐š๐ฏ๐ข๐จ๐ฎ๐ซ…

Pain isn’t always a dramatic limp, or a reluctance to jump, walk, or play. Dogs are naturally stoic and masters at hiding discomfort. Instead of showing obvious signs of injury, a dog experiencing chronic pain will often adapt their gait, posture, and behaviour to cope. They may still play and go for walks, but they do it differently, and it can be very subtle.

As your dog’s family, you are a crucial part of the diagnostic process. Pay close attention to subtle behavioural changes, such as:

Decreased tolerance.

Increased anxiety or restlessness.

Slowing down on walks or a reluctance to go as far as they used to.

A change in posture when standing or lying down.

Subtle changes in how they use their body – they may adapt their gait or compensate in other areas.

These small changes, often dismissed as a dog “just getting old,” can be some of the most reliable indicators of underlying physical discomfort.

๐–๐ก๐ฒ ๐ฐ๐ž ๐ฌ๐ก๐จ๐ฎ๐ฅ๐๐ง’๐ญ ๐ข๐ ๐ง๐จ๐ซ๐ž ๐ญ๐ก๐ž ๐ก๐จ๐ฉ

Patella luxation is a progressive condition that can lead to chronic pain and mobility issues if left unaddressed over a long period.

Arthritis: Each time the kneecap slips out of its groove, it causes friction and damage to the cartilage and bone. Over months and years, this constant wear and tear leads to the development of arthritis, a condition that cannot be reversed. This can result in discomfort for your dog.

Joint damage: With every luxation, the groove in the thigh bone can become shallower. This means the kneecap will slip out more frequently and more easily over time, making the joint increasingly unstable. Working with a physio to ensure you are keeping muscles around the joint strong can be helpful.

Risk of further injury: Dogs with luxating patellas are at a much higher risk of suffering a torn cranial cruciate ligament (CCL). The instability from the luxating kneecap puts strain on the other structures in the knee. CCL tears are painful injuries that can happen suddenly, and require surgery to fix.

Quality of life: A dog living with unmanaged patella luxation can experience in impact to their quality of life and wellbeing. The little hop can gradually turn into a persistent limp and a life of reduced mobility and comfort.

๐‡๐จ๐ฐ ๐ญ๐จ ๐€๐๐ฏ๐จ๐œ๐š๐ญ๐ž ๐Ÿ๐จ๐ซ ๐˜๐จ๐ฎ๐ซ ๐ƒ๐จ๐  ๐š๐ญ ๐ญ๐ก๐ž ๐•๐ž๐ญ

The “Terrier Hop” and the behavioural changes are often intermittent issues, which means they may not happen during the 5-10 minutes a vet is examining the dog. Dogs are also known to present differently in the vets, due to the stressful environment. This is why it’s so important for you, as their guardian, to be prepared. My recommendations are:

Take videos: A video of your dog walking with the hop, or showing signs of restlessness or hesitation, is really helpful. A vet can see exactly what’s happening and will take your concerns more seriously.

Use the correct terminology: Instead of saying “my dog does a terrier hop,” say, “my dog is doing a quick skip or hop with their back leg. I would like you to specifically check them for patella issues”.

Report all changes: Be sure to tell the vet about all the behavioural changes you’ve observed, no matter how small they seem. A vet should take these changes seriously and factor them into their assessment. It can be tricky to remember everything you wanted to say sometimes, so keeping a log to take with you can be useful.

Ask for an X-ray or referral: If the vet says they can’t feel anything, it’s perfectly acceptable to ask for an X-ray or a referral to a veterinary orthopedist who specialises in these conditions. You could also ask for a referral to a knowledgable canine physiotherapist who has experience supporting dogs with joint issues.

Don’t be afraid to ask for a second opinion: if you feel in your gut that something isn’t right, you are well within your rights to ask for a second opinion. You pay for your veterinary care and should be happy with the service you are receiving.

Early intervention can prevent a lifetime of discomfort for your companion, and allow you to provide them with relief if needed, or adapt their exercise regime. Being a vigilant guardian and speaking up on their behalf can make all the difference.

If you aren’t sure about a way that your dog is moving, and want a simple, thorough assessment of anything that you think might not be right, then read about my online movement assessment and data gathering service, which is designed to support you in getting answers for you & your dog.

Sally Lewis 2025

What do you think – am I in pain?

Here’s some context to a week day with my family.

During the day I had:

Walked with my dog

Run around after my 18 month old all day

Gone for a walk as a family for about 1.5 hours involving walking about 6 miles, about 50% uphill. I pushed a pram for some of that.

DO YOU THINK I MIGHT HAVE BEEN IN PAIN, BASED ON MY ACTIVITIES?

The answer is – yes! My legs were hurting, because I have issues with my legs as well as other chronic problems.

Would anyone know this based on my daily activity?

Probably not. To help mitigate the pain, I adjusted my stride (I was taking shorter steps with reduced movement through my hips). I altered the way I was weight bearing through my feet and adjusted the position my feet were in when they hit the floor, probably by about 1cm. I was weight bearing more on one side than the other but I was not limping. To anyone other than me, you may not have been likely to notice any of this. I slowed my speed down slightly. None of this was particularly conscious and they are adaptations I am used to making.

Why am I sharing this with you?

When dogs are experiencing chronic discomfort they will still:

RUN

PLAY

JUMP UP

GO FOR WALKS

GET EXCITED ABOUT THINGS

Basically….they will go about their life! Just like I did.

Acute (short term) pain tends to result in more exaggerated responses e.g. yelps and limps (although if your dog is limping or lame then please be sensible and go to see the vet). Chronic pain is subtle and results in small adaptations to enable them to carry on with their life, and activities. Often these changes are seen in behaviour, gait, posture, and so on. Dogs are GREAT at masking.

Please don’t let running, playing, jumping up, going for walks, and being enthusiastic be your markers for if your dog is experiencing discomfort. If they stopped doing these things then this would be quite worrying to me.

Sally Lewis 2025

Looking after your dog’s physical health – rugs, rugs, rugs!

Why do we have a massive door mat at the bottom of our stairs, over our lino?

Over time, dogs can experience micro-injuries to joints that can progress in to longer term joint issues. My dog goes up and down our stairs, and to prevent slipping at the bottom (he is a bit top heavy so those front legs take a lot of weight if he slips), he has a non-slip mat. This is to try and safeguard joint health as a preventative step. These can also be placed on other slippery floored areas around the home.

Joint issues like arthritis can come on in dogs of any age (I have worked with behavioural clients who have had pain factors to their behaviour, that have been under a year of age!) but is more common in senior dogs. A dog experiencing chronic pain will still run, play, eat, go for their walks, and may not limp or whine. One of the first signs of chronic pain is subtle changes to behaviour, and this is one of the first things I consider in behavioural assessments. Common behavioural signs relating to pain and discomfort are:

๐ŸพLowered tolerance (around other dogs, other people), or presenting as anxious or fearful in certain contexts

๐ŸพHesitation to jump on to furniture or in to the car (might still do it – but will hesitate)

๐ŸพSome slowing down on walks (may still go for a walk and show an interest in running about)

๐ŸพPanting when they aren’t hot

๐ŸพLethargy or ‘quietness’

๐ŸพStruggling with physical touch in some or all areas

๐ŸพIncreased sensitivity to sounds

๐ŸพChanges to gait, posture, movement, or resting positions

๐ŸพOther changes in behaviour (any changes in behaviour, or new/worsening behaviours, always warrant a vet check)

Taking steps like this one can help to hopefully prevent injuries that can contribute to joint issues, and will also help make life more comfortable for dogs who do already have joint pain.

I recommend visiting the Canine Arthritis Management page to learn more about proactive steps you can take to help prevent joint issues, or to support dogs who have them already.

Sally Lewis 2023

What is trigger stacking?

What is trigger stacking?

Letโ€™s say your dog struggles with other dogs in their environment. Youโ€™ve been making progress, your dog is doing well, and on Wednesday you see a black Labrador over the road on your walk. Your dog doesnโ€™t react. Awesome! But on Friday, you see the same black Labrador, and your dog reacts. Why, when they didnโ€™t on Wednesday?

Sometimes in these situations, trigger stacking has occurred (your dog has had things to process and recover from before they’ve even seen the Labrador). Every dog has an amount that they can cope with before something will push them beyond what they can cope with โ€“ or rather, theyโ€™ve had too much to cope with. The thing that does this could cause the dog to react seemingly disproportionately.

An easy to understand, human example:

Scenario A – I go shopping for the day and have a great time. I head home to my husband who has cooked dinner for me, but burnt the lot and it was the last of our food before the shopping arrives. No problem, we will get a takeaway.

Scenario B – I go shopping but canโ€™t find any of the stuff I need and the shops were VERY busy so it took me twice as long and got me stressed out. I decide to leave the shops and go home, but the roads are full of traffic. I take a short cut but hit a huge pot hole which could cause issues with my car. When I finally get home, my husband says that he tried to cook us dinner but burnt it and we have no more food. Cue me reacting pretty badly to my husbandโ€™s cooking efforts because I have already had so much happen to me that day.

The final triggers were the same in each scenario, but in scenario B, Iโ€™d already had so much on my plate with all these triggers stacking up. The final trigger pushed me to a point that was more than I could cope with, so I reacted to it.

So when our dogs seem to react โ€˜disproportionatelyโ€™ to things that they are usually ok with, have a think. Could they be trigger stacked? There may be other reasons at play (new behaviours from our dog always warrant a health check. We should also be aware of signs that our dog could be in pain) but it should always be considered. We could also be habituated to things that our dogs find triggering so may not even notice them ourselves, such as loud car engines or helicopter sounds. If we can be more in tune to whatever our dog could be triggered by, then we can help them and be great advocates for them.

It is important to note that the nervous system does not differentiate between stress, excitement, and high arousal states – stress and excitement will both add to your dogs becoming trigger stacked in the same way.

If we notice trigger stacking occurring, we should try to prevent our dog being exposed to more and more triggers (as best we can), and give them plenty of time to decompress through enrichment, sniffing, licking, and even some rest time at home. Skipping walks for a day if you think your dog would benefit from it emotionally is absolutely fine, and they may prefer a quiet walk after.

Note for my husband: he hasnโ€™t burnt a meal in the 11 years I have been with him, and the poor chap is always used in my trigger stacking examples! Thank-you for always making good dinners (but sometimes Iโ€™d prefer the takeaway).

Sally Lewis 2022

Creating emotional change: the weighing scales analogy

โ€˜The Weighing Scales Analogyโ€™. I’m full of visual analogies! This is one I use with a good chunk of my clients when discussing how we achieve emotional change, so I thought Iโ€™d post about it.

Iโ€™m going to use a dog that barks and lunges at other dogs due to being anxious around them, as an example.

This dog has a set of weighing scales relating to this issue. One side represents being worried by other dogs and feeling the need to react to them in certain circumstances. The other side represents feeling safe and being able to think about the dog and make new choices, in certain circumstances.

Many things can affect the reason that the scales weigh the way they do โ€“ experiences & learning, genetics, physical health (physical health issues should always be treated before behavioural coaching), to name just a few. When coaching dogs to feel differently emotionally, we work to gradually tip the scales. This is not a process that happens quickly due to the way the brain and body work.

The โ€˜safetyโ€™ side is affected by good management (working at the dogโ€™s pace and avoiding stressful exposures), helping the dog to have lots of positive experiences, and helping them to think differently in the situation. This is done at the dogโ€™s individual pace. Imagine placing lots of little pebbles on to that side of the scales, when there is a big rock on the โ€˜negativeโ€™ side. We want to slowly help those scales to tip.

With careful management and effective coaching, the scales will gradually tip. If we have set backs or if management is poor, the scales will tip back the wrong way (just how much depends on the dogโ€™s resilience and ability to recover from events). We must account for this in the case of set backs.

For a dog that is worried by other dogs, this means lots of positive exposure (at a distance your dog is comfortable with), avoidance of being pushed beyond what they might be able to cope with, helping them to build positive associations, think & process, engaging other areas of the brain and calming the nervous system.

Set backs might include management failing (dogs running up to you off lead or popping up where you wouldnโ€™t expect them), trigger stacking, accidentally going beyond the threshold of what your dog can cope with, ill health (to name a few).

Tipping the scales takes patience and understanding. You need to be meeting your dogโ€™s other needs (including health needs) to be successful in tipping the scales. Pain and ill health really effect this process. Once the scales are looking a certain way, they arenโ€™t fixed in place forever, they are fluid so we need to be mindful of our dogโ€™s experience of the world around them.

Sally Lewis 2022

Why is being able to examine each part of your dog’s body so important?

Recently, my dog was making efforts to keep one of his paws off of the ground on-and-off.

I carefully examined his paw but couldn’t see anything obvious. I looked between each of his toes, and also checked his nails for any cracks or potential painful niggles. Still couldn’t see anything.

I raised his toes slightly to look around his metacarpal pad (this is the biggest pad on your dog’s paw) and could see a small cut in between the metacarpal pad and his toes. I’m canine first aid trained which is really helpful for preventing vets visits for things like this, so was able to clean the area for him and will continue to do this over the next few days. This is an area that gets infected easily due to dirt on the floor and moisture, so it’s important to keep an eye on it and ring the vet if needed.

This process probably took me 5 – 10 minutes to do, during which he received lots of reassurance, praise and some treats.

I’m sure you can imagine, this would be impossible if he was not comfortable with me handling his paws to such an extent. For dogs that do not let people handle their paws, this sort of thing would be very difficult to do without causing distress. Some dogs may even require sedatives to minimise trauma and also so that the area could be examined and treated properly.

So, why can dogs develop sensitivity to areas being touched?

๐ŸพPast trauma e.g. injury or illness. If a dog has required treatment for this that they have struggled with then this could feed in to negative associations (see below).

๐ŸพNegative associations that have been built e.g. if a dog has had an unpleasant experience involving their ears, they might not tolerate ears being handled. For example, ear drops being put in. We know that this is for the benefit of the dog but if they have not liked it, they may dislike their ears being touched over time.

๐ŸพOngoing pain or illness (may be undiagnosed)

๐ŸพOther things that can feed in to this include distrust of the person doing the handling, or stress relating to the wider environment.

Being aware of sensitivities, reasons that your dog has become sensitive to areas being handled, and ensuring that we are taking the right steps to help our dogs be comfortable with this (in whatever form that takes) is really important so that we can provide ongoing care.

It is important to get dogs used to having parts of their body handled from puppyhood, although that isn’t to say that they may not develop sensitivity to part of their body being handled later on. Even if you do not have to do things like daily grooming, you may have to tend to an area due to a minor injury like I did today. Being comfortable being handled and examined is very important for veterinary care and grooming needs.

Sally Lewis 2024