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Rosa has bilateral luxating patellas which is often a congenital problem in toy and miniature breed dogs. Although the specific cause of patellar luxation is unknown in most cases, it is generally agreed that a defect in hind limb conformation is the underlying cause. Each case should be evaluated individually by a veterinarian but at this time it does not appear that surgery is necessary. Her condition can be treated with alternative methods. Currently Rosa is receiving acupuncture treatments and seems to be responding very well! (Thanks go to Beth Schneider of Great and Small Acupuncture for treating Rosa free of charge!) Supplements like glucosamine and chondroitin are also incredibly helpful. If in later years her knees seem to be bothering her, your veterinarian may recommend a medication such as Rimadyl to relieve her discomfort.
You can read more about patellar luxation here: