Shoulder and Joint Ligament and Tendon Conditions in Dogs
Written By Darlene Stott
Published: 02/14/2016Updated: 07/14/2021
Veterinary reviewed by Dr. Linda Simon, MVB MRCVS
Shoulder and Joint Ligament and Tendon Conditions - Symptoms, Causes, Diagnosis, Treatment, Recovery, Management, Cost
What are Shoulder and Joint Ligament and Tendon Conditions?
Ligaments and tendons both support the many bones of the dog’s body. Many people think of the  terms “ligament” and “tendon” simultaneously; however, there is a difference between the two. A ligament is a strong band of tissue that connects cartilage or bones at any joint. A tendon is a strong band of tissue that attaches any muscle to a bone. The shoulder of a dog (and the other four-legged animals) has bones attached by ligaments and tendons. These bones that make up the ball-and-socket joint of the shoulder are called the scapula and humerus. The scapula is sometimes referred to as the shoulder blade, and the humerus is often called the upper leg bone. These bones, and the muscles and tendons that attach, are vital to a dog’s well-being and his ability to walk and run with ease. 
It is difficult to see your dog in any pain, especially if it inhibits him from walking or running normally. Shoulder conditions are very treatable with a variety of options, so any pain your dog may be in is usually only temporary.
Shoulder joint ligament and tendon conditions in dogs are common painful conditions that can be treated, usually with success. If you feel your dog is in pain in the shoulder area, it is best to consult your veterinarian promptly to get an accurate diagnosis and mode of treatment.
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Average Cost
$1,800
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Symptoms of Shoulder and Joint Ligament and Tendon Conditions in Dogs
  • The dog usually has difficulty getting up from a resting position, difficulty walking without a limp, or is continuously in pain. 
  • He may seem fine one minute and the next minute shows lameness – as if a shoulder just goes out of place. 
  • He may suddenly fall when walking, or avoid walking altogether.
  • He might likely have swelling around the shoulder area and may whine or whimper, especially when it is touched or when he is walking (or getting up). 
  • He will probably forgo steps or jumping up on his favorite couch and may choose to lie down in a comfortable spot. 
  • His head and body weight may appear to be kept on one side more than the other side, as he is favoring the affected shoulder area. Some dogs 'hip hike' and 'head bob'.
  • The dog may also seem depressed, lethargic, and may also just want to be left alone for a while.
  • Some dogs become irritable and aggressive due to the discomfort.
Causes of Shoulder and Joint Ligament and Tendon Conditions in Dogs
Sometimes dogs suffer from shoulder joint conditions due to several issues with the ligaments and tendons. These can range from mild pain where a dog has a little difficulty getting around, to serious pain that inhibits walking. Three to seven years of age is usually when these disorders begin to develop, and without treatment, can become worse over time. There are different reasons for shoulder joint dysfunction, and different alternatives for treatment. Most causes stem from repeated overexertion or overextending the shoulder, which puts stress on the muscles and tendons in that area. Older dogs and overweight dogs are more apt to getting shoulder joint ligament and tendon conditions, and athletic dogs who run, participate in agility training and competitions, or hunt are also susceptible to shoulder ailments.
Types
Biceps Brachii Tenosynovitis
This common shoulder issue usually develops over time. It is caused by inflamed tendons of the muscle of the biceps brachii and the sheath that is in front of the shoulder blade. Medium to large dogs that are athletic are susceptible to this condition, since repetitive use and injuries of the tendons cause this disorder. Also, older dogs can develop this condition if they are not used to running or jumping and suddenly do so, thus injuring the bicep tendon.
Supraspinatus Insertionopathy
The tendon of the supraspinatus muscle is attached to the front section of the forelimb’s humerus bone, and enables the shoulder joint to extend. Repeated, harsh hyperflexion of the shoulder from extreme exercise or hunting can cause supraspinatus insertionopathy. The tendon becomes torn or strained, and calcium deposits (mineralization) can form after this tendon becomes overly inflamed. These calcifications can cause lameness and pain in some dogs.
Infraspinatus Muscle Contracture
The infraspinatus muscle is very close to the front shoulder and severe conditions, such as injury, usually only occur to dogs that are very athletic. When dogs are not properly conditioned and suddenly overwork the muscle, injury can occur that sometimes can be quite debilitating. The reason for this is the scar tissue that can form after a tear or severe strain can limit the extension of the shoulder joint.
Diagnosis of Shoulder and Joint Ligament and Tendon Conditions in Dogs
When you bring your dog to the veterinarian, be prepared to relay all of the signs of lameness or pain that you have noticed in your pet. Note the onset of symptoms, and any behavioral changes you may be seeing your furry family member display.
After the initial physical examination, your veterinarian will do x-rays, an ultrasound, a CT scan, an MRI, or draw fluid from the joint that is inflamed. Once the veterinarian gives you the diagnosis, she will give you treatment options. Although there are several different causes of shoulder joint ligament and tendon ailments, treatment is very similar for each one. The most important thing you can do, along with properly treating your dog, is to be sure to acknowledge new and unusual symptoms and not hesitate to take him to the veterinarian if you feel he is in too much pain.
Treatment of Shoulder and Joint Ligament and Tendon Conditions in Dogs
Lots of rest may be required, and the veterinarian will probably suggest hot or cold packs throughout the day to help with pain. She may prescribe anti-inflammatory medication and pain relief as well. Your veterinary caregiver may suggest investing in a ramp for any stairs your dog faces as he leaves the house to go outside, keeping him off full flights of steps altogether. You may need to rearrange your living situation a bit by keeping him on one floor of the house and blocking off any stairs. Purchasing an orthopaedic bed to allow for less stress on him as he is resting or getting up from a resting position may be a good investment, too. There is a chance your veterinarian may suggest you try these types of treatments and consider surgery as a last-resort option. 
If you have an overweight dog or a dog that is usually not active, it is important to avoid sudden runs and rough play if this is not part of his regular routine. This can prevent any shoulder injury. If your companion has the symptoms of a shoulder injury, it is important to not take him on walks or runs and to just encourage rest. 
In severe cases where the shoulder injury greatly impacts the dog’s lifestyle and well-being, your veterinarian may suggest the option of surgery. This may occur if the tests show severe damage to the tendon or if the dog is not healing properly after a few weeks.
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Recovery of Shoulder and Joint Ligament and Tendon Conditions in Dogs
Everyday observations of your loved one and just being aware of your dog’s behaviors can keep you proactive rather than reactive in this type of condition. Getting him the help he needs as soon as the symptoms appear will help him heal faster and quite possibly avoid any future compounding injuries that could lead to a surgical procedure.
Remember that your veterinarian will give you the proper diagnosis and best advice when dealing with a shoulder injury (or any injury or health concern), so it is vital that you take the dog to the clinic at the first sign of any odd behaviors or symptoms.  If surgery is required, for example due to chronic lameness and pain, or non resolution of symptoms, recovery will require limited exercise and leash walking only for a period of a month to two months, depending on the severity of the injury and the extent of the surgery.
Shoulder and Joint Ligament and Tendon Conditions Average Cost
From 367 quotes ranging from $500 - $3,500
Average Cost
$1,800
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Shoulder and Joint Ligament and Tendon Conditions Questions and Advice from Veterinary Professionals
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Chihuahua
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four
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11 found this helpful

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11 found this helpful

My pet has the following symptoms:
Swollen Foreleg
my dogs left forelegs is swollen.i cant seem to figure out the cause and im not sure how to heal it
Dec. 21, 2020
Answered by Dr. Linda S. MVB MRCVS
11 Recommendations
Thank you for this photo and I'm sorry your little one has this issue. Swelling can be a consequence of a muscle strain, insect bite, infection etc. This level of swelling warrants a vet visit and check over +/- xrays. We will likely need to prescribe some medicine such as antibiotics or anti inflammatories.
Dec. 21, 2020
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mix
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Five Years
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2 found this helpful

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2 found this helpful

My pet has the following symptoms:
Limping
She got hit by a car about 2 years ago and hurt her paw. She still occasionally holds that paw up. But today she started limping on that same leg and after touching her leg and testing for the pain area, it seems as though her shoulder? area is bothering her. What can I do for her?
Dec. 19, 2020
Answered by Dr. Sara O. DVM
2 Recommendations
Hello sis sorry to hear that your dog is having issues. There are not any good over the counter pain medication me but you can try glucosamine joint supplements. If this continues yes, your dog would need to see your vet for pain medications. Good luck I hope your dog starts to improve soon.
Dec. 19, 2020
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Fourteen Years
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7 found this helpful

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7 found this helpful

My pet has the following symptoms:
Limping Swelling
Swollen shoulder, it feels like fluid in under skin. Her paw was swollen as well on same leg but went down after I put compression on it. This was after she did hit her shoulder maybe a month ago and has been limping ever sense. It don't hurt her when I touch it.
Nov. 11, 2020
Answered by Dr. Sara O. DVM
7 Recommendations
Hello, She may have a fluid-filled cyst that is causing this swelling. It would be best for your dog to see your vet. They can easily drain this area if it is a cyst. If it is a mass, your vet would be able to remove this. You can try Benadryl to see if this is just mild inflammation. A typical dosage is 1mg/pound.
Nov. 11, 2020
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Mutt
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Eleven Years
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0 found this helpful

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0 found this helpful

My pet has the following symptoms:
Noisy Breathing
He has been whining when he gets up, could be joint or shoulder pain
Sept. 29, 2020
Answered by Dr. Michele K. DVM
0 Recommendations
Thank you for your question. As dogs age, it is not uncommon for them to develop joint pain or arthritis pain. If this is something you are noticing your dog doing, it would be best to have him seen by a veterinarian. Over the counter pain medications for people can be quite toxic to dogs, so you would want your veterinarian to prescribe something safe for him for pain so that he is more comfortable. I hope that everything goes okay for him and he feels better soon.
Oct. 3, 2020
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Chihuahua
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Seven Years
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0 found this helpful

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0 found this helpful

My pet has the following symptoms:
Shoulder Pain
Kip is 6 lbs, 7 years old, spayed. He has been grumpy for two plus weeks and squeals and nips when picked up. He has an appitete but it's inconsistent. He has only gotten up for toileting. His regular vet can't see him until Oct 23. I'm not sure there is much to be done, I have given him CBD tincture for pain.
Sept. 24, 2020
Answered by Dr. Michele K. DVM
0 Recommendations
Thank you for your question. If your pet is still having problems, it would be best to have them seen by a veterinarian, as they will be able to examine them, see what might be going on, and get any treatment needed.
Oct. 24, 2020
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pappilion x
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Minmin
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15 Years
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0 found this helpful

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0 found this helpful

My pet has the following symptoms:
Shoulder Blades Touching
Saggy Back
Wobbly Legs When First Stands
Hi, My old dog ( Pappilion x ) has a sag in her back and I have noticed her shoulder blades are touching together. Is this normal for her age. I have spent thousands getting her teeth done twice ( even though I told them to take them all out as I did'nt want her to go under again ) and also a unneccessary stomach op due to a misdiagnostic. So before I take her again I would like to know if these are due to her ageing. She is eating,sleeping ok but walks a bit wobbly.She is partly deaf ( selective hearing I say ) and is blind in one eye but still zooms around like she is still a puppy. She is'nt showing any signs of pain.
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Staffordshire Terrier
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Jewel
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10 Years
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My pet has the following symptoms:
Large Mass Bump On Shoulder
I have a 10 yr old Stafforshire Terrier, who suffered a blow to her left shoulder when I had to stop suddenly and she hit the dashboard. Vet took xrays, said it looked like bone cancer, but she didn't have any limp before trauma. She doesn't walk on the leg, and there is a large protrusion on front of her shoulder, there was an abrasion after the accident (not much of one) took her to another vet, $600 later, he said she had bone cancer, but I can't believe bone cancer would only show up after an accident that suddenly. I think I need an orthopedic vet, but I live in Kona and there aren't any. It's been 2 months since accident. No loss in appetite. Her blood count was fine. I'd fly anywhere in west coast to get a good vet. Hope you can help.
Shoulder and Joint Ligament and Tendon Conditions Average Cost
From 367 quotes ranging from $500 - $3,500
Average Cost
$1,800
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