Causes
The cause is not fully understood; it is linked to rapid growth and possibly to an excess of calories and calcium in the puppy's diet.
Diagnosis
Physical examination plus X-rays showing characteristic bone changes.
Treatment
Pain control during flare-ups, rest and an appropriate large-breed puppy diet. It usually resolves once growth is complete, although it may leave some residual damage.
Prevention
A correct diet for large-breed puppies, without an excess of calories or calcium. Avoid high-impact exercise during growth.

