This condition is commonly present in many dog breeds. Larger dogs, such as the Tibetan Mastiff, can experience a faster development of symptoms that results in more damage done to the bone tissue. Dysplasia develops while the puppy is still growing and is described as an underdeveloped ball that does not properly fit into the elbow or hip socket. This anatomical abnormality will create an odd fit between two bones of the joint, causing the cartilage to deteriorate. Without a proper cushion, the cartilaginous tissue will completely wear off, and two bones will start grinding against each other. The damage to the bone tissue will ultimately cause arthritis and serious pain to your dog. Tibetan Mastiff puppies grow more slowly than other dog breeds, so the onset of symptoms might be delayed by months or even years. You might notice limping, difficulty lying down or sitting, unnatural gait, pain while moving, etc. Standard treatment includes NSAIDs for the pain and surgery once the bone tissue is damaged to the point that the hip or elbow anatomy is severely compromised. A surgical procedure called femoral head ostectomy is performed on dogs that have moderate movement impairment. For more severe cases, full hip replacement is the only option that results in a good quality of life. This can be further improved by lifestyle and diet changes, alongside adequate secondary care.