How to Treat Pododermatitis (Red Paws) in Your Dog

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Get your dog’s paws back to normal with this simple guide
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If your dog’s paws turn red, you’ll probably notice your pup licking their paws frequently, limping, or biting at their nails. This is a condition known as pododermatitis, and it’s an extremely common symptom in dogs. While you usually need a vet to check this out first, the good news is that your treatment is likely going to be very straightforward and easy. Read on to learn what causes red paws, how you can treat them, and what you can do to prevent this in the future.

Things You Should Know

  • Your dog’s paws are red because they’re swollen. This is known as pododermatitis, and it’s a symptom of irritation or an underlying medical condition.
  • Pododermatitis is usually caused by overactivity, an allergy, or an infection, all of which are relatively easy to treat with medication, rest, or simple treatments.
  • Potential serious causes of pododermatitis include autoimmune disorders, endocrine disorders, or cancer, all of which require medical intervention.
  • Unless it’s a minor cut or overactivity, you must see a veterinarian to get a diagnosis for pododermatitis.
Section 1 of 4:

Causes

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  1. If you’ve noticed your dog’s paws are red after they’ve been running around for an hour, it can lead to pododermatitis—especially if it’s hot or cold outside. Friction, extreme temperatures, and excessive use can irritate their paws and lead to inflammation. [1]
  2. This is probably the most common cause of chronic pododermatitis. Just like people, dogs can be allergic to food ingredients, dander, pollen, fleas, or other environmental factors. If you’ve just adopted or bought a puppy, the red paws are likely an inherited allergy. [2] Other signs this is caused by an allergy include: [3]
    • Swelling elsewhere on your dog’s body.
    • Frequent itching, sneezing, or licking.
    • An irregular frequency of vomiting , diarrhea, or ear infections.
    • Runny eyes or hives.
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  3. If the pododermatitis appears to be impacting only one of your dog’s paws and they’re limping, licking at the paw, or struggling to move normally, they may have stepped on some glass, thorn, or some other sharp object. [4]
  4. Check your dog’s paws for any kind of discharge, puss, or flakey skin, all of which point towards an infection of some sing. The other big sign is the odor. Your dog is probably not going to smell very good, regardless of how often you bathe or clean your dog . Your pup is also likely to lick their paws obsessively if it’s an infection. [5]
    • If you notice that your dog gets infections more than once every year or so, it’s likely that they’re allergic to something. Dogs with allergies are more prone to infections.
    • This might sound scary, but it’s sort of like a person getting a yeast infection or athlete’s foot. It does require treatment, but it’s not the end of the world.
  5. An autoimmune disorder occurs when your dog’s body can’t accurately differentiate between viruses/bacteria and normal cells. [6] The most common symptom to look for here are fur loss and skin lesions. If your dog has a lot of other skin issues, it’s likely autoimmune. [7]
    • The vast majority of canine autoimmune disorders are diagnosed as pemphigus. This is a very treatable condition, so don’t worry just yet. [8]
  6. The endocrine system controls hormones, metabolism, and chemicals in the brain, and these kinds of disorders often include pododermatitis as a symptom. Only as vet will be able to diagnose one of these issues, and the onset of symptoms can take various forms depending on the underlying cause. [9]
    • Some of these issues are no big deal, while others require serious medical intervention. A vet will be able to tell you more.
  7. Nail bed squamous cell carcinoma and epitheliotrophic lymphoma are two types of cancer where pododermatitis is an early symptom. These conditions are quite serious, but rest assured that they’re quite rare—especially if your dog isn’t old. Take your dog to a vet to get a diagnosis and learn more. [10]
    • Other symptoms of cancer include: weight loss, vomiting, diarrhea, mobility issues, trouble going to the bathroom, or sores. [11]
    • Inspect your dogs paws for a tumor. If you feel any bumps or growths, point them out to your vet.
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Section 2 of 4:

Treatments

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  1. So long as your dog isn’t bleeding, this is no huge deal. Wash your pup’s paws with cool, clean water and just take it easy. Keep your dog inside, let them lie down, and just give them a day or two to heal naturally. [12]
    • If your dog burned their paw pads, rinse the paw and then apply an antibiotic cream and bandage.
    • If your dog is bleeding, rinse out the affected paw and apply pressure with a clean towel. So long as the bleeding stops, you can just bandage the paw with a gauze pad and vetwrap tape. [13]
  2. Your dog will likely need antibiotics to treat the allergic reaction if it’s bad enough that you notice it, so see a vet. From there, work on a treatment plan with the vet. [14]
    • It can be kind of difficult (and expensive) to test for allergies. Most of the time, it’s easier to try and use the process of elimination to figure out what irritates your dog.
    • You might start by switching your dog’s diet. If they’re eating chicken & rice kibble, try switching to lamb & potatoes, for example.
    • Note when and where your dog has the most symptoms. They may be allergic to certain plants, so you can change your walk route, or allergic to seasonal allergens, which require shorter walks during the relevant season.
    • If worst comes to worst, you can always give your dog a daily dose of Zyrtec per your vet’s guidance.
  3. If you can’t find an object or the bleeding won’t stop, go to a vet now. Otherwise, gently remove the object with tweezers. Wash the paw with warm, soapy water and rinse the excess soap out. Bandage the paw if necessary and let your dog relax and heal. [15]
    • So long as your dog continues to get better over time, this is no biggie. However, if your dog’s limping continues, it won’t stop bleeding, or they get worse, take them to the vet.
    • While their paw heals, try to distract your dog to keep them from chewing their paws .
  4. See your veterinarian to get a formal diagnosis. Most of the time, this is no big deal and you’ll be able to give your dog antibiotics to fight the infection. If that doesn’t work, your vet will likely prescribe probiotics to fight the condition. [16]
    • Frequent infections are typically a sign your dog has an allergy, so explain how often this has come up with your vet.
  5. Autoimmune disorders, endocrine issues, and cancer are not something you can treat on your own. In fact, a vet won’t be able to treat them either without a diagnosis. If you suspect this might be an underlying cause, do not hesitate to schedule an appointment. [17]
    • Autoimmune disorders are often treated with steroids or other medication.
    • The treatment for hormonal and metabolic disorders depends on the underlying condition. It could be as simple as some regular medication, or as serious as surgical intervention.
    • Cancer and neoplastic syndromes are typically treated with surgery, medication, chemotherapy, or other interventions.
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Section 3 of 4:

Signs of an Emergency

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  1. If your dog has an acute allergic reaction and it happens to be serious, it’s an emergency situation that requires immediate medical care. Their face may swell up, have difficulty breathing, or experience a seizure if the reaction is bad enough. Find an emergency vet near you and take your dog there ASAP. [18]
  2. Excessive blood loss can lead to serious medical complications, and even death. Look for a veterinary emergency room near you and take your dog there. Keep pressure on the wound with a clean cloth or bandage in the meantime. [19]
  3. This isn’t a “drop everything right now and go to the ER” emergency, but it does require veterinary care at your absolute earliest convenience. If this growth happens to be cancerous (and it may not be), it needs to be biopsied and checked so that treatment can begin. [20]
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Section 4 of 4:

Preventative Tips for Paw Health

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  1. If your dog’s nails grow too long, they can put unnecessary pressure on the dog’s nerves and paw. This can increase your dog’s odds of getting an infection or breaking their skin. Cut just above the quick at a 45-degree angle to remove excess growth and file the nail when you’re done. [21]
    • You can tell a dog’s nails are too long if they’re pressing into the floor when they’re standing still. The tip of the nail should ideally rest gently or just above the ground when the dog is stationary.
  2. A dirty paw may harbor all kinds of nasty bacteria, fungi, or viruses. If your pup has been frolicking in the mud or sprinting around the sandy beach, flush their paws with lukewarm water to rinse any debris off. [22]
  3. Groom your dog regularly and trim the paw fur . Whenever your dog’s paw fur grows out past their paw pads, it becomes a health risk. Excessive paw pad fur can lead to ingrown hairs, irritation, or infection. Trim the fur back periodically to keep your dog safe; ideally, your pup’s paw pad fur should be at the pads or just below them. [23]
    • How often you need to do this depends on the breed of your dog.
  4. If it’s extremely hot, extremely cold, or there’s heavy precipitation, only walk your dog as long as necessary. This is especially important in the winter when there may be a lot of salt, ice, and chemicals on the ground that can irritate your dog’s sensitive paws. [24]
    • If you have a backyard, just take your dog out there and skip the long walk entirely when it’s nasty out.
  5. If the grass looks mowed and cared for, it’s likely that someone is taking care of it. This means they likely treat their grass with weed killers, synthetic fertilizers, or pest control solutions—all of which will irritate your dog’s paws and potentially lead to infection. [25]
  6. Heartworms and flea allergies can increase the odds that your dog gets sick or develops an infection. Keep up with your monthly preventative medication to ensure your dog can fend off common parasites. If you don’t have the meds you need, ask your vet for a prescription. [26]
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      Tips

      • This is an extremely common issue among dogs and while it can indicate something serious is going on, pododermatitis is usually not a big deal. [27]
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      • If you’ve ever had your skin swell up from a bee sting or allergic reaction, that’s basically what’s happening with pododermatitis. If your dog isn’t bleeding, rest assured that they’re not in serious pain—although they may be a little annoyed by the sensation. [28]
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      Warnings

      • If your dog’s paw won’t stop bleeding, it won’t stop swelling, or it’s impeding your dog’s ability to walk, take them to an emergency vet as soon as you can. [29]
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      • If you don’t regularly trim your dog’s nails, it can lead to paw irritation and potentially nerve damage. [30]
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      References

      1. ↑ https://www.petmd.com/dog/emergency/accidents-injuries/e_dg_swollen_paws
      2. ↑ https://vcahospitals.com/know-your-pet/pododermatitis-in-dogs
      3. ↑ https://www.akc.org/expert-advice/health/dog-allergies-symptoms-treatment/
      4. ↑ https://www.petmd.com/dog/emergency/accidents-injuries/e_dg_swollen_paws
      5. ↑ https://vethelpdirect.com/vetblog/2021/03/25/how-can-i-tell-if-my-dog-has-an-infection/
      6. ↑ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4982575/
      7. ↑ https://www.vet.cornell.edu/departments-centers-and-institutes/riney-canine-health-center/health-info/canine-skin-autoimmune-diseases
      8. ↑ https://vcahospitals.com/know-your-pet/pemphigus-in-dogs
      9. ↑ https://www.nhah.com/metabolic-a-endocrine
      1. ↑ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4982575/
      2. ↑ https://www.akc.org/expert-advice/health/cancer-senior-dogs-signs-symptoms-to-watch-for/
      3. ↑ https://www.petmd.com/dog/emergency/accidents-injuries/e_dg_swollen_paws
      4. ↑ https://vcahospitals.com/know-your-pet/first-aid-for-torn-or-injured-foot-pads-in-dogs
      5. ↑ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4982575/
      6. ↑ https://www.petmd.com/dog/emergency/accidents-injuries/e_dg_swollen_paws
      7. ↑ https://vcahospitals.com/know-your-pet/antibiotic-resistant-bacterial-infections-in-dogs
      8. ↑ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4982575/
      9. ↑ https://veterinaryemergencygroup.com/blog/dog-allergies/
      10. ↑ https://vcahospitals.com/know-your-pet/common-emergencies-in-dogs
      11. ↑ https://www.petmd.com/dog/conditions/cancer/c_dg_squamous_cell_carcinoma_digit
      12. ↑ https://www.akcchf.org/canine-health/your-dogs-health/caring-for-your-dog/keeping-dogs-paws-healthy.html
      13. ↑ https://www.akcchf.org/canine-health/your-dogs-health/caring-for-your-dog/keeping-dogs-paws-healthy.html
      14. ↑ https://www.akcchf.org/canine-health/your-dogs-health/caring-for-your-dog/keeping-dogs-paws-healthy.html
      15. ↑ https://www.rspca.org.uk/adviceandwelfare/seasonal/summer/dogs
      16. ↑ https://dogsbestlife.com/dog-health/weed-killers/
      17. ↑ https://www.akcchf.org/canine-health/your-dogs-health/caring-for-your-dog/keeping-dogs-paws-healthy.html
      18. ↑ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4982575/
      19. ↑ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4982575/
      20. ↑ https://www.petmd.com/dog/emergency/accidents-injuries/e_dg_swollen_paws
      21. ↑ https://www.akcchf.org/canine-health/your-dogs-health/caring-for-your-dog/keeping-dogs-paws-healthy.html

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