The short answer
Small randomized trials in dogs with hip arthritis have found less lameness and pain after stem cell injections. But no stem cell product is FDA-approved for animals, the studies are small, and it is not a cure, a substitute for ligament surgery, or a cancer treatment. For the full picture, including PRP, see our guide to regenerative medicine for dogs.
Why we built this guide: Rocco’s story →
How stem cell therapy for dogs works
Most canine stem cell treatments use mesenchymal stem cells (MSCs). In the most common approach, a vet takes a small sample of fat from the dog under sedation, the cells are processed (sometimes in-clinic, sometimes at an outside lab), and they are injected into the arthritic joint. Some products instead use cells from a donor dog, which avoids the fat harvest.
MSCs were once pictured as rebuilding cartilage. Today the leading explanation is that they mainly calm inflammation and send signals that help the joint environment — which is why the benefit researchers measure is usually less pain and lameness, not new cartilage on an X-ray.
What the trials found
- Black et al., 2007: a randomized, double-blinded trial in dogs with hip arthritis. Dogs given cells from their own fat had better lameness scores, and better combined pain and range-of-motion scores, than control dogs. The authors describe it as the first placebo-controlled trial of stem cell therapy in dogs.
- Maki et al., 2020: a double-blind pilot in 20 dogs with hip arthritis using donor cells. Treated dogs improved by about two lameness grades on average, 65% were improved at 90 days, and there were no serious side effects. Only four dogs got the placebo, so it is an early signal.
- The overall picture: a 2021 systematic review found six studies of stem cell injections in arthritic dog hips — only two randomized — that all reported improvement but were too different to combine. a 2021 review noted that owner- and vet-reported improvement is more consistent than imaging and gait results.
Several of these studies involved companies that make stem cell products. That doesn’t make the results wrong, but it is one more reason to treat them as promising rather than settled.
Wondering if your dog could be a candidate?
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Start the Free Dog AssessmentIs it FDA approved?
No. The FDA Center for Veterinary Medicine states that no animal cell or tissue-based products are FDA-approved. Some veterinarians still offer stem cell treatments, so it’s worth asking exactly which product your vet uses and how it is prepared. The FDA’s Q&A for pet owners explains the risks and suggests considering FDA-monitored clinical studies.
Is it safe?
In the canine trials above, serious side effects were uncommon. The practical risks are the ones that come with any joint injection and sedation: temporary soreness or lameness, and the small risks of anesthesia and infection. FDA also lists disease transmission and allergic reactions as possible risks of cell-based products.
Stem cells vs. PRP vs. other options
PRP uses the dog’s own concentrated platelets instead of cells and has its own small trials in arthritic dogs. Approved options include anti-inflammatory medications and Librela, a monthly injection for arthritis pain that the FDA approved Librela (bedinvetmab) in 2023. For a torn cruciate ligament, the American College of Veterinary Surgeons considers surgery the best treatment. Our regenerative medicine for dogs guide compares these in more detail.
What does it cost?
Prices vary widely and we haven’t found a reliable independent price range, so we won’t quote one. Ask for a written estimate covering sedation, harvest, lab processing, and follow-up injections, and check with your pet insurer first.
Questions to ask your vet
- Has arthritis been confirmed with X-rays, and how advanced is it?
- Will you use my dog’s own cells or donor cells, and who processes them?
- What improvement is realistic, and how long does it usually last?
- How does this fit with weight management, exercise, and medication?
- What is the total cost, including any repeat injections?
Frequently asked questions
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Start the Free Dog AssessmentRelated reading
- Regenerative Medicine for Dogs: Stem Cells, PRP & the Evidence
- What Is PRP Therapy? Uses, Evidence & What to Expect