A healthy Norfolk Terrier sitting centered on a veterinary examination table, representing the importance of regular health monitoring and preventive care for the breed
9 min read
Published on November 8, 2025

Common Health Issues in Norfolk Terriers and How to Prevent Them

Learn about Norfolk terrier health problems like heart disease, dental issues & joint conditions. Get expert prevention tips to keep your Norfolk healthy & happy.

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At a glance

  • Heart disease, particularly myxomatous mitral valve disease, affects a significant proportion of Norfolk Terriers by age five and requires regular veterinary monitoring
  • Daily dental care and professional cleanings every 6-12 months can prevent the periodontal disease that commonly affects small breeds
  • Weight management and careful exercise help prevent orthopedic issues like hip dysplasia, patellar luxation, and spinal problems
  • Regular health screening and choosing responsible breeders who test for genetic conditions significantly reduces your dog's risk of inherited problems

Understanding heart health in your Norfolk

You might notice your Norfolk tiring more easily during walks or developing a persistent cough. These could be early signs of myxomatous mitral valve disease (MVD), the most significant health concern for this breed. Research shows that a notable proportion of these dogs develop heart murmurs by age five, making regular veterinary check-ups absolutely essential.

During your annual vet visits, your veterinarian will listen carefully to your dog's heart. If they detect a murmur, don't panic. Many dogs live comfortably with heart conditions when properly managed. Your vet may recommend further testing like an echocardiogram or chest X-rays to determine the severity and create a treatment plan.

Prevention starts with maintaining your dog's ideal weight and providing regular, moderate exercise. Excess weight puts additional strain on an already compromised heart. If your dog is diagnosed with MVD, medications like pimobendan, ACE inhibitors, or diuretics can help manage symptoms and slow disease progression. The key is catching it early through those routine examinations.

Preventing dental disease before it starts

Close-up view of a Norfolk Terrier's mouth showing crowded teeth with plaque buildup, illustrating the dental health challenges common in small dog breeds

Many Norfolk owners worry when they notice their dog's breath becoming increasingly unpleasant or see reluctance to eat hard foods. Small breeds face particular challenges with dental health because their teeth are crowded into smaller mouths, creating perfect conditions for plaque and tartar buildup.

Daily brushing makes the biggest difference in your dog's dental health. Use a pet-specific toothbrush and enzymatic toothpaste designed for dogs. Human toothpaste contains ingredients that are toxic to dogs, so stick with products like Virbac C.E.T. Enzymatic Toothpaste. Most dogs can learn to tolerate, and even enjoy, daily brushing when introduced gradually.

Professional dental cleanings under anaesthesia should happen every 6-12 months, depending on your individual dog's needs. These procedures typically cost between $200-$800, but they're far less expensive than treating advanced periodontal disease or systemic infections that can result from neglected dental care. Between cleanings, veterinary-approved dental chews like Greenies or OraVet can help reduce plaque buildup.

Managing orthopedic risks

Norfolk Terrier walking with one hind leg slightly raised, demonstrating the skipping gait characteristic of patellar luxation, a common orthopedic condition in the breed

Have you wondered why your dog occasionally skips on one back leg or seems reluctant to jump onto the sofa? These behaviours often signal orthopedic issues that commonly affect this breed. Hip dysplasia, patellar luxation, and intervertebral disc disease can all impact your dog's mobility and comfort.

Patellar luxation occurs when the kneecap slips out of its normal position, causing that characteristic skipping gait. Mild cases often respond well to anti-inflammatory medications and joint supplements like Dasuquin or Cosequin. Severe cases may require surgical correction, but maintaining a lean body weight significantly reduces the risk and severity of this condition.

The breed's body structure also predisposes them to intervertebral disc disease (IVDD). You can help prevent spinal problems by avoiding activities that put excessive strain on your dog's back. Use ramps instead of allowing jumping from furniture, and be mindful during play sessions. If you notice any signs of back pain, incoordination, or weakness in the hind legs, seek veterinary attention immediately. Early intervention dramatically improves outcomes for spinal issues.

Hip dysplasia, while less common than in larger breeds, can still occur. Choose breeders who screen their breeding stock and provide hip scoring documentation. Keep your dog at an ideal weight throughout their life, as excess pounds put additional stress on joints that may already be compromised.

Watching for eye and skin problems

Sometimes Norfolk owners notice their dog's eyes becoming cloudy or their pet seeming less confident navigating in dim light. Cataracts can develop in middle age, potentially progressing to blindness if left untreated. While there's no proven prevention, regular veterinary eye examinations can catch changes early.

Surgical removal by a veterinary ophthalmologist is possible but costly, typically ranging from $1,500-$3,000 or more per eye. Not all cases are suitable for surgery, so early detection gives you and your vet the best chance to preserve your dog's vision.

Skin allergies manifest as persistent itching, redness, or recurrent infections. Regular grooming helps you spot problems early, and using hypoallergenic shampoos like Douxo S3 Calm can soothe sensitive skin. If your dog develops allergies, work with your veterinarian to identify triggers and develop a management plan that might include antihistamines, steroids, or immunotherapy.

Recent surveys indicate an increase in pancreatitis cases, likely linked to dietary factors. This painful condition causes vomiting, abdominal discomfort, and can become life-threatening without prompt veterinary care. Prevention focuses on feeding a consistent, high-quality diet and avoiding fatty table scraps that can trigger episodes.

When it comes to feeding your dog, consistency matters more than the specific brand. Sudden diet changes or rich treats can upset the digestive system and potentially trigger pancreatitis in susceptible dogs. If your dog shows signs of abdominal pain, vomiting, or loss of appetite, contact your veterinarian immediately.

While rare, kidney disease has also been reported in some lines. Ensure your dog always has access to fresh water and discuss kidney function screening during routine blood work with your veterinarian. Early detection allows for dietary modifications and medications that can slow disease progression.

Creating your prevention plan

The most effective approach to keeping your Norfolk healthy combines regular veterinary care with proactive home management. Annual wellness examinations are essential for early detection of heart, dental, and other breed-specific issues. These visits typically cost $200-$500 per year but can prevent much more expensive problems down the road.

When choosing a breeder, ask for documentation of health testing. Responsible breeders screen for hip dysplasia, patellar luxation, and heart conditions in their breeding stock. This genetic screening significantly reduces your puppy's risk of inherited problems.

Weight management affects nearly every health condition discussed here. Obesity exacerbates joint problems, puts additional strain on the heart, and increases the risk of metabolic disorders. Feed measured meals rather than free-feeding, and limit treats to no more than 10% of your dog's daily calories.

Establish routines early in your dog's life. Daily dental care, regular grooming sessions, and consistent exercise patterns become easier when started young. Most dogs adapt well to handling and care routines when introduced gradually and positively.

Knowing when to seek help

Understanding when symptoms require immediate attention versus routine veterinary care can make a significant difference in outcomes. Coughing, fatigue, or breathing difficulties warrant immediate evaluation, as these often signal heart problems that need prompt treatment.

Dental issues like bad breath, drooling, or reluctance to eat hard foods should be addressed at your next routine appointment, though severe symptoms might require urgent care. Orthopedic problems causing limping, reluctance to move, or obvious pain need veterinary assessment within a day or two.

Any sudden change in behaviour, appetite, or energy level deserves attention. You know your dog best, and if something seems "off," trust your instincts. Early intervention almost always leads to better outcomes and often lower treatment costs than waiting until problems become severe.

Building a strong relationship with a veterinarian familiar with the breed provides the foundation for your dog's lifelong health. Regular preventive care, combined with your careful observation at home, gives your Norfolk the best chance for a long, healthy, and comfortable life.

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Frequently Asked Questions

Yes, Norfolk Terriers are predisposed to several health conditions despite being generally robust. The most significant concern is heart disease, particularly myxomatous mitral valve disease, which affects a notable proportion by age five. They're also prone to dental disease, orthopedic problems like hip dysplasia and patellar luxation, eye conditions such as cataracts, and occasionally skin allergies. However, many of these conditions can be prevented or managed effectively with proper care and regular veterinary monitoring.
Norfolk Terriers typically live 12-16 years when properly cared for. Their lifespan can be maximised through preventive healthcare including regular veterinary check-ups, proper weight management, daily dental care, and early detection of breed-specific conditions like heart disease. Dogs from responsible breeders who health test for genetic conditions often have better longevity. Regular exercise, quality nutrition, and prompt treatment of health issues also contribute significantly to their life expectancy.
While myxomatous mitral valve disease has a genetic component, you can reduce risks through regular veterinary check-ups for early detection, maintaining a lean body weight to reduce cardiac strain, and providing moderate daily exercise. Annual heart examinations are essential, as many Norfolk Terriers develop heart murmurs by age five. If your vet detects a murmur, don't panic - many dogs live comfortably with proper management and monitoring.
Norfolk Terriers, like other small breeds, are particularly susceptible to periodontal disease due to their smaller mouth size and tooth crowding. Daily dental care and professional cleanings every 6-12 months are crucial for prevention. Poor dental health can lead to tooth loss, pain, difficulty eating, and potentially serious complications when bacteria enter the bloodstream and affect other organs including the heart and kidneys.
Treatment costs vary significantly by condition and location. Annual health screening typically ranges $200-500, whilst heart condition management may cost $1,000-3,000 annually including medications and monitoring. Dental cleanings usually cost $400-800, and orthopedic surgery can range $2,000-5,000. Emergency treatment varies widely from $500-3,000+. Pet insurance can help manage these costs, and many veterinary practices offer payment plans for major procedures.
Seek immediate veterinary care if your Norfolk shows difficulty breathing, persistent coughing, blue-tinged gums, collapse, sudden lameness, inability to urinate, repeated vomiting, severe lethargy, or loss of consciousness. For heart conditions, watch for excessive panting, restlessness at night, or fainting during exercise. Any sudden behaviour change, loss of appetite lasting more than 24 hours, or signs of severe pain warrant prompt veterinary attention.
Norfolk Terriers should have comprehensive veterinary examinations annually, with heart monitoring being particularly important given their predisposition to mitral valve disease. Senior dogs (7+ years) benefit from twice-yearly check-ups. Eye examinations should occur annually or as recommended by your vet. Dental cleanings are typically needed every 6-12 months. If your Norfolk has existing health conditions, your veterinarian may recommend more frequent monitoring visits.
Yes, several daily practices help prevent orthopedic issues. Maintain a healthy weight to reduce joint stress, provide regular moderate exercise rather than intense activity, use ramps or steps to prevent jumping from furniture, and ensure your Norfolk has supportive bedding. Avoid over-exercising puppies whose joints are still developing. Swimming is excellent low-impact exercise. Watch for early signs like stiffness, limping, or reluctance to move, and consult your veterinarian promptly if concerns arise.

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