A healthy Norfolk Terrier positioned centrally in the frame, showcasing the breed's distinctive features in a veterinary setting, representing the importance of proactive health monitoring for this breed
8 min read
Published on November 8, 2025

Norfolk Terrier Health Issues: What Every Owner Should Know

Learn about Norfolk terrier health issues including heart disease, dental problems, and joint conditions. Essential prevention tips and early warning signs every owner needs to know.

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At a glance

  • Norfolk Terriers are generally hardy dogs with a 12-16 year lifespan, but several breed-specific health issues require vigilant monitoring
  • Heart disease, particularly mitral valve disease, affects many Norfolks and requires regular veterinary screening from age 5 onwards
  • Daily dental care and professional cleanings every six months are essential for preventing serious dental disease in this small breed
  • Early detection through routine veterinary exams can significantly improve outcomes for common conditions like patellar luxation and eye problems

Understanding your Norfolk's heart health

Many Norfolk owners are surprised to learn that heart disease represents one of the most serious health concerns for their breed. Myxomatous mitral valve disease affects a significant portion of these dogs, typically developing as they age.

Your veterinarian will listen for heart murmurs during routine examinations, which often provide the first indication of this degenerative condition. The mitral valve gradually begins to leak, and without proper management, this can progress to congestive heart failure. You might notice your dog coughing more frequently, seeming tired after normal activities, or breathing with more effort than usual.

Regular veterinary check-ups become particularly important once your Norfolk reaches five years of age. If your vet detects a murmur, they'll likely recommend chest X-rays and possibly an echocardiogram performed by a veterinary cardiologist. These diagnostics help determine the severity and guide treatment decisions.

When heart disease is diagnosed, medications can significantly slow its progression. Maintaining your dog's ideal weight and providing regular, moderate exercise also reduce strain on the heart. Many dogs with properly managed heart conditions continue to live comfortable, active lives for years after diagnosis.

Preventing dental disease in small mouths

Close-up view of a Norfolk Terrier receiving dental care with a pet toothbrush, demonstrating proper at-home dental hygiene techniques for small breed dogs

Small breeds face unique challenges when it comes to dental health, and Norfolks are no exception. Their compact mouths create ideal conditions for plaque and tartar buildup, which can quickly progress to painful gum disease and tooth loss.

Daily brushing with pet-specific toothbrushes and enzymatic toothpaste, such as Virbac Enzymatic Toothpaste, provides the most effective prevention. Most dogs accept this routine when introduced gradually, starting with just touching their teeth and gums before progressing to actual brushing.

Professional dental cleanings every six months help remove tartar that home care cannot address. These procedures typically cost between $200 and $500, depending on your location and the extent of cleaning required. Between professional cleanings, dental chews like Greenies or Virbac C.E.T. chews can help reduce tartar buildup.

Watch for signs like bad breath, bleeding gums, or difficulty eating, as these indicate dental disease requiring immediate veterinary attention. Left untreated, dental problems can affect your dog's overall health, potentially impacting the heart and other organs.

Recognising joint and mobility issues

Side view of a Norfolk Terrier demonstrating the skipping gait associated with patellar luxation, with one rear leg lifted while walking, illustrating a key symptom owners should recognize

Two orthopedic conditions appear with some frequency in this breed: patellar luxation and hip dysplasia. Patellar luxation occurs when the kneecap dislocates, causing an intermittent skipping gait that many owners initially dismiss as quirky behaviour.

You might notice your dog occasionally holding up a back leg for a few steps, then continuing normally. This "skipping" pattern often indicates the kneecap has temporarily moved out of position. Mild cases can often be managed through weight control and physical therapy, while severe cases may require surgical correction.

Hip dysplasia, though less common in Norfolks than in larger breeds, can still occur. This malformation of the hip joint leads to arthritis and pain over time. Responsible breeders screen their breeding dogs through hip radiographs using OFA or PennHIP evaluations to reduce the likelihood of passing this condition to puppies.

Early detection through veterinary orthopedic examinations allows for better management outcomes. Treatment approaches range from weight management and anti-inflammatory medications to surgery in severe cases.

Spinal health and intervertebral disc disease

Despite their compact appearance, Norfolks can develop intervertebral disc disease due to their relatively long backs. This condition occurs when spinal discs swell and compress nerves, potentially causing severe pain or even paralysis.

Watch for signs like reluctance to move, apparent back pain, weakness in the hind limbs, or any sudden loss of coordination. These symptoms require immediate veterinary attention, as IVDD can progress rapidly from mild discomfort to complete paralysis.

Treatment depends on severity. Mild cases may respond to strict crate rest and anti-inflammatory medications, while severe cases often require surgical intervention. Surgery outcomes vary considerably, and the condition represents a veterinary emergency when neurological symptoms appear.

Prevention focuses on avoiding activities that stress the spine, such as excessive jumping from furniture, and maintaining your dog's ideal weight to reduce spinal pressure. Teaching your Norfolk to use ramps or steps rather than jumping can significantly reduce their risk.

Eye health and vision concerns

Cataracts develop relatively commonly in middle-aged Norfolks and can progress to blindness if left untreated. You might notice your dog's eyes appearing cloudy or observe them having difficulty navigating in dim light or unfamiliar environments.

Regular eye examinations by a veterinary ophthalmologist can detect early changes before they significantly impact vision. While cataract surgery is possible, it requires specialist care and typically costs $2,000 or more per eye.

Many dogs adapt remarkably well to gradual vision loss, relying on their other senses to navigate familiar environments. However, early intervention often provides better outcomes when treatment is pursued.

Creating a preventive health plan

Proactive health management significantly improves outcomes for breed-specific conditions. Schedule annual or biannual veterinary visits that include heart auscultation, dental examinations, orthopedic assessments, and eye checks.

Maintain your dog's ideal body condition through proper nutrition and regular exercise. A balanced diet formulated for small breeds supports overall health, while supplements like omega-3 fatty acids may benefit joint and heart health when recommended by your veterinarian.

Keep detailed records of any changes in behaviour, appetite, or physical condition. Early detection often makes the difference between simple management and complex treatment requirements.

When to seek immediate veterinary care

Certain symptoms require prompt veterinary attention. Contact your veterinarian immediately if you notice persistent coughing, difficulty breathing, or unusual lethargy, as these may indicate heart disease progression.

Sudden weakness, apparent back pain, or any paralysis symptoms suggest possible IVDD and constitute a veterinary emergency. Similarly, sudden changes in vision or eye appearance warrant immediate examination.

Limping, persistent skipping gait, or obvious signs of joint pain indicate orthopedic issues requiring professional evaluation. Early intervention often prevents minor problems from becoming major complications.

Understanding these breed-specific health concerns allows you to provide the best possible care for your Norfolk. Regular veterinary partnerships, combined with attentive home observation, help ensure your dog enjoys the longest, healthiest life possible.

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Frequently Asked Questions

Norfolk Terriers are generally hardy dogs with a lifespan of 12-16 years. However, their longevity depends significantly on proactive health management, including regular veterinary check-ups, proper dental care, and early detection of breed-specific conditions like heart disease. With proper care and monitoring for common health issues, many Norfolk Terriers live full, healthy lives within this expected range.
While Norfolk Terriers are generally hardy compared to many breeds, all terrier breeds have some health considerations. Norfolk Terriers do face specific issues like mitral valve disease, dental problems, and patellar luxation. However, with proper preventive care and regular veterinary monitoring, these conditions can often be managed effectively. The key is choosing a reputable breeder and maintaining consistent veterinary care throughout your dog's life.
Myxomatous mitral valve disease affects a significant portion of Norfolk Terriers, typically developing as they age. This degenerative condition causes the mitral valve to leak, which can progress to congestive heart failure if not properly managed. Regular veterinary screening from age 5 onwards is essential, as heart murmurs often provide the first indication of this serious condition that requires ongoing monitoring and treatment.
Norfolk Terriers require professional dental cleanings every six months due to their predisposition to dental disease as a small breed. Daily dental care at home, including brushing with pet-specific toothpaste, is also essential. Small breeds like Norfolk Terriers are particularly prone to plaque and tartar buildup, which can lead to gum disease, tooth loss, and systemic health problems if not addressed promptly.
Seek emergency veterinary care if your Norfolk Terrier shows difficulty breathing, persistent coughing, sudden collapse, severe lameness, or extreme lethargy. These symptoms may indicate serious conditions like congestive heart failure or severe patellar luxation. Additionally, any sudden behavioural changes, loss of appetite lasting more than 24 hours, or signs of severe pain warrant immediate professional evaluation to prevent complications.
Treatment costs vary significantly by location and condition severity. Routine cardiac screening may cost $200-500, while advanced diagnostics like echocardiograms can range $800-1,500. Professional dental cleanings typically cost $600-1,200, and surgical correction of patellar luxation may range $2,000-4,000. Pet insurance can help manage these expenses, and many veterinarians offer payment plans for major procedures. Consult your veterinarian for specific cost estimates.
Daily dental brushing with pet-specific toothpaste is crucial for preventing dental disease. Maintain a healthy weight through proper diet and regular exercise to reduce cardiac strain and joint stress. Monitor for early signs of lameness or breathing changes, and provide gentle, consistent exercise rather than intense activity. Regular grooming and checking for lumps or changes in behaviour can help with early detection of problems.
Treatment timelines vary considerably by condition. Heart disease management is typically lifelong once diagnosed, with medication adjustments as needed. Dental disease prevention requires daily care and biannual cleanings throughout the dog's life. Patellar luxation recovery from surgery usually takes 6-12 weeks, though some cases may require ongoing management. Early intervention generally leads to better outcomes and shorter treatment periods. Consult your veterinarian for specific timelines.

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