Havanese Health Issues: Breed Predispositions
Yes. Havanese are predisposed to patellar luxation, chondrodysplasia, Legg-Calve-Perthes disease, cataracts, progressive retinal atrophy, heart murmurs and degenerative mitral valve disease, congenital deafness and liver shunts. The breed is otherwise long-lived and sturdy, and most of these conditions are picked up during routine veterinary screening when owners look for them early.

Yes. Havanese have a defined set of inherited health issues, even though the breed is generally sturdy and many individuals live well into their teens. The problems that come up most often fall into four groups: orthopedic (patellar luxation, chondrodysplasia, Legg-Calve-Perthes disease, hip dysplasia), ocular (cataracts, progressive retinal atrophy, dry eye), cardiac (heart murmurs and degenerative mitral valve disease), and a smaller systemic group that includes congenital deafness and portosystemic liver shunts.
Written out in one paragraph, that list looks alarming. It should not be. A breed predisposition means a condition turns up more often in this population than in dogs generally, not that your dog will develop it. The conditions Havanese carry are mostly ones that respond well to early detection, which makes screening, not worry, the correct response to a list like this. Breeders who test screen for most of them before a litter is planned, and a veterinarian can assess the majority during a routine annual exam.
The orthopedic conditions Havanese are known for
Patellar luxation is the one most owners hear about first. The kneecap sits in a groove at the end of the femur, and in small breeds that groove can be shallow or the supporting structures slightly misaligned, so the kneecap slips sideways. The classic sign is a dog that skips for two or three strides, carries a hind leg briefly, then drops it and carries on as though nothing happened. Veterinarians grade it from mild and intermittent through to permanently displaced. Lower grades are often managed conservatively with lean body weight, controlled muscle conditioning and reduced jumping. Higher grades, or a dog that is consistently painful, are usually corrected surgically.
Chondrodysplasia is the skeletal variation behind what owners sometimes call Havanese legs: shortened, occasionally bowed forelimbs. In its mild form it is largely cosmetic. When it is more pronounced it changes how load passes through the elbows, carpi and spine, and that altered loading is worth monitoring over a long life, because joints that are loaded unevenly tend to show degenerative change sooner.
Legg-Calve-Perthes disease is a small-breed problem in which the blood supply to the femoral head is disrupted, the bone weakens and the hip joint collapses. It typically appears in young dogs, often before the first birthday, as a progressive hind limb lameness with visible muscle loss on the affected thigh and pain when the hip is extended. It is diagnosed on radiographs and managed surgically, usually by removing the femoral head, followed by a structured rehabilitation period.
Hip dysplasia is often assumed to be a large-breed issue, but it appears in Havanese often enough that hip evaluation features on the health testing panels canine health registries recommend for the breed. Alongside these inherited problems sit ordinary soft tissue injuries: small dogs launching off couches and beds strain tendons and ligaments, and a sudden limp after a jump deserves an exam rather than a wait-and-see week.
Eyes and ears: cataracts, retinal disease and congenital deafness
Eye disease is one of the better documented areas of Havanese health. Hereditary cataracts can appear in young adults rather than only in old age, and owners usually notice a bluish or cloudy look to the pupil, or a dog that hesitates on stairs in dim light. Cataracts are assessed by a veterinary ophthalmologist and, when the retina behind them is healthy, can be addressed surgically.
Progressive retinal atrophy causes the light-sensing cells of the retina to degenerate over time. Night vision usually fades first, and owners often report a dog that becomes reluctant to go out after dark or bumps into furniture that has been moved. There is no way to halt it, but dogs adapt remarkably well to a stable home layout. Dry eye, cherry eye and eyelash abnormalities round out the list and are all straightforward to catch on an annual ophthalmic screening exam.
Congenital deafness also appears in the breed, which is why BAER hearing testing is part of recommended screening. A deaf puppy is easy to miss because it takes cues from littermates, so the signs owners notice are a dog that does not wake to sound or does not respond when called from behind. Deaf Havanese do extremely well on hand-signal training, but knowing early changes how you manage recall and traffic safety for the rest of the dog's life.
Heart murmurs and mitral valve disease in a small breed
When owners search for Havanese heart problems, they are usually reacting to a murmur noted at a checkup. A murmur is simply turbulent blood flow audible through a stethoscope, graded on intensity. In puppies, some murmurs are innocent and resolve as the dog matures. Others reflect a congenital defect in the valves or vessels.
In adult and senior small-breed dogs, the more common cause is degenerative mitral valve disease, where the mitral valve thickens and no longer seals cleanly, so blood leaks backward and the heart works harder. Many dogs live comfortably for years in the early stages. The signs that matter are a soft persistent cough, tiring sooner on familiar walks, an elevated resting respiratory rate while asleep, fainting episodes or a swollen abdomen.
A murmur on its own is a finding, not a diagnosis. An echocardiogram shows what the valves and chambers are actually doing, and cardiac medication prescribed on the basis of that imaging is the single most important intervention in managing heart disease. If your veterinarian or a cardiologist has prescribed heart medication, nothing in a supplement conversation changes that plan. Counting your dog's sleeping breath rate at home once a week is a genuinely useful habit, and it gives your vet real data between visits.
Liver shunts, skin, teeth and concerns specific to females
Portosystemic shunt is a vascular malformation that routes blood around the liver instead of through it, so toxins are not filtered properly. Affected dogs are often small for their age, slow to thrive, and may seem dull, wobbly or disoriented after meals. It is identified with bloodwork and imaging and managed with diet and medication or, in many cases, surgically.
Atopic skin disease and food sensitivity are common in the breed, usually presenting as itchy paws, ears and belly rather than as a rash. Dental disease is the quiet one: a toy-breed jaw crowds the same number of teeth into a smaller arch, so tartar, gum recession and retained baby teeth are frequent, and dental health has real downstream effects on comfort and organ health.
Female Havanese do not carry a separate orthopedic or cardiac risk profile. The sex-specific concerns are reproductive: pyometra, a serious uterine infection in intact females, mammary tumours, and whelping difficulty in a small-bodied breed. Spay timing is a genuine conversation to have with your veterinarian, because it balances those risks against joint development in a dog already predisposed to patellar and hip problems.
On the Bichon Havanese question: the Havanese is a member of the Bichon family and is sometimes listed under that name. True Bichon Frise crosses inherit from both sides, which in practice means the shared small-breed list of patellar luxation, cataracts, allergic skin disease and dental crowding, plus anything specific to each parent line.
Quick reference: what tends to show up when
| Condition | Usually first noticed | What owners see | Typical veterinary approach |
|---|---|---|---|
| Patellar luxation | Puppy to young adult | Skipping stride, brief hind leg carry | Grading on exam, weight and conditioning, surgery at higher grades |
| Chondrodysplasia | Visible from puppyhood | Short or bowed forelimbs, altered gait | Imaging, joint monitoring, activity guidance |
| Legg-Calve-Perthes | Often before one year | Progressive hind limb lameness, thigh muscle loss | Radiographs, femoral head surgery, rehabilitation |
| Cataracts | Any age, sometimes young | Cloudy pupil, hesitancy in low light | Ophthalmic exam, surgical lens removal when suitable |
| Heart murmur, mitral valve disease | Puppy murmurs early, degeneration with age | Cough, tiring quickly, faster sleeping breaths | Auscultation, echocardiogram, prescribed cardiac medication |
| Congenital deafness | Puppyhood | No response to sound or to being called | BAER testing, hand-signal training |
| Portosystemic shunt | Usually young | Poor growth, dullness after meals | Bloodwork, imaging, medical or surgical management |
Supporting joints and soft tissue as a Havanese ages
Most of this breed's long-term comfort comes down to connective tissue: knees, hips, tendons and the soft structures around altered forelimb conformation. That is slow tissue. Tendon and ligament heal over weeks to months because they are poorly vascularised compared with muscle, which is why rehabilitation after patellar surgery or a femoral head ostectomy is measured in phases rather than days.
This is where owners start looking past joint chews. Plenty of those products are underdosed blends built for a label panel rather than for a biological effect, and the ingredient list rarely tells you how much of anything is actually in the scoop. pawgen takes the opposite approach with K9-REPAIR, a two-compound formulation of BPC-157 and TB-500 made specifically for dogs, with weight-scaled reference amounts on the label, third-party batch testing with certificates of analysis published for review, and direct-to-door shipping backed by a 60-day money-back guarantee.
The science is worth understanding rather than taking on faith. BPC-157 is a short peptide sequence derived from a protein found in gastric juice, and published laboratory and animal research associates it with angiogenesis and with the signalling involved in tendon and ligament repair. TB-500 is related to thymosin beta-4, a naturally occurring peptide that research links to actin regulation, cell migration and tissue remodelling. Neither is an FDA-approved veterinary drug, and neither treats any condition. What research suggests is a mechanism in the repair pathway, and owners increasingly adopt the pair together through surgical recovery and through the slower senior years. Talk to your veterinarian about whether it fits your dog's plan, particularly alongside prescribed medication.
Key Takeaways
- Havanese do have health issues, concentrated in joints, eyes, hearts and a small number of inherited systemic conditions.
- The most common orthopedic problems are patellar luxation, chondrodysplasia, Legg-Calve-Perthes disease and hip dysplasia.
- Cataracts and progressive retinal atrophy make an annual eye exam genuinely worthwhile, not optional.
- A heart murmur is a finding that needs an echocardiogram to interpret, and prescribed cardiac medication is never something to pause.
- Female-specific risks are reproductive rather than structural, and spay timing is a conversation with your vet.
- Lean body weight, ramps instead of jumps, dental care and consistent conditioning do more for long-term comfort than any single product.
None of this replaces a diagnosis. Your veterinarian owns the examination, the imaging, the surgical decision and the prescription, and in a breed where a limp could be a kneecap, a hip or a disc, that distinction matters. Supplements and peptides operate in the space proper veterinary care creates, supporting a dog through a plan rather than standing in for one.
pawgen publishes further reading on the issues owners research most at /conditions/, batch certificates of analysis at /coas/, shipping information at /location/, and the full K9-REPAIR formulation details at /shop/.
Owners exploring peptide support for their dog can review K9-REPAIR, BPC-157 + TB-500 formulated for dogs, at https://pawgen.com/. BPC-157 and TB-500 are not FDA-approved veterinary drugs. Nothing in this article treats, cures or prevents any condition; every decision about your dog's care belongs with your veterinarian.
Frequently asked questions
- Do Havanese have health issues?
- Yes. Havanese are predisposed to patellar luxation, chondrodysplasia, Legg-Calve-Perthes disease, hip dysplasia, cataracts, progressive retinal atrophy, heart murmurs, degenerative mitral valve disease, congenital deafness and portosystemic liver shunts. Most are detectable through routine screening, and responsible breeders test for the majority before breeding a litter.
- Do Havanese have health problems?
- They do, but predisposition is not prediction. The breed's main health problems cluster in the joints, eyes and heart, and many Havanese live into their teens without developing them. Annual exams, patella and eye checks, dental care and lean body weight are what keep most of these issues manageable.
- What kind of health problems do Havanese dogs have?
- Four groups. Orthopedic problems such as luxating patellas, chondrodysplasia and Legg-Calve-Perthes disease. Eye conditions including cataracts and progressive retinal atrophy. Cardiac issues, mainly murmurs and degenerative mitral valve disease. Finally a systemic group covering congenital deafness, liver shunts, allergic skin disease and crowded-jaw dental problems.
- Are Havanese healthy dogs?
- Broadly yes. Havanese are among the more robust toy breeds and commonly live well into their teens. They are not a breed with crippling structural extremes, but they do carry inherited predispositions, so health-tested breeding lines and consistent veterinary screening make a real difference to long-term outcomes.
- Do Havanese have heart problems?
- Some do. Puppy murmurs are sometimes innocent, while adult and senior Havanese can develop degenerative mitral valve disease like other small breeds. A murmur needs an echocardiogram to interpret properly. Watch for coughing, tiring on familiar walks, fainting or a faster resting breathing rate during sleep.
- What health problems do female Havanese have?
- Female Havanese share the same breed predispositions as males. The additional concerns are reproductive: pyometra in intact females, mammary tumours, and whelping difficulty in a small-bodied breed. Spay timing is worth discussing with your veterinarian, since it interacts with joint development in a patella-prone breed.
- At what age do Havanese health problems usually appear?
- It varies by condition. Deafness and chondrodysplasia are evident in puppyhood. Legg-Calve-Perthes typically appears before a year old and patellar luxation in the first two years. Hereditary cataracts can show in young adults, while mitral valve degeneration and arthritis are later-life findings.
- Are Bichon Havanese prone to the same health problems?
- The Havanese belongs to the Bichon family, so the name often refers to the same breed. Genuine Bichon Frise crosses inherit from both parent lines, which usually means shared small-breed risks: patellar luxation, cataracts, allergic skin disease and dental crowding, plus anything specific to either side.
- Can supplements help a Havanese with joint or tendon problems?
- Supplements support, they do not treat. BPC-157 and TB-500, the two peptides in pawgen's K9-REPAIR, are associated in published research with tissue repair signalling, and owners report using them through recovery and senior years. They are not FDA-approved veterinary drugs. Discuss any addition with your veterinarian first.
Educational content, not veterinary advice. Ask your vet about your dog.