What I See Most Often in Practice
I’ve been practicing as a licensed veterinarian in Australia for well over a decade, and Australian Cattle Dogs—Heelers, Blue Heelers, Reds—have been a steady presence in my exam rooms the entire time. They’re smart, driven, and tough in a way that sometimes works against them.
Many owners assume that because these dogs are hardy working breeds, dog health problems will either be obvious or rare. In my experience, the opposite is often true. Australian Cattle Dogs tend to push through pain, and by the time something shows up clearly, it’s already been brewing for a while.
What follows isn’t a textbook overview. It’s a reflection of the patterns I’ve seen repeatedly, the mistakes I’ve watched well-meaning owners make, and the issues that deserve attention sooner rather than later.
Joint and Mobility Problems Hide Behind Toughness
One of the most common problems I see in Australian Cattle Dogs is joint disease, particularly hip dysplasia and early-onset arthritis. What surprises owners is how long these dogs can compensate. I’ve examined Heelers who still sprint for a ball but hesitate when rising from a lie-down or avoid jumping into the ute. Owners often chalk that up to “getting older” or a minor strain.
I remember a middle-aged Blue Heeler brought in for what the owner described as “slowing down a bit on walks.” On exam, his hip range of motion was limited, and X-rays later showed moderate dysplasia with secondary arthritis. The dog had been masking pain for months. Once we started proper pain management and adjusted exercise, the owner was shocked at how much more freely the dog moved.
My professional opinion is that waiting for obvious limping is a mistake. Subtle changes—reluctance to climb stairs, stiffness after rest, changes in posture—are often the first clues. Early intervention doesn’t mean surgery. In many cases, weight control, targeted exercise, and appropriate medication can add years of comfortable movement.

Deafness Isn’t Rare—and It’s Often Missed
Congenital deafness shows up more frequently in Australian Cattle Dogs than many people realize, especially in puppies with a lot of white on the head. I’ve had more than a few owners bring in a “stubborn” puppy that doesn’t respond to commands, only to discover the dog can’t hear.
One case that sticks with me involved a young Red Heeler adopted from a rural litter. The owner was frustrated because the pup ignored verbal cues unless the owner was facing them. A simple hearing test confirmed unilateral deafness. Once the owner understood what was going on, training shifted to hand signals, and the relationship improved almost overnight.
Deafness itself isn’t painful or progressive, but missing it early can create unnecessary stress for both the dog and the owner. I always advise testing hearing in young Heelers, especially before labeling behavior as disobedience. These dogs are highly trainable—if you communicate in a way they can actually perceive.
Eye Conditions Can Steal Vision Quietly
Progressive retinal atrophy (PRA) and lens luxation are two eye conditions I associate strongly with this breed. Neither causes immediate discomfort, which is why they’re often detected late.
Several years ago, I treated an older Australian Cattle Dog whose owner noticed he was hesitant at dusk. The dog still navigated the house well during the day, but low light made him anxious. An eye exam confirmed retinal degeneration. While we couldn’t reverse the condition, we helped the owner adapt the environment and slow progression.
Lens luxation is more urgent. I’ve seen dogs present with sudden redness, squinting, and obvious pain. In one case, the owner thought the dog had scratched its eye while working cattle. In reality, the lens had shifted, causing acute glaucoma. That dog required emergency surgery to save the eye.
Routine eye checks matter more than people think. Subtle cloudiness, bumping into objects, or changes in confidence around stairs deserve investigation, even if the dog still seems “fine.”
Skin Allergies Are Common—and Often Mishandled
Australian Cattle Dogs frequently struggle with skin allergies, both environmental and food-related. What I see most often isn’t the allergy itself but the cycle of flare-ups caused by inconsistent treatment.
A client once brought in a Heeler with recurring ear infections and chronic paw licking. Over-the-counter shampoos had helped temporarily, but the problem always came back. After proper testing and a structured treatment plan, including diet changes and long-term management, the dog’s skin finally stabilized.
One mistake I see repeatedly is stopping medication as soon as symptoms improve. These dogs often need maintenance, not just crisis treatment. Another issue is assuming fleas cause all itching. While flea control is essential, many Heelers itch even in flea-free environments due to grasses, dust, or food sensitivities.
In my experience, owners who commit to a long-term plan—rather than chasing quick fixes—see the best results.
Dental Disease Sneaks Up Faster Than Expected
Because Australian Cattle Dogs are active and eat well, dental disease is often overlooked. I regularly see dogs with significant tartar buildup and gum inflammation by middle age.
One older working dog came in for a routine check and ended up needing multiple extractions. The owner was stunned; the dog continued to eat enthusiastically. Pain in the mouth doesn’t always stop appetite, especially in stoic breeds.
Poor dental health doesn’t stay confined to the mouth. I’ve seen heart and kidney complications worsen due to chronic oral infection. Regular dental checks and home care—yes, even brushing—can prevent a lot of suffering down the line.
Obesity Is a Quiet but Serious Threat
Australian Cattle Dogs are not meant to be overweight, yet I see it far too often in pets that have transitioned from working roles to suburban life. Extra weight worsens joint disease, increases the risk of diabetes, and reduces stamina.
Owners often tell me, “He barely eats,” but calorie-dense treats and reduced activity add up. I worked with one family whose Heeler had gained noticeable weight after a move. Adjusting portion sizes and introducing structured, mentally engaging exercise made a visible difference within months.
These dogs don’t just need walks. They need purpose. Without it, both physical and behavioral health suffer.
Behavioral Issues Often Have a Medical Component
I’m careful not to dismiss behavior as “just temperament.” I’ve seen aggression, anxiety, and withdrawal linked directly to pain or sensory loss.
A senior Heeler that snapped unexpectedly during handling turned out to have severe neck arthritis. Once pain was addressed, the behavior softened. Another dog with new-onset anxiety was later diagnosed with vision loss.
Australian Cattle Dogs are naturally intense, but sudden behavioral changes always warrant a medical evaluation. Assuming it’s purely training-related can delay necessary care.

Final Thoughts From the Exam Room
Australian Cattle Dogs are resilient, but that resilience can hide problems until they’re advanced. The owners who do best with this breed are the ones who pay attention to small changes and don’t dismiss them as “normal for the breed.”
From my professional standpoint, proactive care—not reactive treatment—makes the biggest difference. These dogs give everything they have. They deserve the same level of attentiveness in return.