Hypothesis 3: Trauma has damaged tissues and blood vessels, leading to pain and inflammation, causing the dog to walk abnormally on itÕs hind legs. Pathophysiology: Some traumatic event, such as slipping on slick floors or falling down stairs, has caused tissue damage and blood vessel damage in the region of the hips. The hips are especially susceptible to injury from a traumatic event such as these, since the tuber coxae and tuber ischii project slightly from the body. Leakage from the blood vessels leads to increased pressure in the tissues and bruising, which is why the dog was painful to palpation of the region. Tissue damage also contributes to pain and inflammation as the body attempts to heal itself. The dog alters its gait in order to relieve some of the pressure and to avoid the pain, hence the ownerÕs complaint. The chief problem could be bilateral fracture of the femur or os coxae , or soft tissue damage.