Client Education Titan has a congenital condition that predisposes her to knee injuries. In order to prevent further worsening of her condition, TitanŐs activity needs to be restricted. Please leash walk her only and supervise her playtime with your other dog. We will prescribe a pain medication to be used as needed. Also, she needs to be placed on a weight reduction program because she is overweight, and this stresses the joint. We recommended that she be placed on a food such as Science Diet Light Maintenance or Eukanuba Reduced Calorie. We would like to recheck her every six months to assess her condition. If her condition worsens, surgery may be necessary. If surgery becomes necessary, we will discuss the options at that time.