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How to Choose a Dog Bed for Arthritis, Allergies & Anxiety: A Vet-Informed Guide for 2026

How to Choose a Dog Bed for Arthritis, Allergies & Anxiety: A Vet-Informed Guide for 2026

How to Choose a Dog Bed for Arthritis, Allergies & Anxiety: A Vet-Informed Guide for 2026

Canine osteoarthritis affects approximately 25% of all dogs and up to 80% of dogs over age eight, according to the American College of Veterinary Surgeons. Allergic dermatitis is the most common skin condition in dogs. Anxiety disorders affect an estimated 70% of dogs. Each condition requires specific bed features — and the wrong bed actively worsens symptoms.

When your dog is healthy, any bed will do. When they're not, the wrong bed makes everything worse.

A dog with arthritis who sleeps on a thin, unsupportive surface wakes up stiffer and in more pain. A dog with allergies who sleeps on a bed harboring dust mites scratches all night. An anxious dog on a flat, exposed bed never fully relaxes.

The right bed won't cure these conditions. But it can significantly reduce symptoms, improve sleep quality, and support your dog's overall wellbeing.

This guide covers the most common health conditions that affect bed selection—what each condition requires, what makes symptoms worse, and which materials and designs actually help. 

For a full overview of what makes a bed truly non-toxic — including chemicals to avoid and certifications to look for — see our complete guide to non-toxic dog beds


Arthritis & Joint Pain

Understanding the Condition

Canine osteoarthritis affects approximately 25% of all dogs and up to 80% of dogs over age eight. It's a degenerative joint disease where cartilage breaks down, causing pain, stiffness, and reduced mobility.

According to the American College of Veterinary Surgeons, arthritis is one of the most common sources of chronic pain in dogs. It's not curable, but it is manageable—and environmental modifications, including bedding, play a significant role.

What Arthritic Dogs Need in a Bed

Pressure redistribution. Arthritic joints hurt when pressure concentrates on them. A proper orthopedic surface distributes your dog's weight across a larger area, reducing pressure on hips, elbows, and shoulders.

Easy temperature regulation. Inflammation worsens with heat. A bed that traps body heat increases joint inflammation and stiffness. Arthritic dogs need materials that keep joints cool.

Low entry height. Dogs with joint pain struggle to step up onto raised beds or climb over bolsters. The easier it is to get on and off the bed, the more they'll use it.

Consistent support. Beds that compress unevenly or bottom out force arthritic dogs to constantly readjust, disrupting sleep and stressing joints.

What Makes Arthritis Worse

Memory foam's heat problem. Memory foam is marketed heavily for arthritic dogs because it conforms to the body and reduces pressure points. This is true—but memory foam also traps heat. For arthritic dogs, this creates a painful trade-off: pressure relief that increases inflammation.

Research on human arthritis patients confirms that heat exacerbates joint inflammation. The same applies to dogs.

Thin or flat beds. Any bed that allows your dog's joints to press against the floor provides zero orthopedic benefit. If you can feel the floor through the bed, so can your dog's arthritic hips.

High bolsters or raised edges. While some dogs like bolsters for head support, high edges force arthritic dogs to step over obstacles—painful and potentially dangerous.

Best Materials for Arthritic Dogs

Sheepskin is the optimal choice. Medical-grade sheepskin has been used in hospitals for decades specifically to prevent pressure injuries in patients who can't move easily. Studies published in wound care journals confirm its effectiveness at redistributing pressure while maintaining airflow.

For dogs, sheepskin provides:

  • Pressure relief comparable to memory foam
  • Active cooling instead of heat retention
  • Natural cushioning that doesn't bottom out
  • A surface that reduces friction on sensitive joints

Dense wool batting offers similar benefits at a lower price point. Wool's natural resilience maintains support over time, and its thermoregulatory properties prevent the heat buildup that worsens inflammation.

Recommended Bed Style

A low-profile bed with a supportive sheepskin or wool surface. Avoid high bolsters. If your dog likes head support, choose a bed with one low bolster they can rest their chin on without climbing over.


Hip Dysplasia

Understanding the Condition

Hip dysplasia is a genetic condition where the hip joint doesn't develop properly, causing the ball and socket to grind rather than glide smoothly. According to the Orthopedic Foundation for Animals, it's one of the most common skeletal diseases in dogs, particularly affecting large breeds.

Hip dysplasia causes pain, lameness, and eventually arthritis. While surgery is sometimes necessary, environmental management—including proper bedding—significantly impacts quality of life.

What Dogs with Hip Dysplasia Need

Maximum pressure relief for hips. The hip joint bears enormous stress. A bed must cushion this area specifically, preventing the femoral head from pressing painfully against the socket.

Stable, non-shifting surface. Dogs with hip dysplasia compensate by shifting weight to their front legs. An unstable or slippery bed surface makes this compensation harder and increases strain.

Very low or no entry barrier. Getting up from lying down is the hardest movement for dogs with hip dysplasia. Any obstacle—a bolster, a raised platform, even a thick edge—makes this painful transition worse.

Adequate size. Dogs with hip dysplasia need room to stretch out fully. A bed that's too small forces them into positions that stress the hip joint.

What Makes Hip Dysplasia Worse

Beds that shift or slide. If the bed moves when your dog gets on or off, they must stabilize themselves—exactly the movement that causes hip pain.

Cold, hard surfaces. While heat worsens inflammation, cold stiffens joints. Dogs with hip dysplasia need temperature-neutral surfaces, not cooling beds designed for healthy dogs.

Beds that are too soft. Counterintuitively, extremely soft beds can worsen hip dysplasia. If a dog sinks too deeply, they struggle to get up, straining the hip joint. Support matters as much as cushioning.

Best Materials for Hip Dysplasia

Sheepskin over a firm base provides the ideal combination: surface cushioning for the hip joint with underlying support that prevents sinking. The natural grip of sheepskin fibers also prevents slipping during the difficult stand-up motion.

Firm wool batting offers consistent support without the sinking problem of memory foam. Wool maintains its structure under repeated pressure, providing reliable support night after night.

Recommended Bed Style

A large, flat bed with no bolsters and a non-slip bottom. The sleeping surface should be cushioned but not so soft that your dog sinks more than an inch or two. Place the bed against a wall so your dog can brace themselves when standing.


Senior Dogs

Understanding Age-Related Changes

Senior dogs face a constellation of challenges: arthritis, muscle loss, cognitive decline, temperature regulation difficulties, incontinence, and reduced immune function. Their bed needs evolve as these changes accumulate.

The American Veterinary Medical Association notes that dogs are considered senior at different ages depending on size—around 7 years for large breeds, 10-11 for small breeds. By the time visible aging signs appear, internal changes have been progressing for years.

What Senior Dogs Need

Everything arthritic dogs need, plus:

Extra warmth retention. Senior dogs lose muscle mass, which reduces their ability to generate and retain body heat. They get cold more easily than younger dogs.

Antimicrobial properties. Aging immune systems are less effective at fighting infections. A bed that harbors bacteria poses greater risk to senior dogs.

Easy cleaning. Senior dogs are more prone to accidents, drooling, and skin issues that soil bedding. Easy-to-clean materials reduce stress for both dog and owner.

Familiar texture and scent. Cognitive decline in senior dogs (similar to dementia in humans) causes confusion and anxiety. A bed with a consistent, familiar scent provides comfort and orientation.

What Makes Aging Harder

Synthetic materials that harbor bacteria. Senior dogs spend more time sleeping—up to 18 hours daily. Extended contact with bacteria-laden synthetic materials increases infection risk.

Beds that lose shape. Senior dogs often have a "spot" they prefer. If the bed compresses unevenly, their spot becomes uncomfortable, causing restlessness and confusion.

Chemical off-gassing. Senior dogs may have compromised respiratory function. VOCs from synthetic foam beds stress already-vulnerable systems.

Best Materials for Senior Dogs

Sheepskin addresses virtually every senior dog need:

  • Pressure relief for arthritic joints
  • Natural warmth without overheating
  • Antimicrobial properties that reduce infection risk
  • Lanolin scent that remains consistent and comforting
  • Durability that maintains the familiar "spot"

Wool offers similar benefits at a lower price point, though without the same level of pressure redistribution.

Recommended Bed Style

A medium-loft bed that balances cushioning with support. Senior dogs benefit from a slight bolster for head support but shouldn't have to climb over high edges. Consider placing multiple beds throughout the house so your senior dog always has a comfortable option nearby.


Allergies & Skin Sensitivities

Understanding Canine Allergies

Dogs can be allergic to environmental triggers (dust mites, pollen, mold), food ingredients, and contact allergens (materials that touch their skin). According to the American College of Veterinary Dermatology, allergic skin disease is one of the most common reasons dogs visit veterinarians.

Symptoms include itching, scratching, licking, hot spots, ear infections, and hair loss. While bedding doesn't cause most allergies, it can harbor allergens that trigger reactions or contain materials that cause contact sensitivity.

What Allergic Dogs Need

Hypoallergenic materials. True hypoallergenic materials don't trigger immune responses. This eliminates most synthetic materials, which can cause contact reactions in sensitive dogs.

Dust mite resistance. Dust mites are a leading cause of environmental allergies in dogs. They thrive in warm, moist environments—exactly what synthetic beds provide.

Easy, frequent cleaning. Allergens accumulate in bedding. The easier it is to clean the bed, the lower the allergen load.

Chemical-free construction. Dogs with allergies often have generally sensitive immune systems. Chemical treatments, dyes, and flame retardants can trigger reactions even if the dog isn't specifically allergic to them.

What Makes Allergies Worse

Polyester and synthetic fill. These materials attract and hold dust, dander, and dust mites. They also generate static electricity, which pulls allergens from the air onto the bed surface.

Memory foam. Foam absorbs moisture and dries slowly, creating ideal conditions for dust mites and mold—both common allergens.

Chemical treatments. Flame retardants, stain resistors, and antimicrobial treatments (ironically) can all trigger allergic reactions in sensitive dogs.

Infrequent washing. Any bed accumulates allergens over time. Beds that are difficult to wash become allergen reservoirs.

Best Materials for Allergic Dogs

Wool is naturally hypoallergenic and actively hostile to dust mites. The structure of wool fibers and their moisture-wicking properties create an environment where dust mites cannot thrive. Wool also resists mold and mildew.

Despite common misconceptions, true wool allergies are extremely rare. Most reactions attributed to wool are actually caused by processing chemicals or the dust mites that infest poorly maintained wool products. High-quality, minimally processed wool is safe for the vast majority of allergic dogs.

Sheepskin offers the same hypoallergenic benefits as wool, with the added advantage of natural lanolin, which has antimicrobial properties.

Organic cotton covers over wool or sheepskin interiors provide a familiar texture while maintaining hypoallergenic properties.

Recommended Bed Style

A bed with a removable, washable cover over a wool or sheepskin interior. The cover should be washed weekly; the interior aired regularly and deep-cleaned monthly. Avoid beds with excessive seams, piping, or decorative elements that trap allergens.


Anxiety & Stress

Understanding Canine Anxiety

Anxiety disorders affect an estimated 70% of dogs to some degree. According to research published in veterinary behavior journals, common forms include separation anxiety, noise phobia, and generalized anxiety.

Anxious dogs exhibit behaviors like pacing, panting, trembling, destructive chewing, excessive barking, and inability to settle. While bedding alone won't cure anxiety, the right bed can provide a safe space that helps anxious dogs self-soothe.

What Anxious Dogs Need

Enclosed, den-like feeling. Dogs are den animals. Anxious dogs especially seek enclosed spaces that provide a sense of security. Beds with raised edges or bolsters create this feeling.

Tactile comfort. The sensation of soft, warm material against the body triggers calming neurological responses. This is why anxious dogs often seek out soft blankets or burrow under covers.

Consistent, familiar scent. Scent is a dog's primary sense. A bed that retains a familiar, comforting scent provides reassurance during stressful moments.

Weight and groundedness. Some anxious dogs respond well to gentle pressure (similar to weighted blankets for humans). A bed with some heft feels more secure than a lightweight pad.

What Makes Anxiety Worse

Exposed, flat beds. A thin mat in the middle of a room offers no sense of security. Anxious dogs on exposed beds remain hypervigilant, unable to fully relax.

Unstable or shifting beds. If the bed moves unexpectedly, it becomes a source of anxiety rather than comfort.

Strong chemical odors. The "new bed smell" of off-gassing foam is unpleasant to humans and overwhelming to dogs, whose sense of smell is 10,000-100,000 times more sensitive. Chemical odors can increase anxiety in sensitive dogs.

Beds that are too hot. Anxious dogs often pant, which is both a symptom and a cause of overheating. A bed that traps heat creates a feedback loop of discomfort and anxiety.

Best Materials for Anxious Dogs

Sheepskin is exceptionally effective for anxious dogs:

  • The deep, soft pile allows burrowing and nesting
  • Natural lanolin provides a subtle, earthy scent that many dogs find calming
  • The tactile sensation mimics the comfort of littermates or a mother's fur
  • Thermoregulation prevents the overheating that exacerbates anxiety

High-pile wool offers similar tactile benefits, allowing anxious dogs to burrow and nest.

Recommended Bed Style

A bed with raised bolsters on three sides, creating a nest-like enclosure. The opening should face a wall or corner, giving your dog a clear view of the room while feeling protected from behind. High-pile sheepskin or wool surfaces encourage the burrowing behavior that helps anxious dogs self-soothe.

For severely anxious dogs, consider a covered or hooded bed that creates a true den environment.


Post-Surgery & Recovery

Understanding Recovery Needs

Post-surgical dogs have temporary but intense needs: pain management, restricted movement, wound protection, and hygiene. The recovery bed may only be needed for weeks, but choosing wrong can delay healing or cause complications.

What Recovering Dogs Need

Maximum pressure relief. Post-surgical dogs often can't shift position easily. Pressure sores can develop quickly on dogs who lie in one position for extended periods.

Easy entry and exit. Depending on the surgery, your dog may have movement restrictions. A bed that requires jumping, climbing, or stepping over obstacles is dangerous.

Washable, hygienic surface. Surgical sites must stay clean. Beds that harbor bacteria or are difficult to clean increase infection risk.

Temperature neutrality. Post-surgical dogs may have difficulty regulating temperature due to anesthesia effects, pain medications, or reduced mobility.

What Hinders Recovery

Memory foam. While the pressure relief is beneficial, memory foam's heat retention is problematic for dogs who can't move to cool down. It's also difficult to clean if accidents occur.

Beds that are too soft. Dogs recovering from orthopedic surgery need support to protect surgical repairs. Sinking into an overly soft bed can stress healing bones and joints.

Synthetic materials. Compromised immune systems are more vulnerable to the bacteria that thrive in synthetic bedding.

Best Materials for Recovery

Medical-grade sheepskin is used in human hospitals specifically for post-surgical and immobile patients. Its pressure-redistributing properties prevent bed sores, while its natural antimicrobial properties reduce infection risk.

Wool with a washable cover provides similar benefits with easier cleaning.

Recommended Bed Style

A flat, low-profile bed with no obstacles. If your dog had orthopedic surgery, the bed should be firm enough to provide support—not a plush surface they sink into. Place the bed in a confined area (per your vet's instructions) where your dog can rest without being tempted to jump on furniture.


Incontinence

Understanding the Challenge

Incontinence affects many senior dogs, dogs with spinal issues, and dogs on certain medications. It's not a behavioral problem—it's a medical condition that requires management, not punishment.

The challenge with bedding is balancing waterproofing (to protect floors and furniture) with breathability (to keep your dog comfortable and prevent skin issues).

What Incontinent Dogs Need

Waterproof but breathable barrier. A completely impermeable surface traps moisture against your dog's skin, causing irritation and infection. The barrier must block liquids while allowing air circulation.

Quick-drying surface layer. The material touching your dog should wick moisture away from their skin, keeping them dry even if an accident occurs.

Easy, frequent washing. Incontinence requires daily or near-daily washing. Complex beds with non-removable components become hygiene nightmares.

Odor resistance. Urine odor is difficult to eliminate from synthetic materials. Natural materials that resist odor absorption make management easier.

What Makes Incontinence Harder to Manage

Foam beds. Foam absorbs urine and is nearly impossible to fully clean. Even with waterproof covers, foam beds eventually become contaminated and must be discarded.

Complex construction. Beds with multiple layers, non-removable inserts, or decorative elements trap urine and odor in places you can't reach.

Synthetic covers. Polyester and nylon don't wick moisture. Your dog lies in wetness until you discover the accident.

Best Materials for Incontinent Dogs

Wool naturally wicks moisture away from the surface and resists odor absorption. A wool bed with a removable, washable cover over a waterproof (but breathable) liner provides the best combination of protection and comfort.

Sheepskin can work but requires more careful maintenance. The hide backing provides natural water resistance, but urine that soaks through requires professional cleaning.

Recommended Bed Style

A simple, flat bed with three components:

  1. Waterproof but breathable mattress protector (bottom layer)
  2. Wool or wool-blend insert (middle layer)
  3. Removable, washable cotton or wool cover (top layer)

This system allows you to wash the cover daily, the insert weekly, and wipe down the waterproof layer as needed.


Overheating & Temperature Sensitivity

Understanding Thermoregulation Issues

Some dogs struggle to regulate body temperature effectively. Brachycephalic breeds (Bulldogs, Pugs, French Bulldogs) have compromised airways that make panting—their primary cooling mechanism—less effective. Senior dogs, overweight dogs, and dogs with heart conditions also overheat easily.

According to research on brachycephalic obstructive airway syndrome, these dogs are at significantly higher risk of heat-related illness, even in moderate temperatures.

What Temperature-Sensitive Dogs Need

Active cooling, not passive. "Cooling beds" filled with gel or water provide temporary relief but don't actively regulate temperature. Dogs need materials that continuously move heat away from their bodies.

Breathability. Air circulation is essential for cooling. Materials that trap air against the body trap heat.

Moisture wicking. Dogs cool through panting, which creates moisture. Materials that absorb and hold moisture (like cotton or foam) become warm and clammy. Materials that wick moisture away maintain a cooler surface.

What Causes Overheating

Memory foam. Foam is the worst material for temperature-sensitive dogs. It traps body heat, absorbs moisture, and creates a progressively warmer sleeping surface throughout the night.

Polyester fill and covers. Synthetic materials don't breathe. They create a microclimate of trapped heat around your dog.

Enclosed beds. While anxious dogs benefit from enclosed spaces, temperature-sensitive dogs need open beds with maximum airflow.

Best Materials for Temperature-Sensitive Dogs

Wool is the gold standard for thermoregulation. Its crimped fibers create air pockets that insulate in cold and ventilate in heat. Wool can absorb 30% of its weight in moisture without feeling damp, then release that moisture as conditions change.

Sheepskin provides the same thermoregulatory benefits with added cushioning. The combination of wool fibers and hide backing creates a surface that stays remarkably temperature-stable.

Research confirms wool's superior thermoregulatory properties compared to synthetic alternatives—a benefit that's especially critical for dogs who can't cool themselves effectively.

Recommended Bed Style

A flat, open bed with no enclosing bolsters. Elevate the bed slightly if possible to allow airflow underneath. For severely heat-sensitive dogs, consider a raised cot-style frame with a wool or sheepskin pad on top.


Condition-by-Condition Recommendation Summary

Condition Priority Features Best Material Bed Style Avoid
Arthritis Pressure relief, cool surface, low entry Sheepskin, dense wool Low-profile, minimal bolsters Memory foam, thin beds
Hip Dysplasia Hip support, stability, no barriers Sheepskin over firm base Large, flat, non-slip Soft sinking beds, high bolsters
Senior Dogs Warmth, antimicrobial, easy clean Sheepskin, wool Medium-loft, low bolster Synthetic materials, complex construction
Allergies Hypoallergenic, dust mite resistant Wool, sheepskin Removable washable cover Polyester, foam, chemical treatments
Anxiety Enclosed feeling, tactile comfort High-pile sheepskin, wool Bolstered nest style Flat exposed beds, chemical odors
Post-Surgery Pressure relief, hygiene, support Medical sheepskin, wool Flat, low, firm Memory foam, soft sinking surfaces
Incontinence Waterproof, washable, odor resistant Wool with waterproof liner Simple layered system Foam, complex construction
Overheating Thermoregulation, breathability Wool, sheepskin Open, flat, elevated if possible Memory foam, enclosed beds

When to Consult Your Vet

A bed is a supportive tool, not a treatment. Consult your veterinarian if:

  • Pain seems severe or worsening. If your dog cries when lying down, can't find a comfortable position, or avoids their bed entirely, they need medical evaluation—not just a better bed.

  • Skin issues don't improve. If you've switched to hypoallergenic bedding and your dog still scratches constantly, the allergen source is likely elsewhere (food, environment, or underlying condition).

  • Anxiety is unmanageable. Severe anxiety requires behavioral intervention and possibly medication. A calming bed helps but won't resolve clinical anxiety disorders.

  • Incontinence is new. Sudden incontinence can indicate urinary tract infection, diabetes, kidney disease, or neurological problems. Don't assume it's just aging.

  • Your dog won't use any bed. Dogs who refuse all bedding may be in pain that worsens when lying down. This warrants veterinary investigation.

Your vet can also recommend specific bed features based on your dog's diagnosis, medications, and overall health picture.


Frequently Asked Questions

Is memory foam really bad for dogs with arthritis?

Memory foam provides genuine pressure relief, which benefits arthritic joints. However, it also traps heat, which increases inflammation—the underlying cause of arthritis pain. For most arthritic dogs, materials that provide pressure relief without heat retention (like sheepskin) offer better overall outcomes.

My dog has multiple conditions. How do I prioritize?

Start with the condition causing the most discomfort. For most dogs, this is joint pain (arthritis or hip dysplasia). A bed that addresses joint issues with natural, hypoallergenic materials will likely help secondary conditions as well. Sheepskin, for example, addresses arthritis, allergies, anxiety, and temperature sensitivity simultaneously.

Are "orthopedic" dog beds actually orthopedic?

"Orthopedic" has no regulated definition in the pet industry. Any manufacturer can use the term. True orthopedic support requires pressure redistribution, consistent support, and appropriate firmness—features that should be evaluated based on materials and construction, not marketing claims.

Can a bed really help with anxiety?

A bed alone won't cure anxiety, but the right bed can reduce symptoms and provide a safe space for self-soothing. Research on both humans and animals confirms that tactile comfort, enclosed spaces, and familiar scents have measurable calming effects. For mild to moderate anxiety, an appropriate bed makes a meaningful difference.

How often should I replace my dog's bed if they have health issues?

Quality natural fiber beds (wool, sheepskin) maintain their therapeutic properties for 5-10 years with proper care. Synthetic beds, especially foam, degrade faster and should be replaced every 1-3 years. Signs it's time to replace: visible compression that doesn't recover, persistent odor despite cleaning, or your dog avoiding the bed.

My vet recommended a heated bed. Is that safe?

Heated beds can benefit dogs with severe arthritis or circulation problems, but they require caution. Never use a heated bed for dogs who can't move away if they get too hot (post-surgical, paralyzed, or heavily sedated dogs). Natural wool and sheepskin provide gentle warmth without the risks of electric heating elements.


The Bottom Line

Health conditions don't just change what your dog needs from a bed—they raise the stakes. The wrong bed actively worsens symptoms. The right bed provides daily therapeutic benefit.

For most health conditions, the answer points to the same materials: wool and sheepskin. These natural fibers provide pressure relief without heat retention, resist allergens and bacteria, offer tactile comfort for anxious dogs, and maintain their properties for years.

Your dog didn't choose their health condition. But you can choose to give them a bed that makes every day a little easier.


Looking for a bed that addresses your dog's specific needs? Explore East Perry's Natural Dog Collection—sheepskin and wool beds designed for comfort, health, and longevity.

Sources:

Canine Arthritis & Osteoarthritis

Hip Dysplasia

Canine Allergies & Dermatitis

Canine Anxiety & Stress

Pressure Sore Prevention & Orthopedic Support

Senior Dog Health

Canine Thermoregulation

Brachycephalic Breeds

Wool & Sheepskin Therapeutic Properties

Post-Surgical Recovery