Dog Difficulty Getting Up and Shaking: What These Signs Mean Together

PawAI Lab
5 min read

When a dog has trouble rising and is also trembling or shaking, the combination can reflect pain, neurological changes, or another issue that a veterinarian can help evaluate.

Quick Answer

Difficulty getting up combined with shaking or trembling in a dog may be linked to pain-related trembling, neurological disease, toxin exposure, low blood sugar, fear or anxiety, fever or infection, cold, or spinal disease. Some of these causes are urgent, particularly toxin exposure and severe neurologic changes. A veterinarian can assess the pattern and recommend the right next step.

SYMPTOM TRIAGE: Your dog is shaking and struggling to stand up? PawAI Lab Symptom Triage

What These Combined Signs May Look Like

A dog struggling to rise may hesitate, sway, or need several attempts to stand. Shaking can appear as fine tremors in the legs, full-body trembling, or shivering. The two signs often appear together when discomfort makes standing difficult and triggers trembling, or when a neurologic or metabolic problem affects both muscle control and stability.

Noticing when the shaking happens matters. Trembling that occurs only while rising and stops once the dog is up may point to pain. Shaking that continues while resting, or is accompanied by weakness, drooling, vomiting, or changes in awareness, may suggest a more serious cause worth investigating sooner.

Possible Causes of Difficulty Getting Up With Shaking

Several factors can produce both signs together. A veterinarian can determine which may apply.

Pain-related trembling. Dogs sometimes tremble when they hurt. Joint, muscle, or back pain can make standing difficult and trigger shaking during the effort.

Neurological disease. Conditions affecting the brain, spinal cord, or nerves can impair coordination and cause tremors or weakness. Some neurologic changes affect both mobility and muscle control.

Toxin exposure. Ingesting certain foods, plants, medications, or chemicals can cause trembling, weakness, and difficulty standing. Toxin exposure can progress quickly and is considered urgent.

Hypoglycemia (low blood sugar). A drop in blood sugar can cause shaking, weakness, and collapse. Small, young, or diabetic dogs may be more susceptible.

Fear and anxiety. Stress from noise, new environments, or a frightening experience can cause trembling. If a dog is also reluctant to move, fear may be a factor, though it is important to rule out medical causes first.

Fever and infection. An elevated temperature from infection can cause shivering and lethargy. Weakness may accompany the shaking, making standing harder.

Cold. Low body temperature or a cold environment can cause shivering and stiffness, especially in small or thin-coated dogs.

Spinal disease. Conditions such as intervertebral disc disease can cause pain, weakness, and trembling when a dog tries to rise.

What to Monitor at Home

If your dog is stable, note when the shaking occurs, whether it affects the whole body or specific legs, and whether it stops after standing. Record any other signs such as drooling, vomiting, diarrhea, changes in gum color, limping, reluctance to be touched, or altered mental state.

Check whether your dog may have had access to anything unusual, including human foods, medications, plants, or chemicals. This information can be important for a veterinarian.

When to Worry and Seek Prompt Care

Seek immediate veterinary care if you notice any of the following:

  • Shaking with weakness that progresses to an inability to stand
  • Vomiting, drooling, or diarrhea, especially if you suspect a toxin
  • Pale, blue, or yellow gums
  • Seizures, collapse, or loss of consciousness
  • Rapid breathing or signs of pain when touched along the back
  • Sudden onset with changes in awareness or behavior
  • Known or suspected access to a toxin

Non-urgent but important signs include mild trembling that occurs only when rising, stiffness that improves with movement, or shaking linked to an obvious stressor that resolves when the trigger is gone. These still warrant a veterinary visit if they persist or recur.

Frequently Asked Questions

Why does my dog shake when trying to stand up?

Shaking during the effort to stand can be related to pain, weakness, or tremors from a neurologic or metabolic cause. Some dogs tremble from the exertion required when joints or muscles are uncomfortable. A veterinarian can examine your dog to help identify the reason.

Can shaking mean my dog is in pain?

Yes, trembling can be a sign of pain in dogs. Because dogs often hide discomfort, shaking may be one of the few outward clues. If shaking accompanies difficulty rising, pain is one possible explanation a veterinarian can evaluate.

When is shaking an emergency?

Shaking becomes more concerning when it comes with weakness, collapse, vomiting, drooling, pale gums, or changes in awareness, or when a toxin may be involved. These situations warrant immediate veterinary care rather than waiting.

Could it just be cold or anxiety?

Cold and anxiety can both cause trembling and may make a dog reluctant to move. However, if shaking continues after warming or removing the stressor, or if it pairs with weakness, a medical cause should be considered and evaluated by a veterinarian.


If your dog is shaking and having difficulty getting up, you can start symptom triage to help identify the pattern and urgency before your veterinary visit.

Sources

  • Merck Veterinary Manual. "Tremors in Dogs." merckvetmanual.com
  • ASPCA Animal Poison Control. "Poisonous and Toxic Hazards." aspca.org
  • VCA Animal Hospitals. "Intervertebral Disc Disease in Dogs." vcahospitals.com
  • American Kennel Club. "Why Is My Dog Shaking?" akc.org

Disclaimer

This article is provided for general educational purposes only and is not a substitute for professional veterinary advice, diagnosis, or treatment. Always seek the guidance of a licensed veterinarian with any questions about your dog's health. Never disregard veterinary advice or delay seeking it because of something you have read here.

Written by PawAI Lab