Metabolic bone disease (MBD) in geckos is a commonly seen nutritional disorder in this species.
MBD is mainly caused by a chronic dietary deficiency caused by a lack of adequate amounts of calcium in the gecko's diet. In order to gain the calcium needed, the gecko will start to use the calcium in its bones. This results in the limbs of the gecko becoming distorted, tender and swollen. If your gecko is suffering from MBD I would advise you to visit your vet immediately.
In order to help prevent metabolic bone disease you must always add calcium to your geckos food. The recommended regimen is to add a calcium/ vitamin D mix 2-3 times per week for babies and only once per week for adults. But remember that too much calcium is also bad for your gecko and can lead to serious health problems.
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Metabolic bone disease is a condition most commonly seen in young growing geckos. Common clinical signs include: softening of the bones, bone fractures, scoliosis (abnormal spine curvature), kyphosis, hyperreflexia, tetanic spasms, weakness, lethargy, anorexia (decreased appetite), constipation, and impaction.
A thorough history is most often enough to diagnose the condition. Additional tests include radiography and blood calcium level determination. After the diagnoses of MBD is made or even upon a high suspicion, it is recommended that therapy be started as soon as possible. The current treatment of choice resolves around calcium injections. Additional treatment might include fluid drips and tube feedings. MBD should always be diagnosed and treated by an experienced reptile veterinarian.