You really have 3 options.
Option 1. Do Nothing
This is a very bad idea.
Impacted glands can rupture, causing painful abscesses that require emergency surgery.
They can become infected, leading to serious health complications.
Over time, chronic inflammation can cause permanent gland damage requiring surgical removal.
Plus, your dog is uncomfortable and miserable right now.
Option 2. Monthly Vet Visits for Manual Expression
The biggest problem here is cost AND trauma.
At $50-150 per visit, you're looking at $600-1,800 per year.
Your dog endures a stressful, uncomfortable procedure every few weeks.
And because manual expression doesn't address WHY the glands aren't emptying, you're stuck in this cycle forever.
This is why almost 18 million dog parents are dealing with chronic scooting problems right now.
Option 3. Address The Root Cause Yourself
There is now one, affordable solution to stop scooting at the source without repeated vet visits or surgery.
It's called ZeroScoot.