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Naki'o had very severe frostbite after putting his paws in a frozen puddle as an abandoned puppy. Malnourished and weak he probably did not move from that spot for some time. As a result the tissue of the paws became 'dead' and he could not use them. This dead tissue was removed by a vet once Naki'o was rescued. Once Christie adopted him she saw walking on his legs without the formed paws was growing more painful and difficult for him, and contacted Orthopets.