Yes, there's always the risk of a break. Would implement all of your thoughts... leash walking for potty breaks, limited stairs, lifting down from the car (that's where the most pressure occurs), and taking her out on short walks so she still gets the pleasure of walking and the mental stimulation. I had a small yard, so didn't worry much about any of mine running/spinning. They just limped outside, did business and returned. Hoping you have much more quality time with your precious girlie.