Bachi is a 4 year old fox hound canaan mix. He blew his left ccl last July, and we did TTA.

He luxated his patella after that. We had that repaired, but it did not take long before he luxated again. We waited to do anything more and now he has blown his other ccl. The vet wants to repair the left again (3rd time in) TTA the right at the same time.

We decided to try chiropractic and laser to be followed by stem cell. Roughly the same cost as tta. He is not improving after several voms and laser; he has an intermittant lameness. We started in March.

What to do… Forget it and tta and fix the luxation or go forward with eventual stem cell?

TTA vs. Stem Cell Treatment – Bachi is a post from: Dog Knee Surgery and Ligament Injuries

Lola is a German Short Haired Pointer – very active, spins and bucks like a bronco 30 or 40 times a day!

When she was about 7 she started favoring one back leg, not even weight bearing at times. We took her to the vet when this went on for a couple days and he said it was a ACL tear and recommended surgery. When informed we would have to keep her calm for many weeks we were overwhelmed – there is no keeping this dog calm so post op would be pretty difficult. I read about it online and talked to some people whose dogs had surgery and who still have a lot of pain due to arthritis. We decided to take a wait and see approach using Glucosamine and Rimadyl.

Within 4 months she was her old self – truly amazing! Then two years later she started limping again. We took her to a new vet who specializes in holistic medicine. He offered surgery, but said he thought a wait and see approach was okay, too. He squeezed Lola’s leg and showed us it wasn’t really painful and that the arthritis is minimal. He said she seemed to be favoring it like it was a “trick knee” rather than from pain.

He encouraged us to take her off Rimadyl, but to keep Glucosamine and add Fish Oil. He told us that he thought adjusting her spine through chiropractic measures would be worth trying. He adjusted her spine and she hopped up and started running around like her old self. We brought her back in 3 weeks and then in another 3 weeks for two more adjustments even though she was acting perfectly normal after her first visit.

It has now been 6 months and she has continued to be her crazy, spastic, spinning and jumping self. We are very happy that we gave her those months to recover the first time. Her quality of life is amazing, I believe better than if she had gone through the pain of surgery and certainly it was less costly than surgery! I encourage everyone to see a holistic medicine vet before making a decision on surgery.

Conservative Management for Knee Ligament – Lola is a post from: Dog Knee Surgery and Ligament Injuries

My golden retriever Carly was diagnosed with a CCl injury. My vetnarian gave me a list of orthopedic surgeons. I came home and started researching everything I could about this injury and all of our options.

I contacted several surgeons over the phone and came to a conclusion. The cost of surgery was very expensive and I had read many reviews of dog owners who had decided to opt. for surgery and stated that their dog either re-injured themselves on the same leg or the oppisite leg. I did not want to put my dog through surgery and the amount of pain associated with that.

I decided to try conservative management first. I spoke with the vetnarian and she was very supportive of my decision. I ordered a casting kit from Ace Ortho Solutions and when it arrived at my vetnarians office she casted my dogs leg so that she could be fitted for a custom leg brace. The brace cost about $650. Since the company did not accept care credit my vetnarian allowed me to pay her using the care credit so that I was able to make payments and she paid the company for the brace. It couldnt have worked out better.

It has been approximately 4 months since my dogs injury and she had to wear the brace for about two months. I would leave it on during the day when she was most active and took it off at night. I am very happy that I made the decision to choose conservative management. The surgery is not guaranteed.

I also bought Carly a dog life jacket and let her swim as much as possible with a feeling of security. I purchased a handheld lightweight massage and Carly enjoys every second of it! Also, not to mention that the brace I purchased was waterproof so she could swim with it on.

If you are struggling with the costs I just want to inform everyone that their are other options and resources you just need to do your homework. I hope this will be of some helpful information to anyone who is in the position I was in 4 months ago and had never even heard of this injury before.

Conservative Management and Knee Brace – Carly is a post from: Dog Knee Surgery and Ligament Injuries

Well I thought I may have been lucky but now, I think not. My beautiful Sophy had her first TPLO at 4. She is a very active, joyful Lab and after doing the research I thought the TPLO surgery was the best option. Three years later, she has just started holding up her other leg. I have been treating her with Acupuncture and chiropractics but the vet said she would not be doing her job if she took my money for alternative treatment and my Sophy needed surgery after all.

So I will try alternative therapies and conservative management, but I have to say I am so torn. Sophy is a joyful lab that absolutely loves to run full-out, all the time. Restricting her activity forever just seems so wrong. I do not want to put her through TPLO but at 7; I just think maybe I should get it over with and let her be Sophy again.

The TPLO is a brutal surgery but in 12 weeks she will be right as rain. Conservative management and/or alternative treatment may avoid it but I would hate to string it out for a year or more and then have to do surgery anyway.

Any thoughts would be welcome. Thanks!

Deciding Between Alternative Treatment or Surgery – Sophy is a post from: Dog Knee Surgery and Ligament Injuries

Our golden retriever Bailey is ten and a half years old and has endeared two surgeries(TTS) for a torn cruciate ligament, the second time being to remove one of the failed/broken implants.

He has now torn the ligament in the other leg, our vet said he is healthy and would benefit from surgery, but we are very hesitant about surgery/recovery at his age.

Considering the first surgery was not completely successful we do not want to put him through that again. We want to do what’s best for Bailey to improve his quality of life and to keep him happy and healthy for years to come.

Any advice from similar situations would be very helpful and appreciated!

Advice on Senior Dogs and Ligament Injury – Bailey is a post from: Dog Knee Surgery and Ligament Injuries

Looking for more information on experiences using canine chiropractic, laser therapy and nutrition to help your dog heal form a CCL knee ligament tear or rupture? Keep reading to see how Pepe is progressing using Conservative Management.

I’ve also put him on a raw food diet to ensure that he’s getting the best possible nutrition.

He’s a laid back boy so it’s not too hard to keep his activity at a minimum. I’ve been picking him up to get on the bed, but after reading some of these posts maybe I should not let him go up and down the stairs. I’m also looking at chiropractic and acupuncture as complementary treatments.

I spoke with the Dr. in my office today, and he is going to use a chiropractic instrument (activator) to adjust his spine, and also a cold laser on the knee. This is one of my huge benefits of working where I do! Complementary and alternative medicine is hopefully going to be beneficial for Pepe.

June

Pepe is doing okay… Still not using the leg but does touch his foot down quite a bit.

Two weeks ago Pepe was treated with the activator by going three times down his spine. It’s spring loaded, and as he goes through each vertebrae, he can tell where there are energy blockages by Pepe’s movements after each. Then when he repeats he can tell if those spots “clear”. He had his 2nd treatment last week, and then well wait 2 weeks for the next.

Pepe is also getting the cold laser, but it really works best if you can treat every day for multiple sessions.

I can definitely see a difference in Pepe’s demeanor after the adjustments. He just looks perkier and the way he holds his ears just look like he’s happy and normal!

I still have him on 2 Gotu Kola Complex (MediHerb) tabs per day, as well as 2 Boswellia Complex tabs per day. Additionally, I am feeding him raw “meatballs” from Nature’s Variety and break the herbal tablets in half and stuff them in chunks of the meat. I also sprinkle his food with 1/2 t of Canine Musculoskeletal Support (Standard Process) each day as well.

Our Dr. has seen quite a few dogs completely recover and stabilize the joint on their own, but it’s a slow process. I’m still convinced that with the alternative treatments avoiding surgery may be possible.

4 Months

Alternative Treatment for CCL Injury – Pepe is a post from: Dog Knee Surgery and Ligament Injuries

8 year old yellow lab (named Betty) that was possessed with the “I love life way too much” syndrome. We did daily walks of three miles and were joined by another lab lover twice a week for five mile adventures. One day I noticed Betty really holding back, not interested in her walk and struggling to keep up. I assumed she was starting with the hip issues that we Lab lovers are all to familiar with but a visit to her vet revealed otherwise.

X rays revealed knee issues…… I never processed that dogs have knees. Anyways, a veterinarian orthopedic specialist was recommended. We met with the doc and were given a first class education on what was going on with our friend. One hour he spent with us answering every question, regardless how inane, and most importantly spoke to us in terms we could understand. Oh, and he drew lots of pictures to illustrate his points, very helpful.

Advice to all, get a great orthopedic vet and do the surgery. My best friend, even though wounded on knee number two, is like a puppy again. They’re worth every penny.

TPLO Surgery on Both Knees – Betty is a post from: Dog Knee Surgery and Ligament Injuries

Hudson, a Lab mix, came into my life in April 2002 as a rescue from a local shelter. He was discovered abandoned at a car wash and he has never been alone again. Hudson is just a dude who loves his Daddy and Mommy and we adore him. I would sell all my possessions and live in a box if that is what it took to care for him. Judging from other posters to this site, my feelings are no different than others regarding their pets. But I have made some mistakes along the way.

At approximately 4 year of age, he showed significant hesitation in his normal activities. Short version is – We discovered serious hip dysplasia, had full hip replacement on both sides, and he had a full and healthy recovery.

About 2 years ago, he came up limping on right rear leg. Testing indicated hips were fine, but knee was suspect. Admittedly we were upset being hit with a $1300 bill to find out what was done earlier (hip replacement) was ok and now you can spend more finding out what is wrong. As we contemplated making an appointment with recommended doctor for evaluation of knee, Hudson stopped limping, so we postponed evaluation and life went on.

About 3 weeks ago he started limping again. Not fully off the right leg, but favors it when getting up and during initial walk. He did (and still does) stand on it to pee (about 30% of time, uses left leg the remainder). We started him on fish oil (twice daily) as an anti-inflammatory. I poorly thought this was just a flash-back to earlier and keeping him inside more and not chasing/playing with his buddies would suffice.

Starting this week it appeared to be getting worse. So we took him in (I notice folks do not mention vet or clinic names, so I won’t…but will if asked). He had x-rays taken (and they asked if they could do routine blood work for kidney/liver function to gauge general health…I said ok). During our wait a nurse/technician showed us x-rays of horrible knee joints and told TPLO was the only way to go. It will fix our dog…this was before any evaluation!

Surgeon was delayed for some reason, so nurse/technician brought us Hudson’s x-rays. I am not a vet, but they looked nothing like what we had been shown. Realize you cannot tell a ligament tear/rupture from an x-ray, but you can measure bone misalignment, get some feeling for buildup of scar tissue, arthritis, etc. She started back-peddling a bit and said she was not that experienced (earlier she boasted of her 10+ years assisting this surgeon) and doctor was better at seeing the problems.

Regardless, doctor showed up. After a brief introduction (5th time at this hospital, 1st time with this fellow) he brushed by my wife and myself, stooped down to dog and pulled his leg. Hudson yelped and ran for the corner. Doctor said Hudson had torn ligaments in right leg (as indicated by the dog’s pain) and needed TPLO surgery right away. He also said we needed to do the left side also as typically during the recovery the stress generated on the non-repaired knee will cause it to fail. It was best to do both at same time…$4200 a piece (less ~$1200 discount for doing both at same time) and he had opening in his schedule for Thursday (this was a Tuesday). I started to remember the blood work being done…they already thought this was a go without any discussion/consultation? Reason for so quick was ligament was most likely not fully ruptured so meniscus was likely intact, so it needed to be done ASAP to prevent more damage. We gathered Hudson who fortunately could still walk; I took him to our car while my wife paid our bill ($398.10 for 2 x-rays, general blood work and our consultation).

Hard to drive when you are crying like a baby (I’m 58). Lots of stuff on my mind, but on the productive side I knew we needed much more information.

That brings me to this site (and similar ones) where experiences are shared. After reading many of your contributors stories and experiences, we contacted our regular vet (he is mostly a large animal fellow who takes care of our horses but has always been honest with us and we have known him for years…and right now I needed a professional I could trust) and relayed our experience. He stated the surgeon at the hospital had already contacted him (our local vet was the referral for the hip dysplasia diagnosis) and told him the dog had a ruptured CCL in right leg and damage in the left. The dog was tough (how do you know this…because Hudson only yelped and did not bite him when he pulled his leg?) and could take both TPLO procedures at once. Our local vet did not say (and my wife asked directly) this surgeon tried to convince him to convince us, just wanted him to know the facts before we talked to him.

Anyway, our local large animal vet reviewed the x-rays and blood work (results fine), watched Hudson walk, gave a careful exam to both Hudson’s legs and felt (while he was not certain as the dog really tensed up and this stiffens the muscles making checking play in the joint difficult to detect) that he would not initiate the TPLO process (or any other surgical remedy) at this time. He also stated he would not do any surgical process simultaneously-risk was too high, animal may just quit due to the pain/rehabilitation stress). Our local vet was not certain the status of the ligaments. He did place a call to a radiographer and discuss passive options to determine ligament condition (CT scan was not viable; MRI was, but at a cost of $1500 to $2500). He felt the conservative management approach we learned from this site and told him about was a good one to try for at least 60 days. He felt nothing was to be lost and much to gain. It would give us some time to obtain even further information.

So we are on day 1 of our CM venture. Food is changing (we have historically believed you should take a few days to fully change from current food) to a weight management recipe (he is at least 10 lbs. overweight), Hudson remains on 2 tablets daily of Fish Oil capsules, we have started him on twice daily Chondroitin/Glucosamine tablets (SAM’s version) (pulverized), I have ordered the Yucca Oil Extract (another anti-inflammatory), we have spoken several times to Dr. Spatt and ordered the A- TraC Dynamic Brace (hopefully get middle of next week), Hudson is under house arrest (as my Mom call’s it)…minimal walking on leash only!. I will now be sleeping downstairs…no steps…we have put up barricade to stairs.

I am not a person of strong faith but I am praying daily for my dog to recover. This experience has placed his mortality in the forefront of my mind and I truly cannot imagine his not being my best friend forever.

I am open to any ideas to assist in this process. That includes experiences with a surgical remedy, though at 9 years old and having been through 2 hip replacements (although it truly went fine and he was given a better quality of life to date) I currently cannot imagine putting him through a similar or more invasive process again at this time in his life.

Thank you for your time.

Conservative Management Instead of TPLO – Hudson is a post from: Dog Knee Surgery and Ligament Injuries

I just wanted to add China’s story…she’s another APBT with bad knees. Three years ago she injured her left ACL and I didn’t have the funds or heart to deal with surgery. I opted for the A-trac brace and had great success. She never chewed it or complained about it…there were a few times that I noticed it was rubbing her hair away and/or chaffing her skin so I just cut the toe out of a sock and used that as a protective layer for her skin. After 12 weeks of wearing it she was using the leg without limping and the only noticeable injury/issue was that her leg was a bit atrophied but I assumed that was normal (it returned to normal a month after full use).

Recently China injured her other knee…and I’ve contacted Wound Wear again and plan on buying a brace for her right leg along with another brace for her left, hoping that will keep her from re-injuring it during the next 12 weeks. And just an FYI I know the left brace was still in good shape when I took it off last I just can’t find it. It’ll be interesting to see how she does with two nearly rigid knees.

Here is a picture of China standing with her left side brace on.

Thank you guys you offer a wonderful service. There’s nothing like watching your dog in pain and not knowing what to do. Keep up the good work!!

A-Trac Brace Experience – China is a post from: Dog Knee Surgery and Ligament Injuries

I used the ATrac canine stifle brace on my 8 yr old husky mix and it worked great! The initial fitting was a bit challenging, but after that the brace was easily put on and taken off. He adapted to the knee brace immediately. My only recommendation would be to shave your dog, especially in the summer – it makes the brace fit better, causes less sore areas, and the Velcro straps last longer and stay clean. however, I had to ‘brush’ them clean weekly. The few sore areas he did develop I treated with non talc baby powder and soon it callused and did not cause problems anymore.

It allowed my dog to move around – our dogs are outdoor dogs on a larger property and I was not able to control his activity while gone – the stabilizers helped, and I was able to wean him off the pain meds within 1-2 weeks using the brace 24/7. Being a Physical Therapist, I followed the protocol fairly closely – making adaptions depending on his progress. When the time came after 3 months or so we began the weaning process using our common sense, such as taking it off on the weekends only and then increased slowly by 1 day at a time. After a total of 4-5 months I felt comfortable leaving the brace off completely, HOWEVER we do not encourage jumping in any way shape or form anymore since we believe it happened jumping in/out of our pick up truck. Now we lift him or use a ramp.

I can only recommend this brace, it did the trick if you follow the protocol and use common sense. It was worth every dime, thank you so much for making something like this available!

A-Trac Dog ACL Brace and Conservative Management – Bayou is a post from: Dog Knee Surgery and Ligament Injuries