I have a very active 4 1/2 yr. old Boxer/Rott mix. I adopted her when she was 6 months old from the animal shelter here in Bozeman, Mt. It was Love at first sight! I was suffering from severe depression/servere anxiety disorder at the time, and when we met she put a smile back into my heart and life – I guess you could say she saved my life and I saved hers!

About 4 months ago I noticed that she was having severe difficulty rising from a sitting position, and also just sitting down, and she was favoring her right rear leg. I thought she just ran a little too hard, as she also has a very stong prey drive. She also loves to run (man can she ever go). I took her to our vet, and he thought just a mild knee sprain at that time.

However, she has pogressively been getting worse, and now it has turned into both rear legs. We have since seen the vet for a third time last month and he has now said more than likely she has a partial ccl tear in both of her knees. I was devasted to hear this news, and I have cried alot of tears watching her struggle, and not be able to run or even get up on her own.

I have her on Tramadol for the pain, and high doses of Dasuquin daily, my vet also wants her on 10,000 mg of fish oil too. He has said she will more than likely have to have surgery if she tears her ccl’s all the way, and I just do not have the 4,000 dollars to do this at this time. We are hoping and praying that this CM will work for her.

So far she is doing a little better, as long as I do not let her run AT ALL, and have to keep our walks short. Needless to say, she seems to be getting more and more depressed as the days go by, as she is not happy if she cannot get out and run off some of her high energy. It breaks my heart, but I know that it is for her own well being – I just hope that she understands that too!

I will keep you all posted on her progress. Thank you everyone for all of the stories, it has really helped me in dealing with this setback. I wish all of you and your doggies a healty recovery!

One last thing – I forgot to mention the surgery that my vet wants to perform is the Tightrope, I am going to be getting at least two or more opinions before I do make that decision if it comes down to that.

Conservative Management for Bilateral Ligament Tears – Brandi Lee is a post from: Dog Knee Surgery and Ligament Injuries

My Shepard/Golden Retriever mix had surgery over 2 yrs ago when she was 8 yrs old. She is a big dog (not fat, just big). It had to be done a second time after about 6 wks. She seemed to be a bit better.

Now she is 10 yrs old. She has trouble with the stairs in our home. My bigest concern has been that in the 2 yrs. since the surgery, the drain site has never healed. It still seems to open and drain sometimes. As soon as I think it is finally getting better, it opens again. I have had her on antibiotics several times. Nothing seems to work.

Now she is getting older and her other side now seems to have problems, probably from compensating. I love her!

How do I tell if she is having to much pain? Any suggestions to help her? I don’t want to put her down – I love her and she will do anything she needs. I don’t want her in pain all the time. Any suggestions? Thanks for your time!

How Does A Knee Ligament Surgery Hold Up Over Time – KC is a post from: Dog Knee Surgery and Ligament Injuries

PROM or Passive range of motion exercises are an important part of canine physical therapy following a cranial cruciate ligament (CCL) injury. PROM exercises are useful whether your dog has undergone surgery such as a TTA, TPLO, traditional repair, etc. or if you’ve chosen to do Conservative Management. The goal of PROMs are to increase the movement and flexibility within the joint by stretching the tendons and muscles in a careful, controlled manner.

Dr. James St. Clair of TopDog Health and Rehabilitation demonstrates how to perform Passive Range of Motion Exercises, and explains their importance with regard to maintaining range of motion within the dog knee joint.

Passive Range of Motion Exercises – Video is a post from: Dog Knee Surgery and Ligament Injuries

It is estimated that there are over 15.5 million dogs suffering from arthritis right now – many of whom are silently suffering.

Arthritis is defined as inflammation in the joint, and it may be accompanied by pain, discomfort and/or stiffness. There are 5 general areas which are most succeptible to arthritic change: hips, knees, elbows, shoulders and spine.

In the case of arthritis related to cranial cruciate ligament (CCL) injury, the onset of arthritis is linked to the traumatic injury of the knee joint.

Dogs do not exhibit signs of pain in the same way we do by crying, whimpering or complaining. You will need to pay close attention to the habits of your pet to try and determine whether arthritis is an issue.

Arthritis in Dogs – What to Look For:

• Slowing Down
• Sleeping More & Sleeping Longer
• Standing with Back Legs Closer Together
• Wide Front Leg Stance
• Running with Hind Legs Together aka “Bunny Hopping”
• Joint Licking
• Slow to Rise
• Walking Less than Normal with Frequency and Distance
• Avoiding Jumping or Stairs
• Stiffness
• Limping
• Muscle Atrophy

How to Diagnose Canine Arthritis:

Dr. James suggests if at all possible, you need to have x-rays taken to accurately diagnose arthritis, particularly, the exact point of origination for the arthritic change.

The video above was created by veterinarian, Dr. James St. Clair of TopDog Health and Rehabilitation. Dr. James created his GlycanAid-HA joint support formula as a result of working with many patients and owners coming into his rehab center with a plethora of different supplements. In 2007 he began working with one of the leading experts in the world of veterinary supplements and developed joint health supplement formulas packed with ingredients that he knew worked, and were something he wanted to offer his patients.

Basics of Ligament Injury and Arthritis – Video is a post from: Dog Knee Surgery and Ligament Injuries

Case study on Beefcake – A 12 1/2 year old dog with a difficult time walking; unable to run.

Video courtesy of Dr. James St. Clair of TopDog Health and Rehabilitation, the creator of GlycanAid-HA.

Beefcake Case Study for GlycanAid-HA – Video is a post from: Dog Knee Surgery and Ligament Injuries

Dr. James St. Clair of TopDog Health and Rehabilitation discusses the benefits of using moist heat to help your dog heal from a cruciate ligament injury.

The use of moist heat can help increase healing and decrease pain.

Moist Heat Therapy – Video is a post from: Dog Knee Surgery and Ligament Injuries

Dr. James St. Clair of TopDog Health and Rehabilitation explains the importance of post operative icing within the first 72 hours following ACL repair surgery. Icing will help constrict the blood vessels and prevent inflammatory agents from entering the knee joint. The use of ice can also help relieve pain and make your pet more comfortable.

Icing Options Following Dog ACL Surgery:

• Ice Pack (Standard) – Do not conform to body
• Gel Pack (Gel) – Great choice, conforms to body and stays cold
• Frozen Bag of Peas – Good backup, just does not stay cold very long
• Therapy Wrap – Hot and Cold therapy wrap, easily conforms to body

How to Ice Your Dog

Dogs can be very sensitive and may react. If your dog reacts to the coldness of the ice, go ahead and place a towel over the area you plan to ice in order to prepare them.

Ideally you’ll want to place the ice source so that it wraps around your dog’s injured knee – this is where having a gel ice pack therapy wrap can come in handy.

Post Operative Icing – Video is a post from: Dog Knee Surgery and Ligament Injuries

I have a rescue Basset Hound/Golden Retriever mix who is almost 4 years old. He is a very mellow, chill couch potato that does have spurts of energy and playfulness, unlike our constantly crazy Yellow Lab. About 7 months ago, they were playing in the yard and he must have somehow hurt himself because after napping for a couple hours he wouldn’t put his left rear leg down. He even moaned every once in a while in pain. We called our vet that night (not a surgeon), and he said he was pretty sure it was his CCL and that we can have him evaluated first thing in the morning. However, in the morning he was able to walk on his leg just fine and no moaning or lameness since – so I was reluctant to even take him to the vet. The vet explained the drawer test to us, and then performed it on our baby (who let out the most heartbreaking squeals of pain I have ever heard).

I was a little miffed by the way our vet recommended TPLO. We wanted to do our homework, so we saw an orthopedic surgeon who said he only partially tore his ACL and he recommended TTA surgery, but suggested we first try glucosamine/MSM/chondroitin pills along with strict rest for 8 weeks. We combined that with another antioxidant with glucosamine in a powder form. We were relieved that he suggested this first, as the TTA/TPLO are scary to me. He seemed to recover beautifully, he is a mostly chill dog so he didn’t much mind strict rest! He had no obvious limp and seemed to bear weight pretty evenly for months so we started to slowly introduce some exercise about 2 months ago. At the same time, we decided to switch to cheaper glusocamine pills and he remained to be doing great. We let him off the leash, take him for long walks, and he hasn’t had any signs of pain or lameness.

However, as of 2 weeks ago, he seems to be regressing. I took him for a walk, and wouldn’t even use his leg after a couple of hours. So we went back to strict rest and he was fine to put weight on it again the very next morning, just like at Day One over 7 months ago. Although he is using his leg, he does slightly favor his good leg and are concerned that the rest and glucosamine just isn’t enough for him, but I am praying that switching back to the other pills will do the trick.

Let me tell you, I love the hell out of my dogs, and have done more research and called more vets (holistic, surgeons, etc) than you’d ever imagine. We are trying to figure out what the next step should be. No matter what, we are going back to the other pills and they arrive tomorrow. We are also putting him on a diet dog food, he could lose a couple pounds. I have started massaging and icing his knee. I’m also doing a little physical therapy on him at home using a really helpful youtube video I found. Maybe a brace would help him?

We were so saddened by his setback that we are revisiting the possibility of surgery, as much as we don’t want him to go through that. But I am afraid of arthritis – some say NOT doing surgery causes it, some say surgery causes it. We don’t know what the best thing is for our dog and we want to do the right thing and make an educated decision. The TPLO/TTA seems so invasive, and aren’t sure if it’s worth the risk/cost. Or if since he is generally lazy the conventional surgery would be better for him. Maybe the Tightrope would be better, but I have researched and there are many failed cases of those as well as the other types of surgeries. Any advice or general direction would be greatly appreciated! Thank you in advance for your time!

We are trying to figure out what the next step should be, as surgery is something we are considering but we don’t know what the best thing is for our dog and we want to do the right thing and make an educated decision. The TPLO seems so invasive, and aren’t sure if it’s worth the cost or if since he is generally lazy the conventional surgery would be better for him. Any advice or general direction would be greatly appreciated! Thank you in advance for your time!

A Conservative Management Experience – Pudge is a post from: Dog Knee Surgery and Ligament Injuries

Hello Everyone,

But sadly, against my better judgement, I let her rip when we were out, because she has such a high prey drive, it was the only way to rid her of some of her restlessness. She is supposed to be Chow/Border Collie, which explains the high prey drive! So last week, at the park as so many times before, ZOOM, man she’s gone chasing a squirrel up a tree.

She came out of the bush, with her left rear leg, just gimpy, limpy along. Not until later at the house that night did I notice the extent of her injury. I freaked, cause I knew this was not good. The injury occurred on (I believe) Sunday, and by Monday we were off to the vets.

Long story short, she has blown her ACL and I am devastated. Moving along to a few weeks later, after getting her on Deramaxx for the pain, I wind up at the Idaho Humane Society. I had a visit with the executive director of the center, who is an orthopedic surgeon. We did the exam, had x-rays taken for the first time, and much to my despair, not only is her left leg shot, her right is even worse!

Much to my horror, she also has hip dysplasia in both hips with arthritis and arthritis in both legs also. So in trying to decide to do surgery or CM, after reading about all of you guys that have taken that road I figured, what the hell…. I can not do surgery on legs, hips, and God knows what else! I was so bummed, I am so worried about my girl.

It is horrid to see my wild child, become crippled. (tears, and more tears) So as it stands, right now I too am having to just try to keep her comfortable and out of pain. I restrict her movements, am trying to get a little weight off her (she’s 48 lbs or so) and I have her Rimadyl and Tramadol also. Doc. said to give her 2000mg. of MSM and Glucosomine, which is good to know cause I only was going to give her 1000 of each. That for about 2 months, (2000mg) while she is trying to recover.

This is a difficult thing to watch, but thank goodness I will be home with her not having to work (unemployment!). I can assist and watch over her! I am an old lady myself, but have no children, so you know how neurotic us pet owners can be with “our kids!” So, keep writing guys, this is very helpful – I don’t feel so alone and sad, knowing others out there are struggling with the same problems! Thank you all, and I will keep you guys informed, as we travel this very bumpy road of destiny!!

Appreciatively,
Eilen Baldwin
Star, ID.

Healing a CCL Tear Without Surgery – Jasmond Baldwin 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