Our 3 1/2 year old yellow lab has had hind lameness after exercise for several months now. We tried rest and anti inflammatory meds for 3 weeks with no results, so finally had her examined and x-rayed.

She was diagnosed with a torn CCL, with some arthritis in her affected knee. It was a very difficult decision to make whether to operate or do conservative management. I spent nights crying about the consequences of both, and finally decided on the TPLO.

She was operated on 2 days ago and we brought her home yesterday. I was amazed that she was doing so well with some slight weight bearing on the affected leg, but was shocked at the swelling and bruising that resulted after the TPLO surgery. She is eating, drinking, peeing and pooping, and we hope that she remains infection free on her road to recovery. I am still on the fence with regards to my choice, but we shall soon see. Lots of friends have had success with TPLO surgeries on their dogs so I hope to have the same results.

Our dog was also part of a clinical trial involving CCL injury and TPLO surgery. She will be followed closely post op with regards to her gait, weight and hydro therapy.

TPLO Ligament Surgery – Taylor is a post from: Dog Knee Injury

Want to know what the best dog knee brace available is?

Don’t be shy… Post on our NEW Dog Knee Injury Forum!

In response to the high volume of comments a lot of the post have been getting, I’ve opened up the forums as a way for dog owners to connect and discuss their dog’s orthopedic issues with one another.

How to post on the Dog Knee Injury Forum:

1) You must register for a user name to post on the forum.

2) After you’ve registered and retrieved your password from your email, log in (I recommend changing the password to something you’ll remember) and start posting!

3) Keep the comments on topic, and be nice. If anyone encounters any issues on the forum please post in the comments on this page/use the contact form, and I will look into it.

CCL Repair Forum for Dogs is a post from: Dog Knee Injury

To say I panicked would be an understatement. I started crying hysterically and worrying about having to put him down. Well come to find out he had a stomach ulcer which was caused by the increased aspirin regimen which was prescribed by his old vet! I was so irate. But our new vet quickly calmed me down. She prescribed Tramadol for pain, Famotidine as an antacid, Flagyl as an antibiotic, and Sulcrafate to coat his ulcer.

Beau was now officially an old man. Within the next few days Beau started to smile at me again. He began eating again, however his leg was still bothering him. I knew it was something other than the hip dysplasia. So we went back to the vet a week later. She sedated him and x-rayed his hips and legs. That when we found out he had a torn ACL (or CCL, cranial cruciate ligament in dog knees).

Surgery isn’t an option because I don’t have that kind of money and Beau is too old. I would hate for him not to wake back up. I am switching him over to the raw food diet, which he loves. He is still on Tramadol. We are going to switch him to a NSAID once his tummy has had enough time to heal. Today (June 9th) he used his hurt leg for the first time in almost 3 weeks. My baby boy my never be able to walk normally again but I will do everything in my power to help him become as “normal” as possible.

Conservative Management for CCL Tear – Beau is a post from: Dog Knee Injury

One way I found to save some cash when Tucker had his CCL repair was to order his medication and other pre and post surgery needs (like Kong toys, bully sticks, and pet bedding) online.  I purchased his collar, glucosamine and chondrointin supplements, pet pads, and special treats using PetCareRx.  My veterinarian even ok-ed his antibiotic orders through their site, easily saving us a couple hundred dollars!  Their web interface is really simple to use, and there was not a single product I needed that I could not find on their site.  I highly recommend using them if your dog is going into surgery or is recovering from surgery, their prices are absolutely unbeatable.  Plus, any order over $35 qualifies for free shipping – I have NEVER seen that on any of the other pet sites out there.

Ordering Pet Medication Online is a post from: Dog Knee Injury

More and more veterinarians are starting to recommend post operative physical therapy for cranial cruciate ligament repair patients.  While opinions differ from one veterinary surgeon to another, proponents of canine PT believe that physical therapy in the post-op CCL repair dog can help bring a dog back to full function in a shorter amount of time vs. traditional rest following surgery.  Veterinarians are presently conducting studies to show the efficacy of PT in animals, and to prove that it has a similar restorative mechanism as PT in humans. 

The second part of canine PT is begun as inflammation has started to resolve, and healing begins to be the predominate theme in the wound. During this time pro-PT veterinarians believe that enough stress should be applied to healing tissues to stimulate and optimize healing without threatening the stability of the joint. Ideally, phase two activities should parallel the gradual increase in tensile strength observed in the wound. If one is too aggressive with PT during this period, failure can occur; conversely, if one lags in PTH activities, the goal of early return to function is not accomplished.

Exercises included in canine PT:

1.   Sit and stand.

2.   Corner stands.

3.   Figure-eight walks.

4.   Wheel barreling.

5.   Stretching of hamstrings, quads. (without stimulation).

6.   Decline treadmill followed by incline treadmill.

7.   Leg weights.

8.   Unbalancing activities..

Right now PT is favored in dogs with working backgrounds such as agility or hunting, but it has begun to pop up amongst other owners as well.  Not all veterinary offices offer PT services, and you should check with your vet prior to CCL repair as to whether or not it is something your doctor recommends. None of these exercises should be attempted on your dog by anyone other than a trained professional, and premature movement of the joint in a post-op CCL repair dog can compromise the stability of the joint and ultimately cause the repair to fail. Always follow the direction of your veterinarian when exercising your dog during the post operative period.

Physical Therapy in Post CCL Repair Dogs is a post from: Dog Knee Injury

Following a CCL repair surgery or during the Conservative Management process, your dog is likely to experience a significant amount of pain related to the injury to their knee ligament. For surgical pain or injuries that your pet my be dealing with, there are some holistic alternatives which are extremely effective in dogs.

• Acupuncture – Acupuncture has been shown to both relieve pain and relax your pet, helping him or her cope with stress better.
• White Willow Bark – White willow bark is an herbal remedy that can take the edge off minor pain, but should NOT be used on cats.
• Arnica – Arnica is a homeopathic remedy that can be powerful for post-surgical pain, or pain from injuries. For severe pain a typical dose of arnica is the 1M or 10M potency, but for exact dosages and directions, please consult your holistic veterinarian. Arnica is applied topically, so you will need to take precautions to ensure your dog does not remove the arnica from their skin.
• Calendula Officianlis – Herbal or homeopathic gels containing calendula officianalis are wonderful for putting on incisions. They help with pain, itching, and irritation; many humans use them on their own surgical incisions with much success, and the relief is often immediate and unmistakable. Dogs tend to leave their incisions alone much more readily when they are treated with calendula.
• Fish Oil – Fish Oils containing Omega-3 Fatty Acids can be very helpful in reducing inflammation in dogs. One daily dose of 1000 mg is sufficient to aid any discomfort related to inflammatory processes, including arthritis.
• Yucca – Yucca can be helpful for dogs with inflammation and arthritis. Yucca root can be found in a tincture that can be placed in your dog’s food, and it should be used daily for maximum effectiveness.

There is nothing holistic about suffering or pain, and if your dog is in real distress, you may want to explore other pharmaceutical options for pain management; this is especially true in the case of dogs that develop chronic pain post-operatively due to arthritis. Many of the holistic techniques mentioned above can go hand in hand with conventional veterinary medical treatments. For example, if your dog has arthritis or similar conditions, acupuncture can be powerfully effective in combination with allopathic medications, and the drug Adequan actually rebuilds cartilage and lubricates and cushions your pet’s joints. Let the NSAID handle the pain, but continue using alternatives to help heal and support the body.

We all want to do what is best for our pets, and making sure they are comfortable throughout the surgical process is important in their overall recovery. Be sure to attentively listen to your dog’s needs and be open to pursuing other avenues with regard to pain management to assure the best outcome for your dog.

If you’re interested in learning more about holistic, naturopathic and alternative veterinary treatment for dogs, there are a handful of excellent books out there written by homeopathic veterinarians. Below are a few of the guides I’ve found helpful when looking to treat my dog using natural methods like homeopathic medicine, naturopathy, chiropractic and accupuncture.

If you want information on buying natural supplements or homeopathic treatments for dogs, please visit our – Homeopathic, Alternative and Natural Medicine Guide (click on text for link)

Holistic Alternatives to Pain Management in Dogs is a post from: Dog Knee Injury

Many veterinarians will try to pressure owners into immediately proceeding with surgical intervention to repair a dog’s damaged cranial cruciate ligament (CCL) by saying early intervention will decrease the likelihood of arthritic changes to the knee. There is some truth to this – restriction of the knee joint after injury does help to minimize the progression of arthritic tissue in a dog with a CCL injury, but the necessary amount of restriction can be reached with conservative techniques as well as surgery. Restricting your dog’s activity following a cruciate ligament injury is your best defense against arthritis, and no owner should ever be made to feel as though surgery is their only option.

The truth is, all dogs that sustain a cruciate ligament tear or rupture are at an increased risk for arthritis, no matter at what point surgery (if ever) is undertaken. There is no evidence that dogs who recover using Conservative Management (CM), and dogs who recover with surgery show any differences in the development of future arthritic problems. Proper restriction during recovery and avoiding high-risk activities after recovery, together with weight control, good nutrition, and joint-supporting supplements are what minimize the chances of future arthritic problems – not immediate surgical intervention.

Does CCL Repair Surgery Lessen Arthritis Risk? is a post from: Dog Knee Injury

Not surprisingly, surgery is almost always advocated by surgeons . It is likely that surgery does help reduce the amount of arthritis that occurs, but in a long term study of cruciate ligament surgery in dogs in Australia, about 50% still had detectable arthritis in surgically repaired joints and about 10% of dogs were persistently lame despite attempts to surgically stabilize the joint. Tibial plateau leveling osteotomy (TPLO) has become the top choice for surgical CCL repair among many orthopedic veterinarians, and it can be done in both large and small dogs. Supporters of TPLO will say its good choice for the situation in which there is a bilateral cruciate rupture since it seems to be a strong repair procedure, but there are many instances where dogs have done equally as well with either TTA or a traditional repair.

One benefit of doing a traditional extracapsular repair, in addition to saving a few thousand dollars, is that you still have other options for repair if for some reason the traditional repair fails. If you are choosing surgery for a dog with a double CCL rupture, make sure to research each procedure carefully before blindly going along with a procedure you know nothing about. TPLO, TTA and traditional repairs are all very different procedures, and each carry their own set of risks vs. rewards. The best way to find out what is right for your pet is to do as much research as you can and find a veterinarian that is willing to discuss your many options for surgical intervention.

If surgery absolutely isn’t an option, there is a very good chance that in a few weeks, to a few months, you will find that your dog is doing OK without any type of surgical intervention -especially if you can manage the weight loss. There are a number of great resources both on this website and the web with instructions on how to succeed with CM.

CCL Injury in Both Back Legs is a post from: Dog Knee Injury

NSAID stands for non-steroidal anti inflammatory drugs. These medications are most often prescribed to dogs for pain, inflammation and to aid in fever reduction. NSAIDs are most commonly used for the symptomatic relief of arthritic pain in geriatric pets. Aspirin and ibuprofen are well-recognized human NSAIDs, and the Food and Drug Administration’s (FDA) Center for Veterinary Medicine (CVM) has approved specific NSAIDs for use in pets with osteoarthritis. NSAIDs work by blocking the production of prostaglandins, the body chemicals that cause inflammation, and can be highly effective for controlling discomfort in arthritic and post op pets.

The FDA considers NSAIDs to be “safe and effective when used according to the label and when pet owners are informed about common NSAID adverse reactions.” According to the American Veterinary Medical Association (AVMA), the NSAIDs are available today are much safer than they have ever been in the past and cause far fewer side effects. The FDA also notes that “duration of use makes a difference in the safety” of NSAIDs as the risk of side effects can increase the longer a pet is given an NSAID. The FDA considers approved NSAIDs to be safe and effective when used according to the label and when dog owners are informed about common NSAID adverse reactions.

What are possible adverse reactions/side effects to NSAID use?

• Change in appetite
• Vomiting
• Change in bowel movements
• Change in behavior
• Seizures
• Yellowing of gums, skin or whites of the eyes
• Change in drinking habits
• Change in urination habits
• Change in skin – redness, scabs or scratching
• Lethargy and/or depression

More serious side effects included gastro-
intestinal bleeding, ulcers, perforations, and in
rare cases, kidney and liver damage, and death.

What NSAIDs are approved for use in my dog?

• Etogesic (etodolac)
• Rimadyl (carprofen)
• Metacam (meloxicam)
• Zubrin (tepoxalin)
• Deramaxx (deracoxib)
• Previcox (firocoxib)
• Novox (generic carprofen)

Safety of Anti Inflammatory Medications, NSAIDs is a post from: Dog Knee Injury

Check the incision for signs of infection daily which include swelling, pain, discharge and redness. This is obviously not possible if your dog came home with a modified Robert Jones (or similar) bandage, but the same rule applies – check the area around the cast each day, making sure to check for any swelling, discoloration or infection. When checking the surgical site, a cold compress can be applied to the stifle three times daily, 10 minutes per session for the first 2 days to help reduce the swelling. Starting on the third day after surgery, a warm compress can be applied to the stifle in order to soften the connective tissues. Your veterinarian will instruct you as to whether to also pursue range of motion exercises or physical therapy at this time – this will depend on which procedure your dog underwent.

Just remember to listen to your dog. They will make you aware of their comfort level, and let you know when they are ready to start using the injured limb more. No one is perfect, and we have all had those “oops” moments when our dog tried to do too much too soon, but just stay positive. Your dog has a keen sense of what you are thinking and feeling, and this ultimately will have an effect on their recovery.

What to Expect After CCL Surgery is a post from: Dog Knee Injury