My dog has a CCL tear. What can I do for her painful rear leg?

I'm sorry for Brody's injury. It sounds like he had ruptured his cranial cruciate ligament. Surgery is the ideal treatment but when that is not possible, crate rest is strongly recommended. Every time Brody steps on that leg he is injuring it further. If he tries to run and jump or play on it he will injure it even more. So 4-8 weeks of cage rest is better than a lifetime of chronic pain and lameness. There are things you can do to try to make it easier on him. Toys or chews that may interest him but that he can't swallow large pieces of. Make sure he can be out with you on a leash when possible instead of a cage. If he is super anxious or fighting the crate you may need to discuss anxiety or sedation medications with your vet. Here's an article that explains CCL injury a little bit more. I would recommend starting Brody on a supplement such as Dasaquin to try to limit arthritis effects in his knees. http://www.veterinarypartner.com/Content.plx?P=A&S=0&C=0&A=1975

Hello and welcome to Petco Pet Education Center, formerly Petcoach. It sounds like you are doing everything you can right now in terms of supplements and joint support which is good. Since it is both her back legs, and she is a large dog, and she is young, getting surgery on at least one leg is a good idea for her quality of life long term. The alternative however is medical management which includes everything you are doing, PLUS weight loss to keep her on the skinny side PLUS getting that muscle mass up. Since her joints are unstable and cannot tolerate a lot of stress, running and walking may cause more damage, therefore swimming is the best option for her. If you can get her muscle mass up with lots of swimming, and keep her weight lean, you might be able to get her joints more support. As mentioned previously, think about getting surgery on at least one leg. Best of luck with Mania!

A torn cruciate ligament in the knee is not something you need to rush to surgery for. I'm a rehab veterinarian and I usually recommend rest, anti inflammatory medication, and short leash walks for potty only. If she is improving over the next few weeks then she may recover well without surgery. If there is no improvement or she starts using it, then gets worse again then I do recommend surgery. It is very important to prevent any jumping and no explosive movements. Basically Gumbo needs to be leash walked only for up to three months for her to recover without surgery. Also if you have a veterinary rehab clinic near you taking her for treatment there would assist her recovery without surgery. If you have additional questions please request a consultation with me and I can answer them. This is the most common injury I see in my practice. Thanks for using Petco Pet Education Center, formerly Petcoach to help you care for Gumbo.

Hello. I agree, surgery at this age would not be ideal given her age. You do not indicate what meds she is already on, but she should be receiving an NSAID such as meloxicam, carprofen, or any one of several excellent drugs in this classification. I would also have her on gabapentin, possibly tramadol, & maybe even Adequan injections, just in case some of her joints are painful. An alternative for the NSAIDs would be steroids as they are very good at reducing inflammation, but that does put her at some risk for side effects. Hopefully, these can keep him comfortable for some time to come. Thanks for using Petco Pet Education Center, formerly Petcoach.

The answer to your question really comes down to her examination and your goals. It is possible for a cruciate ligament to be partially torn or fully torn. If it is fully torn, the knee is unstable and surgery is the best option to stabilize the knee and slow down the development of arthritis in the joint. If the cruciate ligament is only partially torn, you can see signs like you have in Hambro where she seems pretty normal unless she injures the cruciate ligament again with high activity. For a large dog who is young, partial cruciate ligament injures are often problematic because they inhibit dogs from being able to play normally without being painful, but it sounds like Hambro has done well for 6 months. Another consideration is that if she has a partial tear, she may completely tear the cruciate ligament in the future which will necessitate surgery. There is also a potential complication of cruciate injuries that involve a tear in the meniscus. If that happens, she will be consistently lame and will need surgery. Unfortunately, only you can decide on the right answer for Hambro. Surgery provides the best possibility for return to normal activity without lameness, but certainly isn't without potential risks and complications. I have attached a handout on cruciate ligament injuries below. https://www.veterinarypartner.com/Content.plx?P=A&S=0&C=0&A=1975 Finally, if this is a partial cruciate injury and you would like to avoid surgery, I would recommend trying to find a rehabilitation veterinarian to help you with physical therapy exercises to strengthen Hambro. They will also be able to give you a second opinion. Hopefully you can find a vet in the UK at this site. http://www.caninerehabinstitute.com/Find_A_Therapist.html http://www.caninerehabinstitute.com/action.lasso Good luck! I hope that was helpful. Thanks for using PetCoach.

Kloe probably has pain and stiffness from the surgery. Giving the pain medication as needed is good. Also massaging her leg to relax the muscles can help. Short frequent leash walks will keep her more comfortable and maintain the muscle support for her knee. In the photo I can see that Kloe would benefit from weight loss. Losing 10% of her body weight will reduce the strain on her knees and is equal to giving a full dose of medication for pain relief. It is important to keep her active with walking but minimize the running and jumping as often these dogs will develop problems in the other rear leg over time. Thanks for using Petco Pet Education Center, formerly Petcoach to help you care for Kloe.

So, this is not a simple answer because braces for ACL tears are not as easy to work with in dogs as they are in people. For a knee brace to work in a dog, it needs to be custom made which requires a vet to make a cast from Shamus' leg and mail that to the company to make the brace. They braces cost about $800, but that does not include casting or fitting fees. The brace I have used most commonly is an OrthoPets stifle orthotic. https://orthopets.com/products/dog-knee-brace/ Hero is also an excellent company. https://www.goherogo.com/braces/knee-brace I have not personally casted for this product, but have done rehabilitation on dogs with a My Dog's Brace, and the owners have been pleased with them. https://mypetsbrace.com/canine-knee-braces-rear-leg Good luck! I hope that was helpful. Thanks for using PetCoach.