My dog is limping from a cruciate injury. Can we avoid surgery?

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

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 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!

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.

It is difficult to assess without a full history of the type and severity of the injury. The most common type of injury is to the cruciate ligament inside the knee - although this can stabilise quite well with rest, weight management and joint supplements (especially in smaller dogs under 10-15kg), surgery is the recommended route in order to minimise the severity of arthritis which will develop due to the joints being unstable. Some arthritis is inevitable but it should be less severe and develop later in life if the joint is quickly stabilised with surgery

I think it would be worth a surgical consult if you're able. That doesn't mean you have to do the surgery but can help you make an informed decision. They may also have a physical therapy option that could be helpful with or without surgery.

In these cases ACL or CCL tear is the most likely reason for it. Tear can be partial and conservative management (especially in dogs under 15kg) could be successful. Complete rest and anti-inflammatory meds can be attempted.