How to prevent another ACL tear in my dog & is surgery best?

Braces are rarely used if surgery is an option. In small dogs, they are not usually needed. Braces can cause some issues because the fit has to be absolutely perfect to avoid rubbing the skin or causing other joint damage. The best thing to do is “bed rest” and pain medications as prescribed by your vet.

Hi and thanks for using PetCoach! Sorry to hear that Nevaeh is going to have surgery this Friday. Great question regarding supplements. I would advise that you check out the following website- http://www.vrshealth.com/canine-products/?petcoach=1977951 Look at Canine Omega Benefits and Osteo TruBenefits I wish you and her the best of luck. I hope she does great.

I'm sorry that you are dealing with this with Sookie. If Sookie's cruciate ligament is completely torn, surgery is the best option for stabilizing the joint and developing less arthritis as she ages. Without surgery, the knee will scar and Sookie will walk on it again, but Sookie will develop more arthritis in the joint than if she has surgery. Small dogs often do "OK" without surgery, but do develop more arthritis in that joint than if they have surgery. Arthritis actually starts developing almost immediately after a cruciate injury, so it is a concern. Since Sookie is 8, I suspect the surgery will provide her the best quality of life for a long time with the least amount of arthritis. Here is more information on cruciate disease. https://www.veterinarypartner.com/Content.plx?P=A&S=0&C=0&A=1975 Finally, if you decide to avoid surgery or would like to get another opinion, I would recommend trying to find a rehabilitation veterinarian to help you with your decision and possibly recovery after surgery. http://www.caninerehabinstitute.com/Find_A_Therapist.html Good luck! I hope that was helpful. Thanks for using PetCoach.

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!

Hello, and thank you for using Petco Pet Education Center, formerly Petcoach. I'm sorry to hear about Jaeger's injury! Unfortunately, a torn ACL will not heal, as ligament tissue cannot re-grow. So, he does need surgery in order to maximize his ability to use that leg. With that said, there are certainly plenty of dogs (and humans!) out there who do not have their torn ACL surgically repaired, and instead manage the injury with pain meds, anti-inflammatories, and rest as needed for life. But, without surgery that stifle ("knee") will remain unstable. Additionally, dogs who tear one ACL are at increased risk of tearing the other, which in my opinion adds another reason to pursue surgery, so if that happens Jaeger wouldn't have *2* unstable stifles. I hope this helps - you're welcome to request a consultation if you'd like to discuss Jaeger's injury in more detail!

No ibuprofen is not safe to give to your dog. While aspirin had been used for pain relief many years ago now there are safer pain medications specifically for dogs. Aspirin can cause gastric ulcers and intestinal bleeding so I never recommend it. Your veterinarian should examine Hershey as she may have injured the ACL on the other leg. Over 70% of dogs who damage one ACL damage the other one within a few years. Hershey will need rest, no jumping, controlled leash walks and pain medication to get better without surgery. If there is a dog rehabilitation center near you they can give exercises for home care and can provide therapy usually including hydrotherapy. If the ligament is torn completely and the lameness not improving in a few weeks with rest, therapy and medication then Hershey may need surgery on the other knee too. Please talk with your veterinarian about prescribing a safe pain medication for Hershey. Thanks for using Petco Pet Education Center, formerly Petcoach to help you care for Hershey.

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.