Post cruciate surgery notes

Post operative period

Stitches are to be removed in 10 days after surgery.

6 weeks strict rest post operatively.

All patients will have weekly cartrophen injections for 4 injections.

Revisit to check on progress every 2 weeks post operatively to ensure the repair is solid. Preferably do this with the surgeon who carried out the operation.

the last check is at 6 weeks post op. when your vet will discuss your pet's return to normal exercise.

Return to exercise program

After 6 weeks total rest a gradual return to normal levels of exercise is advocated. Your vet may vary this program according to your pet's situation. No mad / vigorous exercise during this period.

Week 1: build up from 5-15 min on lead exercise
Week 2: build up from 15-25 min on lead exercise.
Week 3: 25 min on lead 5 min off lead exercise.
Week 4: 30-40 on lead 10 min off lead exercise.
Week 5 onwards: essentially back to normal.

Weight Control

Many dogs with cruciate damage are over weight, one contributory reason why the injury occurred in the first place.
Weight Clinic: Over weight dogs should be enrolled onto our Weight Clinic. Here your pet will get plenty to eat, but the high fibre nature of the diet will ensure weight reduction.

For the future

Once your dog has damaged one cruciate ligament the other one is at risk of rupture at some time in the future (classically 6-12 months later).

To avoid further injury to either knee joints avoid boisterous exercise and any play that involves sharp braking, twisting and turning (eg chasing a ball).

It is possible that there will be some arthritic changes to the joint later on in your dog's life, therefore it is recommended that you maintain them at their optimal body weight. Your vet will advise you on what this ought to be.

Physiotherapy Follow up?

WHY USE A PHYSIOTHERAPIST to TREAT YOUR ANIMAL?
Animals suffer from many of the same problems as humans do:
- back and neck pain
- arthritis
- post-surgery pain and weakness - old age
- congenital problems eg dysplasia..best treated if detected at a young age. - sports injuries
- trauma (e.g. falls, fights, car accidents).

Most animals, like people, benefit greatly from sensitive assessment and treatment.
Physiotherapy can alleviate many problems by working on:
- Soft tissue injuries involving muscles, ligaments and tendons - spinal problems ( back and neck )
- rehabilitation following surgery e.g. for ruptured discs, cruciate repair, arthrodesis, hip replacement.
- dysplasia and other degenerative or congenital problems

Physiotherapists are experts in assessing movement problems. They use their hands to assess and treat your animal. They are trained in the correct use of electrotherapy e.g. laser, ultra-sound and muscle stimulators, and know when to use these safely and appropriately.
Physiotherapists work in conjunction with your veterinarian to ensure the best possible outcome for your animal.
A consultation usually involves assessment of movement problems, gentle joint mobilisation, stretches, corrective exercises, acupuncture, electrotherapy if appropriate. Other techniques such as the TTEAMS method and Trigger point massage may be used. Owners are usually taught simple exercises to treat their pet at home.