Junior, 9 1/2 yo, Atrophy and Lameness After Surgery for Torn CCL/ACL and Meniscus

POSTED BY DAYNA PESENTI | NOVEMBER 20, 2013, 3:15 PM

My dog had surgery for a torn ACL and a torn meniscus about 10 weeks ago. He is 9.5 years old and making a slower recovery than the vet would expect. He is using the leg but not building much muscle back. I could use some advice on how to proceed with his rehab and I would love to set up a phone consult if possible as I am in California.

Thanks!

POSTED BY REHABDEB | NOVEMBER 21, 2013, 10:49 AM

Hi!
Thanks for writing-
If you were here in person, I’d start by telling you the same thing as I’m writing here now:
Follow the link to get a copy of my post-surgical book for 4 weeks of rehab after this surgery.
In the book I explain at length why it doesn’t matter if the surgery was a day, a week, a month, or a year ago, and I outline how to determine where your dog falls in the recovery process.
Read it all the way through (it’s short and inexpensive), and then begin.
Honestly, I see hundreds of cases like this, and every one of them needs to start at week 1 or at week 2 at the most.
I also explain why your pet isn’t seeming to build muscle, even though it looks to you like they are using the leg 🙂
Once you get the book and follow everything in it to at least 90% compliance, write another note, and we’ll pick up from there!
The book also recommends watching my massage video, also on this site, twice, and then beginning doing that daily.
I have every reason to believe you will begin to see more success if you take a deep breath and get the foundation base established as I outline. After that, you guys can move on to harder work.
Thanks!
Blessings-
Deborah

Guidelines for Home Rehabilitation of Your Dog: After Surgery for Torn Knee Ligament: The First Four Weeks, Basic Edition

http://wp.me/P1wSDA-bt

POSTED BY DAYNA | NOVEMBER 21, 2013, 11:24 AM

Thank you! I wasn’t sure the book would apply so far out but I will order it now and read it from cover to cover.

POSTED BY REHABDEB | NOVEMBER 21, 2013, 11:29 AM

Great, and I’ll look forward to hearing back from you.
I’m working on the paperback, so this one is only on Kindle for now, but you may see it from your Mac/phone/PC using the app. You don’t need to have a Kindle. (paperback is now available 2/14)
What’s your dog’s name?

POSTED BY DAYNA | NOVEMBER 21, 2013, 11:33 AM

I already bought it and I am having no trouble viewing on my PC. My dog’s name is Junior 🙂

POSTED BY REHABDEB | NOVEMBER 21, 2013, 12:12 PM

Awesome!!
Carpe diem, Junior- 🙂

POSTED BY DAYNA | NOVEMBER 21, 2013, 1:39 PM

I read the book from cover to cover and I am going to start his walks using your method. I have been walking him 25- 30 mins once a day but I think the pace was too quick. I will start walking him 3-4 times a day for 10 slow minutes and see how that goes. I also think he should probably still be on pain meds from what you are saying. He uses his leg but he is “lighter” on that leg than his other one, making me think he probably has some pain. I will talk to the vet about that and I still have Rimadyl and Tramdadol from his surgery.

I have a few questions. First you say no water treadmill’s which is fine because we don’t have one to use, but what about my human treadmill at home? It has been quite rainy here and Junior HATES the rain. To get his daily walks in would it be ok to have him walk on my treadmill at a slow pace? He is already used to walking on it and does fine.

Even though he is walking and using his leg, do you think he isn’t building muscle because he is walking too fast and is still somewhat painful in that leg?

POSTED BY REHABDEB | NOVEMBER 21, 2013, 8:24 PM

Good, on acknowledging the 10 min, slow pace for him for now…
I agree about the “lighter” part, and once you get going on the specific walks, slowly, you will possibly see more limping…and you already know I cover all that in the book, so I won’t repeat.
You could use a land treadmill, but sometimes that causes additional problems; I usually don’t recommend it unless the dog is already accustomed to working on one, like some of my competition client dogs are. There are specific cautions I use to introduce them to the treadmill, and I’d hate to see him freak and scramble around on you and hurt himself worse! That being said for anyone who reads this, since he’s accustomed to it, yes, you could probably have success with walking him on the land treadmill on rainy days. I don’t recommend it for all his walks, because it does dictate gait differently than if he weren’t on it. It’s a good option in the situation you described. Make sure you have him go very, very slowly. For others in this predicament, if possible, for the shorter walks (10 min), can you turn on some music and make a non-stop path around the house? That works with a lot of my clients, even in a small home.
And, yes 🙂
Blessings-
Deborah

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