Rehab for Pet Surgery – 3 Steps

Spaniel dog with plastic Elizabethan collar on her

Jicky the Spaniel in the E-Collar after FHO

A quick bit of info for you after your pet has had surgery.

I do work on lots of cats and a variety of other animals. If you want to know more about cat specifics now, please search for cat in the search box. I’m still working on developing the cat information pages.

For more specific info on a particular condition, please refer to the menus at the top of the page. If you do not see what you are looking for, please use the search box on any  page.

If the injury is a torn knee ligament, then please click here to read more info about that condition. After that, please go to the instructions on this page!

 

“My pet just had surgery…
…and now that I’ve gotten them home, I realize I’m not really sure what to do!!”

First and foremost:  pay attention to the discharge instructions your veterinarian has given you if your pet just had surgery or you have received instruction about an injury.  Please pay special attention to the part about no running, jumping, or playing. You and your pet will be doing good work for recovery if you exactly follow my booklet instructions.

If your veterinarian did not say so, please note there should not be any flying over couches, no galloping on stairs, no jumping into or out of cars and trucks,  no jumping onto couches or your bed, no jumping off of couches or beds, no twisting very fast in tight circles, no sliding on ice or slippery floors, and no freedom in and out of doggie doors.  No owner jumping out from behind things to scare the dog into running crazy funny around the house like you sometimes like to do.

No running really means no running…

…to the door when the doorbell rings, no running away from Halloween costumes, no running from one end of the house to the kitchen every time the fridge or a plastic bag is opened, no running to you when you yell to ask the dog if it wants to go outside, no kitty running from anything right after surgery, and no running inside after the ball, which is very similar to no running outside after the ball. No, no swimming until at least eight weeks after surgery and then only if no lameness is present at a slow walk.

DO work on the protocol below and the info contained in the instruction booklet.

1) Here are guidelines to follow for the first four weeks after surgery:

I currently have published one book to help your pet through four progressive weeks of recovery after any surgery.

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

This book is specifically addressing surgery after a torn knee ligament. Until I am able to publish the books I am working on that deal with soft tissue surgeries, hip issues, other knee issues, elbows, spinal issues and more, this book will be very helpful to you for the first four weeks of recovery if your dog has had one of these other surgeries.

This book has the information, restrictions and advice I would give after almost any surgery. If you follow the restrictions and the practical applications in the booklet, your pet should do well and recover progressively if there are no additional issues.  These restrictions will match a lot of what your vet surgeon gave you to follow after surgery.

My recommendations are based on decades of information we have in human sports medicine recovery. These methods matches up very well how your pet thinks and moves and behaves. This program matches up scientifically with how the body recovers.

These instructions incorporate steps  for functional recovery, so there is a LOT more structured and guided info in the book. The links to the book I made for this page will take you to Amazon. You may order the book from any bookstore using the ISBN.

I also have info elsewhere on this site about cats and surgery. Cats aren’t small dogs. Unless your cat will walk on a leash, which some do very well, I recommend looking at this page for now.

So, the following book will help you calmly and methodically approach recovery from your pet’s surgery. The book will guide you to establish a functional base of activity.  You have to build a good base to help recovery and to of avoid additional injury. This is only the base. I have more strengthening programs and other drills for you to do to return your pet to a rambunctious lifestyle.

A good recovery plan helps guard against future or further injury, especially in the opposite limb! I am very happy to report that people and dogs that follow both this and the non-surgical program for 12 weeks do not end up with the other knee ligament tearing. It’s all a matter of balancing the work. I design programs based on decades of experience with exercise physiology recovery principles.  My programs also help encourage people being connected to their pets!


Amazon

Books are also available on Barnes and Noble and you should be able to order them from any bookseller, especially if you use the ISBN.

Instructions for first four weeks for dogs after FHO (hip surgery where the ball of the femur is cut off):

Instructions for first four weeks after surgery for luxating patellas (flopping kneecaps):

Find a few more homework info pages by following the links in the menu at the top of the page.  Also use the search feature.

2) In addition to thoroughly reading any of that info (some of which now includes exercises available in book form), please watch > this video < twice, and begin to do this massage daily for a month:

Please watch the video to see my recommendations on method of use for massager unit AND so you will hopefully have success introducing the massager.

There are written instructions under the video on the linked page.
Here is what the massager looks like, and if you click on the picture, you may buy it on Amazon if you choose:

Homedics brand hand-held massage unit with four feet

3) If your pet is still limping 5-7 days or more after surgery, please read this > pain post < all the way through!

There is more on the topic of pain within the books-

Check out other resources under the “Rehab Resources & Tools” link in the menu under the website title at the top or by clicking here

 

Blessings-
Rehabdeb

(Original Post March 17, 2015. Updated July 29, 2019)

Physical Therapy as Effective as Surgery for Torn Meniscus and Arthritis of the Knee, (Human) Study Suggests

Just One of Many Studies Published on This Topic-

My programs for conservative (no surgery) treatment are clinically and anecdotally successful. So, this means that clients and veterinarians do the work and get good results.

Physical Therapy as Effective as Surgery for Torn Meniscus and Arthritis of the Knee, (Human) Study Suggests –

“Surgery may not always be the best first course of action.

A physical therapist, in many cases, can help patients avoid the often unnecessary risks and expenses of surgery. To reinforce that, this study should help change practice in the management of symptomatic meniscal tears in patients with knee osteoarthritis.” Mar. 21, 2013 — A New England Journal of Medicine (NEJM) study showing that physical therapy is just as effective as surgery in patients with meniscal tears and arthritis of the knee should encourage many health care providers to reconsider their practices in the management of this common injury, according to the American Physical Therapy Association (APTA).

The study, published March 19, showed no significant differences in functional improvement after 6 months between patients who underwent surgery with postoperative physical therapy and those who received standardized physical therapy alone.

“This study demonstrates what physical therapists have long known,” explained APTA President Paul A. Rockar Jr, PT, DPT, MS. “Surgery may not always be the best first course of action. A physical therapist, in many cases, can help patients avoid the often unnecessary risks and expenses of surgery. This study should help change practice in the management of symptomatic meniscal tears in patients with knee osteoarthritis.”

According to lead physical therapist for the trial and American Physical Therapy Association (APTA) member Clare Safran-Norton, PT, PhD, OCS, “our findings suggest that a course of physical therapy in this patient population may be a good first choice since there were no group differences at 6 months and 12 months in this trial.

These findings should help surgeons, physicians, physical therapists, and patients in decision-making regarding their treatment options.”

Researchers at 7 major universities and orthopedic surgery centers around the country studied 351 patients aged 45 years or older who had a meniscal tear and mild-to-moderate osteoarthritis of the knee. Patients were randomly assigned to groups who received either surgery and postoperative physical therapy or standardized physical therapy. Within 6-12 months, patients who had physical therapy alone showed similar improvement in functional status and pain as those who had undergone arthroscopic partial meniscectomy surgery. Furthermore, patients who were given standardized physical therapy — individualized treatment and a progressive home exercise program — had the option of “crossing over” to surgery if substantial improvements were not achieved. In this situation, thirty percent of patients crossed over to surgery during the first 6 months. At 12 months these patients reported similar outcomes as those who initially had surgery. Seventy percent of patients remained with standardized physical therapy.

According to an accompanying editorial in NEJM,”millions of people are being exposed to potential risks associated with a treatment [surgery] that may or may not offer specific benefit, and the costs are substantial.” Physical therapist and APTA member Mary Ann Wilmarth, PT, DPT, MS, OCS, MTC, Cert MDT, chief of physical therapy at Harvard University, said, “Physical therapists are experts in improving mobility and restoring motion. The individualized treatment approach is very important in the early phases of rehabilitation in order to achieve desired functional outcomes and avoid setbacks or complications.”

Story Source:

The above story is reprinted from materials provided by American Physical Therapy Association. Note: Materials may be edited for content and length. For further information, please contact the source cited above.

Journal Reference:
Jeffrey N. Katz, Robert H. Brophy, Christine E. Chaisson, Leigh de Chaves, Brian J. Cole, Diane L. Dahm, Laurel A. Donnell-Fink, Ali Guermazi, Amanda K. Haas, Morgan H. Jones, Bruce A. Levy, Lisa A. Mandl, Scott D. Martin, Robert G. Marx, Anthony Miniaci, Matthew J. Matava, Joseph Palmisano, Emily K. Reinke, Brian E. Richardson, Benjamin N. Rome, Clare E. Safran-Norton, Debra J. Skoniecki, Daniel H. Solomon, Matthew V. Smith, Kurt P. Spindler, Michael J. Stuart, John Wright, Rick W. Wright, Elena Losina. Surgery versus Physical Therapy for a Meniscal Tear and Osteoarthritis. New England Journal of Medicine, 2013; : 130318220107009 DOI:10.1056/NEJMoa1301408

Veterinarian Comments and Reviews

You may find more positive veterinarian comments and reviews around the web. Below are a couple I have copied from various web locations –

“We are so grateful for the expertise and compassion you provide the central/south Texas community!”
Mission Veterinary Specialists, San Antonio, TX

“Once again, thanks for engaging the veterinary industry and client owners with your work and experience. I enjoy your enthusiasm and passion for the area.”
DVM, ACVS (American College of Veterinary Surgeons), South Texas

“Thanks so much, Deborah! The book is impressive. Maybe you should leave a copy at (some shelters) since they put so many cruciate dogs on the euthanasia list…Great work and thank you!”
DVM, Austin, TX

“Read your book. Excellent job. Now at ACVS they are all for non surgical acl (rehab)…Good job!”
DVM, Austin, TX

book cover of my non-surgical recovery booklet

“Finished reading “instead of surgery” kindle booklet. Bueno! Great discussion on importance of pain control, in particular. ”
DVM, Austin, TX

“Hi Deborah! I read your book the night I got it. I really like it and have already recommended it to a client last week. I hope she bought it. I will write a review for amazon for you, too. I hope you are really successful in this. I know how hard you work!”
DVM, Kerrville, TX

“Once again, thanks for engaging the veterinary industry and client owners with your work and experience. I enjoy your enthusiasm and passion for the area.”
DVM, ACVS, South Texas

“Great plan outline! I’ve come to think that using the water treadmill is (overrated), and it’s nice to finally have a definitive plan to get clients on the road to recovery.
DVM, ACVS, Austin, TX

“Just wanted you to know I read and appreciated the CCL rehab book, I will likely keep a few in the clinic.”
DVM, Austin, TX

“Bought one of your books last week. Its great!”
Megan Kelly BVSc DIPVET CCRP Holistic Veterinary Surgeon, Cape Town, South Africa

Please see client reviews and testimonials by clicking on either ^^ word in bold color ^^ 🙂

Thanks! Rehabdeb

(Updated February 10, 2018)

Books for After Surgery: Functional Recovery and Rehabilitation

Has your pet had surgery? Do you need a rehabilitation plan to follow at home?

Then take a moment to look over this site, follow the instructions on the surgery page, and stay calm and thoughtful about your work with your pet.

This book is the program to follow to begin recovery after most orthopedic or neurological surgeries.

Rehabilitation after surgery for torn knee ligament:

Click on THIS LINK, and you should be directed to Amazon in your country, unless you live in these countries – Australia, Brasil, India, Mexico, Nederland , in which case you should click on the name of your country ^^ to be taken to the book.

(available on Kindle and in paperback, and you may order the paperback through any bookseller by using the ISBN 978-0615905358)

Some Reviews About the Books…

(click ^^)

 

Conservative Treatment Books: Instead of or Before Surgery (Pre-hab):

This book is the program to follow to begin recovery for most orthopedic or muscular injuries! This includes hip problems, ankle problems, and others.

Has your pet been injured, and it’s not “life or death”? A torn knee ligament, hip dysplasia, and luxating kneecaps are examples of “not life or death”.

Then take a moment to look over this site, follow the instructions on the “injured” page, and take a deep breath!

This book is the program to follow to begin recovery for most orthopedic or muscular injuries!

Conservative treatment after torn knee ligament, instead of or prior to surgery:

booklet with instructions for you to follow with your dog after injury, instead of surgery or prior to surgery

(click on the THIS LINK, and you should be directed to Amazon in your country, unless you live in these countries –  Australia, Brasil, India, Mexico, Nederland = you should click on the name of your country to be taken to the book).

(available on Kindle and in paperback, and you may order the paperback through any bookseller)

Some Reviews…

A Few Amazon reviews I took time to copy/paste here for you (additional testimonials are above, in the Feedback section):

“I’ve known Deborah Carroll for several years and she has worked with us rehabbing our 90lb Hound/Lab mix. I have always found her to be chock full of great scientific information in rehabbing your pet and the booklet simplifies all that into simple to understand protocol and reasons to follow the protocol to help your dog. Short read but well worth it. I love it!”
D.B., Amazon Review

“The book easily outlines a plan to rehabilitate your dog from a knee injury. I now feel like there is hope for his long term recovery. Thanks Deb!”
Amazon Review

“Using the methods described in this book, we were able to completely rehabilitate our Labrador retriever from a torn ACL without having surgery. Very thankful that this book was so easily accessible!”
H.P., Amazon Review

“I chose not to have my 9 year old Lab put through the stress of surgery on his torn CCL – knowing that he is already showing signs of the other leg being injured. After much research, I found Deborah’s website and read a lot of the blog posts where I learned of her book. I have been using the therapy in the book now for about a month and it is working well in conjunction with some holistic remedies and massage, Since the process of healing is really the same for both non-surgery and surgery dogs, this book will help either way! Easy to follow, but you do have to stick with it to see results.”
Amazon Review

“I have worked in a variety of animal care fields – as a veterinary technician, pet sitter, and behavior consultant – since 1997, and have several mutual clients with the author. As such, I have seen first-hand what she can do for both her clients and patients. Her knowledge, skill, and bedside manner are impeccable, to the point that she has become the only person that I refer people to for small animal rehabilitation in the Austin area. I am so glad that she has written this book, so that people who live outside the Austin area can benefit from her expertise. I highly recommend it!”
Emily S., Amazon Review, From Beaks to Barks

“This was an easy to read and understand guidebook. There were lots of practical tips offered. Her program is something I can follow on a day to day basis. The author has obviously had lots of experience with dog rehabilitation and wants the best for our dogs.”
Lori L., Amazon Review

“I love Deborah Carroll and her approaches to rehab/conditioning- we see her next week.”
Courtney K, Austin, TX Courtney’s Agility Page