This month’s article is by Maja Wichtowski of Tsavo’s Canine Rehabilitation & Fitness Center, Inc. A graduate of Cornell University, Maja has 18 years of extensive experience in Western Veterinary Medicine. Her diverse background includes oncology, orthopedics, internal medicine, dentistry, emergency/critical care, general practice and canine rehabilitation.
We inquired about the most common canine injury, the CCL-Cranial Cruciate Ligament. Regardless if your dog is a sport athlete in Flyball, agility, herding, frisbee, playing at the dog park or a weekend exercise hound it is important to seek medical care with any injury. Maja provides an overview of treatment options for the dog owner when injury unexpectedly occurs.
Maja may be contacted at: Tsavo’s Canine Rehabilitation & Fitness Center, Inc.
Phone 619 846 9531
www.TsavosCanineRehab.com
CCL- Cranial Cruciate Ligament Injury
by Maja Wichtowski
So your dog tore their CCL, now what?
For most, our 4-legged kid’s favorite game is playing ball. All is good until suddenly you hear a scream and your dog returns 3-legged. Is surgery always necessary? What if my dog cannot undergo anesthesia? Is rehabilitation always necessary? We hope to clarify your options.
Go to Your Vet
If you dog does suddenly become lame, it is imperative that you get them to your veterinarian immediately. Your vet can determine the cause for the lameness. If it is a CCL(cranial cruciate ligament) injury, and it is left untreated, joint degeneration progresses quickly and full recovery becomes less likely. The longer your dog overcompensates with the opposite leg, the more likely that the CCL in that leg will also rupture. Then you have a dog that can’t walk at all!
Treatment Options
Surgery
If your dog has completely ruptured their CCL, surgery is probably your best bet for a quick recovery and long-term stability. The orthopedic surgeon will determine which surgery is ideal based on your dog’s age, breed, weight, and activity level. The two most popular surgeries are the TPLO (Tibial Plateau Leveling Osteotomy) and the TTA (Tibial Tuberosity Advancement). They both stabilize the joint by changing the joint’s anatomy, and involve the use of titanium implants. There is also Extracapsular Stabilization, which is the least invasive, but usually only used in dogs under 50lbs.
Immediately following surgery, a combination of NSAIDS (non-steroidal anti-inflammatory), joint supplements, and physical rehabilitation are essential to ensure your pet recovers quickly. Full recovery commonly takes 6-20 weeks, and is dependent on the type of surgery performed, the age and weight of your dog, and how vigilant you are with post-op care.
Non-Surgical Alternatives
If your dog is lucky to have only suffered a partial CCL rupture, or if they are compromised in some way (health or age) that prohibits anesthesia, here are a few options that are available. A custom knee brace is an essential component to recovery if your dog is not undergoing surgery. It will provide stability and allow them to utilize the limb without further damaging the joint. Once you have a brace, stem-cell regenerative therapy or prolotherapy, and physical rehabilitation are the way to go.
Stem Cell Regenerative Therapy requires a minor surgery to harvest the stem cells from your dog’s fat, as well as a repeat anesthesia to inject the harvested and processed cells into the knee the following visit. This therapy uses the same mechanism the body uses to repair itself; with the cells transforming into any kind of cell that is needed. Restricted activity, physical rehabilitation, and brace support, are key post-injection for the best results.
Prolotherapy also uses your dog’s healing mechanism to treat the injury. In this procedure, a solution is injected into the knee directly, causing an inflammatory response which in turn starts the healing process. Your dog will need to be sedated for this procedure, which is usually repeated monthly for 4-6 injections. Post-injection protocol is the same as with stem cell therapy.
The Bottom Line
I hope that we were able to give you a good core understanding of your choices of treatment should your dog ever suffer from this kind of injury. Regardless which route of treatment you and your veterinarian decide on, the benefits of post-op physical rehabilitation shouldn’t be understated. The sooner you start, the sooner your dog can be back on their feet enjoying life pain free. Please feel free to contact us directly if you have any further questions.
Maja Wichtowski, RVT, CCRT
Tsavo’s Canine Rehabilitation & Fitness Center, Inc.
619-846-9531


















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September 30, 2012
“Cross Training” – Dual Duty for the Determined Dog
Posted by Brian and Joanne under Captains' Comments, Team Members, videosLeave a Comment
by Brian Matsumoto
Some flyball dogs are well suited for two or more sports, not just one. On our team alone, we have several dogs who do agility, lure coursing, and dock diving as well as flyball. The key issue here is to know the capability of your dog since every dog is different. Some canines adapt well to flyball, while others are great at agility. Still others have no problem doing both. Determine what sport your dog is good at, and then concentrate on that particular sport. Once your dog has some sports experience, you can move on to other sports. Your pet is smarter than you think. They will know the difference between the various sports and adjust to each venue. If your dog looks like he is not having fun, then he needs to try something else. Usually you can find a sport which suits your dog and you will like as well.
Our dog Zippy loves to play flyball and do agility. He is an excellent swimmer, and could probably do other dog sports if we had time. When doing multiple dog sports, it’s usually the handler’s availability which limits the number of sports the dog can do. Zippy lives for flyball and enjoys giving the opposing start dog a “run for his money”. In agility he anticipates the course and runs at full speed. You can see his enjoyment in the following Petco Commercial, as he leaps over the hurdles and whips through the weave poles. In agility he combines the speed and jumping ability he has learned in flyball with his natural ability to make sharp turns and quick decisions. Zippy loves the challenge and speed of both flyball and agility.
Whatever sport or sports you choose, get out there with your dog and enjoy your time together. High energy dogs will find their own fun and it might be your sofa, cabinet door, or favorite recliner. Dog sports are some of the most rewarding fun you can have with your pooch so get started today!