Dog Cruciate Ligament Treatment - Should You Buy a Knee Brace? - Dog Health Vet Advice
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- Опубликовано: 5 окт 2024
- Cruciate ligament injury is one of the most common causes of lameness in dogs. Anterior cruciate (ACL) injury in people is often treated with a knee brace so is a brace the right option to treat your dog who has suffered a similar injury to their leg?
The cruciate ligament can either rupture and be completely torn or suffer from a partial, non-complete tear. There are a number of different treatment options such as rest with pain killers or different types of surgery. With people more often now wearing knee braces to help healing after ACL injury, should we be using these types of leg brace in dogs?
The braces are not cheap so we want to be sure they are money well spent!
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I have a pit/shepherd with a 100% rupture. We did sedation and heavy red-light laser therapy. No surgery 6 years later she runs (now has some dysplasia at 12 yo) and plays. She has lived a great life and is slowing just due to age- but still lovers her bunnies and squirrels.
I'm going to use RLT on my dogs knee. I'm glad you had success with light therapy gives me hope. Thanks!!
After reading all the scientific literature I could find on the 4 surgeries available in the US, the rate of complications and infections compared to the long term benefits in large and active dogs convinced me that conservative treatment plus a brace is the better option. One of the surgeries had a 40% infection rate in large dogs, a second simply doesn't work for large and active dogs because it uses a monofilament cord that breaks too easily, and the other two involve complete restructuring of the joint that requires at least 3 months keeping the dog in a crate, and in fact one of the reports stated that these remodeled bones may not be completely healed at 12 months (yes, months, not weeks). And of course fracture of these remodeled tibias is much more likely in large dogs.
As far as "testimonials" not being comparable to studies of surgical results, I found it very interesting that the most common measure of success in those studies was "owner satisfaction" which sure sounds like a testimonial to me, rather than long-term objective standards like abnormal gait or disability, especially after several years.
I put a brace on my large livestock guardian dog (as in not a dog that can be confined in a crate for months). Objective results: he now stands on the injured leg and raises the good one to pee; he goes up and down steps one foot at a time putting weight on the injured leg; he walks without a limp with the same stride length on both legs. Maybe it's time you vets DID some studies on the effectiveness of various braces.
Good braces aren't cheap, and they are a lot of work to monitor, but from all the studies I read they are less likely to do harm to a large dog than any of the surgeries used to treat CCL tears.
hey my dog currently has a partial ccl/acl tear. I was looking in to the ACO custom fitted brace. what brace did you use or what would you recommend to do in addition to using the brace? my dog is 75 pound lab/pit so cant crate her either.
@@barnhousefarming3651 what brace did you end up going with and did it work? I have a furry friend in pain and it's tough. I want to get the proper brace on top of the MSM, Chondroitin, & Glucosamine. Any help would be greatly appreciated.
Can anyone please recommend a good brace? Everything on amazon has horrible reviews
@@knowbuddy0 it needs to be custom made by an orthopaedic specialist
@@knowbuddy0 My 3-year-old Rotti has a ruptured CCL and I've tried 3 different braces from Amazon, I finally found Orthocania it fits snugly a I like it, she's on inflammation and pain relief. She's extremely active so keeping her confined is hard. She's been down for three weeks now and counting. She's 102 pounds I ordered a large. And don't forget to get the body harness otherwise, it will keep slipping off.
We did buy a brace for our dog. Not sure it is actually helpful but because she hates wearing it she limits her walking and jumping which is exactly what we want to keep her calm while healing. She is young and small so I’m hopeful she can heal without surgery. We’ll see.
The Ortho care custom braces work wonders. I’ve had 2 who had ccl tears. One a Bernese mountain Dog and the other an English setter. Both got the custom brace and both fully recovered. We lost the Berner at 14 but she was able to run and play and hike the last 8 years of her life. Never had a limp after wearing the brace for 4-5 months. And she could walk with the brace on pretty normally. The setter had a complete tear confirmed and a lot of swelling so we had to wait 3 weeks for her brace to be made. She recovered also in 5 months and you would never know she ever had the injury. She runs like the wind. Look up Ortho care. They are great! The custom brace isn’t cheap but it’s a lot cheaper than the invasive surgery. Also the berner never had an issue with her injured leg as so many dogs do who get the surgery done!
I think he meant @AnimalOrthocare. I am on my second week with the braces. We are up to 1.5 mile walks. She does slow down at the end of the walks, but things are looking good to date.
I really really hope I will never need this information, but I figure it’s good to still get some information due to being very active in dog agility with my dog! We do work with a variety of veterinary and rehab professionals for preventative care. 🤞🏽 I’m so thankful there are so many professionals around my area who are also very familiar with dog sports and the needs of canine athletes.
My last dog was paralyzed and I can’t believe how far canine rehab has come since then (11 yrs ago)!
Hi Lilia, nice to see you here again! You’re absolutely right, rehab and physical therapies have advanced a lot and are also more readily available
My dog is limpimg on her right leg. I am awaiting for xray gets done to figure out. The vet said that there's highly possibility of her knee joint ligament torn partially or completely. The cost of surgerys are too expensive and I 've watched the complications and restrictions with surgeries. Now I decided to apply knee braces for her. I am wondering how long she has to wear the brace and does she have to wear it all the time including night time?
I have a Lab with a ruptured acl so as advised we booked surgery $4500 here in Canada.....then started doing more and more research and decided against it. I read one research paper that mentioned a 40 fold increase in the chances of bone cancer....along with the the huge amount of pain, anxiety my dog would suffer have decided to get a custom fitted brace to allow him to try and heal naturally. I will say that since I put him on CBDs he has improved greatly and able to walk on it now most of the day until our brace comes in.
I hope he does well and thanks for sharing your CBD experience. Regarding surgery, I’d be really interested in knowing where you read the link to bone cancer as that is very new info if it is really a thing (which I honestly struggle to believe). Also, most dogs are walking well after surgery (depending on technique and surgeon) and they are certainly not left suffering a huge amount of pain if a vet is doing a proper job at managing comfort
@@harleychocolate9389 thanks for that link, I'm going to spend some time looking into this as I can't access the full paper personally to see the details. For example, I can't see if the dogs that were used as the control also had cruciate injury that was treated either conservatively or with a different form of surgery as it could be that it is the injury rather than surgery that increases the risk. If the surgery is involved then I would also expect similar problems with bone fractures in that area as well as other forms of cruciate surgery where the bone is cut (like one known as a TTA).
@@OurPetsHealthman you are a poster boy for vet surgery lol
Price has gone up, my dog had TPLO surgery in BC and it was almost $8000
Love your channel. My 3 yr old mix Corgi/Collie (guessing) has a cruciate injury. The vet and radiologist can see an issue on the x-ray, but they are not sure whether it is a slight tear or more. They also discovered that she has hip dysplasia.
Sorry to hear that. If your vet couldn't feel instability in the stifle when the xrays were taken (presuming your dog was sedated) then it is likely a partial tear. I spoke about cruciate treatment in this podcast episode - ourpetshealth.com/info/torn-dog-acl-treatment
With the hip dysplasia as well you might be interested in my free arthritis course - ourpetshealth.com/arthritisminicourse
Hope that helps a bit
Surgery in way too expensive and the lower priced places have long waiting periods.
It may be expensive but it is probably about 1/4 of the price of a human going through a very similar surgery. There are cheaper surgery options than the preferred choices, but the recovery is likely to be a lot longer
Very very expensive in England
@@123-NORTH-STREET £3,000 for my springer spaniel. SHOCKING
@@OurPetsHealth I absolutely understand defending your profession and that the human health system in the US is SO broken you could compare anything to it and that thing would look like a sparkling diamond... But quoting inflated prices for human surgeries doesn't change that many vets do gouge their customers and/or charge more because they can. Not all by any means but many of us have been the victims of it and quoting high prices for a human doesn't change that. That said I appreciate you making the video and sharing your knowledge on these injuries.
no studies aren't done because from natural healing companies won't make money. So who wants to pay for such study ?
Some braces are over $800 so I'm pretty sure there is plenty of money to be made if braces worked, especially if they were found to be comparable (or superior) to surgery.
US does have studies in brace restrictions vs surgery so I’m not sure why this wasn’t listed.
what study is this Stephan?
Can you provide a study link please?
Why not post it then instead of a vague statement
My 16.5 year old Maltese just tore his Left ACL… he tore his Right side 3 years ago and we repaired it. But this time, we are not, he has a collapsed trachea, and liver and kidney issues, and we just don’t feel ( Vet included) that it’s a good choice. Rest, meds, and possibly a Paladin brace.
Sorry to hear about your dog! What type of surgery did he get and how rough was the recovery period on him? How long before he was walking /running normally? I have an almost 11 year old Maltese who tore both his ACLs 2 months ago. He wasn’t walking at first but now is, but his knees are still very unstable on exam so vets are recommending surgery. I know a lot of activity restrictions are involved which I think he’ll do fine with, but I’m worried about significant or prolonged postoperative pain and the recovery will be emotionally stressful for him.
Vets in general have fallen into corporate greed and feeding off our love for our fur babies I had a diabetic black lab that I had to give insulin twice a day and the vet told me that some people had them put down because they didn’t want the burden of that cost or the hassle of caring for them . It’s a shame that is come to that. Mya my lab lived another 7 years being on insulin and prescription dog food
I’m not really sure how your story demonstrates greed, more the disposable nature of pet ownership that some owners demonstrate
So why can't they do a flipping test then in such an important thing
Is there a specific you would reccomend aside from surgery?
this should help - ruclips.net/video/FZGbvQIHbrE/видео.html
What about pre surgery to allow dog to put weight on leg
My dog fully tore both ACLs 2 months ago. He wasn’t walking at all but now is relatively well but his knees are still very unstable on exam. How is that possible?
if both his acls have gone then he doesn't have much choice but to put up with the pain if he wants to go anywhere and because it's both back legs a dog cant limp in the same way as if it was just one. This means that they can walk deceptively "normally" if you're not used to looking at lame dogs. Fingers crossed he recovers OK
How come small dogs healed and large are not? How same nature mechanism do not work same way?
surgery still gives a better result on average with small dogs. The better response to conservative treatment will be because the forces involved and the amount of movement possible are both smaller in smaller breed dogs
👋 My spaniel has now had TTA’s on both legs now but seems to be struggling to fully recover from the latest surgery around 10 months ago. He still walks with a slight limp and occasionally puts little weight on the leg. Vets can find no issue with the joint so is it likely to be muscle atrophy?
Sorry to hear he's still struggling. Muscle loss may be playing a role, and if so physiotherapy + hydrotherapy can be great ways to encourage leg use and muscle recovery. The other potential is that there is something else going on within the knee itself. Damage to a structure called the meniscus is an uncommon development that can happen at the time of cruciate rupture or some time later. Some things to talk to your vet about as they may be able to recommend someone who can help with these or have other ideas for a plan going foreward. Good luck
Why would you post a vid that you don’t have any idea the benefits of just stop man
think you missed the point - there are no studies out there to show that any braces have a benefit or not over either surgery or just rest so if you go down that route then you are relying on testimonials and very subjective assessment which is fraught with problems and could well be spending hundreds of dollars on something that is no help at all
Hiya! 😊 I love your channel! 👍
I have an elderly dog who has a few health issues.
Ruby a 12 year old Bichon Frise. 💜
She has Pancreatitis, but we have it under control with a healthy diet. 👍
Unfortunately, she seems to have a collapsed trachea... 😔
She has a dry hacking cough. It makes her gag, and seems very uncomfortable. It's get much worse lately, she wakes up choking and gagging - I hate seeing her in discomfort.
My vet says 'it's just old age.' 'Just one of those things.'
But, I find it hard to believe that there's no treatment...
Should I get a second opinion from a different vet?
Ruby is as strong as an ox, even with her many health problems, plus partial loss of hearing & sight - she is still the boss, and is in good form.
So, I just wondered if there is any treatment for an elderly dog with a collapsed trachea?
Thank-you! 😊
There is surgical treatment where stents are placed. This is a specialist procedure and I'm not sure of the success rate, although it is much better than it used to be as stent technology has improved. There may also be an element of chronic bronchitis which will sometimes respond very well to treatment. Either a second opinion or referal might be the best way forward. If you'd like more details head over to dralexanswers.com !
@@OurPetsHealth - thanks so much! 👍
I have 2 dogs, and a cat, so I'm really loving your RUclips channel! 😊
@@Jillian-Jill just curious how the surgery went? my neighbor had that surgery on his dog for collapsed trachea and the dog only lived til 4-5 days after. I wonder if such events get recorded as death due to the surgery or not.
I got the surgery for my dog and she lost weight during the recovery process and stayed off her leg and I followed all vets orders diligently during recovery but now the issue is resurfaced. Shes a bordercollie and she lives to run and play its not right that she cant. What Do i do to help her
I would suggest revisiting with the surgeon as, while surgery is never 100% guaranteed, the outcome is clearly not what was expected. I hope she's back up and running soon
@K S A few years ago my mom required knee surgery but the doctors were not comfortable doing it until my mom lost some weight. My mom ended up losing over 100lbs and was exercising daily. She no longer needs any surgery. my plan is to get my dogs weight down and to very slowly build her muscle up. I have left over anti inflammatory pills that I use when needed if i notice a flair up. I dont trust the vet anymore at all and This is what ive found worked for others
Thanks for sharing because I don’t want to do nothing that’s not going to work? I have a German Shepard Mix and I’m having the same issue with her back right hind leg.I took her to the vet he told me $3,600 for the surgery which I feel is way to much for a surgery because I can fly / drive her to Texas and get the surgery for 1,500 and have change to spare and I told The doc that as well.so he gave me some inflammation pills which makes her sick with in an hr of taking them,so I’m at a lost other than to buy this brace which I see runs you about $300.00 & go back to giving her fish oil pills again and continue massaging her legs 3 times a day with a cold compress pack that give her comfort.i hope you’ll babies feel better soon & thanks for sharing.
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Hi how is your border collie doing,or how did she do? I'm facing this right now with one of mine he's 7 just turned.not sure to what extent the ligament is damaged yet. No x-ray yet ,was given metacam and told no athletic activities, more rest.and wait and see. It's been a week so far and no change. Still limping but still wanting his action. It's like mental torture to him not going for long walks and being super dog. Worse because the other dog is needing his usual athletic activities. Was thinking of a leg brace.
that microphone looks idiotic for a vet
too bad we can't all afford the astronomical price of surgery
It is a lot of money but good value when you consider that in people, For patients not covered by health insurance, the cost of ACL reconstruction, including the surgeon's fee, facility fee, anesthesia and graft, if needed, ranges from just under $20,000 to $50,000.