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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November 6, 2011
There’s Nothing Like Flyball
Posted by Brian and Joanne under Captains' CommentsLeave a Comment
When it comes to dog sports there’s nothing like Flyball. For one thing, no other dog sport involves teamwork like this sport. Yes, it is noisy and there is constant activity at practice and at the tournaments. The noise however, is the enjoyment that the dogs are having as they play this relay game.

Flyball is a cross between drag racing and relay racing. The start dog and handler use a drag strip style light set up as a release mechanism. Dogs from the same team pass each other with split second precision. This doesn’t happen by accident, it is with countless hours of practice and expertise that this all takes place.

One the best things about Flyball are that in a matter of months a handler and dog can be racing. This is not to say they are earning titles their first time out, but they are actively engaged in the sport and participating on a team early on. It does happen quite often however, when a first time participant will do well and earn a title. Not all dogs learn in a matter of months though. Some take a year or even longer but the fruits of their labor pay off big time.

When you and your team are at the start line and the light turns green for the start dog to cross the line, everybody is cheering, yelling, and the adrenaline is really flowing. All the dogs are hyped up and so are the handlers. It’s an unbelievable feeling which you just have to experience since a description of the situation doesn’t give it justice. Fortunately, there are other times in flyball racing where there is very little or no tension.
One very nice aspect of Flyball is the camping portion of the sport. I know what you’re thinking. What does camping have to do with Flyball? At each tournament we have to set up a camp for our team. This is no small chore, especially since we spend two days at the site racing which is the entire weekend. As team captains, we have to stake out our claim usually a day in advance. Even when we race out of town we stake out our campsite the night before racing. Our camp consists of 7 to 10 canopies, a dozen chairs, a dozen dog crates and x-pens, a couple of tables, twelve to twenty people, and 15 to 20 dogs. Oh yeah, I almost forgot about our most important item, the barbecue! So on tournament weekends when we race, we also barbecue, camp and have so much fun with our dogs and team members it’s hard to imagine.

Believe it or not, the Flyball Team becomes part of your extended family. You spend a weekend every other month at a tournament and a least one day per week practicing with them.
In addition to this, we do demonstrations several times per year for public events and have an occasional get together such as our annual Christmas Party. The important part of this sport is that you and your dog spend quality time together, make new friends, and have a wonderful life doing something you and your pooch really like to do.
