14/12/2025
βΌοΈ Do you want to know what the latest evidence is on cruciate injuries in dogs and why your dog should be referred to physiotherapy early? Carr, Levine and marcellin-Little 2025 have written βbest practice in physical rehabilitation after cranial cruciate ligament injury in dogsβ
And here is what they found:
πΎ Rehab should be tailored to the patients needs and constantly reassessed and adapted as they progress
πΎ Early rehabilitation in humans and dogs improves patient outcomes
πΎ Acute phase rehabilitation (up to 72 hours post op) aims to reduce pain, swelling and disuse.
πΎ Manual therapy including soft tissue techniques should begin immediately after surgery (some specialist centres have in patient physiotherapy but not all and others send you home with some instructions)
πΎ Therapeutic exercise is the hallmark of cruciate rehabilitation and if included improves outcomes, this includes a home exercise program! This also includes but is not limited to hydrotherapy.
πΎ Return to sport/activity/work requires specific conditioning exercises that replicate the movement and function required for the task. This must be relevant and specific and replicate the task
So how does this impact JW physiotherapy practise?
π Well mostly I now have some literature to send to a vet when the owner is enquiring about physiotherapy post surgery or when the vet is delaying physiotherapy intervention.
π early referrals can always be made to support you and your dog with this after they return home and itβs never too early. This wonβt be exercise based at first but will be aimed at reducing pain, swelling and minimising muscle loss.
π I do not use protocols for rehab, I am guided by the healing process, the surgery and the dog infront of me and the outcomes that are expected at each stage of the healing process. This enables me to design a suitable and specific and relevant program for your animal. This also enables me to identify if something is not going well earlier and I can speak to your surgeon to address these concerns.
π I use objective measures in my assessment and monitoring process these functional measures can be used as a guide to return to sport/activity/work.