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Bruno's Second ACL Ordeal - Corrective TPLO - 11 weeks on... Ruptured Anterior Cruciate Ligament (ACL) tear in dogs.
11 Weeks Bruno's left leg, which was operated on twice, is slowly getting stronger. Below is an example of one of his walk workouts. The time says 22:17 minutes, however we stopped a couple of times to get a drink in the stream and the clock was not stopped during that time. If Bruno shows signs of being too tired on that leg he does not go out for a second walk that day other than potty breaks. If Bruno holds his leg in the air, toe touches or looks like he is in any type of pain at all his walk therapy is skipped for a day or two until he is walking strong once again.
So while Bruno's vet therapy orders are 15 minute walks 3 to 4 times a day his actual walks are more based on his ability to handle the workout. Some days he gets in the full amount, while other days he either takes the entire day off or only goes for 1 or two walks. Bruno is not going up or down stairs and is not allowed to jump. We use a ramp to get him in and out of the car. He is not allowed to run and is always leashed. He still does not have free roam of the house as the temptation to start an all out play session with Spencer the Pit Bull or run to the door if someone were to knock would be unavoidable. Bruno has learned to like his x-pen. When putting Bruno back into his pen I often toss a piece of a sweet potato chip on top of his dog bed inside his pen and make him wait, then tell him to "get it". A little positive reinforcement to help him associate his x-pen with something pleasant. If the pen is left open, for example when Bruno is out eating his breakfast, his kid brother Spencer often likes to sneak in there and lay down. Seems that both dogs like the x-pen.
Bruno and Spencer cooling off and getting a drink in the stream during one of Bruno's therapy walks sessions.
At Bruno's 7th therapy appointment he did a 14 minute session in the underwater treadmill. That was equivalent to 42 minutes on land, but with less body weight and lots of control. They weighed him and he is 90 pounds. Bruno can most likely loose a little more, however you can easily feel his ribs when you touch him. He is naturally long-bodied and barrel chested. He is always going to be a big dog.
Muscle Atrophy
If you look at the muscle tone in Bruno's left back side you can clearly see he has some muscle atrophy going on. If you touch the right side it's solid as a rock with good muscle tone. The current goal for him is to rebuild his left side to match the right side.
The more off balance he is the higher his chances of either re injuring the left side or compensating so much on the right that he injures his good leg.
11 Week Surgeon Check Bruno had a check up with his surgeon which included a final x-ray. His bone is now totally healed to the point where if it were necessary the screws in his leg could come out and his bone would hold just fine. What we are working on now is all soft tissue building.
11 1/2 Weeks At his 8th therapy session Bruno did 16 minutes in the underwater treadmill. That would be equivalent to 48 minutes on land as every minute underwater equals 3 minutes on land.
12 Weeks
At Bruno's 9th therapy session he did 16 minutes in the underwater treadmill, but this time they stepped up his speed. Bruno did great. I brought some sweet potato treats and showed off how fast Bruno will do his dead dog trick when there is food involved. He is such a clown. He's been named "wiggle butt" for the way his entire back wags instead of just his nub of a tail. The therapist added another exercise he needs to do daily. We ask him to sit and then move forward and sit again. He needs to do it 25 times a day. Kind of like squats doggie style to work those leg muscles.
13 Weeks At Bruno's 10th therapy session he did 18 minutes in the underwater treadmill at the slightly higher speed (2.00). He did great during that session and during his 20 minute walks he goes on 2 to 4 times a day. Bruno also had a laser therapy session and session where his leg was stretched. He weighed in a 89 pounds. He has not been on a sedative in a week, which is the reason I think he lost a little weight. The sedative slows down one's body and therefore it would only make sense that it would slow down his metabolism (rate food is digested). As long as he can continue to do his daily walks he will not need the sedative so long as he is relatively calm. We don't need him ripping anything else. The more he builds his muscle back up the lower his chances of a re-injury will be.
15 Weeks At Bruno's 11th therapy session he did 20 minutes in the underwater treadmill. The therapist tried increasing his speed a little however he was not fully extending his leg when he moved faster so they slowed him back down, although his range of motion was a lot better than it had been in the past. Bruno has been doing well with this "sit , come" exercises. He is bending his back left leg a little more now.
The muscle tone in his leg is getting firmer. He weighed in at 89 pounds at this appointment.
You can still see that he needs to gain muscle tone in his left back leg.
A couple of days ago we had set out to do a 20 minute walk at a park on some walking trails and ended up getting a little lost. We walked for an hour and a half before making it back. Bruno did great and showed no signs of soreness afterwards nor was he sore the next day. We do not plan on getting lost like that again, but it is nice to know he is getting stronger. Bruno gets his hock stretched a couple of times a day. He lays down on the floor and I gently bend his leg with a slight pressure. He has to relax in order for this to happen. Putting a piece of food in front of him and telling him to wait to eat it usually does the trick and gets him to relax his leg. Here is a video of Bruno doing his "sit" exercises. The exercise is to get him to regain some of the motion in his leg that he has lost and to build that muscle. He is to sit, get up and move forward and sit again. This will not only help build his muscle but work on his flexibility. Notice how he gets lazy at times and tries to sit sideways. He even tries to lay down. No Bruno you silly boy. Get up and do your exercises.
17 Weeks Bruno had this 12th therapy session. He did 20 minutes in the underwater treadmill at a slightly faster speed. He has been on an every 2 week schedule and is almost done his therapy. Although he is not fully recovered, his muscle is getting larger. He walks with a Spring in his step again. I was warned that this is the stage a lot of dogs have a set back. The owners see how well the dog is doing and the dog feels really good. The owners let the dog run and play and they end up tearing either their good leg from compensating or something else in their bad leg. Therefore Bruno is still not allowed to play or run. We continue to go for walks daily building up this muscle. We have been conquering some hills and I let him do a few steps. When Bruno is in the treadmill he likes to drink the water. We tell him not to but he keeps sneaking it in. Watch him as the treadmill fills up. For the sake of this video I didn't tell him to stop drinking. Watch how he holds his leg up. One would think it was because he has a bad leg (left), but if you watch closely he holds his good let up too (right). He's trying not to get wet. A hopeless effort.
18 1/2 Weeks Bruno had his 13th therapy session. He did 20 minutes in the underwater treadmill and was asked to trot for a minute and a half of that time. With a little encouragement he did great. They didn't notice him skipping a step and his gait appeared normal. They want Bruno to do more trotting on his walks. He will need a day or two of rest with only slow walking after this treadmill session to allow his muscles to heal, but will start up on the walks with some stepped up trots added in soon. The amount of trotting will all depend on how sore he is. If I spot soreness he will need to rest until it heels. His leg was checked and they are happy with the amount of muscle he has gained.
21 Weeks Bruno had another check-up with the surgeon. X-rays were taken and his bone still looks good and is completely healed. The screws in Bruno's leg are no longer serving any purpose, and therefore technically could come out. They were only put in place in the beginning to keep the bone in place as it healed. However unless there is a problem we will not put him through the operation of removal. Bruno is making nice strides on his muscle mass on the operated on leg. He still has a long way to go and is not allowed to run or jump for at least 8 to 12 more weeks until the muscle is stronger or he will run the risk of tearing his good leg by compensating or injuring the operated on leg.
25 Weeks
While Bruno still has muscle atrophy in his left back leg, he continues to do better. He is slowly getting more of his freedoms back, for instance he is no longer locked in his pen at night, but he is locked in when we are not home. He is still walked on a leash to pee and he is not allowed to run free in the yard with Spencer yet. His bone is fully healed but his muscles, ligaments and tendons are weaker in his left leg compared to his right. This puts him at a continued high risk of pulling something, either in his good leg or his bad one. Therefore he still is not allowed to run free, but he can go for short controlled trots and long walks. Above is a walking tracker showing one of Bruno's longer hikes. He walked 5 and a half miles with no problems at all. It's the uncontrolled exercise we have to worry about. The goal is to build his muscle in this left leg as strong as it is in his right leg.
27 Weeks
Oh Bruno, you were doing so well and then we get the first big snow fall of the year and we are at a house on top of a mountain. This house has steps. Power goes out and we light candles. Spencer decides to show off some of his tricks for a sweet potato treat and we realize your not standing there with us. Bruno you are always around when there's food involved. I call you and you don't come running so I get a flashlight and go downstairs and find you at the bottom of the steps. "Bruno come here boy." You start to walk and you yelp! Darn you must have tripped down the steps! Now your holding your leg up and sitting with your leg out like you don't want to bend your knee all of the way. When you lay down you do it really slow and carefully as if something hurts.
Off to the vet for x-rays. They show that your bone is fine, which means you must have pulled something. I was told most likely scar tissue. Back to the confinement of an x-pen until you heel up.
Update - 27 Weeks Three days after Bruno pulled something in his leg he is doing much better. He is no longer holding his leg up, will trot as if their is nothing wrong and is sitting without signs of pain. He lays down much quicker, and not so carefully. He is also bearing weight on his leg. We are going to continue to restrict his playing and other exercise for a while longer to insure he does not reinjure himself again. We are not out of the woods yet after only three days. Soft tissue injuries take a bit longer to heal.
Being on rest mode is tough for a Boxer. He was given a sedative to keep him from romping around and hurting himself worse. It's the toughest when they start to feel better yet they are not ready to resume normal activity. I needed to walk him out to pee one last time before bed. He was in a daze and was not getting up. Bruno is trained to alert us of any fox because they come and eat our chickens. Watch how this working dog responds to the chance to do some work. Luckily when we got outside we actually did hear a fox call so Bruno was able to point in it's direction for me so he got a little work in even in his injured state.
Bruno's First ACL Ordeal - Suture Lateral - Before the Surgery Bruno's First ACL Ordeal - Suture Lateral - After the Surgery 1 Bruno's First ACL Ordeal - Suture Lateral - After the Surgery 2 Bruno's First ACL Ordeal - Suture Lateral - After the Surgery 3 Bruno's First ACL Ordeal -Suture Lateral - After the Surgery 4 Bruno's First ACL Ordeal - Suture Lateral - After the Surgery 5 Bruno's First ACL Ordeal - Suture Lateral - After the Surgery from 8 to 12 weeks Bruno's First ACL Ordeal - Suture Lateral - After the Surgery from the 13 to 21 weeks __________ Bruno's Second ACL Ordeal - Corrective TPLO - 0 - 4 weeks Bruno's Second ACL Ordeal - Corrective TPLO - 5 - 10 weeks Bruno's Second ACL Ordeal - Corrective TPLO - 11 weeks on...
Raising a Puppy - Bruno the Boxer Raising a Puppy - Spencer the Pit Bull
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