Navigating Cruciate Injuries in Dogs: Surgery, Rehab, and Supportive Tools

Cruciate ligament injuries—often referred to as “stifle injuries” in dogs—are one of the most common orthopaedic problems seen in companion animals. These injuries affect dogs of all shapes, sizes, and ages. Traditionally, surgery has been the go-to recommendation, but as both veterinary medicine and rehabilitation science evolve, there’s growing interest in non-surgical management.

As someone with a background in veterinary nursing, I’ve seen firsthand how this area of treatment has shifted over time. When I was nursing, cruciate surgery typically involved implanting a synthetic ligament to stabilise the joint while the surrounding muscles strengthened. These days, procedures like TPLO (Tibial Plateau Leveling Osteotomy) aim to change the way the joint bears weight by altering bone positioning.

But here’s something important that often gets overlooked: surgery does not actually repair the torn ligament—it supports the joint in different ways. What’s more, recovery time tends to be similar whether dogs undergo surgery or follow a structured rehabilitation program. Research and anecdotal experience also suggest that long-term outcomes, particularly in terms of arthritis development, may not differ significantly between surgical and non-surgical options.

A Shift Toward Rehabilitation

A few years ago, at an Animal Rehabilitation Conference, I learned that many practitioners in the USA are now moving away from surgical intervention—focusing instead on comprehensive rehabilitation. Interestingly, this trend mirrors a shift in human medicine as well. A recent conversation with a colleague in human physiotherapy confirmed that non-surgical rehab is increasingly common for ACL (the human equivalent of the cruciate) injuries.

This shift is exciting because it opens up a world of integrative therapies that can support healing and improve mobility, many of which are now available here in Australia:

Physiotherapy: Tailored exercise programs help rebuild muscle strength and restore function.

Hydrotherapy: Water-based therapy supports gentle, low-impact exercise while reducing stress on the injured joint.

Acupuncture: Offers pain relief, improves circulation, and supports healing.

Shockwave Therapy: Stimulates the body’s natural healing processes through focused pulses of energy.

Hyperbaric Oxygen Therapy: An emerging option that enhances tissue oxygenation and reduces inflammation—particularly beneficial in chronic or slow-healing cases.

Red Light & Laser Therapy: Help reduce inflammation and promote tissue repair at the cellular level.

https://redlighttherapykits.com.au/

Accell Therapy: A non-invasive therapy that uses multidimensional vibrations to promote circulation, muscle relaxation, and tissue regeneration. https://www.accelltherapy.com.au/  

Supportive Tools for Daily Life

In addition to professional therapies, supportive devices can play a vital role in a dog’s recovery, comfort, and mobility—whether you’re taking a conservative management approach or supporting your pet post-surgery. I offer a range of tools to help stabilise and assist your dog throughout their healing journey:

Custom-Made Stifle Braces: These are individually fitted for your dog’s specific measurements and condition. I work closely with Hero Braces, a leading provider in orthopaedic support, and have seen excellent outcomes using their custom solutions. Custom braces are an excellent option for dogs who are not suitable for surgery—whether due to age, medical conditions, or owner preference.  
https://youtu.be/12XC-YI34j4?si=3jLA5iJ_20H6p422

Bilateral Compression Sleeves: Ideal for dogs who need generalised support around both stifles. These sleeves are lightweight, easy to apply, and suitable for longer wear. I work with two trusted manufacturers to provide options that suit different sizes and needs—ensuring the best possible fit and comfort. They are an excellent aid during the recovery period—short or long term—and a viable alternative for dogs who may not undergo surgery for any reason.

see Flo take her first steps in the Walkabout Double Knee Support Brace: https://youtu.be/xxKORvwgnrQ

Mobility Aids: From lifting harnesses for short-term support to full rear-support wheelchairs, I have a wide range of mobility aids available. Wheelchairs can be purchased for ongoing use, or rented, where available, to assist during the recovery phase or short-term rehabilitation.

These tools are practical, proven, and often life-changing for both pets and their owners. Stay tuned—I’ll be sharing more in-depth information on each of these options soon, including tips on how to choose the right support for your dog’s specific needs.

Every Dog is Different

There’s no one-size-fits-all approach to managing a cruciate injury. What matters most is understanding your dog’s specific needs, your lifestyle, and what resources you can commit to—both financially and time wise. Whether you’re considering surgery, looking into rehabilitation, or simply exploring supportive care, there are options to suit every situation.

If you need guidance in choosing the right support for your pet, I’m here to help. Get in touch and we’ll work together to find the best approach for your dog’s health, happiness, and mobility.