Thursday, April 15, 2010

Post-surgery physical therapy for dogs!

Did you know that implementing physical therapy for dogs immediately following orthopedic surgeries can decrease the recovery time, minimize pain, and result in better outcomes?  It's true! 

It's an outdated practice (but unfortunately, still a very common practice) to immobilize the joint/leg with a thick pressure bandage following cruciate repairs, for example.  Veterinarians use the bandage to reduce swelling to the area, prevent the dog from licking at the incision, to "protect" the joint from moving in an undesirable way (and thereby damaging the surgical repair).  But, there are down sides to the bandage.  I have worked with too many dogs to count who started with the bandage and by the time I convinced the vet to remove them (sometimes a day or two after surgery, sometimes longer), the legs were more painful and had lost range of motion (as compared to dogs that never had a bandage put on in the first place).  And guess what?  The dogs that I have treated post-cruciate repair (without a bandage) didn't damage their repairs or have too much swelling.  In the bandage-free dogs, I kept their range of motion good by starting the ROM either the day of or the first day following surgery.  I found that this decreases the pain level too.  I noticed a BIG difference in pain and irritability to touching the leg between these two groups of dogs.  Overall, I vote for no bandage every time!  If your dog needs a cruciate repair, consider asking your surgeon to leave off the bandage and begin ROM, icing, and weight-bearing exercises the day following surgery! 

2 comments:

  1. Hi Julie,

    My 4-yr old Aussie boy Owen just had surgery last week to repair a fragmented choronoid process in his left elbow. A large fragment was removed (with some difficulty, involving cutting a ligament to get better access) in addition to a piece of humerus being cut away to make more space in the joint.

    The vet bandaged the leg and told us to leave it on for 5 days (today), icing regularly through the bandage. He never mentioned any sort of physical therapy, just short leash walks and restricted activity for 2 months. I found your blog today out of curiosity - assuming we should be doing some sort of gentle ROM work with him, at least.

    Do you have any suggestions to help with Owen's recovery? I would appreciate any advice you have time to give. Thank you.

    -Selena

    ReplyDelete
  2. Selena - I'm sorry. I did not receive notification of your comment (for some reason). Usually, they come through to my email. Don't know if you'll be back on here to check for a really tardy response. I'm just now seeing it! I would consider ROM, stretching, strengthening, etc. It depends on how he is doing at this point and of course, each case is different. If you see this, post an update on how he is doing and we'll go from there. Thanks! And I apologize again.

    ReplyDelete

Note: Only a member of this blog may post a comment.