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After surgery, the repair is only half of it

Post-operative rehabilitation for dogs in Colleyville, Texas, working from your surgeon's instructions.

A brindle greyhound resting on a mat while a practitioner holds a cold pack against his hind leg

Your dog has had the operation, you have been handed a sheet of discharge instructions, and the next few weeks are mostly up to you. That is a lot of responsibility to be sent home with.

What happens in those weeks has a great deal to do with how well the repair holds, and with whether your dog ends up using the leg properly or just carrying it around.

What surgery doesn’t do

An operation fixes a structure. It is very good at that, and for the right dog it is the right answer. But four things are left over afterwards, and none of them resolve on their own:

  • Muscle lost before the operation. A dog who has been limping for weeks arrives at surgery already weaker on that side. The repair does nothing about that.
  • Muscle lost after it. Confinement and rest are necessary and they cost condition. The leg that was operated on is usually the one that loses most.
  • The habit of not using it. Dogs keep favoring a leg long after it is sound. Left alone, that becomes how they walk.
  • The work the other three legs took on. Months of uneven loading leave a sore back, a sore neck, or an overworked opposite limb. Those often outlast the original problem.

Two of the common repairs: a knee held steady by a plate and screws after a TPLO, and a hip after a total replacement. These are examples rather than the whole list. Whatever the procedure, what happens afterwards is what decides how well that leg carries its share again — weeks of a dog not using a leg costs muscle, and the other three end up taking it.

The operation addresses the problem. Rehabilitation addresses everything the problem caused.

A dog recovering from surgery beside a knee stabilised after TPLO and a hip after total replacement.

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When can we start?

Usually sooner than Pet Parents expect, and the first appointment is not strenuous. If your dog has had surgery, we start with an initial post-op appointment and evaluation, where we check your dog’s progress in the healing process. You leave with a home program and instruction on how best to progress their recovery.

Water work waits for the wound. Most of the time skin staples and sutures come out at around two weeks, and if the wound is healed, underwater treadmill work can start then.

Everything follows your surgeon’s plan. We ask for their instructions, and we work from them rather than around them.

What a recovery program looks like

  • First post-op appointment. An evaluation to check progress through healing, plus a home program and instruction on how to progress it. Often sooner than Pet Parents expect.
  • Protecting the repair. Laser therapy for the surgical site, gentle manual work, and clear guidance on what confinement should actually look like.
  • Water treadmill, once the wound has healed. Staples and sutures usually come out around two weeks. With a healed wound, the water carries much of your dog’s weight so the leg can work before it could take full load on land.
  • Rebuilding strength and symmetry. Targeted exercise for the operated limb and for everything that has been compensating, progressing as the repair allows.
  • Teaching them to trust it again. Coordination and weight-bearing work, which is often what stands between a sound leg and a dog who actually uses it.

The shape of it depends entirely on which procedure your dog has had and how they are healing. Nothing here is a template applied to every dog.

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Which surgeries we see dogs after

Most often knee, hip, spinal and elbow procedures, including cruciate repairs and surgery for disc disease. If your dog has had something else and you are wondering whether rehabilitation applies, the answer is usually to call and describe it rather than guess from a web page.

If the operation was months or even years ago and your dog never quite came right, that is still worth a conversation. A leg that was never properly used often has more to do with accumulated compensation than with the repair itself, and compensation responds to work.

What helps in the first two weeks after surgery?

Make the floors safe before you come home

Runners and yoga mats along every route your dog takes, especially between their bed and the door. A slip in the first two weeks is the thing everyone worries about, and it is largely preventable.

Take a short video of them walking, weekly

Progress is gradual enough to be invisible day to day. A ten-second clip from the same angle each week shows you, and us, what is actually changing.

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Questions

Questions we get asked

How soon after surgery can a dog start rehabilitation?

Earlier than most Pet Parents expect. The first post-operative appointment is an evaluation to check how the healing is going and to give you a home program you can start straight away. Water treadmill work usually waits until the wound has healed, most of the time skin staples and sutures come out at around two weeks, and if the wound is healed, treadmill work can begin then. Everything follows the surgeon’s instructions.

Does my dog need rehabilitation after knee surgery?

Surgery repairs the structure. It does not rebuild the muscle lost while the dog was limping, and it does not teach them to trust the leg again. Dogs commonly keep favoring the operated leg long after it is sound, which loads the other side. Rehabilitation addresses the strength, the symmetry and the confidence, the parts the operation was never meant to fix.

What surgeries do you see dogs after?

Knee, hip, spinal and elbow procedures most often, including cruciate repairs and surgery for disc disease. We work from the referring surgeon’s instructions rather than around them.

What does a post-operative rehabilitation appointment involve?

The first visit is an initial post-op appointment and evaluation, where we check your dog’s progress through the healing process. You leave with a home program and instruction on how best to progress the recovery between visits. Most of the work happens at home; the appointments guide it.

Can rehabilitation help if the surgery was a while ago?

Often yes. Dogs who never fully regained use of a limb are frequently carrying months of compensation rather than an unhealed repair, and compensation is something that responds to work. It is worth a phone call even if the operation was last year.

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Treatments

How we may help

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Where to start

Talk to your surgeon or veterinarian about when they would like rehabilitation to begin, many are glad to be asked, and some will suggest it themselves.

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