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Canine Rehabilitation - TPLO/TTA - My Journey

So, mainly, I "do" horses....... 
When I was told my dog needed bilateral TTA surgery, I wanted to be prepared, so went into research mode....... 

2 legs and 12 weeks later, having just been "signed off" by the vet who is delighted by the recovery my dog has made, I wanted to share my rehab plan in case it helps anyone else.

However, please note, it is only a plan !!!  
Did every single aspect of this plan get carried out every day...... no......
- She wriggles, she wont sit still and have cold/heat therapy, PMEFT, PROM etc
- On a short lead, she can still jump up vertically and try and catch flies/bees etc.....

All I can say is that we tried our best and it's turned out OK.......  
I've been lucky that I've had direct access to Phototherapy and Pulsed Electro-Magentic Field Therapy equipment (which your local physio should be able to help you with) and have had great help and support from my local Hydrotherapist. 

But if it helps, here is our rehab plan......

WEEK 1                              
Day 1   Surgery
Day 2 & 3 Home, complete rest (crate 24/7)
Supported walking (sling) in house/garden to eat/drink/toilet only
3 times a day:
Physio:
·          Cold compress max.10mins
·          Blue light phototherapy over wound once dressing off
 
Day 4-7  Complete rest (crate 24/7)
Short-lead in house to eat/drink/toilet only
3 times a day:
Physio:
·          Gentle massage the quadriceps and hamstring muscles
·          Passive Range Of Motion (PROM) 10 reps
·          Cold compress after massage and PROM
·          Blue/Red light phototherapy over wound (2mins each)
 
WEEK 2   
Short-lead in garden for a couple minutes 3-4 times per day
Mostly in crate, short supervised periods out of crate if remains calm
3times a day:
Physio: 
·          Warm compress, Massage, PROM, cold compress
·          Blue/Red light phototherapy over wound (2mins each)
·          Once stitches out and antibiotics finished PEMFT for fracture repair
·          Introduce very short, controlled lead walks, increasing from 1-5mins
 
 
WEEK 3      
Short-lead in garden for a couple minutes 3-4 times per day
Mostly in crate, short supervised periods out of crate if remains calm
3 times a day:
Walk: 
·          Increasing from 5 to 10 min slow short-lead
Physio: 
·          Warm compress massage and PROM, Introduce stretching, Cold compress
·          PEMFT for fracture repair
 
WEEK 4      
Short-lead in garden for a couple minutes 3-4 times per day
Mostly in crate, short supervised periods out of crate if remains calm
Commence Hydrotherapy
·          Combination pool and water treadmill
·          Blue light phototherapy on wound afterwards)
3 times a day:
Walk:
·          Increasing from 10-15 min slow short-lead
Physio:
·          Warm compress, massage and PROM, stretching, cold compress
·          Sit to stand, 3 reps
·          PEMFT for fracture repair
 
WEEK 5      
Short-lead in garden for a couple minutes 3-4 times per day
Mostly in crate, short supervised periods out of crate if remains calm
Continue Hydrotherapy (blue light phototherapy on wound afterwards)
3 times a day:
Walk: 
·          Increasing from 15-20min slow short-lead
Physio:
·          Warm compress, massage and PROM, stretching, cold compress
·          Sit to stand 5 reps,
·          Walking on sofa cushions on floor on short lead
·          PEMFT for fracture repair
 
WEEK 6                               
Reassess with vet as per vets instructions
as per week 5
 
 
WEEK 7                               
Continue Hydrotherapy
3 times a day:
·          PEMF setting for chronic inflammation
·          20-30min short-lead walk, with occasional medium-lead episodes
·          Introduce walking up and down small inclines
·          Introduce walking Figure 8 (starting large and slow)
 
WEEK 8                               
Continue Hydrotherapy
Off lead in garden 5mins then increasing (initially supervised)
2-3 times a day:
·          PEMF setting for chronic inflammation
·          20-30 min short lead-walk, increasing episodes of medium-lead
·          Increasing hill work
·          Figure 8  gradually increasing tightness of turns
·          Introduce balance ball / rocking
 
WEEK 9       As per week 8 and
·          PMEF  setting for chronic inflammation once a day
·          20-30 min short lead-walk, episodes of long-lead
·          Short supervised periods off-lead (no balls etc)
·          Figure 8, smaller at walk / larger at trot
·          Introduce short bike-runs (working at trot in straight lines)
 
WEEK 10    As per 9 and
·          Introduce “Dancing”
·          Increasing bike-runs (working at trot in straight lines)
·          Gradually increasing periods off lead (no balls, catch etc)
·          Max 35mins exercise
 
WEEKS 11 As per 10
·          Gradually increasing periods off lead
·          Gradually reintroduce toys (balls, tugging etc) and play with other dogs
·          Max 40mins exercise
 
Weeks 12+  As per 11
·          Gradually reintroduce play with other dogs
           Gradual return to all/full normal activity
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