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Post-Surgery Recovery After TPLO in Dogs

Post-Surgery Recovery After TPLO in Dogs

TPLO

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Guide to post-TPLO surgery recovery for dogs, focusing on aftercare, exercise, and managing swelling to help your pet heal successfully

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Updated on

March 25, 2025

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If your dog has recently had TPLO (Tibial Plateau Leveling Osteotomy) surgery, you've already taken an important step to help them recover from a torn cranial cruciate ligament (CCL). This common injury causes pain and makes walking difficult, but TPLO surgery stabilizes the knee joint and improves movement.

Now that the surgery is done, your role in their recovery is crucial. Proper aftercare ensures the surgical site heals well and helps prevent complications like infections or re-injury. Over the next few weeks, your dog will rely on you for controlled activity, a clean and safe environment, and pain management. Rehabilitation exercises and rest will help them regain strength and confidence.

The recovery process may feel overwhelming, but with patience and the right guidance, your dog can return to an active, pain-free life. This guide will walk you through the essential steps of post-surgery care to ensure your furry friend heals successfully.

What to Expect with Your Dog’s Leg After TPLO Surgery

After TPLO surgery, your dog’s leg will go through several changes as part of the natural healing process, including stiffness, swelling, and gradual muscle recovery.

Common Post-Surgery Changes

  • Stiffness and Limited Mobility: Stiffness is common in the first few weeks due to swelling and the healing process. Your dog may hesitate to put weight on the leg or show discomfort when moving.
  • Muscle Atrophy: Reduced use of the leg during recovery may cause muscle atrophy, especially in the thigh and calf. This weakening can look concerning but can be improved with rehabilitation exercises.
  • Scar Tissue Formation: A firm ridge of scar tissue near the surgical site is a normal part of healing. This usually decreases as the incision heals completely.

The Role of Physical Therapy

Physical therapy is crucial for rebuilding strength, reducing stiffness, and restoring mobility. Passive range-of-motion exercises, guided by your vet, can prevent joint stiffness early in the recovery process. As healing progresses, controlled leash walks and low-impact exercises, like swimming, help improve flexibility and strengthen muscles.

A certified canine rehabilitation therapist (CCRT) or veterinarian can create a personalized recovery plan tailored to your dog’s needs. These sessions help your dog regain confidence, balance, and mobility while minimizing the risk of overexertion.

Recovery Milestones

  • Weeks 1–4: Focus on rest and limited movement. Swelling and stiffness gradually improve, and your dog may start putting light weight on the leg.
  • Weeks 4–8: Begin supervised exercise and physical therapy to strengthen muscles and improve walking.
  • Weeks 8–12: Increase activity levels with longer walks to help restore full function. Many dogs regain most of their mobility by the end of this phase.
  • 3–6 Months: Full recovery is usually achieved, though timelines may vary. Follow-up exams and X-rays confirm progress.

Managing Swelling After TPLO Surgery

Swelling is a natural part of the healing process, but it needs proper management to prevent discomfort or complications.

Why Swelling Happens

Swelling occurs as the body sends blood, nutrients, and immune cells to the surgical site for repair. This inflammatory response causes redness, warmth, and puffiness around the incision. While mild swelling is normal, excessive or prolonged inflammation may indicate complications like infection or joint strain.

Tips for Managing Swelling

  1. Icing the Area: Use a cold pack wrapped in a soft cloth to reduce swelling and discomfort. Apply it for 10–15 minutes every 4–6 hours during the first 48–72 hours. Avoid direct skin contact to prevent frostbite.
  2. Rest and Restricted Activity: Limit your dog’s movement to prevent overexertion. Use a crate or small confined area to avoid jumping or running.
  3. Medications: Your vet may prescribe anti-inflammatory drugs or pain relievers. Follow their instructions carefully and never use over-the-counter medications without approval.
  4. Elevating the Leg: When your dog is lying down, elevate the affected leg on a soft cushion to reduce fluid buildup.

Warning Signs That Require a Vet Visit

Contact your vet right away if you notice:

  • The swelling is getting worse after 3–4 days.
  • Intense redness, warmth, or discharge from the incision.
  • Signs of severe pain, fever, or unwillingness to move.
  • The incision opening up or looking infected.

When Can My Dog Climb Stairs After TPLO Surgery?

Your dog can usually begin climbing stairs 6–8 weeks post-surgery, but only under strict supervision and with your vet’s approval. Attempting stairs too early can strain the healing joint and delay recovery.

Why Stairs Are Risky

Climbing requires your dog to put weight on the healing leg, while descending adds extra strain on the knee joint due to impact. Both actions can interfere with healing, increase swelling, or harm surgical implants.

Timeline for Reintroducing Stairs

  • First 4–6 Weeks: Avoid stairs completely. Carry smaller dogs and block access with baby gates.
  • Weeks 6–8: Limited, supervised stair use may be allowed. Start with one or two steps, using a leash and harness for support.
  • Weeks 8–12: Gradual, independent stair use may be possible with your vet’s approval. Monitor progress closely.

Tips for Assisting Dogs with Stairs

  • Use a Leash or Harness: Guide your dog’s movements to prevent strain or falls.
  • Install a Ramp: A ramp offers a safer alternative for homes with multiple flights of stairs.
  • Block Access: Use gates to restrict unsupervised access to stairs.
  • Pace Yourself: Allow your dog to take their time without rushing or forcing them.

When Can My Dog Jump on the Couch After TPLO Surgery?

Your dog can usually jump on the couch 12 weeks or more after surgery, but only with your vet’s approval. Jumping on furniture stresses the knee joint, which can risk implant failure or re-injury. Prevent jumping during recovery to protect your dog’s surgical site.

The Healing Process and Phases

  • Early Recovery (0–6 Weeks): Bones and tissues are still fragile. Limit activity to short, controlled leash walks.
  • Mid-Recovery (6–12 Weeks): Bone healing progresses, but high-impact activities like jumping are still unsafe.
  • Long-Term (12+ Weeks): With a smooth recovery, jumping can be gradually reintroduced if cleared by your vet.

Tips for Preventing Jumping

  • Block Access: Use baby gates or furniture covers to deter jumping.
  • Provide Alternatives: Use ramps or pet stairs to make climbing safer.
  • Crate Training: Set up a comfortable crate or playpen to restrict movement.
  • Training Commands: Teach “stay” or “off” to discourage jumping.

Conclusion

Recovering from TPLO surgery requires patience, commitment, and careful attention. Your role is vital in helping your dog heal properly and avoid complications. Proper aftercare, such as keeping the surgical site clean, limiting activity, and giving prescribed medications, lays the groundwork for a smooth recovery. Regular check-ups with your vet help track progress and address any concerns early.

Rehabilitation exercises, approved by your vet, are important for rebuilding strength and mobility over time. By sticking to your dog’s care plan and watching for signs of progress or setbacks, you’ll help them return to an active, pain-free life.

Recovery might take weeks or months, but each step forward brings your furry friend closer to full recovery. Your dedication and love truly make a difference in their healing journey.

Source:

Vet Playas: When Can My Dog Climb Stairs After ACL Surgery? Vet-Approved Facts & FAQ

Atlantic Coast Veterinary Specialists: TPLO Surgery for Dogs: When Can My Dog Jump?

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