Waiting for Dog ACL Surgery: How Long is Too Long?

While a dog can technically wait several weeks to a few months for ACL/CCL surgery, veterinary consensus strongly recommends scheduling the procedure as soon as possible after diagnosis. Sooner is always better to prevent further damage and ensure the best long-term outcome. This isn't just about getting your dog back on their paws quickly; it's about preventing further damage and ensuring the best possible long-term outcome, as highlighted by Source 1.

Delaying surgery increases pain and instability. The cranial cruciate ligament (CCL), often referred to as the ACL in humans, is a vital ligament in a dog’s knee that stabilizes the joint. When it tears, the knee becomes unstable, leading to pain and lameness (Source 1).

Secondary joint damage, like arthritis, worsens over time. An untreated CCL injury can lead to further complications, including joint instability and arthritis (Source 3).

Recovery can be more difficult with prolonged waiting. Many times, waiting too long can result in increased pain for your dog and make the recovery process more difficult (Source 3).

The CCL (cranial cruciate ligament) will not heal on its own. According to PetMD, when the CCL becomes damaged or torn, surgery is required to repair it because the torn ligament will not regrow (Source 2).

Risks of Delaying Surgery

Delaying canine ACL repair timing can result in a number of negative effects, impacting your dog's health and comfort (Source 1).

Increased pain and lameness are immediate consequences. An ACL injury can cause significant pain and mobility issues for dogs (Source 3).

Progression of arthritis in the affected joint is a serious long-term risk. Delaying surgery may lead to further joint damage or arthritis (Source 3).

Meniscal tears, which are cartilage damage, can develop or worsen. The knee's instability after a CCL tear can put abnormal stress on other structures, like the menisci.

Muscle atrophy, or wasting due to disuse, is common. Dogs will naturally favor the injured leg, leading to muscle loss in that limb.

There is an increased risk of tearing the CCL in the other knee. Around half of dogs that tear one ACL will tear the other within about one to two years (Source 5). By having surgery done on a torn ACL, you prevent your dog from having two unstable knee joints should they have a cruciate ligament rupture in the other knee (Source 5).

A more complex and potentially longer recovery period can also result from delays. The longer the delay, the more secondary issues may develop, making rehabilitation more challenging.

Pre-Surgery Management & Preparation

While waiting for surgery, proactive management can significantly impact the success of the surgery and the long-term health of your dog’s knee (Source 1).

Activity Restriction

Strict leash walks only are crucial. This prevents sudden movements that could worsen the injury.

Avoid jumping, running, and stairs. These activities place excessive stress on the knee joint.

Confine your dog to a small, safe area if necessary. This helps limit their movement and prevents further injury.

Pain Management

Administer prescribed anti-inflammatory medications (NSAIDs). These help manage pain and reduce inflammation.

Discuss additional pain relief options with your vet. Your veterinarian can offer personalized guidance for your situation (Source 3).

Home Modifications

Rugs on slippery floors provide better traction, reducing the risk of slips and falls.

Ramps for furniture/cars can help your dog avoid jumping, which can aggravate the injury.

Easy access to food, water, and potty areas minimizes the need for extensive movement.

Weight Management

Maintain or achieve a healthy weight to reduce joint stress. Excess weight puts additional strain on an already compromised knee.

Tools & Products for Pre-Op Care

Several tools and products can assist in managing your dog's condition before surgery.

A dog leash and harness are essential for controlled walks and preventing strain on the neck.

Non-slip rugs or floor coverings are vital for preventing slips on smooth surfaces.

An orthopedic dog bed provides comfortable support for the joint.

Dog ramps or steps can help your dog navigate furniture or vehicles without jumping.

Prescription pain medication (NSAIDs) will be provided by your veterinarian to manage discomfort.

Supplements like glucosamine and chondroitin may be beneficial, but always discuss these with your vet before administering them.

When to See a Vet Immediately

It’s crucial to monitor your dog's condition and consult with a vet to decide on the best timeline for proceeding with treatment (Source 3).

A sudden increase in pain or lameness warrants immediate veterinary attention. This could indicate further damage or complications.

Inability to bear weight on the affected leg is a serious sign. If your dog cannot put any weight on the leg, seek immediate help.

Swelling or heat around the knee joint could indicate increased inflammation or infection.

Any new or worsening symptoms should be reported to your vet. This includes changes in appetite, behavior, or overall demeanor.

Concerns about medication side effects should also prompt a call to your vet.