Cranial Cruciate Injury Treatment Protocol

Patient Name:______________ Owner Name:____________

Date:_______ Grade of Instability:______ Meniscal Click:_____

The cranial cruciate ligament is one of the most important stabilizers inside the canine knee (stifle) joint, the middle joint in the back leg. Rupture of the CrCL is one of the most common reasons for hind limb lameness, pain, and subsequent knee arthritis.

crucial photo1


Helping your pet get the best return of function after a CCL injury requires a multimodal treatment protocol. These treatments are important whether we recommend surgical repair or medical management. When you pet is diagnosed with stifle instability due to a CCL rupture or tear, we will give the injury a grade of 1-4 based on how much cranial instability is present and whether the meniscus seems intact or torn. We will make recommendations of treatments for both pre surgical and post-surgical or treatments to optimize the best healing if we recommend medical management.

Pre Surgical


Passive range of motion exercises ________________________

Treatment Modalities:

Class IV laser therapy treatments _________________________

Cryotherapy ________________________

Adequan® injections ________________________

Oral Joint Supplements _________________________

Assessment Evaluations:

Weight ________________________

Recommendations _________________________

Baseline Thigh CM _________________________

Post Surgical

NSAID Therapy _______________________

Tramadol Therapy _______________________

Range of Motion and Therapy Laser Treatments at 3,5,7 days post-operative

Dates and times: ______________ ______________ ______________

Post-operative gait analysis and BTCM at 3, 7 weeks

Dates and Times ______________ ______________

Post-operative gait analysis and BTCM at 4 and 6 months