Medical Management of CCL or stifle joint instability

Medical management of CCL injuries needs to be a multimodal approach. The first step is getting to and maintaining a lean body weight and muscle tone and maintaining muscle tone in the affected limbs. A good diet and regular exercise program will help you achieve this. Our approach to helping you manage cruciate injuries in not only the acute and chronic phase but ongoing therapy for post injury maintenance may consist of joint supplementation, pain management, low level laser therapy, rehabilitation and exercise programs.

Joint Supplements

Joint supplementation is very important and includes both oral products and products given by injection. The products we recommend at this time include oral products such as the Synovi G4®, Dasuquin® and injectable products such as injectable hyaluronic acid and Adequan®.

Synovi G4®


Synovi G4® softchews are available from us for your pet, some information from their website is included here:

With Synovi G4®, getting older doesn’t have to mean that pets feel older. Synovi G4® is a unique multimodal formulation developed to help maintain joint health and flexibility in dogs as they age.

Key Benefits
Synovi G4® is based on our established Synovi® support matrix of joint health agents and blend of antioxidants, and it is enriched with Boswellia serrata and Turmeric to support overall joint health
First step in a total joint health management protocol
Supports joint health in dogs as they age
Contains antioxidants and joint health ingredients
Palatable soft chew

For use in dogs only. Recommended to support joint function and flexibility.



What is Dasuquin®?

We have combined over ten years of clinical use and research on our joint health supplement Cosequin® with our research in advanced joint health ingredients in developing Dasuquin®, a cost-effective formulation for dogs, available only through your veterinarian.

Dasuquin combines NMX1000®* ASU (avocado/soybean unsaponifiables) and decaffeinated tea with Cosequin’s FCHG49®* glucosamine hydrochloride and TRH122®* low molecular weight chondroitin sulfate to provide the most comprehensive joint health management formula available for dogs.

Dasuquin is a dual synergistic formula: its specific glucosamine hydrochloride and low molecular weight chondroitin sulfate have demonstrated synergy in stimulating cartilage matrix production,1 while ASU also acts synergistically with glucosamine.



Numerous studies show that Adequan® Canine (polysulfated glycosaminoglycan) can slow the cartilage from breaking down and actually supports the repair process. And unlike nutritional supplements, Adequan® Canine is FDA-approved* so you can be assured of its effectiveness. Adequan® Canine (polysulfated glycosaminoglycan) is a prescription, water-based, intramuscular, polysulfated glycosaminoglycan (PSGAG) that helps prevent the cartilage in your dog’s joint from wearing away. It helps keep the cartilage healthy and intact, so that the bone in the joint cannot touch other bones. No other drug for arthritis can do that.

Pain Management is an integral part of management of cruciate disease for the well being and comfort of our pets. This is usually achieved by the use of a non steroidal anti inflammatory medication. There are many of these and their uses are a matter of preference to the client and practitioner. We won’t discuss individual medications as each case is different and NSAID therapy should be prescribed for the individual instead of the disease.

Class IV or Low Level Laser Therapy

Therapy laser is a modality that uses light to favor and accelerate the body’s natural healing processes. The laser beam is moved over the skin so that the light energy (photons) penetrates the tissue where it interacts with various molecules (chromophores) that cause different biological effects. It produces a photochemical, photothermal and photomechanical effect. When you have a partially torn cruciate ligament we can use the benefits of anti-Inflammatory effects, analgesic effects, accelerated tissue repair and cell growth, improved vascular activity and increases in metabolic activity to benefit the joint and improve healing. Laser therapy provides a “viable chance to avoid an expensive surgery”. Surgery is always an option, and in some cases, especially those dogs with cruciate damage combined with meniscal tears, surgery should be performed as soon as possible. The alternative is to try medical management and start laser treatment immediately. If it is going to work well, the result is evident within six weeks. Surgery can always be done later if the patient is one of the few that does not respond favourably to this approach. The frequency of treatments depends on the extent of the injury and will be recommended to you at the examination and subsequent rechecks.