Cranial Cruciate Ligament Disease

The cranial cruciate ligament (CCL) is one of the major ligaments in the knee (stifle) joint of dogs. Injury to this important stabilizing ligament is a common cause of hind limb lameness and arthritis in dogs. Our veterinary rehabilitation services can help your dog recover from CCL injury and surgery.

What is the Cranial Cruciate Ligament?

The CCL connects the femur to the tibia within the knee joint. It prevents excessive forward sliding of the tibia (thrust) and provides rotational stability. When the CCL ruptures or tears, the knee becomes unstable. This causes pain, inflammation, and compensatory changes in gait.

Causes of CCL Injury

• Gradual wear and tear

• Trauma and falls

• Obesity

• Genetic factors

Signs of CCL Injury

• Sudden lameness in a hind limb

• Stiffness and difficulty standing up

• Swelling/thickening in the knee joint

• Reluctance to run, jump, or climb

Diagnosis and Treatment

CCL injury is diagnosed through physical exam and imaging such as x-rays. Nonsurgical options include rest, NSAIDs, weight loss, knee bracing, and rehabilitation. Surgery to stabilize the knee, followed by rehabilitation, is often the best long-term solution. We will discuss all available options that suit your pet’s needs.

Our Rehabilitation Services

• Before and after CCL surgery, we provide:

• Range of motion and strengthening exercises

• Stretching and massage

• Gait retraining

• Laser therapy or shockwave

• Hydrotherapy to rebuild muscle

• Weight management guidance

Starting rehab early optimizes surgical outcomes and can help your dog return to pain-free function.