Watching your dog struggle to walk or play after an ACL injury is heartbreaking. But with the right rehab plan, your furry friend can bounce back stronger than ever. In this guide, we’ll walk you through everything you need to know about ACL rehab for dogs—from treatment options and home care to physical therapy and prevention tips.
Let’s dive in and help your pup get back on their paws!
What Is a Dog ACL Injury?
Just like humans, dogs can tear their anterior cruciate ligament (ACL)—though in veterinary medicine, it’s technically called the cranial cruciate ligament (CCL). This ligament stabilizes the knee joint, and when it tears, dogs often experience:
- Sudden lameness
- Limping or favoring one leg
- Difficulty rising or jumping
- Swelling around the knee
ACL injuries are common in active dogs, especially larger breeds like Labradors, Golden Retrievers, and Rottweilers.
Treatment Options for ACL Injuries in Dogs
Surgical vs. Non-Surgical Approaches
Surgery is often recommended, especially for medium to large dogs. Common procedures include:
- TPLO (Tibial Plateau Leveling Osteotomy)
- TTA (Tibial Tuberosity Advancement)
- Lateral Suture Technique (best for smaller breeds)
However, non-surgical rehab may be suitable for small dogs, older pets, or dogs with health risks. These programs typically include rest, medication, weight management, and physical therapy.
The Phases of ACL Rehab for Dogs
Successful recovery depends on a structured rehabilitation plan. Here’s a breakdown of what to expect:
Phase 1: Initial Recovery (Weeks 1–2)
- Strict rest and limited activity
- Ice packs to reduce swelling
- Pain relief medication as prescribed
- Short, leash-controlled potty breaks only
Phase 2: Gentle Movement & Healing (Weeks 3–6)
- Gradual reintroduction of controlled walks
- Passive range-of-motion exercises
- Begin cold laser therapy or electrical stimulation (if available)
- Monitor for signs of pain or swelling
Phase 3: Building Strength (Weeks 6–12)
- Supervised low-impact exercises like walking on a leash, underwater treadmill therapy, or balance boards
- Introduce light strengthening exercises
- Regular progress evaluations by your vet or canine rehab specialist
Phase 4: Full Recovery & Maintenance (3–6 months)
- Return to normal activity levels gradually
- Maintain a consistent exercise routine
- Continue strength and flexibility training
Note: Always follow your vet’s timeline and recommendations based on your dog’s specific surgery and condition.
Home Rehab Tips for Dog Owners
You can play a huge role in your dog’s recovery at home. Here are some practical tips:
- Create a recovery-safe environment: Use non-slip rugs and baby gates to limit movement.
- Use a harness or sling: This helps support your dog when walking.
- Stick to a schedule: Consistency is key in rehab routines.
- Provide joint supplements: Products with glucosamine and chondroitin support long-term joint health.
- Keep your dog mentally stimulated: Try puzzle toys or treat-dispensing balls to keep them engaged while restricted.
Common Mistakes to Avoid During Dog ACL Rehab
- Skipping rest periods: Too much too soon can cause setbacks.
- Allowing off-leash activity too early
- Ignoring weight management: Extra pounds put stress on healing joints.
- Not following through with rehab exercises: Rehab doesn’t end after surgery—consistency matters.
How Long Does ACL Rehab Take for Dogs?
On average, full recovery takes about 3 to 6 months, depending on the dog’s size, health, and whether surgery was involved. Some dogs may need longer, especially if they have other joint conditions.
When to Consult a Canine Rehab Specialist
If your dog isn’t showing progress or seems to be in pain despite rest and care, it’s wise to work with a certified canine rehabilitation therapist. These professionals can customize a plan using:
- Hydrotherapy
- Massage therapy
- Therapeutic ultrasound
- Joint mobilization techniques
Their expertise can dramatically speed up recovery and improve your dog’s quality of life.
Preventing Future ACL Injuries
Once your dog has torn one ACL, the risk of injuring the other knee increases significantly. Preventative measures include:
- Maintaining a healthy weight
- Regular, low-impact exercise
- Avoiding high-impact jumps and rough play
- Strengthening exercises for the hind legs
Final Thoughts: Your Dog Can Recover and Thrive
An ACL injury doesn’t have to mean the end of your dog’s active life. With the right treatment, rehab plan, and lots of love, your pup can make a full recovery. Be patient, follow professional guidance, and celebrate each milestone along the way.

Kallie Snyder is an author at Stonegate Health Rehab, providing valuable insights, recovery guidance, and rehab resources to help individuals achieve better health and well-being.