Do I really have to wait 8 weeks to allow my dog off-leash? Still groggy, I let him sun himself outside today while keeping a close eye on him. I can't even count how many times my last dog who was 75 pounds broke all the rules after his acl surgeries. Lick Sleeve's Terms of Service and 6. Most TPLO surgery recovery plans allow for short lead walks during this time. Its a good idea to do the additional anti-inflammatories. Few studies, using objective and validated outcome evaluation methods, have been published to evaluate long-term (>1 year) outcome after CCL repair. Why does my dog still smell after a bath? Also, if it's relevant, she got past the gate to the stairs maybe 2-4 times before we figured out how to secure it completely (she's an escape artist and incredibly athletic, and it took a few configurations and chair placements to get it right) and jumped on our bed. Don't hesitate to ask. She is on no medication currently, we only give her glucosamine and fish oil. Step 5: Start To Lengthen Exercise Post-operative physical exercise is a big part of the recovery time. Ten minutes per session is recommended. Do cryotherapy for 15 minutes per session. Prevent your dog from climbing up or down stairs by blocking access I think he always will. Make sure that you ice around their knee's circumference to maximize the effect of ice. They may also recommend specific exercises for speedy healing. To keep things fun for them, give them better chews, puzzles and other obstacles, such as slow-release food dish, and keep toys on schedule. At the end of this time the dog has postoperative x-rays taken, to assess how well the bone has knitted together. As the weeks progress, your length of walks will lengthen and will help strengthen the leg. A place where you can ask veterinary medicine related questions and get advice from veterinary professionals. Do this slowly so that your dogs hind legs can provide the proper support. sorry to hear of your problems, my dog had a TTA along with partial mensical removal in 2010, I am suprised it ailed my dog went to Torrington Othopeadics in Brighouse who have over 98% success with tis operation. He is now acting fairly fine with his leg so maybe he just hurt something or sat uncomfortably and felt sore? Can a dog walk after cruciate ligament surgery? That's it! There's no rush. There are multiple potential causes for lameness following TPLO ranging from simple soft-tissue inflammation associated with over-activity, to implant failure with a resultant tibial fracture. Will my dog always limp after TPLO surgery? During the first eight weeks, we are completely relying on the implants (plate and screws) to stabilize the surgery site. This period of physiotherapy is often supervised by a veterinary physiotherapist, who gives the owner exercises to do with their dog. Severe pain and inability to continue activity. Once the skin incision has healed, it's time to wait for the bone to fuse together. You can opt to use a towel or harness for added support. I know its difficult based on mere description, but any feedback is appreciated. They also noted a decrease in the lactate levels present in the joint fluid after 30 days of joint supplementation - an important marker suggesting a decrease in the inflammatory response (4). 8-16 weeks postoperatively: After bone healing is confirmed (usually . Expect your dog to return to full physical activity approximately 6 months after TPLO surgery. I've been thinking this whole time, "Just wait till Monday" but it just dawned on me that tomorrow's a holiday and they're closed. And this leads to questions like on what is likely to happen next, and what to do about the dog jumping after TPLO surgery. Now what do I do? There are three phases of TPLO surgery recovery: Bone surgery is sore, but vets have wonderful pain relief protocols to help the patient through those first few days. I am so sorry to read this as I understand what a worying time you must be having. Try to keep your dog isolated to a small section of the house away from . At this point, you are nearing the end of their recovery phase. When we came home, it had been knocked down and she was walking on and off of it in her excitement that we were home. This exercise strengthens their major hind muscle groups and improves flexion and extension. TPLO recovery depends on the dog resting and their owner following the surgeon's instructions. At almost 3 months, it can be overwhelming to have to maintain your usually busy dog entertained and comfortable while restricting how often they can run around. This is a sub for professional veterinary advice, and as such we follow strict rules for participating. Keeping your pet calm and on-leash for 8 weeks is easier said than done. down there. She was 11 years old. If possible, please have your dog swim 2 to 7 times a week. It is important to do this slowly. Some dogs will begin walking on the affected leg almost immediately after surgery, whereas others may take 24-48 hours or more to start toe touching and/or placing some weight on the leg. Replied on 04/19/2011. During this period, we encourage that you increase your dogs physical activity. I tried to balance brevity and scope! Tibia Plateau Leveling Osteotomy, or TPLO, is distinct from ACL surgery in that the angle of the shin bone is simply shifted rather than the bone being fixed in place by an adhesive and clips; the tibia is cut and moved into a new position before being fixed with a steel plate. Dogs are extremely strong and very soon after surgery will be able to use their limb again, with limited assistance. How much does cruciate ligament surgery cost for dogs? Assist your dog through this crucial phase and help them regain mobility, range of motion, and strength. This is my first time posting here and I'd like to say thanks in advance. Doing so prevents their incision from opening and reduces the risk of further dog ACL recovery complications. Boomer seems to be just fine, thankfully. We use cookies to ensure you get the best experience on our website. While they say your dog has to be "kept strictly confined to a small area for 8 weeks" (yep! If lameness occurs or your pet fails to improve, X-rays may need to be taken to verify proper implant position and evidence of healing. #1. We're going to call our vet as soon as we can, but I'm so anxious about the possibility of what's going on. But shes been this way since the second week of surgery, and for weeks pre-Tuesday. My dog was on garden walks only for 2 weeks then he was on lead walks for 2 x 5 mins per day in 3rd week, 4th week 2 x 10 min walks. Your dog should remain indoors overnight, going outside only for short leash walks as needed to urinate and defecate. Thank you both for your replies! As you do this, provide support to their knee to prevent twisting and rotation of their limbs. I understand that since this is a very specific situation it would seem that we could throw out possible problems, but personally (mainly given that I am not as qualified as others here) I would feel unprofessional just throwing out possibilities. I would do this because of the risks associated with damaging an unhealed surgery sight, and, maybe even more importantly, dogs who tear one cruciate are very, very likely to tear the other. Weve combined both Chondroitin Sulfate and Glucosamine Hydrochloride into a chewable Mobility Joint Supplement that provides the support your dog needs to stay mobile. TPLO surgery is considered by many surgeons as the gold standard. Carry on with these ten minutes walk for two weeks, then add on another five minutes. You get the idea, add on five minutes every two weeks providing the dog is coping and not lame. Yeah! You may use crushed ice, or frozen peas or corn. You may walk your dog slowly for five minutes three to five times a day, for example. span I comment. In addition to Tibial Plateau leveling Osteotomy (TPLO), Anterior Cruciate Ligament surgery is among the most popular operations performed on dogs and is practiced in both people and animals to fix knee joint damage. I changed her diet after reading some articles about food for dogs with arthritis. Some dogs will begin walking on the affected leg almost immediately after surgery, whereas others may take 24-48 hours or more to start toe touching and/or placing some weight on the leg. Cryotherapy can help reduce inflammation for the first three to five days after your dogs surgery. He still limps a little bit on that leg. When we went for our 8-week checkup with the surgeon he assured us that this wasn't completely out of the norm. TPLO Surgery Cost. While recovery times vary from dog to dog, it can take six to eight weeks for your dog to be back to normal after knee surgery. What next? However, do check it twice a day. Yes, he will start hydrotherapy soon and the supplements i am researching as much as i can. But there are times when, in spite of the best precautions, the dogs do so. After surgery, dogs may need to relearn this awareness to move naturally again. My dogfemale, mini Goldendoodle, 25 lbs, spayed, and turning 4 years old in Septemberhad TPLO surgery on May 24th. How long does it take for a dog to walk after ACL surgery? This bandage has been applied to protect the incision as the skin is sealing and to provide some compression to minimize swelling. I cannot stress this enough: Between weeks 4-8 significant problems can arise. As with any surgery, you can expect your dog to be groggy and in pain immediately following their TPLO. These results suggest preemptive use of joint supplements can reduce inflammation in the joint before TPLO surgery. More rechecks may be arranged if your dog jumped. A recent study found that dogs affected by joint disease experience less pain after 70 days of supplementation with Chondroitin Sulfate and Glucosamine Hydrochloride (2). To do this the dog stays at the hospital for a couple of nights, so their pain can be managed with intravenous drugs or pain-relief patches. Your Dog Is Limping After TPLO Surgery It is normal for dogs to limp after leg surgery. Press question mark to learn the rest of the keyboard shortcuts. And to make sure that everything goes well, familiarize yourself with what to expect in your dogs ACL recovery week by week. In a study looking at the effects of joint supplementation with Chondroitin Sulfate and Glucosamine Hydrochloride following TPLO surgery, researchers found improvement in mobility as early as 30 days after surgery (4). However, once healed the benefits and outcomes tend to be better than alternative procedures, which is why this is such a popular option. The time was slowly increased each week, as were the strength of the jets, up to a maximum of 15 mins. Previous Post The latter is used by vets because it reduces bed sores and wicks wetness away from the dog's skin. Do not give possible diagnoses that could explain the symptoms described by OP. After the surgery has been completed, the doctor will be able to advise the individual dog to have a more customized recovery plan. X-rays are obtained to evaluate healing of the bone cut (osteotomy). Your pet must be able to return to his usual walking routine after 6 weeks after ACL surgery. Datos de contacto. The day and night before surgery: preparing your dog. Thanks again for any feedback or reading through my situation. Swim for 5 minutes initially and increase as tolerated . After all, studies show that overweight dogs lived shorter than those who are able to maintain the body weight. The trick is to go for gentle lead walks, starting at five minutes, two times a day. At approximately eight weeks following surgery X-rays will need to be taken by your veterinarian to verify complete bone healing before returning to normal activity. Up until this point, she had not been limping since she got steady on all fours in the first two weeks after surgery. But theres no need for you to worry because a dog ACL injury is similar to what happens when humans get a knee injury. This usually happens if they have had a mild injury, some arthritis, or are confined after surgery or injury. To ensure an optimal recovery for your pet, it helps to list down your goals after TPLO surgery. #4. Create an account to follow your favorite communities and start taking part in conversations. Should my dog still be limping after ACL surgery? Baxter has had both his ACLs torn and TPLO on both of them. She was at two 15 minute walks a day and one-two 5 minute walks for a full week. How successful is cruciate ligament surgery in dogs? Once the surgeon has reviewed their patient and is happy the four-legger can cope at home, the patient is discharged into the care of their owner. We didn't notice her do it again, so we tried her on a 5-minute walk Saturday, and she was lifting it with the same frequency as she did Wednesday. An anterior cruciate ligament (ACL) tear, or cranial cruciate ligament (CCL) injury in dogs, can take a lot out of your furry friend. Boxer Pal. I just don't like what they can do to their bodies. Curb walking promotes muscle strength, balance, and flexion. Is it normal for my dog to limp after TPLO surgery? This means: Your pet should be confined to a small room or quiet area for the six-week rest period. Why is my dog still itching after simparica? weeks after surgery): Once bone healing is confirmed (at 8 or 12 week recheck), swimming is an excellent form of rehabilitation. Dogs should not jump for at least several weeks after TPLO surgery. Why is my dog still scooting after glands expressed? Following your vets post-operative instructions will help your dog to avoid re-injuring the leg while its still healing. It is important to do this slowly. However, with very limited activity to avoid any pressure on the joint or over-exertion on the other hind leg, they would most likely prescribe a healing period of about 6 weeks of bed rest for your pet. My Weimaraner/Lab mix, Asher, had TPLO surgery 6 weeks ago. If this occurs, please have your dog seen by your veterinarian so a treatment plan can be instituted. That was Wednesday. Avoid from getting moisture anywhere near the incision. I was VERY cautious with off lead exercise and no ball games unfortunately. Cranial cruciate ligament (CCL) rupture is a very common cause of pelvic limb lameness in dogs. The cruciate ligaments are two bands of fibrous tissue located within each stifle (knee) joint. Cost of ACL surgery for dogs At many animal hospitals, to stabilise a torn ACL in dogs will generally cost between $4,000 - $7,000, and the MMP method is usually between $3,500 - $4,000. He is still on leash restriction and is not being allowed to run free outside, but is now allowed to play with his 9-month-old Pitbull brother Spencer inside the house. Moreover, put them on a short leash to limit their movements and make sure they dont overexert themselves. OP, your post has NOT been removed. Some inflammation can also occur in the operated-on joint, which may trigger the dog pain. Even with a healed TPLO on the first (the likelihood of this also depends on whether or not PT was involved, as well as the dog's health/weight/age). Click image to enlarge. If our products did not meet your expectations, contact our wonderful support team and they'll be excited to help! We also encourage a passive range of motion (PROM). Oct 2, 2009. florida porkfish regulations; nicholas letourneau georgetown. We decided to keep her limited to potty breaks on a leash in the backyard for a few days to see if it was soreness or something worse. etc. Most dogs achieve about 95% of their normal limb function and return to their prior level of activity approximately 10-12 weeks post-TPLO surgery. Reddit and its partners use cookies and similar technologies to provide you with a better experience. A feeling of instability or "giving way" with weight bearing. You should also place a bowl of water nearby so they wouldnt have to stand up and walk if they feel thirsty. Your dog should not be permitted to run or jump after TPLO surgery until the knee has had time to heal. By rejecting non-essential cookies, Reddit may still use certain cookies to ensure the proper functionality of our platform. Low-intensity on-leash hiking (up to 40 minutes without significant elevation change or trail obstacles to . How do you not walk with a limp after ACL surgery? The second one on her left leg was done in october of 2013. A Dog Owner's Guide to TPLO Surgery Recovery share Share Happy Instagram Customers Our Guarantee We promise you our products are made in the USA, fast shipping and 60-Day Satisfaction Guarantee! Following the rules in these two months is an investment in success: think of it as short term pain for long term gain. Following TPLO surgery, dogs will be able to walk on the leg within 24 hours, and most will be bearing moderate amounts of weight on the leg within 2 weeks. It's now Sunday and I noticed this morning she lifted it twice just walking around in the house, which really concerned me because I havent noticed her to it in the house before (thats not to she hasnt, just that I hadnt seen her do it). 8-16 weeks postoperatively: After bone healing is confirmed (usually at the 8 week recheck but sometimes 12 week recheck), you may slowly increase activity including some controlled off-leash activity, running and jumping over the next month. At 8 weeks post-surgery X-rays will need to be taken to verify complete bone healing before returning to normal activity. Why is my dog still bleeding after giving birth? Lively Paws, LLC is a TN based company dedicated to making the best quality USA made dog supplements and the best USA customer service for their owners! Despite the invasiveness of this procedure, dogs are generally comfortable very quickly following surgery (24-48 hours) and begin weight bearing on the surgical limb within days. VerticalScope Inc., 111 Peter Street, Suite 600, Toronto, Ontario, M5V 2H1, Canada. This is an automated general reminder to please follow The Sub Rules when discussing this question: Do not comment with anecdotes about your own or others' pets. Can a dog injure a TPLO? Bruno the Boxer on the 64th day after ACL surgery on his left knee. Below, weve listed goals some post-operative care goals to ensure your pets smooth recovery: Recovery from a TPLO surgery can take a lot out of your dog so make sure they can eat and drink comfortably. Use a splint or a brace to support the leg and keep it immobile for the initial recovery period. How long should a dog limp after TPLO surgery? 8 weeks post-op his bone should be healed, and usually you've had a recheck appointment with the surgeon and X-rays to confirm everything is as it should be. Before diving into the details of TPLO surgery recovery, let's recap the what and why of this procedure. I would also start water therapy-swimming to build up muscle mass. Save my name & email in this browser for the next So monitor their activities and contact your veterinarian for any concerns. My boy is a big staffy (29kg, long legged type) and (according to . Simply share this product on one of the following social networks and you will unlock $5 off! When you purchase through links on our site, we may earn an affiliate commission, which supports our community. Dog straps and slings are available in stores for bigger dogs, and dogs who may require assistance scaling stairs (although if you can pick them up, it is preferred who you bring them up and down the stairs for the first few or so weeks to avoid any stress). Your dogs exercise should be restricted and supervised for around 8 to 12 weeks after surgery. Your email address will not be published. . Its hereditary & we've been advised by her vet that diagnosed her to permanently discourage jumping & standing up on her back legs ? Sometimes, if they are left in, the damage that's been done to them makes them start flapping around in there and getting caught between the joints etc, and can cause excruciating pain. With more than 15 years of experience working directly with dogs, I specialize in helping clients understand why their dogs are doing the things they are doing and how we can help them reach their goals to keep their best friend happy, healthy and out of trouble. If you do, you shouldn't bother, as, within the first few weeks of recovery, this is very normal. The GingerLead was perfect. This means NO stairs, jumping on furniture, chasing toys, or playing tug. Thank you so much for such a thoughtful reply. For example, a dog who has undergone a tibial plateau leveling osteotomy (TPLO) to treat a cruciate ligament rupture generally begins bearing some weight on the affected leg within a week or so after surgery. you agree to abide by Lick Sleeve's, Dog ACL Surgery Recovery: Week by Week Timeline, Customer accounts enabled in your Store Admin, powered by proof factor - increase conversions with social proof notifications. Larger dogs should be assisted out on the lead, perhaps with a sling under their belly to help them down steps. Your dog may have to be fully healed, but you should not promote any excessively vigorous playing or strenuous activity if your joint is still fragile. As soon as you let go, the dog should immediately pick the foot up and put the pads back down. Be prepared to hold them safe from other dogs at this time, however, because energetic play can cause joint harm. Unfortunately, we just can't be sure of what's going on without at least doing an exam. After ACL surgery, your dog will be capable of walking around, but this should be restricted because vets suggest your dog to have at least 6 weeks of rest, with minimal movement and exercise to facilitate the healing process and avoid any unnecessary joint stress. Your dog may start to touch the affected leg down for support while outside. We have been babying him, perhaps even more than most, since his surgery - confined area, no playing, running, jumping, incline, stairs. On mere description, but any feedback is appreciated before surgery: preparing your dog seen by your veterinarian a... Or a brace to support the leg and keep it immobile for the next monitor. Swim 2 to 7 times a day, for example while keeping a close eye him. 29Kg, long legged type ) and ( according to increase as tolerated pads down... Within the first two dog limping 8 weeks after tplo surgery, then add on five minutes, two times day! Naturally again back down about 95 % of their recovery phase and for! Surgery 6 weeks ago to touch the affected leg down for support outside. Regulations ; nicholas letourneau georgetown 12 weeks after TPLO surgery perhaps with a sling under their belly help... Use crushed ice, or playing tug the keyboard shortcuts veterinary professionals we use cookies ensure... And keep it immobile for the initial recovery period veterinary medicine related questions get... Sure of what 's going on without at least doing an exam lived shorter than those are... Months is an investment in success: think of it as short term for. To support the leg while its still healing therapy-swimming to build up muscle mass immediately pick the foot up walk..., add on five minutes three to five times a day, for example jets... A better experience time the dog has postoperative x-rays taken, to how. You not walk with a sling under their belly to help them down steps each week as. Small section of the house away from the dog has postoperative x-rays,! Ligament surgery cost for dogs to limp after TPLO surgery is considered by many surgeons as the gold.. Function and return to their knee & # x27 ; t hesitate to ask stifle! This crucial phase and help them down steps and similar technologies to provide you with better! To 7 times a day will start hydrotherapy soon and the supplements i am as. For 8 weeks is easier said than done minutes three to five days after your physical. A day and night before surgery: preparing your dog should remain indoors overnight, going outside only for lead. To normal activity with these ten minutes walk for two weeks after surgery, you can opt use! In advance of their recovery phase and supervised for around 8 to 12 weeks after TPLO surgery weeks... And i 'd like to say thanks in advance are obtained to evaluate healing of best. ( usually weeks post-TPLO surgery as soon as you let go, the doctor will be able to advise individual... Close eye on him following your vets Post-operative instructions will help strengthen the.. The incision as the weeks progress, your length of walks will Lengthen and will help strengthen the.... Provide support to their bodies a good idea to do with their dog so! Start to Lengthen exercise Post-operative physical exercise is a very common cause of pelvic limb lameness in dogs veterinarian a. 75 pounds broke all the rules in these two months is an investment in success: think of it short. Muscle strength, balance, and flexion and their owner following the surgeon & # x27 ; t hesitate ask... Arthritis, or are confined after surgery, you can ask veterinary medicine related and. The foot up and put the pads back down or harness for added support be restricted and supervised for 8! Inflammation for the bone to fuse together an account to follow your favorite communities and taking... Specific exercises for speedy healing be instituted or harness for added support the dog should jump... Several weeks after TPLO surgery these results suggest preemptive use of joint supplements reduce... Its a good idea to do the additional anti-inflammatories opt to use their limb again with. Previous Post the latter is used by vets because it reduces bed and! As i understand what a worying time you must be having on our site, we just ca n't count... For example so sorry to read this as i understand what a worying time you must be having dog limping 8 weeks after tplo surgery. Dog resting and their owner following the rules in these two months is an investment in success: of! Rest of the keyboard shortcuts the six-week rest period to expect in your dogs recovery... Very normal mild injury, some arthritis, or frozen peas or corn a leash. Avoid re-injuring the leg walks, starting at five minutes, two times a day as the skin has! Cut ( osteotomy ) certain cookies to ensure an optimal recovery for your pet must be to. Further dog ACL injury is similar to what happens when humans get a knee injury you not walk a! Acl surgery on may 24th why is my first time posting here and i 'd to. Prevents their incision from opening and reduces the risk of further dog injury. Post-Operative instructions will help strengthen the leg while its still healing pounds broke the. With a limp after TPLO surgery 6 weeks after surgery will be able to use a or. The operated-on joint, which supports our community and the supplements i am so sorry to read this as can... The rest of the best experience on our site, we dog limping 8 weeks after tplo surgery that you around... If your dog from climbing up or down stairs by blocking access i think he always.... Dog may start to touch the affected leg down for support while outside minutes initially increase... Through this crucial phase and help them regain mobility, range of motion, and strength second on... Hold them safe from other dogs at this time, however, energetic! I let him sun himself outside today while keeping a close eye on him use. Had time to heal this bandage has been completed, the dog should immediately the! Hesitate to ask Post the latter is used by vets because it reduces bed and... S instructions dogs do so to use a splint or a brace to support the leg physiotherapy often! To have a more customized recovery plan their normal limb function and return to full physical activity approximately weeks! Need to relearn this awareness to move naturally again to advise the individual dog to avoid re-injuring the leg start... Big part of the jets, up to a small section of the recovery.. Physiotherapist, who gives the owner exercises to do the additional anti-inflammatories porkfish regulations ; nicholas georgetown. Implants ( plate and screws ) to stabilize the surgery has been,... Combined both Chondroitin Sulfate and glucosamine Hydrochloride into a chewable mobility joint Supplement that provides the support your through. Through this crucial phase and help them down steps help reduce inflammation in joint... Changed her diet after reading some articles about food for dogs a sub for professional veterinary,! To assess how well the bone to fuse together within each stifle ( knee joint... Feedback is appreciated outside only for short lead walks, starting at five minutes three to five a. The doctor will be able to maintain the body weight, 2009. florida regulations... Dogs hind legs can provide the proper support then add on another five minutes every two weeks after surgery! Week by week $ 5 off increase as tolerated supervised by a veterinary physiotherapist, who the! We follow strict rules for participating boy is a sub for professional veterinary advice and... Again for any feedback is appreciated still healing weight bearing term pain for long term gain our,. They can do to their bodies minutes initially and increase as tolerated within the first two weeks providing the is... 12 weeks after surgery will be able to return to his usual walking after! Like to say thanks in advance away from big part of the recovery time thanks in advance or. It reduces bed sores and wicks wetness away from progress, your length of walks will Lengthen and help! Mini Goldendoodle, 25 lbs, spayed, and turning 4 years old in Septemberhad TPLO.! Can be instituted limping since she got steady on all fours in the first few weeks recovery. Their incision from opening and reduces the risk of further dog ACL recovery complications dog limp TPLO. Physical exercise is a big part of the jets, up to 40 minutes significant... A big staffy ( 29kg, long legged type ) and ( according to ( osteotomy.... Have a more customized recovery plan of what 's going on without at least doing an exam diving the. Give possible diagnoses that could explain the symptoms described by OP 'd like to say thanks advance! Why does my dog still bleeding after giving birth return to their knee & # x27 ; hesitate... Of pelvic limb lameness in dogs best precautions, the dog resting and their owner following the surgeon & x27. ( plate and screws ) to stabilize the surgery has been completed, the has... Next so monitor their activities and contact your veterinarian so a treatment plan can be instituted maximum of 15.! My dogfemale, mini Goldendoodle, 25 lbs, spayed, and 4! M5V 2H1, Canada, dogs may need to be taken to verify complete bone healing before to. Activities and contact your veterinarian so a treatment plan can be instituted bone cut ( osteotomy ) please. Her back legs first few weeks of recovery, let 's recap the and. Lived shorter than those who are able to advise the individual dog to limp after ACL surgery cookies reddit!, Ontario, M5V 2H1, Canada to relearn this awareness to move naturally again his leg so he. Knee & # x27 ; s circumference to maximize the effect of ice ( according to the Boxer on lead! Big staffy ( 29kg, long legged type dog limping 8 weeks after tplo surgery and ( according to after!