If a dog's torn ACL (cranial cruciate ligament) is not surgically repaired, the knee joint will remain unstable, leading to chronic pain, severe arthritis, muscle atrophy, and a high likelihood of a meniscal tear. While some small dogs may manage with conservative management, most dogs suffer from reduced mobility, reduced quality of life, and a 60–73% chance of tearing the opposite knee due to overcompensation.

What happens if I don't get my dog's ACL fixed?

“It stretches the other ligaments and joint capsule of the knee, which creates a lot of pain,” Brumett said. The dog will experience swelling and great discomfort and will not be able to put any weight on the leg. Over time, the limb will develop arthritis, which can be painful and reduce the dog's activity even more.

Can a dog heal from an ACL tear without surgery?

Yes, a dog's torn ACL can heal without surgery, especially for small dogs or partial tears, through conservative management like strict rest, activity modification, physical therapy, bracing, anti-inflammatory meds, and weight control; however, surgery often provides better long-term stability and function, particularly for larger, active dogs, as non-surgical recovery might lead to chronic issues like arthritis. A vet must diagnose the tear and determine the best approach based on your dog's size, age, and activity level.
 

How long can a dog go with a torn ACL?

Without surgery, the lameness caused by a partially torn or ruptured ACL will improve or go away completely in many dogs, especially small ones. You can expect this to happen within three to six weeks. That doesn't mean sit around and let your dog suffer for a month and a half. They still need special care from you.

Can dogs survive without an ACL?

A torn ACL/CCL in dogs is one of the most common dog injuries. This soft tissue injury requires rest, immobilization, and sometimes surgery. It is entirely possible for a dog to recover from an ACL tear without surgery. Many dogs heal through surgery alternatives like orthopedic braces and supplements.

5 Steps to Healing Your Dog's ACL Injury WITHOUT Surgery

Is it painful for a dog to live with a torn ACL?

Yes, a tear of the CCL is very painful and your dog will often cry out and begin limping when the ligament completely tears. Most dogs will still try to walk on the leg with a torn CCL, but they will exhibit a limp. If your dog is limping, it means they are experiencing pain.

What is the average cost of an ACL surgery on a dog?

Dog ACL (CCL) surgery costs typically range from $1,500 to $7,000+, depending heavily on the surgical method (Lateral Suture is cheaper, while TPLO or TTA are more costly), your dog's size, location, and added expenses like diagnostics, medication, and rehab, with advanced procedures costing $3,000-$6,000+ for better long-term results.
 

Can a dog sit normally with a torn ACL?

In addition to decreased mobility, you may notice that your dog is no longer able to sit “squarely,” meaning that they'll stick their injured leg out to the side when seated to avoid pressure on that limb. An indicator of a torn ACL is the presence of the “drawer sign”.

What is the survival rate for ACL surgery in dogs?

Currently the success rate of either surgery is between 85-90%.

Can a dog walk on a fully torn ACL?

Frequently Asked Questions: Q1: Can a dog walk with a torn ACL? Ans: Yes, many dogs can still walk with a torn ACL, but they often limp or avoid putting full weight on the leg. Walking does not mean the injury is mild.

How urgent is dog ACL surgery?

Once the cranial cruciate ligament is damaged in the dog, a catastrophic course of events have been set in place. It is best to have surgery before there is major ligament damage and severe instability that is called a cranial drawer ie movement between the femur and tibia.

Will a brace help a dog with a torn ACL?

A torn anterior cruciate ligament can severely impact your dog's mobility and quality of life. Fortunately, a dog stifle or knee brace can be an effective solution to support your pet during the healing process.

What is the alternative to ACL surgery for dogs?

Dog ACL Surgery Alternatives

Acupuncture, supplements (fish oil, turmeric, and glucosamine), swimming, and massage can also aid in your dog's recovery from a CCL tear. As with anything dog-health-related, go over the pros and cons of each option with your vet.

What are alternatives to ACL surgery?

Whereas Grade 1 and 2 tears usually don't require surgery, surgery is more common for Grade 3 tears. Alternatives to ACL surgery can include physical therapy, using a brace, platelet-rich plasma (PRP) therapy, and stem cell therapy.

Is it better to not get ACL surgery?

Complete ACL tears have a much less positive outcome without surgery. After a complete ACL tear, some patients are unable to participate in cutting- or pivoting-type sports, while others have instability during even normal activities, such as walking.

Can an ACL ever repair itself?

Most authors believe the ACL does not spontaneously heal after a complete rupture. Although several studies have reported spontaneous healing of torn ACLs, it is difficult to determine its healing potential and whether patients will be able to return to sports activities.

Can a dog live with a torn ACL without surgery?

Yes, it's possible for a dog to recover from an ACL tear without surgery. Dogs without treatment or surgical intervention will adapt over time. Over the next few months after the injury, their body will begin to heal and adjust on its own.

How much does dog ACL surgery cost?

Dog ACL (CCL) surgery costs typically range from $1,500 to $7,000+, depending heavily on the surgical method (Lateral Suture is cheaper, while TPLO or TTA are more costly), your dog's size, location, and added expenses like diagnostics, medication, and rehab, with advanced procedures costing $3,000-$6,000+ for better long-term results.
 

Is a dog in constant pain with a torn ACL?

In other words, if your dog isn't using his leg like he used to (i.e. walking with it) then it means it hurts to walk normally! Most dogs that have ruptured their ACL will be very painful for the first few days and then will seem a little more comfortable after that.

Should a 12 year old dog have ACL surgery?

Older dogs may need TPLO surgery if they have knee injuries that cause pain and limit their movement. This surgery can help them regain their ability to walk and play.

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