TPLO Post-Surgery Recovery Guide

Recovery from TPLO surgery is a gradual process that typically takes 8-12 weeks. Strict activity restriction during the early phases is critical for proper bone healing.

Weeks 1-2: Strict Rest and Healing

The first two weeks are the most critical. The bone is actively healing, and any excessive movement can disrupt the repair.

Crate Rest Setup

• Confine your dog to a crate except for short, leashed bathroom breaks
• Use a firm orthopedic bed with a waterproof liner inside the crate
• Keep the crate on the ground floor — no stairs
• Use a sling or towel under the belly for support during bathroom breaks
• Keep other pets and children away to prevent excitement

Incision Care

• Check the incision daily for redness, swelling, or discharge
• Use an Elizabethan collar to prevent licking
• Keep the incision clean and dry
• Contact your vet immediately if you notice signs of infection

Medication

• Anti-inflammatory medications (NSAIDs)
• Pain medications
• Antibiotics (if prescribed)
• Joint supplements (glucosamine, chondroitin, omega-3s)

Weeks 3-4: Follow-Up and Gentle Movement

Your vet will take X-rays around week 4 to check bone healing. With approval, you may begin:

• Short, slow leash walks — 5-10 minutes, 2-3 times daily
• Passive range of motion exercises — gently bend and extend the knee
• Ice packing — apply ice for 10 minutes after walks

Weeks 5-8: Increasing Activity

• Increase leash walks to 15-20 minutes
• Begin gentle hill walking (uphill only)
• Start underwater treadmill therapy if available
• Continue range of motion exercises

Weeks 8-12: Return to Normal Activity

• Gradually return to normal walks
• Begin off-leash activity in controlled environments
• Avoid high-impact activities for a few more weeks
• Continue using a supportive orthopedic bed

Physical Therapy Options

• Underwater treadmill — low-impact exercise
• Laser therapy — reduces inflammation
• Therapeutic exercises — rebuild strength
• Massage — improves circulation
• Acupuncture — pain management

Long-Term Joint Care

• Weight management — keep your dog lean
• Joint supplements — glucosamine, chondroitin, fish oil
• Regular, moderate exercise — avoid sudden bursts
• Use ramps — for cars and furniture
• Orthopedic bedding — protect joints long-term
• Monitor the other knee — 40-60% will injure the other CCL