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General MedicineSoft Tissue Surgery

CCL Tears in Dogs: How to Spot Them Early

A sudden limp is one of the most common signs of a CCL tear (often called “ACL” in people). These injuries can be painful and can worsen over time—especially if your dog continues running or jumping.

If your dog is suddenly limping or “toe-touching,” schedule an exam.
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What is the CCL (and why it matters)?

The cranial cruciate ligament (CCL) stabilizes the knee. When it tears—partially or completely—the knee becomes unstable. That instability leads to pain, limping, inflammation, and arthritis over time.

Common signs of a CCL tear

  • Sudden lameness (often after running or turning quickly)
  • “Toe-touching” (barely putting weight on the leg)
  • Stiffness after resting
  • Difficulty rising, jumping, or using stairs
  • Swelling around the knee
  • Sitting with one leg kicked out to the side
  • Limp that improves, then returns

Important: Even if your dog “walks it off,” a CCL tear may still be present.

What causes CCL tears?

Some dogs tear the CCL from:

  • An acute injury during play

But many develop tears from:

  • Gradual ligament weakening
  • Weight-related stress
  • Breed predisposition
  • Underlying joint structure

How we diagnose knee injuries

A veterinary exam may include:

  • Physical exam and knee stability tests
  • Pain/swelling assessment
  • X-rays to look for arthritis or joint changes
  • A treatment plan based on size, activity level, and injury severity

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Treatment options (what might be recommended)

Treatment depends on your dog’s size and lifestyle:

  • Conservative management (rest, rehab, weight management, anti-inflammatory plan) may help some small or low-activity dogs
  • Surgical options are often recommended for medium/large active dogs to restore stability and reduce long-term arthritis risk

Your veterinarian will explain what’s best for your dog’s case.

Recovery basics (what most dogs need)

Recovery typically includes:

  • Strict activity restriction early on
  • Leash-only potty breaks
  • Rehab/physical therapy exercises if recommended
  • Gradual return to activity per medical guidance

When to call urgently

If your dog is in severe pain, won’t bear weight, or has swelling after trauma, call us.

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