Rehabilitation for Amputees

The Road to Recovery: Helping Your Pet Thrive After Amputation

Having to make the decision to remove one of your pet’s legs can be one of the most difficult decisions you’ll ever make. You know it’s for the right reasons – often to save their life. But you’re torn,  because on the other hand, you’ll be wondering how this will affect their ongoing quality of life. Will they still be able to do the things they used to? You might even be wondering if they’ll hate you for taking their leg from them!

The good news is that most dogs and cats do surprisingly well after an amputation. We find that it’s often a lot more difficult for the owner to come to terms with the situation, than it is for the dog. After a few weeks of adjusting, they’ll be getting around completely oblivious to the fact that they’re one leg short.

Despite how well they recover, this doesn’t mean we should ignore what else is going on in their body in the long run. Ultimately, dogs and cats were made to be on 4 legs, and when one goes missing they’ll forever compensate.

How Does Their Body Compensate After an Amputation

In dogs and cats, limb amputation will lead to changes in the biomechanics and weight distribution of the remaining limbs. Many pet owners will comment that ‘they’re not straight anymore’, but it’s important to understand that this is their new position – if you put their legs back where they used to be they’ll fall over!

Here are some of the key changes that will occur

Changes in Stance

The remaining leg at the end with the amputation will come under the body to sit in the midline, like a tripod. For dogs with a forelimb amputation the hind legs tend to go into a wider stance.

 

Modified Gait

This can be hard to describe without overcomplicating it, but the difference will be obvious.

  • They’ll tend to take a much bigger step with some legs, and shorter with others
  • You’ll also notice a large head bob or pelvic jump at the end where the limb is missing as they need to put in extra work to take a step.
  • They’ll be taking more impact in the leg where the limb is missing
  • They’ll appear to be a bit off balance and may have difficulty maintaining grip on slippery surfaces

 

Difficulty with common movements

Movements that used to be simple will now be challenging. These will differ a fair bit between forelimb and hindlimb amputees.

  • Sitting or dropping
  • Rising from the ground
  • Turning around in circles
  • Navigating stairs
  • Jumping in or out of the car

 

Scoliosis

Scoliosis might sound bad, but it’s not necessarily so. Scoliosis simply means a ‘bend in the spine’. In this case it’s something we’d call a ‘functional scoliosis’ because it’s a way of them adapting, or compensating for asymmetries outside of the spine. 

The twisting and bending that will happen are so your pet can stand up without falling over, to adapt to walking on 3 legs and to distribute pressure as evenly as possible.

 

Pressure distribution

The leg next to the missing one will cop a lot more pressure on an ongoing basis, in all of the joints from the paw, right up to where the limb attaches to the spine.

 

Physical Exertion

Your pet’s strength and endurance will not be what it once was. They certainly won’t be able to walk as far in the early days, however over time they will adapt and be much more capable.

Is a forelimb or hindlimb amputation easier to recover from?

This depends whether it’s a dog or a cat.

Dogs

Generally speaking, it will be more difficult for a dog to lose a forelimb. This is because dogs shift most of their body weight forwards (about 60%), so when one forelimb is amputated, the other one has a lot of extra lifting to do.

Conversely, a hind-limb amputation is a little easier for them.

Cats

Cats on the other hand are able to use their hind legs a bit more, have a more flexible spine and are known for their balance and agility, allowing them to compensate better for a forelimb amputation. You may find that they also adapt to any limb amputation quicker than than a dog.

We assist pets post-amputation to improve their quality of life

Arthritis, muscle tension and the general aches and pains that dogs and cats will experience after amputation can be mitigated with appropriate management. This includes rehabilitation/physical therapy, weight management, supplementation and pain management.

Initial Consult

A typical approach for our amputation patients is to see our patients soon after surgery for initial consult where we will:

  • See how they’re managing and provide advice on what you can do to make their immediate life easier.
  • Recommend a range of products such as harnesses, non-slip booties and joint supplements to help them in both short & long term
  • Prescribe simple exercises such as massage & stretches for you to do at home to help manage their acute joint & muscle pain.
  • Rehab/physio/osteo/chiro treatment as required.
  • Work out what a suitable long-term plan looks like.

Follow-up Consults

Our follow-up consults can be tailored depending on what’s most important to the pet and owner. Some of the things we’ll look at are:

  • Teaching some basic exercises to teach your dog new ways of performing basic movements, such as sitting, dropping, getting back up, stepping over things and turning around.
  • Provide advice & a structure on how to get them to return back to normal walking.
  • Provide more treatment as required
  • Ideally, we’d see patients monthly just to help them manage all the tightness & stiffness that they’ll experience.
  • In the case of a flare-up of pain, see them for 1-2 sessions closer together to get things back on track, then back to monthly maintenance.

 

We understand every patient and owner’s needs are different – some will want or need to come in more frequently, some less. We’ll work around what’s best for your individual situation.

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