yourself and to get the work done efficiently and safely. Your pet should lie on his/her side withthe affected limb up. Gently and slowly extend and flex each joint (ankle,knee and hip) 10 times2-3 times per day. If you are unsure, ask your veterinarian to demonstrate.c. Massage the quadriceps and hamstring muscles (large muscle groups at the front and back of the thigh respectively). Best to massage for 2-3 minutes before and after PROM. Massagingwill help stimulate blood and lymphatic flow and break down scar tissue within the muscles.Start by applying light pressure and gradually increase it over the coarse of the massage. Try tokeep a steady rhythm. Start close to the knee and move up the muscle toward the hip.d. Assist your dog over slippery surfaces by placing a towel under the belly and supportinghim/her (commonly referred to as towel walking).
2. Days 10-28
a. Multiple short,slow, controlled, short leashed (NO FLEXI-LEADS PLEASE!) walks. Startwith 5 – 10 minute walks 2-3 times per day. After 7 days, increase the frequency and length of walks gradually so that you are eventually walking for 15-20 minutes 3 times per day by day28. Monitor your pet's performance; do not exceed his/her limit. b. Continue with the massages and PROM (Before and after the walks).c. Use warm compress for 5 minutes before walking and use cool compress after the walk. Tosave time, apply the compress to the joint while you are massaging the muscles.d)See your veterinarian around Day 28. You can assess your dog's progress by measuring thecircumference of the thigh muscles ( it should increase with exercise) or simply compare it tothe muscling on the non operated leg. Your veterinarian will assess the knee for swelling, pan,stability and the position of the knee cap.e) Use a foam mat or pad 4,5, 6, 8 ft long , thin (¼ to ½ inch) then thicker as legs get stronger to encourage a higher foot fall and increased joint use. Just have them walk back and forth on it.3.Weeks 5 to 8a. Continue with the slow, controlled ,short leash walks. Gradually increase to 20-30 minutes 3times per day. b. Add functional strengthening exercises. Walk your dog in a figure 8 pattern to the left and theright ( this will help with neuromuscular re-education as well). Start with a large figure 8 , andwalk the pattern 4-5 times in one direction before switching to the other direction. As your petimproves and becomes stronger gradually (over 3-4 weeks) tighten the figure 8 (no sharp turns)and switch directions more frequently. Do “sit-to-stand” exercises: Ask your dog to sit andthem ask him to stand several seconds later (this is not an exercise in speed). Start with 3 to 4repetitions, 2-3 times per day. Gradually increase (over 3-4 weeks) the frequency (to 10 times