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Question:

Is a dog CCL injury diagnosis a best guess or definitive?

I'm feeling really overwhelmed right now and could use some advice from those of you who have been through something similar. My sweet 5-year-old Lab, Max, has been limping on his back leg for a couple of weeks. I finally took him to the vet, and they mentioned something about a possible CCL injury. They did some manual tests and watched him walk, but didn't do any imaging yet. The vet seemed pretty sure about the injury, but also called it a "clinically likely" CCL tear, which has me wondering: Is this diagnosis really just a best guess, or is it typically definitive even without an MRI or X-ray? I'm so worried about him and just want to make sure we’re making the right decisions for his care. Any insights or experiences shared would mean a lot to me. Thanks!

Answer:

Hi there! I understand that you're concerned about the diagnosis of a cranial cruciate ligament (CCL) injury in your dog, and that's completely normal. When it comes to diagnosing a CCL injury, veterinarians often rely on a combination of clinical signs, physical examination findings, and sometimes imaging techniques like X-rays to assess the situation.



Typically, a definitive diagnosis involves a thorough physical exam where the vet checks for specific signs, such as joint swelling, pain, and the “drawer sign” where the knee shows unusual movement. While X-rays can’t show the ligament itself, they help identify joint swelling and rule out other issues.



At home, you can support your dog by restricting their activity. Keep them on a leash during bathroom breaks and avoid stairs or jumping, which can exacerbate the injury. Consider using a cozy crate for rest.



However, watch for signs of limping, difficulty standing, or a worsening condition. If you notice these or any signs of pain, a timely video consult with a vet is important. They can provide more guidance and help decide if further diagnostics like an MRI are needed, although these are less common.



If you’re still worried or your dog’s condition doesn’t improve, it might be a good time to schedule a video consult with one of our vets at Dial A Vet. We’re here to help!

Answered by

Louise - Senior Veterinary Nurse, Dial A Vet

June 21, 2025

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The "Ask a Vet" forum on Dial A Vet offers general information and helpful tips on pet health, but it's not a substitute for professional veterinary care. The advice here doesn't create a veterinarian-client-patient relationship, and our vets can't diagnose or treat your pet remotely. For emergencies or specific medical concerns, always contact your local veterinarian immediately. Your pet's health is unique, and decisions should only be made after consulting with a qualified professional. By using this forum, you acknowledge these limitations and agree to seek in-person veterinary advice for all your pet's health needs. View our content guidelines.
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