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Dr. Altman
Dr. Altman, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 11110
Experience:  Practicing small animal veterinarian for 17 years.
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I have 3 eleven year old Norweign Elkhound dogs and on 14 year

Customer Question

I have 3 eleven year old Norweign Elkhound dogs and on 14 year old Norwegian Elk-hound dog with bad arthritis making movements difficult. What should I give them?
Submitted: 1 year ago.
Category: Dog Veterinary
Expert:  Dr. Altman replied 1 year ago.
Welcome! I am Dr. Altman, a licensed veterinarian and happy to answer your questions today.
I am so sorry to hear your senior friend is having difficulties with arthritis. There are so many options available to us now to help our beloved four-legged friends outside of the normal nonsteroidals (rimadyl, previcox, metacam, deramaxx). I will list them individually but all can be used in combination to assist your dog in getting comfortable
1.) Gabapentin- this is called neurontin in people. It works by dulling the nerve firing associated with pain and is my top choice for senior pets because it is not metabolized as readily by the liver and is easier on a senior pet. The pros are that it is not pricey, has no high end dose so if the pain escalates as your pet gets older we simply adjust the dose, and is easier on older pets. The cons is that it has to be given consistently because withdrawing it suddenly causes what is called rebound of pain which is higher then original level, can cause mild sedation initially
2.) Tramadol- this is in the opioid class so it is given as needed for pain when there are bad days. It can be given longterm to senior pets two to three times daily if needed
3.) Alternative medicine: laser or light therapy, acupuncture, physical therapy, massage therapy. All are fantastic ways to help minimize pain, increase strength, and allow rest more comfortably. If there is a physical therapy facility in your area they would have all of these. Typically I will start with acupuncture and/ or laser therapy and then add in the physical therapy once we are more comfortable. I often see remarkable results with one to two sessions
4.) Adequan injections. These are pricey but given twice weekly subcutaneously (I have owners give the medication at home after a demonstration to minimize the visits) for four weeks then taper frequency as improvement is seen and if there are bad periods then increase frequency once again
5.) Supplements: Glucosamine sulfate 1500 mg daily, fish oil with 1500 mg EPA & DHA daily, Vitamin E, Ester C are all great to slow progression of disease and assist in comfort
If you would like assistance finding someone in your area that might have more alternative options or physical therapy please give me your location (city, state, zip) and how far you are willing to travel to give her some relief!
If you have more questions or if I can help in any other way, please do not hesitate to ask! If you would like to accept my answer, please press RATE OUR CONVERSATION. Bonuses are always welcome (I am not compensated in any other way). Thanks!
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Expert:  Dr. Altman replied 1 year ago.
I am glad to see you were able to view my responses.
Please let me know if I can be of any further assistance to you both today!
If you are satisfied with our chat please rate or accept so I may be compensated for my time. Thank you!
Expert:  Dr. Altman replied 1 year ago.
Hi,

I'm just following up on our conversation about your pet. How is everything going?

Dr. Altman