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Hello I am Dr. Joey. Thanks for trusting me to help you and your pet today. I am a licensed veterinarian with over 15 years of experience. I look forward to working with you.
I am so sorry to hear Nellie is experiencing this. A dislocation of the elbow is certainly possible, but this is rare and usually there would be a traumatic incident (like a fall) to have caused it. Dislocations of the front limbs are quite rare in dogs. What is more likely is there is a primary orthopedic issue such as arthritis she exacerbated by slipping or moving in an odd way or a sprain/strain or an infection or even a bone tumor. Given how uncomfortable she is, the absolute best for her would be to take her in on emergency to be seen today. After an examination she probably needs some X-rays (radiographs) to narrow down the exact problem. Then appropriate medications can be prescribed to get her comfortable.
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