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Hello. Thanks for the question.
Sorry for the long wait.
It sounds like they are treating for suspected back pain. This is usually due to a herniated disc in the back. These can be quite painful, as they are in people. Rimadyl and Gabapentin is the combination I also like to use in these dogs. Gabapentin can be dosed in a range. I give anywhere from 5-10 mg per kg body weight (2.5-5 mg/lb). I'll give it 2-3 times daily. You may be able to go up on that dose that you're using.
If the combination is not enough, then I'll add a muscle relaxant (Methocarbamol) and/ or an opiate pain med (Tramadol). That may be what needs to be done here. You could probably call the ER vet and they could call in a script to a local pharmacy. Tramadol is a human med, so you could just get it at any human pharmacy. Typically within 3-5 days of starting the meds, these guys are much more comfortable. Within 1-2 weeks, they're usually back to normal.
I hope this helps, let me know if you have any other questions.
When you go to lift him, it probably puts pressure on the back. It's a common time to yelp in these dogs.
When it happens is always the question- the truth is we usually don't know. It probably happens during normal activity.