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Hello. Thanks for writing in. My name is***** and I would be happy to help you. The first thing I would do is recheck the x-rays of the hips and spine. Sometimes signs on an x-ray may not show up at the same time as clinical signs, especially when it comes to arthritis and cancer. Given his age and breed, osteosarcoma (bone cancer) is a big possibility. Plus, there may be a herniated disk. Granted, you can't really see a herniated disk on x-rays, but you may be able to see evidence of it. You may also be able to see evidence of spinal arthritis or an infection on one of the vertebrae as well. I am not sure if he is on Metacam still or not, but he most likely needs to be back on that, along with some tramadol and a possible muscle relaxer. If arthritis related, Adequan injections can work wonders for these dogs that cannot get up. Please let me know if you have any other questions or concerns. Hope this helps.
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