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Dr. Altman
Dr. Altman, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 11127
Experience:  Practicing small animal veterinarian for 17 years.
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Seem like joint pain. Old dogs, 15 and Betsy, Yes, no

Customer Question

seem like joint pain. Old dogs
JA: I'm sorry to hear that. What is the dog's name and age?
Customer: 15 and Betsy
JA: How old is 15?
Customer: Yes
JA: Is there anything else the veterinarian should be aware of about 15?
Customer: no
Submitted: 1 month ago.
Category: Dog Veterinary
Expert:  Dr. Altman replied 1 month ago.

Welcome to Justanswer! I am Dr. Altman and happy to assist you both today! Please give me a few moments to type my response and I will be right back!

Expert:  Dr. Altman replied 1 month ago.

I am sorry to hear your dog is having this issue with possible pain at her senior age

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 to build strength. 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

6.) Depending on your pet's size, a help em up harness that is used to support standing and moving to minimize injury to your back but also prevent further injury to you pet. http://helpemup.com

I hope this information makes sense but please let me know how else I can assist you both today

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!