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Although Metacam is great for inflammation, since she's still painful, if this were me, I'd ask my vet to send out something like Tramadol to work in conjunction with the Metacam.
Metacam is like aspirin....and Tramadol is a synthetic version that's like Morphine, so it's awesome for pain control. Luckily they can both be used at the same time, so asking the vet to send some out will help give her better pain control.
I hope this helps.