Welcome! My name isXXXXX am a UC Davis graduate, and currently, a Medical Director of a veterinary hospital.
I am sorry to hear about this concern.
Well, it depends a bit on the definitive diagnosis, as to which complementary therapies are going to help and how much. Generally, I have seen acupuncture results within just a few treatments. More importantly, I would expect improvement quickly because you are doing some complementary therapies as well.
Also, if only using tramadol for pain, I would ask your vet the following questions:
1. Could we also try adding on some gabapentin for neurologic pain?
2. If painful, could we increase the Tramadol to three times a day?
3. Lastly, if non-responding, you could request a transfer to a neurologist for a second opinion.Find Various Specialists
--> Under "specialty" select SAIM = Small Animal Internal Medicine
--> Or, you can search for a Neurologist, Cardiologist or Oncologist
I know some acupuncture courses can be several weeks long or even permanent on a regular basis, but that is really only if you are observing specific benefits from it.
One more thing:
Again, depending on the diagnosis, I would strongly consider adding on some type of either steroidal or non-steroidal anti-inflammatory medication.
Very sorry to hear about this concern for Beau. Please let me know if there is anything I did not cover for you. I hope that information has been helpful.
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