Q. I have an older dog (12) and she had Lymes about 2 years ago, she had a bad case, but has recovered, she now has arthritis in her back legs- anything?

A. In regards to traditional therapy, my favorite is a combination of Gabapentin and Tramadol plus supplementation daily with Fish Oils. Gabapentin takes about 10 days to reach a loading dose, but then lowers the amount of pain they perceive. In combination with Tramadol, it allows them to only use it as needed, with the Gabapentin used daily, The fish oils, if given regularly, are great anti inflammatories. I use a liquid, and place about 1 tbsp on each meal. They love it! I tend to stay away from NSAIDs such as Rimadyl. They certainly have their place as good anti inflammatories, but I think they can be rather taxing on the liver. When I need to use them, I always check liver enzymes, and supplement with SAMe to help support the liver. If you are open to acupuncture, it has been researched to greatly reduce inflammation and pain as well.

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