We continue in our quest to find the source of pain for George.
Reactivity is often linked to pain or discomfort, particularly noise sensitivity. I read that noise sensitivity is linked to pain in 90% of cases. So I was aware that pain may be a factor for George.
In the early days of our medication journey, we did a couple of pain trials which didn't seem to make much difference.
After two separate animal professionals independently commented that there may be an issue with one of his hind legs (I had not noticed and still find it difficult to see clearly), I decided that we needed to investigate further.
George started back on the pain meds and currently takes Metacam (an anti-inflammatory) daily as well as Gabapentin which can be helpful for pain.
Our VB put us in touch with a physio who noted that there appeared to be some muscle loss in his left hind leg, a sign that he is favouring his right.
She recommended x-rays of his hind legs and spine which we've now had done (Anaesthetic and another lockdown).
All looked fine with his hips and knees but he has a mild curve in his spine (spinal kyphosis).
We had a follow-up appointment with the physio this week. She has recommended that we send the x-rays to a radiologist for further advice.
After an examination and observation, she noted that he does appear to be experiencing some pain or discomfort in his back. Interestingly, she thought he was using his right hind leg oddly (we previously thought it was an issue with his left). Back issues can effect either or both hind legs.
George had a bit of a massage and some laser therapy.
I must admit I didn't understand the science behind the laser therapy but she said that in can be very helpful for some dogs. In some dogs, it doesn't make a difference at all. Hmm, I wonder which one George will be…
I am monitoring him for 5 days to see if it made any difference. If it does, we will plan some more laser therapy sessions. If it doesn't, I've been advised to trial stopping the Metacam to see if that makes a difference.
Options for next steps include an ultra-sound/CT scan which can show any issues with the soft tissue. It is an expensive diagnostic procedure.
As dogs can't tell you what is hurting, and there are no really obvious signs, it is all a bit of trial and error. Dogs are experts at hiding pain.
For now, we monitor and await the report from the radiologist.
Although I obviously want to see improvements in his reactivity, I hate to think of him being in pain.