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HI everybody. I'm posting because I hope someone could have useful thoughts. Our lovely yellow boy is now 9 1/2. He became lame at 18 months and when he was about 2 1/2 he had arthroscopy and keyhole surgery to remove fragmented bone. He had fragmented coronoid process. We were told at the time that he would develop arthritis and he has. He has been on daily Metacam that he tolerates well for more than 2 years. At the beginning of this year it was clear he was in more pain and he was prescribed Tralieve 80mg 3 times per day. The pain and lameness continues to be bad. He is very lame. We don't take him for walks any more and he can't do stairs. Under normal circumstances my OH and I live in my 2nd floor flat in London, spending time in OH's house outside London at weekends and holidays that has a large garden. We locked down in OH's house. DJ used to go upstairs with us but he does not try that any more. Our vets now added Amantadine to the pain killer mix. We give him the drugs but they do not seem to be working all that well, I don't notice a difference.

We had a specialist online orthopaedic referral with one of the large specialist veterinary hospitals last week. The vet did not recommend any surgical solutions like partial or full elbow replacements. He said there is no miracle cure. He suggested that we have an MRI or CT scan and try injections of platelet rich plasma into the joint in conjunction with physiotherapy and tailored pain killers. He said the effect of the injection is not researched, is variable and would last for 3 to 6 months. Cost approx £3,000. I explained I am not so worried while we are in OH's house during the summer because there are no stairs and DJ can go in and out of the garden as he chooses.

What really, really worries me is trying to get him back to my 2nd floor flat (lots of steep stairs) when we expect to be back to work in London from September.

I've been thinking of not treating him beyond pain killers, not giving expensive uncertain result injections, and just keeping him quiet and comfortable as best we can then having him euthanised in his home here before we go back to London? Is this cruel or awful? Does anyone have any experiences of these injections? Any ideas at all welcome.......OH and I are very devastated but I just cannot see how I can manage a large male labrador in acute pain in a second floor flat. So, so sad.
 

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Fragmented coronoid process. There are things you can do to minimise the risk when buying a pup, but there is nothing you can do to completely eliminate the risk. Certainly there is a genetic component, but we don't even know the mode of inheritance.

Certainly it is not cruel or awful to weigh up options. Everything hinges on quality of life. I've heard of Stem-cell therapy being used, but it's hellishly expensive and with no guarantees and really, under these circumstances I really cannot say that I would go down this route. It's hard to say, and even harder to do. As I said, quality of life is all important, and if the quality of life is not good, then. . . . . . Sorry I cant say anything more helpful.
 

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You have to weigh up their quality of life, if the drugs aren't really working any more then you do have reevaluate, and research options. It's something I've gone through recently with one of my old girls, she started struggling on her knees and one elbow/shoulder, and could no longer keep herself up, and at the same time her heart started to go. I had asked the vet prior to taking her to be seen to see whether we could try different options, that was 24 hours before the appointment, but once I got her to the vets I did know that I was going to have to make the hard decision, hard for me, not for her. You will know when the time is right xx
 

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A bit out of the box, but I know of many people who have found pain relief through the use of CBD paste (whole plant paste NOT oil). I use green paste, made from the sativa plant, for my elderly and very arthritic girl (nearly 14) and have also used it to aid recovery from ruptured cruciate on one of my other elderly girls (nearly 13). Both are doing very well. There are some excellent groups on FB, one in particular, Herbal Health pets UK/EU. It might be worth considering combined with maybe turmeric paste. If you’re at the stage where you’re considering euthanasia, what have you got to lose?
 
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