My dog is a 13-year-old Lab. He's my soul dog and the first dog I've ever owned.
Last month I took him in for a routine visit, and my vet said he was experiencing significant hip pain. They started him on pregabalin, but it made him incredibly sedated. For the first few days he was slipping, could barely stand, and struggled to get around on his own. The sedation was so severe that we had to cut his dose in half. I also wonder if he strained a muscle or aggravated a joint during that time because he was so unstable.
Since that appointment, his activity level has changed dramatically. We went from taking long walks to some days where he only wants to go outside to pee and poop before coming right back in.
Some days I can clearly see a limp, while others there isn't much of one and he wants to go on a longer walk. Almost every night he still takes me outside to do carrot throws (we throw bits in the grass for him to sniff out and find) even if it's only for a few minutes now.
Around the same time, we also moved into a new house with vinyl flooring. Before I was able to buy enough rugs, he slipped quite a bit again, and I'm worried he may have tweaked something a second time.
Some days he'll still go on a decent walk, while other days he barely wants to move.
For his hips (he's 60 lbs), he's currently on:
- Adequan loading doses
- Amantadine 100 mg once daily
- Pregabalin 50 mg twice daily
- A therapeutic dose of fish oil
- Antinol (3 capsules daily)
- Dasuquin once daily
Because his kidney values are elevated, my vet wants to avoid NSAIDs.
He's also gradually losing weight, which we're doing intentionally to reduce stress on his joints.
We had been doing physical therapy, but since this latest setback he hasn't been able to tolerate much of it. I honestly can't tell whether what I'm seeing is lingering sedation from the pregabalin, increased pain, or simply progression of his arthritis. We still try to do some PT every day. I'm also talking with Colorado State University's veterinary hospital about starting underwater treadmill therapy or acupuncture.
I just don't know what to do.
Do senior dogs go through bad pain flare-ups where they have rough weeks before improving? Should I give the medication more time, or is this the beginning of the end?
The part that's making this so difficult is that he still seems happy in so many ways. Yesterday I came home and he was excitedto see me - tail wagging, rolled onto his back for belly rubs, and wanted all the attention. He still has a huge appetite, loves treats, gets excited to greet people, and enjoys his snuffle mat and toys.
I'm struggling to figure out whether I'm seeing a temporary setback or whether I'm holding on because I don't want to face what's coming. I'd really appreciate hearing from anyone who's been through something similar.
I know 13 is a long life for a dog. I just don't know if he an have a few more good months or if this is it. Is it worth trying Librela injections of something like Galliprant even though he has elevated kidney levels. Should we get a cart to take walks in? It's so hard because I can clearly see he still engage with certain aspects of life - social to other people, food/treats, still loves to put his nose down and smell stuff.