Have you tried Rimadyl?
DDog has been suffering from Pano now for about two months. Had him on a Pano herbal blend form Natural Rearing and vit. C to start with. After one month; no result. Then added Metacam, no results after several weeks. Now on Metacam and Tramadol and herbal for four days now and again, no results. I am taking him off everything now and see how that goes. I hate all these chemicals in his, otherwise, super healthy body.
So what's left? Acupuncture? I can't imagine him lying still for that.
Need more ideas. he and I are both suffering from cabin fever.