We would like to help you as much as possible via email. I would try Promaxol to reduce the pain and help healing to begin. Promaxol would be a good choice for your dog because it contains the stronger LM potencies. After improvement is seen then you can switch over to Arthro-IonX. In addition it is helpful to give Canine Probiotics with each meal, Omega 3,6,9, MSM, and vitamin C daily. (We carry the first two and the other two you can get at a health food store.) The oligotherapeutic mineral base found in the IONX products helps the body to better utilize the other nutritional substances given for a synergistic response and faster healing. Also be sure to give sufficient fresh water that is free of chlorine and fluoride. If you can gradually phase into a grain free diet that can be helpful too. What kind of food and treats do you currently give? The other thing that is sometimes beneficial is to have a certified veterinary chiropractor check for spinal alignment and make any corrections as necessary. Looking forward to your response.