Arthritis anon dog I'm just posting this here to echo everyone else and because I'm a narcissist who wants to be on this page but especially if your dog is bigger, being on regular meds will make a huge difference in her quality of life! If she's already in enough pain to avoid activities like jumping in and out of the car/going up and down stairs, she probably is too advanced for just supplements (although Cosequin tablets are awesome and you should start giving them just to keep stuff from progressing) but Adequan is an absolute miracle drug! It's just an injection into their joints to help stabilize them, and I have seen it work miracles in horses and dogs. It's not a narcotic or pain med, although your vet might prescribe carprofen/Rimadyl (or something similar) as well either for flare ups or as a maintenance dose. Usually when dogs hit a certain age the risks for liver/kidney issues are outweighed by the benefits for the drugs. But dogs with arthritis (even advanced) can live for many years with it with good medication management and very high quality of life, so don't be discouraged! And anyone else who has a dog, I recommend Cosequin very highly and yes I know I sound like I'm pushing pharma but THIS SHIT WORKS.