I can not type a post, my heart is breaking in pieces. Below is copy paste of Vets diagnosis.
More when I can....
David Doyens, DVM
Thu, Nov 4, 7:42 PM (10 hours ago)
Sandra and Robert,
Beau's examination and images have been evaluated and his findings formulated. Beau's got several issues of concern. The primary cause of his R rear leg lameness is due to his anterior cruciate ligament. Like a football player, Beau's ACL is injured and it's painful to walk due to movement of his knee. His L knee is not great but it's relatively normal and functional. Beau's hips add to the challenges. He has dysplasia -- neither of his hip joints have smoothly operating parts. The ball part of the joint does not sit nicely within the socket part of the joint. Specifically, the L hip is subluxated or sits a little outside of the joint. Both are likely somewhat discomforting and, again, complicate the issue with this R knee.
Options may be limited. For large breed dogs like Beau, surgery for the knee is the recognized gold standard. But, his other problems may preclude him from being a good candidate for such surgery or complicate the healing process. Remember, while his R leg heals from surgery, he's got to rely on his L leg to support him and it's not in the best of shape/condition to do that.
Inevitably, most such injuries eventually heal through scarring and contraction. It's not an easy path -- nor a short path -- but, given time and patience and the necessary mediations, most dogs with ACL injuries will eventually heal.
My recommendations for Beau if you choose not to pursue a surgical consult (and I can refer you to any number of surgeons in the area for a better idea of what options are available): time, rest, restricted activity; a non-steroidal anti-inflammatory drug like meloxicam; an analgesic like gabapentin and a joint formula (GAG product) for supporting joint remodeling and physical therapy (water therapy, massage, or laser therapy).
You likely have some questions in regard to my findings. Please don't hesitate to call or write should you have such.