I have a 10 year old Sheltie rescue. We have had her for 8 years. She has always had elbow arthritis, it has advanced over the years and is now giving her quite a bit of pain and lameness. We had given her Adequan injections for several years till they no longer helped. She has always been on on glucosamine supplements fish oil, and Dasuquin and still takes all of these. She had a steroid injection in both elbows 2 years ago, which did nothing, maybe even made her limp worse for several weeks. She recently had a month of twice weekly laser therapy which also did nothing. Currently she is on Carprofen, Tramadol, and Gabapentin. I have decided against a Assisi loop and also stem cell therapy. The only other thing my Vet has left to offer her for relief is PRP injections. I am skeptical. We have spent so much money, and put Missy, who is fearful and has severe noise phobia through so much. So I was hoping someone has had experience with PRP injections and can give me some advice? On a side note, I posted here 2 years ago for advice about anal gland removal. My only positive in this post is she had her anal glands removed and it was wonderfully successful!! Thank you to anyone who read this and can offer me any advice.