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I am sorry that I can reply to this but Joan and I have had lots of dogs and each one has had its own,usually different, health problems.I don't pretend to know a great deal but experience lets me answer this.
We had a female Irish setter who had a serious lick granuloma problem.It did not respond to any treatment and the dog was in danger of having an amputation, it had got that bad.The vet ,as a last resort ,decided to inject steroids directly into the wound of Lizzie's granuloma.To everyone's amazement it worked.The granuloma healed leaving a misshapened joint.
This proceedure would not be recommended but it was done as a last desperate measure that worked.
I hope you find something that works for your dog.
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