many of you are aware we have been dealing with a front end limp since the end of July with no significant improvement through rest, NSAIDS or pure pain relief (tramadol). We went to an orthosurgeon that couldn't find anything specific outside of some missing cartilage in his toe. I didn't believe that was the problem then and I totally dismissed it as time went on. So...........
Yesterday we went to our regular vet to have some lumps checked out. Spoke to him about the shoulder, he looked at me and said Dr G said toe??? LOL So we had a long chat and he worked B over really well. The waiting area was empty so we used it to do some gait watching and try a few things.
Then back in the room he said I'm going to try something........he completely flexed B's elbow and wrist and pulled his leg up towards the shoulder joint. Then he went digging in the shoulder joint and incredibly Bugsy yelped. I don't think I have ever heard him yelp...........ever. It was only a little one but clearly the vet had found the spot.
The spot is the tendon that connects the biceps muscle to the shoulder - it appears to be a bursitis in that area (how he described it)
You could do an ultrasound/MRI and xray (to look for calcifications) or arthroscopic surgery to fully diagnose it - at this point I am going to wait a bit before moving forward. We have been cleared to swim (low impact exercise) and been told it can take 6-8 MONTHS to heal
In the long run I might opt for the arthroscopic surgery because if they find certain things they are already in position to fix them
Running out of time so here are a few links
http://www.akcchf.org/assets/files/canine-athlete/Biceps-injury.pdf
http://www.petmd.com/dog/conditions/musculoskeletal/c_dg_shoulder_joint_conditions#.UFnCj1EQf58