Fletcher's had arthritis since he was about 6 (now 10) Traumeel tablets worked for him for awhile, with Metacam added on bad days. When that wasn't enoughI added acupuncture and Chinese herbs, which have made a big difference. He has also gotten Fresh Factors and a glucosamine/msm supplement, currently we are using Arthresoothe Gold, as it has boswellia, green lipped muscle, and yucca as well as glucosamine, chondrioten and msm I also have tramadol on hand for times when he needs a little extra.