Sugar has been on Metacam for a year or longer (can't remember) for her arthritis. Since it has gotten so much worse in the last few months, I've added Tramadol. I have learned by watching her when she is starting to feel worse. She hunches up her back a bit (part of her problem is in her spine), and walks funny. Best I can describe it, she keeps her back feet closer together than normal, and walks like she is trying to limp on both back lags at the same time. When she is feeling better, her whole body is more relaxed, she moves in a more easy, flowing manor, not all tense and jerky. It is all very subtle and of course, Loca may react entirely differently!
I've looked at Traumeel, I wonder if it would react with Sugar's heart meds?